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Summary of Significant Accounting Policies - Narrative (Details) (USD $)
3 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 1 Months Ended 12 Months Ended 12 Months Ended
Dec. 31, 2013
Property
mortgage_note_receivable
sqft
ConstructionLoan
state
Sep. 30, 2013
Property
Dec. 31, 2013
employee
Property
mortgage_note_receivable
sqft
ConstructionLoan
state
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2010
Dec. 31, 2013
Mortgage Notes Receivable [Member]
mortgage_note_receivable
property
Dec. 31, 2012
Mortgage Notes Receivable [Member]
Dec. 31, 2013
Mortgage Notes Receivable [Member]
Maximum [Member]
Dec. 31, 2012
Mortgage Notes Receivable [Member]
Maximum [Member]
Dec. 31, 2013
Mortgage Notes Receivable [Member]
Minimum [Member]
Dec. 31, 2012
Mortgage Notes Receivable [Member]
Minimum [Member]
Dec. 31, 2013
At Market Lease Intangibles [Member]
Dec. 31, 2012
At Market Lease Intangibles [Member]
Dec. 31, 2013
Restatement Adjustment [Member]
Dec. 31, 2013
Variable Interest Entity, Not Primary Beneficiary [Member]
mortgage_loan
Dec. 31, 2012
Variable Interest Entity, Not Primary Beneficiary [Member]
mortgage_loan
Dec. 31, 2013
Texas [Member]
Jan. 31, 2014
Mortgage Note Financing [Member]
Iowa [Member]
Subsequent Event [Member]
Dec. 31, 2013
Texas [Member]
Dec. 31, 2013
Real Estate [Member]
Dec. 31, 2013
Fair Value, Inputs, Level 3 [Member]
Property
Dec. 31, 2013
Employee Stock Purchase Plan [Member]
Dec. 31, 2012
Employee Stock Purchase Plan [Member]
Dec. 31, 2011
Employee Stock Purchase Plan [Member]
Business Overview [Abstract]                                                  
Gross investment, amount, total $ 3,200,000,000   $ 3,200,000,000                                            
Real estate properties and mortgages 202   202       4                                    
Number of owned real estate properties 198   198                                            
Number of states that the Company owns real estate in 28   28                                            
Square footage of owned real estate properties 13,900,000   13,900,000                                            
Approximate square feet for which Nationwide property management services provided by company 10,300,000   10,300,000                                            
Principles of Consolidation [Abstract]                                                  
Number of construction mortgages loans                               1 2                
Aggregate amount of construction mortgage loans 125,547,000   125,547,000                         80,000,000 118,400,000                
Assets of consolidated partnership                                         17,700,000        
Capital Contribution Proceeds From Minority Shareholders                                       1,800,000          
Investments in unconsolidated joint venture       1,300,000                                          
Gain on sale of cost method investment in real estate     1,492,000 0 0                                        
Noncontrolling Interest, Ownership Percentage by Noncontrolling Owners                                   40.00%              
Reclassifications [Abstract]                                                  
Personal Property (9,267,000)   (9,267,000) (8,739,000)                     4,300,000                    
Real Estate Properties [Abstract]                                                  
Total real estate properties 3,067,187,000   3,067,187,000 2,821,323,000                                          
Elimination of real estate lease intangibles against accumulated depreciation                         4,400,000 2,500,000                      
Elimination of personal property and equipment against respective accumulated depreciation balances       200,000                                          
Maximum period up to which interest capitalize on properties in stabilization     1 year                                            
Land Held for Development [Abstract]                                                  
Land held for development 17,100,000   17,100,000 25,200,000                                          
Fair Value Measurements [Abstract]                                                  
Number of impaired properties sold     1                                            
Other asset impairment charges     3,300,000                                            
Impairment charges on Assets classified as held for sale     6,600,000                                            
Number of real estate properties classified as held for sale                                           1      
Number of Properties Reclassified to Held For Sale   4                                              
Number of Held for Sale Properties Sold 2                                                
Mortgage Notes and Notes Receivable [Abstract]                                                  
Number of mortgage notes receivable outstanding 2   2       4                                    
Mortgage notes receivable outstanding             125,500,000 162,200,000                                  
Weighted average maturity period for Mortgage notes receivable             0 years 4 months 16 days 1 year 0 months 15 days                                  
Weighted average interest rate for Mortgage notes receivable                 7.72% 7.70% 5.00% 6.75%                          
Mortgage notes receivable 125,547,000 [1]   125,547,000 [1] 162,191,000 [1] 97,381,000 36,599,000                         41,500,000            
Mortgage Loan on Real Estate Exit Fee                                     1,500,000            
Goodwill and Intangible Assets [Abstract]                                                  
Goodwill 3,500,000   3,500,000 3,500,000                                          
Goodwill, Impairment Loss     0 0                                          
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                                            
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                                            
General and Administrative Expense     23,729,000 20,905,000 20,988,000                                   300,000 400,000 200,000
Revenue Recognition [Abstract]                                                  
Deferred revenue 36,300,000   36,300,000 34,800,000                                          
Deferred revenue, tenant reimbursements 21,900,000   21,900,000 22,500,000                                          
Rental Income [Abstract]                                                  
Operating expense recoveries included in income from continuing operations     40,900,000 33,500,000 30,700,000                                        
Additional rental income, net of reserves included in income from continuing operations     $ 700,000 $ 700,000 $ 900,000                                        
Mortgage Interest income [Abstract]                                                  
Number of Mortgage notes receivable outstanding with fixed interest rate 4   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   5                                            
Federal Income Taxes [Abstract]                                                  
Percentage of distribution of taxable income for qualify as REIT     90.00%                                            
[1] Level 2 - Fair value based on quoted prices for similar instruments in active markets; quoted prices for identical or similar instruments in markets that are not active; and model-driven valuations in which significant inputs and significant value drivers are observable in active markets.