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Real Estate Transactions - 2018 Other Dispositions (Details)
$ in Thousands
3 Months Ended
Mar. 31, 2019
USD ($)
facility
Dec. 31, 2018
USD ($)
property
facility
Sep. 30, 2018
USD ($)
facility
Jun. 30, 2018
USD ($)
facility
Mar. 31, 2018
USD ($)
facility
Real Estate [Line Items]          
Gain (loss) on sales of real estate $ 8,044   $ 95,000 $ 25,000 $ 20,815
SHOP          
Real Estate [Line Items]          
Number of properties disposed (in facilities) | facility 9 2 11 8 2
Total consideration for disposal of real estate $ 68,000 $ 15,000 $ 76,000 $ 268,000 $ 35,000
Gain (loss) on sales of real estate         21,000
Medical office          
Real Estate [Line Items]          
Number of properties disposed (in facilities) | facility   2 2    
Total consideration for disposal of real estate   $ 4,000 $ 21,000    
Senior housing triple-net          
Real Estate [Line Items]          
Number of properties disposed (in facilities) | facility 2     2  
Total consideration for disposal of real estate $ 26,000     $ 35,000  
Life science          
Real Estate [Line Items]          
Number of properties disposed (in facilities) | facility     4    
Total consideration for disposal of real estate     $ 269,000    
Land | Life science          
Real Estate [Line Items]          
Number of properties disposed (in facilities) | facility 1 1      
Total consideration for disposal of real estate $ 35,000 $ 3,000      
Brookedale MTCA          
Real Estate [Line Items]          
Number of assets to be sold (in properties) | property   19      
Assets Leased to Others | Brookedale MTCA          
Real Estate [Line Items]          
Gain (loss) on sales of real estate         $ 40,000
Proceeds from sale of buildings   $ 377,000      
Assets Leased to Others | Brookedale MTCA | SHOP          
Real Estate [Line Items]          
Number of assets to be sold (in properties) | property   4