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Segment Information (Assets) (Details) - USD ($)
$ in Thousands
Dec. 31, 2016
Dec. 31, 2015
Assets    
Total assets $ 23,166,600 $ 22,261,918
Percentage of total assets 100.00% 100.00%
Operating Segments | Triple-net leased properties    
Assets    
Total assets $ 7,627,792 $ 7,996,645
Percentage of total assets 32.90% 35.90%
Operating Segments | Senior living operations    
Assets    
Total assets $ 7,826,262 $ 8,022,206
Percentage of total assets 33.80% 36.00%
Operating Segments | Office operations    
Assets    
Total assets $ 6,614,454 $ 5,209,751
Percentage of total assets 28.60% 23.40%
All Other    
Assets    
Total assets $ 1,098,092 $ 1,033,316
Percentage of total assets 4.70% 4.70%