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Accounting Policies (Details) (USD $)
1 Months Ended 12 Months Ended
Jul. 31, 2010
segment
Jun. 30, 2010
segment
Dec. 31, 2012
tranche
segment
Dec. 31, 2011
Dec. 31, 2010
Cash Equivalents          
Maximum term of maturity to classify investments as cash equivalents (in months)     3 months    
Deferred Financing Costs          
Deferred financing costs, net of accumulated amortization     $ 42,551,000 $ 26,669,000  
Amortized costs included in interest expense     10,500,000 17,800,000 17,800,000
Fair Values of Financial Instruments          
Number of foreign currency tranches reported at fair value     2    
Number of entity shares issued in exchange for redemption of OP Units     $ 0.7866    
Revenue Recognition          
Straight-line rent receivables     120,325,000 96,883,000  
Term of resident lease agreements, minimum (in months)     12 months    
Term of resident lease agreements, maximum (in months)     18 months    
Notice period to cancel lease agreements by the resident (in days)     30 days    
Segment Reporting          
Number of reportable business segments 2 2 3    
Business acquisition          
Tenant purchase option recorded, net     $ 432,500,000 $ 644,000,000  
Building
         
Business acquisition          
Estimated remaining life (in years)     35 years    
Lillibridge Acquisition
         
Business acquisition          
Number of Medical office buildings 96