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Real Estate (Narrative) (Details) (USD $)
3 Months Ended 6 Months Ended 3 Months Ended 6 Months Ended 3 Months Ended 6 Months Ended
Jun. 30, 2013
properties
Jun. 30, 2012
Jun. 30, 2013
properties
Jun. 30, 2012
Jun. 28, 2013
Care Investment Trust [Member]
properties
Apr. 18, 2013
Care Investment Trust [Member]
Apr. 30, 2013
Fundamental Long Term Care Holdings [Member]
properties
Apr. 18, 2013
Fundamental Long Term Care Holdings [Member]
beds_or_units
Apr. 18, 2013
Fundamental Long Term Care Holdings [Member]
Canton, TX [Member]
Jun. 28, 2013
Bickford Senior Living [Member]
properties
Jun. 30, 2013
National Healthcare Corporation [Member]
Jun. 30, 2012
National Healthcare Corporation [Member]
Jun. 30, 2013
National Healthcare Corporation [Member]
Jun. 30, 2012
National Healthcare Corporation [Member]
Jun. 30, 2013
Bickford Senior Living [Member]
properties
Jun. 30, 2013
Bickford Senior Living [Member]
properties
Jun. 28, 2013
Bickford Senior Living [Member]
beds_or_units
properties
Jun. 30, 2013
Assisted Living Facility [Member]
properties
Jun. 30, 2013
Independent Living Facility [Member]
properties
Jun. 30, 2013
Senior Living Campus [Member]
properties
Jun. 30, 2013
Skilled Nursing Facility [Member]
properties
Jun. 30, 2013
Medical Office Building [Member]
properties
Jun. 30, 2013
Hospital [Member]
properties
Number of Real Estate Properties 126   126   14   2     3         27 27 17 56 3 5 57 2 3
Number of States in which Entity Operates 24   24                                        
Nonportfolio Assets, Original Cost $ 874,000   $ 874,000                                        
Real Estate Investment Property, Portfolio Assets 870,209,000   870,209,000                                        
Number of Lessees 18   18                                        
Revenues 28,048,000 21,822,000 56,119,000 45,880,000                                      
Operating Leases, Income Statement, Lease Revenue 25,012,000 18,921,000 50,062,000 40,217,000                 17,148,000 17,026,000 2,093,000 4,174,000              
Percentage of Continuing Revenue                         31.00% 37.00%                  
Percentage Rent Rate                         0.04                    
Percentage rent                     568,000 382,000 1,882,000 1,762,000                  
Business Acquisition, Cost of Acquired Entity, Purchase Price         124,549,000     26,150,000                              
Business Acquisition, Cost of Acquired Entity, Cash Paid         44,021,000                                    
Business Acquisition, Purchase Price Allocation, Liabilities Assumed         80,528,000                                    
Business Acquisition, Contingent Consideration, Potential Cash Payment               1,600,000                              
Number of Units in Real Estate Property               254   107             750            
Number of years in initial lease term           5   10                              
Initial Lease Amount           9,750,000       9,086,000         18,836,000 18,836,000 7,750,000            
Asset Purchase Portion Of Significant Acquisition                   12,910,000                          
Initial lease rate               9.00%                              
Number of additional lease renewal options               3                              
Lease Extension Period in Years   10   10       5                              
Business Acquisition, Percentage of Voting Interests Acquired         100.00%       100.00%                            
Business Acquisition, Purchase Price Allocation, Land         4,360,000       420,000                            
Business Acquisition, Purchase Price Allocation, Buildings         120,189,000       11,659,000                            
Business Acquisition, Purchase Price Allocation, Equipment                 671,000                            
Business Acquisition, Cost of Acquired Entity, Transaction Costs         63,000       147,000                            
Joint Venture Contributed Properties Ownership Interest Retained                             85.00% 85.00%              
Joint Venture Contributed Properties Ownership Interest Surrendered                             15.00% 15.00%              
Number Of Development Projects Active                             3 3              
Joint Venture Operating Company Ownership Interest Received                             85.00% 85.00%              
Maximum Commitment For All Active Development Projects                             27,000,000 27,000,000              
Construction and Development Costs                               $ 7,921,000