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Real Estate Transactions - Impairments of Real Estate (Details)
$ / item in Thousands, $ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
USD ($)
property
$ / item
Jun. 30, 2019
USD ($)
Sep. 30, 2018
USD ($)
property
Sep. 30, 2019
USD ($)
property
$ / item
Sep. 30, 2018
USD ($)
property
Real Estate [Line Items]          
Impairments (recoveries), net       $ 115,653 $ 19,180
Casualty-related loss (recoveries), net       $ 5,000  
Senior housing triple-net          
Real Estate [Line Items]          
Number of real estate properties impaired | property 4     4  
Senior Housing          
Real Estate [Line Items]          
Number of real estate properties impaired | property       15  
Medical office          
Real Estate [Line Items]          
Impairments (recoveries), net $ 4,000     $ 9,000  
Number of real estate properties impaired | property 2     2  
Asset impairment charge       $ 4,000  
Number of real estate properties intended to be demolished | property 1     1  
Other non-reportable segments          
Real Estate [Line Items]          
Number of real estate properties impaired | property 1     1  
Senior Housing Triple Net, SHOP, MOB, and Other Non-Reportable          
Real Estate [Line Items]          
Impairments (recoveries), net $ 34,000     $ 93,000  
SHOP          
Real Estate [Line Items]          
Impairments (recoveries), net   $ 10,000      
Number of real estate properties impaired | property 7        
Properties classified as held for sale | property     3   16
Impairment of real estate     $ 5,000   $ 19,000
Minimum          
Real Estate [Line Items]          
Impairment test, market capitalization rate 4.97%     4.97%  
Impairment calculation, price per unit | $ / item 46     46  
Maximum          
Real Estate [Line Items]          
Impairment test, market capitalization rate 8.27%     8.27%  
Impairment calculation, price per unit | $ / item 125     125  
Weighted Average          
Real Estate [Line Items]          
Impairment test, market capitalization rate 6.09%     6.09%  
Impairment calculation, price per unit | $ / item 71     71  
Seven Shop Assets, Four Senior Housing Triple-net Assets, Two MOBs, and One Other Non-Reportable Asset          
Real Estate [Line Items]          
Real Estate Investment Property, Aggregate Carrying Value Before Impairment $ 124,000     $ 124,000  
Real Estate Held-for-sale 90,000     90,000  
Fifteen Shop Assets, Four Senior Housing Triple-net Assets, Two MOBs, and One Other Non-Reportable Asset          
Real Estate [Line Items]          
Real Estate Investment Property, Aggregate Carrying Value Before Impairment 288,000     288,000  
Real Estate Held-for-sale $ 195,000     $ 195,000