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Segment Disclosures (Details 3) (USD $)
In Thousands, unless otherwise specified
Jun. 30, 2013
Dec. 31, 2012
Reconciliation of assets from segment to consolidated    
Assets held-for-sale, net $ 6,936 $ 9,578
Total assets 20,051,793 19,915,555 [1]
Goodwill 50,346 50,346
Identifiable segment
   
Reconciliation of assets from segment to consolidated    
Gross segment assets 21,556,805 21,040,674
Accumulated depreciation and amortization (2,178,621) (1,970,621)
Assets held-for-sale, net 6,936 9,578
Total assets 19,385,120 19,079,631
Senior housing
   
Reconciliation of assets from segment to consolidated    
Gross segment assets 7,799,169 7,654,221
Goodwill 31,000  
Post-acute/skilled nursing
   
Reconciliation of assets from segment to consolidated    
Gross segment assets 6,389,017 6,080,826
Goodwill 3,000  
Life science
   
Reconciliation of assets from segment to consolidated    
Gross segment assets 3,955,373 3,932,397
Medical office
   
Reconciliation of assets from segment to consolidated    
Gross segment assets 2,679,908 2,661,394
Goodwill 11,000  
Hospital
   
Reconciliation of assets from segment to consolidated    
Gross segment assets 733,338 711,836
Assets held-for-sale, net 7,000  
Goodwill 5,000  
Other non-segment assets
   
Reconciliation of assets from segment to consolidated    
Total assets $ 666,673 $ 835,924
[1] The Company's consolidated total assets at December 31, 2012, include assets of certain variable interest entities ("VIEs") that can only be used to settle the liabilities of those VIEs as follows: accounts receivable, net, $2 million; cash and cash equivalents, $10 million; and other assets, net, $2 million. See Note 16 to the Condensed Consolidated Financial Statements for additional information.