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Summary of Significant Accounting Policies (Details Textual) (USD $)
3 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 1 Months Ended 3 Months Ended 12 Months Ended
Mar. 31, 2012
Mar. 31, 2011
Mar. 31, 2010
Dec. 31, 2012
property
employee
Building
joint_venture
state
sqft
mortgage_note_receivable
Dec. 31, 2011
joint_venture
Dec. 31, 2010
joint_venture
Dec. 31, 2009
Dec. 31, 2012
Mortgage Notes Receivable [Member]
property
mortgage_note_receivable
Dec. 31, 2011
Mortgage Notes Receivable [Member]
mortgage_note_receivable
Dec. 31, 2012
Mortgage Notes Receivable [Member]
Maximum [Member]
Dec. 31, 2011
Mortgage Notes Receivable [Member]
Maximum [Member]
Dec. 31, 2012
Mortgage Notes Receivable [Member]
Minimum [Member]
Dec. 31, 2011
Mortgage Notes Receivable [Member]
Minimum [Member]
Dec. 31, 2012
Notes Receivable [Member]
note_receivable
Dec. 31, 2011
Notes Receivable [Member]
Dec. 31, 2012
Notes Receivable [Member]
Maximum [Member]
Dec. 31, 2011
Notes Receivable [Member]
Maximum [Member]
Dec. 31, 2012
Notes Receivable [Member]
Minimum [Member]
Dec. 31, 2011
Notes Receivable [Member]
Minimum [Member]
Dec. 31, 2012
Leases, Acquired-in-Place [Member]
Dec. 31, 2011
Leases, Acquired-in-Place [Member]
Dec. 31, 2011
Acquisitions of Real Estate [Member]
Dec. 31, 2010
Acquisitions of Real Estate [Member]
Dec. 31, 2011
Debt Issuance and Assumption Costs [Member]
Dec. 31, 2010
Debt Issuance and Assumption Costs [Member]
Dec. 31, 2011
Scenario, Previously Reported [Member]
Other assets [Member]
Dec. 31, 2010
Scenario, Previously Reported [Member]
Other assets [Member]
Dec. 31, 2012
Variable Interest Entity, Not Primary Beneficiary [Member]
mortgage_loan
Dec. 31, 2011
Variable Interest Entity, Not Primary Beneficiary [Member]
Jan. 31, 2012
Deconsolidation of Vie [Member]
Mar. 31, 2012
Deconsolidation of Vie [Member]
Dec. 31, 2012
Deconsolidation of Vie [Member]
Business Overview [Abstract]                                                                
Gross investment, amount, total       $ 3,000,000,000                                                        
Real estate properties and mortgages       207       4                                                
Number of owned real estate properties       202                                                        
Number of states that the Company owns real estate in       28                                                        
Square footage of owned real estate properties       13,600,000                                                        
Approximate square feet for which Nationwide property management services provided by company       10,100,000                                                        
Principles of Consolidation [Abstract]                                                                
Repayments of construction mortgage note receivable                                                           35,100,000    
Mortgage Interest       9,186,000 6,973,000 2,377,000                                                 400,000 400,000
Deconsolidated VIE, net gain                                                             300,000 [1] 300,000 [1]
Number of construction mortgages loans                                                       2        
Aggregate amount of construction mortgage loans       162,191,000 [2]                                               118,400,000 40,500,000      
Number of investments, whole units       1 0 0                                                    
Investments in unconsolidated joint venture       1,300,000 0 0                                                    
General and administrative 400,000 200,000 200,000 20,908,000 20,990,000 16,886,000                                                 100,000 100,000
Reclassifications [Abstract]                                                                
Number of properties reclassified from discontinued operations to continuing operations       6                                                        
Reclassifications on prior period amounts in statement of cash flows                                           2,100,000 6,700,000 700,000 200,000 2,800,000 6,900,000          
Real Estate Properties [Abstract]                                                                
Gross real estate asset, Total       2,841,297,000 2,841,453,000 2,614,557,000 2,250,879,000 162,191,000                                                
Elimination of real estate lease intangibles against accumulated depreciation                                       2,500,000 40,000,000                      
Elimination of personal property and equipment against respective accumulated depreciation balances       200,000 1,100,000                                                      
Maximum period up to which interest capitalize on properties in stabilization       1 year                                                        
Land Held for Development [Abstract]                                                                
Land held for development       25,200,000 25,200,000                                                      
Fair Value Measurements [Abstract]                                                                
Number of medical office buildings sold       12                                                        
Other asset impairment charges       11,100,000                                                        
Impairment charges on Assets classified as held for sale       3,800,000                                                        
Number of real estate properites classifed as held for sale       1                                                        
Mortgage Notes and Notes Receivable [Abstract]                                                                
Number of mortgage notes receivable outstanding               4 7                                              
Mortgage notes receivable outstanding               162,200,000 97,400,000                                              
Weighted average maturity period for Mortgage notes receivable               1 year 2 years 1 month 6 days                                              
Weighted average interest rate for Mortgage notes receivable                   7.70% 11.00% 6.75% 6.75%                                      
Notes receivable       100,000 300,000                 100,000 300,000                                  
Interest rate on the notes receivable                               11.62% 13.50% 3.30% 8.00%                          
Maturity date, start                           Dec. 31, 2014 Dec. 31, 2013                                  
Maturity date, end                           Dec. 31, 2016 Dec. 31, 2015                                  
Allowance of reserves related to mortgage and note receivable                           100,000                                    
Number of notes receivable with related allowance                           1                                    
Goodwill and Intangible Assets [Abstract]                                                                
Goodwill       3,500,000 3,500,000                                                      
Defined Benefit Pension Plans [Abstract]                                                                
Number of employees covered by the Company's pension plan       3                                                        
Defined Benefit Plan, Measurement Date       December 31                                                        
Maximum annual benefits payable under the executive retirement plan       896,000                                                        
Benefits paid       42,000 48,000                                                      
Incentive Plans [Abstract]                                                                
Discount on market price on the date of grant       85.00%                                                        
Discount on market price on the date of exercise       85.00%                                                        
Expiration date       27 months                                                        
Revenue Recognition [Abstract]                                                                
Deferred revenue       34,800,000 24,300,000                                                      
Deferred revenue, tenant reimbursements       22,500,000 8,100,000                                                      
Rental Income [Abstract]                                                                
Operating expense recoveries included in income from continuing operations       34,000,000 31,200,000 22,500,000                                                    
Additional rental income, net of reserves included in income from continuing operations       $ 700,000 $ 1,200,000 $ 2,300,000                                                    
Mortgage Interest income [Abstract]                                                                
Number of Mortgage notes receivable outstanding with fixed interest rate       4                                                        
Other Operating Income [Abstract]                                                                
Number of owned real estate properties to which property operating agreements between company and sponsoring health system is applicable       5                                                        
Federal Income Taxes [Abstract]                                                                
Percentage of distribution of taxable income for qualify as REIT       90.00%                                                        
[1] “Other” includes construction liabilities transferred upon deconsolidation. “Gain” includes $0.4 million of net mortgage interest income recognized, partially offset by $0.1 million of general and administrative overhead expense that had been capitalized into the project that was reversed upon deconsolidation.
[2] A rollforward of Mortgage loans on real estate for the three years ended December 31, 2012 follows: