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Investments in Unconsolidated Entities (Details) (USD $)
1 Months Ended 12 Months Ended
Aug. 31, 2012
property
Dec. 31, 2012
property
Dec. 31, 2011
property
Dec. 31, 2010
Equity method investments        
Number of properties accounted for under equity method   55 92  
Management fees earned in connection with unconsolidated entities   $ 7,300,000 $ 5,700,000 $ 1,900,000
Net investments in unconsolidated entities   95,409,000 105,303,000  
Income (loss) from unconsolidated entities   18,154,000 (52,000) (664,000)
Number of businesses acquired 36      
Number of businesses acquired marketed for sale 1      
Purchase of joint ventures 350,000,000 1,587,068,000    
Notes payable and other debt 101,600,000      
Purchase price of acquisition of assets 380,000,000      
investment in joint ventures 12,500,000      
Fair value of previously held equity interest 30,000,000      
Gain on re-measurement of equity method investments $ 16,600,000      
Minimum
       
Equity method investments        
Ownership interests in properties accounted for under the equity method (as a percent)   5.00%    
Ownership interest acquired (as a percent) 80.00%      
Maximum
       
Equity method investments        
Ownership interests in properties accounted for under the equity method (as a percent)   25.00%    
Ownership interest acquired (as a percent) 95.00%      
ATRIA
       
Equity method investments        
Ownership interests in properties accounted for under the equity method (as a percent)   34.00%