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Dispositions, Assets Held for Sale and Discontinued Operations (Tables)
3 Months Ended
Jun. 30, 2012
Dispositions, Assets Held for Sale and Discontinued Operations (Tables) [Abstract]  
Summary of real property disposition activity
   Six Months Ended
   June 30, 2012 June 30, 2011
Real property dispositions:        
 Seniors housing triple-net  $ 90,404  $ 117,074
 Medical facilities    33,066    35,238
 Total dispositions    123,470    152,312
Add: Gain on sales of real property    33,219    56,380
Proceeds from real property sales  $ 156,689  $ 208,692
Reclassification impact as result of classifying properties as discontinued operations
    Three Months Ended  Six Months Ended
    June 30,  June 30,
   2012 2011 2012 2011
Revenues:            
 Rental income $ 9,833 $ 15,943 $ 20,040 $ 32,242
Expenses:            
 Interest expense   1,794   3,289   3,543   6,490
 Property operating expenses   10   1,219   436   2,970
 Provision for depreciation   1,046   3,798   3,564   8,882
Income (loss) from discontinued operations, net $ 6,983 $ 7,637 $ 12,497 $ 13,900