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Segment Information (Assets and Capital Expenditures) (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Assets      
Total assets $ 22,261,918 $ 21,165,913  
Percentage of total assets 100.00% 100.00%  
Capital expenditures      
Capital Expenditures $ 2,877,949 $ 1,662,728 $ 1,614,357
Operating Segments | Triple-net leased properties      
Assets      
Total assets $ 7,996,645 $ 9,115,901  
Percentage of total assets 35.90% 43.10%  
Capital expenditures      
Capital Expenditures $ 1,890,245 $ 647,870 847,945
Operating Segments | Senior living operations      
Assets      
Total assets $ 8,022,206 $ 7,421,924  
Percentage of total assets 36.00% 35.10%  
Capital expenditures      
Capital Expenditures $ 382,877 $ 977,997 576,459
Operating Segments | MOB operations      
Assets      
Total assets $ 5,209,751 $ 3,526,217  
Percentage of total assets 23.40% 16.60%  
Capital expenditures      
Capital Expenditures $ 604,827 $ 36,861 $ 189,953
All Other      
Assets      
Total assets $ 1,033,316 $ 1,101,871  
Percentage of total assets 4.70% 5.20%