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Notes and Bonds Payable - Details of Mortgage Notes (Details) (USD $)
 3 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 1 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended 12 Months Ended
Jun. 30, 2013
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
Dec. 31, 2013
Mortgage notes payable [Member]
mortgage_note_payable
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 7.765% [Member]
Life Insurance Co. [Member]
Dec. 31, 2012
Mortgage notes payable [Member]
Mortgage Notes 7.765% [Member]
Life Insurance Co. [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 5.550% [Member]
Commercial Bank [Member]
Dec. 31, 2012
Mortgage notes payable [Member]
Mortgage Notes 5.550% [Member]
Commercial Bank [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 5.490% [Member]
Life Insurance Co. [Member]
Dec. 31, 2012
Mortgage notes payable [Member]
Mortgage Notes 5.490% [Member]
Life Insurance Co. [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 6.480% [Member]
Commercial Bank [Member]
Dec. 31, 2012
Mortgage notes payable [Member]
Mortgage Notes 6.480% [Member]
Commercial Bank [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 6.110% [Member]
Commercial Bank [Member]
Dec. 31, 2012
Mortgage notes payable [Member]
Mortgage Notes 6.110% [Member]
Commercial Bank [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 7.650% [Member]
Commercial Bank [Member]
Dec. 31, 2012
Mortgage notes payable [Member]
Mortgage Notes 7.650% [Member]
Commercial Bank [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 6.810% [Member]
Life Insurance Co. [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 6.810% [Member]
Commercial Bank [Member]
Dec. 31, 2012
Mortgage notes payable [Member]
Mortgage Notes 6.810% [Member]
Commercial Bank [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 6.430% [Member]
Commercial Bank [Member]
Dec. 31, 2012
Mortgage notes payable [Member]
Mortgage Notes 6.430% [Member]
Commercial Bank [Member]
Jun. 30, 2013
Mortgage notes payable [Member]
Mortgage Notes 7.250% [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 7.250% [Member]
Investment Fund [Member]
Dec. 31, 2012
Mortgage notes payable [Member]
Mortgage Notes 7.250% [Member]
Investment Fund [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 5.530% [Member]
Life Insurance Co. [Member]
Dec. 31, 2012
Mortgage notes payable [Member]
Mortgage Notes 5.530% [Member]
Life Insurance Co. [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 6.550% [Member]
Life Insurance Co. [Member]
Dec. 31, 2012
Mortgage notes payable [Member]
Mortgage Notes 6.550% [Member]
Life Insurance Co. [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 6.550% [Member]
Investment Co. [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 5.250% [Member]
Investment Co. [Member]
Dec. 31, 2012
Mortgage notes payable [Member]
Mortgage Notes 5.250% [Member]
Investment Co. [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 4.700% [Member]
Life Insurance Co. [Member]
Dec. 31, 2012
Mortgage notes payable [Member]
Mortgage Notes 4.700% [Member]
Life Insurance Co. [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 4.700% [Member]
Life Insurance Company - I [Member]
Dec. 31, 2012
Mortgage notes payable [Member]
Mortgage Notes 4.700% [Member]
Life Insurance Company - I [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 5.100% [Member]
Insurance Co. [Member]
Dec. 31, 2012
Mortgage notes payable [Member]
Mortgage Notes 5.100% [Member]
Insurance Co. [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 4.540% [Member]
Commercial Bank [Member]
Dec. 31, 2012
Mortgage notes payable [Member]
Mortgage Notes 4.540% [Member]
Commercial Bank [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 4.060% [Member]
Life Insurance Co. [Member]
mortgage_note_payable
Dec. 31, 2012
Mortgage notes payable [Member]
Mortgage Notes 4.060% [Member]
Life Insurance Co. [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 4.060% [Member]
Life Insurance Company - I [Member]
Dec. 31, 2012
Mortgage notes payable [Member]
Mortgage Notes 4.060% [Member]
Life Insurance Company - I [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 4.000% [Member]
Life Insurance Co. [Member]
Dec. 31, 2012
Mortgage notes payable [Member]
Mortgage Notes 4.000% [Member]
Life Insurance Co. [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 5.25% 20 Year [Member]
Life Insurance Co. [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 5.25% 20 Year [Member]
Commercial Bank [Member]
Dec. 31, 2012
Mortgage notes payable [Member]
Mortgage Notes 5.25% 20 Year [Member]
Commercial Bank [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 5% Thirty Year [Member]
Life Insurance Co. [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 5% Thirty Year [Member]
Commercial Bank [Member]
Dec. 31, 2012
Mortgage notes payable [Member]
Mortgage Notes 5% Thirty Year [Member]
Commercial Bank [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 5% 25 Year [Member]
Life Insurance Co. [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
Mortgage Notes 5% 25 Year [Member]
Commercial Bank [Member]
Dec. 31, 2012
Mortgage notes payable [Member]
Mortgage Notes 5% 25 Year [Member]
Commercial Bank [Member]
Dec. 31, 2013
Mortgage notes payable [Member]
5.000%-7.625% Mortgage Notes Payable [Member]
Dec. 31, 2012
Mortgage notes payable [Member]
5.000%-7.625% Mortgage Notes Payable [Member]
Debt Instrument [Line Items]                                                                                                                  
Mortgage notes           $ 4,700,000   $ 1,800,000   $ 15,100,000   $ 17,400,000 [1]   $ 12,000,000 [2]   $ 15,200,000 [3],[4]     $ 1,500,000 [5]   $ 12,900,000 [6]     $ 80,000,000 [7]   $ 7,000,000   $ 15,900,000 [8]     $ 4,600,000   $ 13,900,000 [9]   $ 21,500,000 [10]   $ 7,300,000 [11]   $ 8,100,000 [12]   $ 5,300,000 [13],[14]   $ 3,100,000 [15]   $ 7,900,000 [16]     $ 15,000,000 [17]     $ 18,300,000 [12]         $ 166,684,000 $ 225,242,000
Effective Interest rate           7.77% [18]   5.55% [18]   5.49% [18]   6.48% [1],[18]   6.11% [18],[2]   7.65% [18],[3],[4]     6.81% [18],[5]   6.43% [18],[6]     7.25% [18]   5.53% [18]   6.55% [18],[8]     5.25% [18]   4.70% [18],[9]   4.70% [10],[18]   5.10% [11],[18]   4.54% [12],[18]   4.06% [13],[14],[18]   4.06% [15],[18]   4.00% [16],[18]     5.25% [17],[18]     5.00% [12],[18]     5.00% [15],[18]      
Maturity Date         2020-08 2017-01   2030-10   2016-01   2015-05 [1]   2015-07 [2]   2020-07 [3]   2016-07 [5]     2021-02 [6]     2016-12 [7]   2018-01       2013-04 [8] 2015-09   2016-01 [9]   2015-08 [10]   2018-12 [11]   2016-08 [12]   2014-11 [13],[14]   2014-11 [15]         2027-04 [17]     2016-12 [12]     2016-04 [15]      
Collateral           MOB [19]   OTH [19]   MOB [19]   MOB [1],[19]   2 MOBs [19],[2]   MOB [19],[3],[4]     MOB [19],[5]   MOB [19],[6]     15 MOBs [19],[7]   MOB [19]   MOB [19],[8]     MOB [19]   MOB [19],[9]   MOB [10],[19]   MOB [11],[19]   MOB [12],[19]   MOB [13],[14],[19]   MOB [15],[19]   MOB [16],[19]     MOB [17],[19]     MOB [12],[19]     MOB [15],[19]      
Principal and interest payments           Monthly/20-yr amort. [20]   Monthly/27-yr amort. [20]   Monthly/10-yr amort. [20]   Monthly/10-yr amort. [1],[20]   Monthly/10-yr amort. [2],[20]         Monthly/9-yr amort. [20],[5]   Monthly/12-yr amort. [20],[6]     Monthly/30-yr amort. [20],[7]   Monthly/15-yr amort. [20]   Monthly/30-yr amort. [20],[8]     Monthly/10-yr amort. [20]   Monthly/25-yr amort. [20],[9]   Monthly/25-yr amort. [10],[20]   Monthly/25-yr amort. [11],[20]   Monthly/10-yr amort. [12],[20]   Monthly/25-yr amort. [13],[14],[20]   Monthly/25-yr amort. [15],[20]   Monthly/15-yr amort. [16],[20]     Monthly/20-yr amort [17],[20]     Monthly/30-yr amort [12],[20]     Monthly/25-yr amort [15],[20]      
Principal and interest amortization period         15 years 20 years   27 years   10 years   10 years [1]   10 years [2]   11 years   9 years [5]     12 years [6]     30 years [7]   15 years       30 years [8] 10 years   25 years [9]   25 years [10]   25 years [11]   10 years [12]   25 years [13],[14]   25 years [15]         20 years [17]     30 years [12]     25 years [15]      
Investment in Collateral           11,900,000   7,900,000   34,400,000   20,000,000 [1]   19,500,000 [2]   20,200,000 [3],[4]     0 [5]   20,700,000 [6]     0 [7]   14,700,000   0 [8]     7,000,000   26,500,000 [9]   44,200,000 [10]   14,600,000 [11]   15,600,000 [12]   11,700,000 [13],[14]   6,200,000 [15]   20,700,000 [16]     33,300,000 [17]     33,000,000 [12]     20,100,000 [15]   382,200,000  
Mortgage notes payable carrying amount           1,200,000 1,600,000 1,500,000 1,600,000 12,300,000 12,700,000 14,700,000 [1] 14,600,000 [1] 10,000,000 [2] 9,900,000 [2] 12,700,000 [3],[4] 12,800,000 [3],[4]   0 [5] 1,100,000 [5] 11,100,000 [6] 11,300,000 [6]   0 [7] 77,500,000 [7] 2,500,000 3,000,000 0 [8] 14,900,000 [8]   4,200,000 4,200,000 11,500,000 [9] 11,900,000 [9] 17,400,000 [10] 18,100,000 [10] 7,000,000 [11] 7,300,000 [11] 7,600,000 [12] 7,800,000 [12] 4,300,000 [13],[14] 4,500,000 [13],[14] 2,500,000 [15] 2,600,000 [15] 4,600,000 [16] 5,100,000 [16]   12,500,000 [17] 0 [17]   17,000,000 [12] 0 [12]   11,200,000 [15] 0 [15] 165,800,000 222,500,000
Unaccreted discount                       2,700,000   2,100,000   2,400,000         1,000,000                                                                     888,000 2,755,000
Loss on extinguishment of debt 29,900,000 29,638,000    1,986,000                                     (17,400,000) 17,400,000                                                                  
Unamortized portion of premium   $ (6,225,000) [21]                                                             $ 300,000   $ 400,000   $ 600,000   $ 500,000   $ 300,000   $ 200,000   $ 300,000   $ 700,000     $ 500,000     $ 200,000        
Number of buildings secured for mortgage note payable                                                                                 2                                
Period for monthly installments of interest                               24 months                                                                                  
Number of outstanding mortgage notes         20                                                                                                        
Contractual interest rates, minimum         5.00%                                                                                                        
Contractual interest rates, maximum         7.63%                                                                                                        
[1] The unaccreted portion of a $2.7 million discount recorded on this note upon acquisition is included in the balance above.
[2] The unaccreted portion of a $2.1 million discount recorded on this note upon acquisition is included in the balance above.
[3] The unaccreted portion of a $2.4 million discount recorded on this note upon acquisition is included in the balance above.
[4] Payable in monthly installments of interest only for 24 months and then installments of principal and interest based on an 11-year amortization with the final payment due at maturity.
[5] The Company repaid this mortgage note payable upon the sale of the building in June 2013. See Note 4 for additional information.
[6] The unaccreted portion of a $1.0 million discount recorded on this note upon acquisition is included in the balance above.
[7] The Company prepaid this mortgage note payable in June 2013 resulting in a loss on extinguishment of debt of $17.4 million.
[8] The Company repaid this mortgage note payable in February 2013.
[9] The unamortized portion of a $0.3 million premium recorded on this note upon acquisition is included in the balance above.
[10] The unamortized portion of a $0.4 million premium recorded on this note upon acquisition is included in the balance above.
[11] The unamortized portion of the $0.6 million premium recorded on this note upon acquisition is included in the balance above.
[12] The unamortized portion of the $0.5 million premium recorded on this note upon acquisition is included in the balance above.
[13] The unamortized portions of the $0.3 million premium recorded on these notes upon acquisition are included in the balance above.
[14] Balance consists of two notes secured by the same building.
[15] The unamortized portion of the $0.2 million premium recorded on this note upon acquisition is included in the balance above.
[16] The unamortized portion of the $0.3 million premium recorded on this note upon acquisition is included in the balance above.
[17] The unamortized portion of the $0.7 million premium recorded on this note upon acquisition is included in the balance above.
[18] The contractual interest rates for the twenty outstanding mortgage notes ranged from 5.0% to 7.6% as of December 31, 2013.
[19] MOB-Medical office building; OTH-Other.
[20] Payable in monthly installments of principal and interest with the final payment due at maturity (unless otherwise noted).
[21] Includes discount accretion and premium amortization related to the Company’s Senior Notes due 2017, Senior Notes due 2021, Senior Notes due 2023, and fifteen mortgage notes payable.