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Concentration of Credit Risk (Details)
12 Months Ended
Dec. 31, 2012
province
state
Dec. 31, 2011
Dec. 31, 2010
Concentration of credit risk      
Number of states 46    
Number of Canadian provinces 2    
Revenue concentration risk percentage 10.00% 10.00% 10.00%
Seniors housing communities
     
Concentration of credit risk      
Number of seniors housing communities under long-term management agreements 220    
ATRIA
     
Concentration of credit risk      
Ownership interests in properties accounted for under the equity method (as a percent) 34.00%    
BROOKDALE SENIOR LIVING
     
Concentration of credit risk      
Percentage of total revenues derived by third party 6.40% 7.70% 10.90%
Percentage of net operating income derived from lease agreements 10.50% 12.50% 16.20%
Total gross book value of properties | Seniors housing communities
     
Concentration of credit risk      
Percentage of real estate investments based on gross book value (as a percent) 61.20%    
Total gross book value of properties | Skilled nursing facilities, hospitals, MOBs and other healthcare assets
     
Concentration of credit risk      
Percentage of real estate investments based on gross book value (as a percent) 38.80%    
Total gross book value of properties | ATRIA
     
Concentration of credit risk      
Percentage of real estate investments based on gross book value (as a percent) 17.80%    
Total gross book value of properties | SUNRISE
     
Concentration of credit risk      
Percentage of real estate investments based on gross book value (as a percent) 14.80%    
Total gross book value of properties | BROOKDALE SENIOR LIVING
     
Concentration of credit risk      
Percentage of real estate investments based on gross book value (as a percent) 10.40%    
Total gross book value of properties | KINDRED
     
Concentration of credit risk      
Percentage of real estate investments based on gross book value (as a percent) 4.40%    
Total revenues | KINDRED
     
Concentration of credit risk      
Percentage of real estate investments based on gross book value (as a percent) 10.50% 14.50% 24.70%
Total NOI | KINDRED
     
Concentration of credit risk      
Percentage of real estate investments based on gross book value (as a percent) 17.40% 23.70% 36.60%
California | Total revenues or NOI
     
Concentration of credit risk      
Number of states accounting for more than 10% of total revenues 1 1  
California and Illinois | Total revenues or NOI
     
Concentration of credit risk      
Number of states accounting for more than 10% of total revenues     2