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Real Estate Transactions - 2019 Dispositions (Details)
$ in Thousands
1 Months Ended 3 Months Ended 9 Months Ended
Oct. 31, 2019
USD ($)
facility
Sep. 30, 2019
USD ($)
facility
Jun. 30, 2019
USD ($)
facility
Mar. 31, 2019
USD ($)
facility
Dec. 31, 2018
USD ($)
facility
Sep. 30, 2018
USD ($)
facility
Jun. 30, 2018
USD ($)
facility
Mar. 31, 2018
USD ($)
facility
Sep. 30, 2019
USD ($)
Sep. 30, 2018
USD ($)
Real Estate [Line Items]                    
Gain (loss) on sales of real estate, net   $ (784) $ 11,000 $ 8,000   $ 95,332     $ 18,708 $ 162,211
SHOP                    
Real Estate [Line Items]                    
Number of properties disposed | facility   1 1 9 2 11 8 2    
Total consideration for disposal of real estate     $ 14,000 $ 68,000 $ 15,000 $ 76,000 $ 268,000 $ 35,000    
Gain (loss) on sales of real estate, net               $ 21,000    
Medical office                    
Real Estate [Line Items]                    
Number of properties disposed | facility   1 5   2 2        
Total consideration for disposal of real estate   $ 3,000 $ 15,000   $ 4,000 $ 21,000        
Senior housing triple-net                    
Real Estate [Line Items]                    
Number of properties disposed | facility       2     2      
Total consideration for disposal of real estate   $ 7,000   $ 26,000     $ 35,000      
Gain (loss) on sales of real estate, net             $ 25,000      
Life science                    
Real Estate [Line Items]                    
Number of properties disposed | facility           4        
Total consideration for disposal of real estate     $ 7,000     $ 269,000        
Land | Life science                    
Real Estate [Line Items]                    
Number of properties disposed | facility     1 1 1          
Total consideration for disposal of real estate       $ 35,000 $ 3,000          
Subsequent Event | Other non-reportable segments                    
Real Estate [Line Items]                    
Number of properties disposed | facility 1                  
Total consideration for disposal of real estate $ 15,000