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Real Estate Transactions - Held for Sale (Details)
$ in Thousands
1 Months Ended 3 Months Ended
Oct. 31, 2019
property
Sep. 30, 2019
USD ($)
property
facility
Jun. 30, 2019
facility
Mar. 31, 2019
facility
Dec. 31, 2018
USD ($)
property
facility
Sep. 30, 2018
facility
Jun. 30, 2018
facility
Mar. 31, 2018
facility
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Assets held for sale, net | $   $ 402,741     $ 108,086      
Accumulated depreciation | $   $ 2,915,680     $ 2,842,947      
SHOP                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Number of properties disposed | facility   1 1 9 2 11 8 2
Medical office                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Number of properties disposed | facility   1 5   2 2    
Senior housing triple-net                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Number of properties disposed | facility       2     2  
Life science                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Number of properties disposed | facility           4    
Held-for-sale                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Assets held for sale, net | $   $ 403,000     $ 108,000      
Held-for-sale | SHOP                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Number of properties classified as held for sale | property   20     9      
Held-for-sale | Other non-reportable segment                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Number of properties classified as held for sale | facility   2            
Held-for-sale | Medical office                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Number of properties classified as held for sale | property   6            
Held-for-sale | Senior housing triple-net                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Number of properties classified as held for sale | property   20            
Held-for-sale | Life science                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Number of properties classified as held for sale | property         1      
Held-for-sale | Real Estate                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Assets held for sale, net | $   $ 375,000     $ 101,000      
Accumulated depreciation | $   $ 192,000     $ 30,000      
Subsequent Event | Brookedale MTCA                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Number of properties disposed | property 18