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Dispositions of Real Estate and Discontinued Operations - Quality Care Properties, Inc (Details)
shares in Millions
3 Months Ended 12 Months Ended
Oct. 31, 2018
Oct. 31, 2016
USD ($)
shares
Dec. 31, 2016
USD ($)
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Jun. 30, 2017
USD ($)
Oct. 17, 2016
USD ($)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Payments of dividends       $ 696,913,000 $ 694,955,000 $ 979,542,000    
Stock distribution ratio 5 5            
Distribution of QCP, Inc.           (3,532,763,000)    
Gain (loss) on disposition of assets   $ 0            
Bank line of credit       80,103,000 1,017,076,000      
Prepayments of secured debt     $ 108,000,000          
Loss on extinguishment of debt       $ 44,162,000 $ 54,227,000 $ 46,020,000    
QCP                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Distribution of QCP, Inc.   3,500,000,000            
Mortgage debt | QCP                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Aggregate principal amount               $ 750,000,000
QCP                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Proceeds from issuance of debt   1,750,000,000            
Payments of dividends   $ 1,690,000,000            
Number of shares issued (in shares) | shares   94            
QCP | Revolving credit facility                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Line of credit facility, maximum borrowing capacity   $ 100,000,000         $ 0  
Bank line of credit             $ 0  
QCP | Mortgage debt                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Interest rate (as a percent)               8.125%
Interest expense   2,000,000            
Proceeds from issuance of debt   $ 1,000,000,000            
QCP | Mortgage debt | LIBOR                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Loan, basis spread on variable rate   5.25%            
QCP | Mortgage debt | Base rate                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Loan, basis spread on variable rate   4.25%            
QCP | Mortgage debt | Minimum                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Interest rate (as a percent)               1.00%
Senior Unsecured Debt 6.000%                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Interest rate (as a percent)     6.00%     6.00%    
Repayment of senior unsecured notes     $ 500,000,000          
Loss on extinguishment of debt     $ 46,000,000          
Senior Unsecured Debt 6.700%                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Interest rate (as a percent)     6.70%     6.70%    
Repayment of senior unsecured notes     $ 600,000,000