Direct costs arising from transactions with related parties who are not affiliates or joint Ventures. These costs are categorized as cost of goods sold.

Reference 1: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Statement of Financial Accounting Standard (FAS)

-Number 57

-Paragraph 2

-Subparagraph c

-LegacyDoc This reference is SUPERSEDED by the Accounting Standards Codification effective for interim and annual periods ending after September 15, 2009. This reference is included to help users transition from the previous accounting hierarchy and will be removed from future versions of this taxonomy.

Reference 2: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 235

-SubTopic 10

-Section S99

-Paragraph 1

-Subparagraph (SX 210.4-08.(k)(1))

-URI http://asc.fasb.org/extlink&oid=6881521&loc=d3e23780-122690

Reference 3: http://www.xbrl.org/2003/role/presentationRef

-Publisher SEC

-Name Regulation S-X (SX)

-Number 210

-Section 08

-Paragraph k

-Subparagraph 1

-Article 4

Reference 4: http://www.xbrl.org/2003/role/presentationRef

-Publisher FASB

-Name Accounting Standards Codification

-Topic 225

-SubTopic 10

-Section S99

-Paragraph 2

-Subparagraph (SX 210.5-03.2)

-URI http://asc.fasb.org/extlink&oid=6880815&loc=d3e20235-122688

Name:	us-gaap_RelatedPartyCosts
Namespace Prefix:	us-gaap_
Data Type:	xbrli:monetaryItemType
Balance Type:	debit
Period Type:	duration

Related Party Transactions (Details) (USD $) In Millions, unless otherwise specified		12 Months Ended
	Jun. 30, 2010 Todd W. Lillibridge Intellectual Property Rights Purchase and Sale Agreement	Dec. 31, 2012 ATRIA Senior Living management fee	Dec. 31, 2011 ATRIA Senior Living management fee	Dec. 31, 2012 Medical office buildings Sutter Health	Dec. 31, 2012 Medical office buildings Pacific Medical Buildings LLC
Related party transaction
Ownership interests in properties (as a percent)					82.80%
Property leased by related party (as a percent)				100.00%
Related party costs		$ 33.9	$ 20.2
Aggregate purchase price for certain derivative trademarks, design marks and slogans	$ 3.0