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Dispositions, Assets Held for Sale and Discontinued Operations (Details Textuals) (USD $)
3 Months Ended 6 Months Ended
Jun. 30, 2011
Jun. 30, 2010
Jun. 30, 2011
Jun. 30, 2010
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]        
Numbers of properties sold     38  
Gain (loss) on sales of properties $ 30,224,000 $ 3,314,000 $ 56,380,000 $ 10,033,000
Impairment charge     202,000  
Senior housing triple-net [Member]
       
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]        
Number of real property facilities satisfying held for sale criteria     3  
Impairment charge     $ 202,000  
Medical facilities [Member]
       
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]        
Number of real property facilities satisfying held for sale criteria     1