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Segment Information (Tables)
12 Months Ended
Dec. 31, 2018
Segment Reporting [Abstract]  
Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table Text Block] Summary information by reportable business segment is as follows:
 
For the Year Ended December 31, 2018
 
Triple-Net
Leased
Properties
 
Senior
Living
Operations
 
Office
Operations
 
All
Other
 
Total
 
(In thousands)
Revenues:
 
 
 
 
 
 
 
 
 
Rental income
$
737,796

 
$
—

 
$
776,011

 
$
—

 
$
1,513,807

Resident fees and services
—

 
2,069,477

 
—

 
—

 
2,069,477

Office building and other services revenue
2,522

 
—

 
7,592

 
3,302

 
13,416

Income from loans and investments
—

 
—

 
—

 
124,218

 
124,218

Interest and other income
—

 
—

 
—

 
24,892

 
24,892

Total revenues
$
740,318

 
$
2,069,477

 
$
783,603

 
$
152,412

 
$
3,745,810

 
 
 
 
 
 
 
 
 
 
Total revenues
$
740,318

 
$
2,069,477

 
$
783,603

 
$
152,412

 
$
3,745,810

Less:
 
 
 
 
 
 
 
 
 
Interest and other income
—

 
—

 
—

 
24,892

 
24,892

Property-level operating expenses
—

 
1,446,201

 
243,679

 
—

 
1,689,880

Office building services costs
—

 
—

 
1,418

 
—

 
1,418

Segment NOI
740,318

 
623,276

 
538,506

 
127,520

 
2,029,620

(Loss) income from unconsolidated entities
(47,901
)
 
(4,465
)
 
477

 
(3,145
)
 
(55,034
)
Segment profit
$
692,417

 
$
618,811

 
$
538,983

 
$
124,375

 
1,974,586

Interest and other income
 

 
 

 
 

 
 
 
24,892

Interest expense
 

 
 

 
 

 
 

 
(442,497
)
Depreciation and amortization
 

 
 

 
 

 
 

 
(919,639
)
General, administrative and professional fees
 

 
 

 
 

 
 

 
(151,982
)
Loss on extinguishment of debt, net
 

 
 

 
 

 
 

 
(58,254
)
Merger-related expenses and deal costs
 

 
 

 
 

 
 

 
(30,547
)
Other
 

 
 

 
 

 
 

 
(66,768
)
Gain on real estate dispositions
 
 
 
 
 
 
 
 
46,247

Income tax benefit
 

 
 

 
 

 
 

 
39,953

Income from continuing operations
 

 
 

 
 

 
 

 
$
415,991

 
For the Year Ended December 31, 2017
 
Triple-Net
Leased
Properties
 
Senior
Living
Operations
 
Office
Operations
 
All
Other
 
Total
 
(In thousands)
Revenues:
 
 
 
 
 
 
 
 
 
Rental income
$
840,131

 
$
—

 
$
753,467

 
$
—

 
$
1,593,598

Resident fees and services
—

 
1,843,232

 
—

 
—

 
1,843,232

Office building and other services revenue
4,580

 
—

 
7,497

 
1,600

 
13,677

Income from loans and investments
—

 
—

 
—

 
117,608

 
117,608

Interest and other income
—

 
—

 
—

 
6,034

 
6,034

Total revenues
$
844,711

 
$
1,843,232

 
$
760,964

 
$
125,242

 
$
3,574,149

 
 
 
 
 
 
 
 
 
 
Total revenues
$
844,711

 
$
1,843,232

 
$
760,964

 
$
125,242

 
$
3,574,149

Less:
 
 
 
 
 
 
 
 
 
Interest and other income
—

 
—

 
—

 
6,034

 
6,034

Property-level operating expenses
—

 
1,250,065

 
233,007

 
—

 
1,483,072

Office building services costs
—

 
—

 
3,391

 
—

 
3,391

Segment NOI
844,711

 
593,167

 
524,566

 
119,208

 
2,081,652

Income (loss) from unconsolidated entities
845

 
(61
)
 
503

 
(1,848
)
 
(561
)
Segment profit
$
845,556

 
$
593,106

 
$
525,069

 
$
117,360

 
2,081,091

Interest and other income
 

 
 

 
 

 
 
 
6,034

Interest expense
 

 
 

 
 

 
 

 
(448,196
)
Depreciation and amortization
 

 
 

 
 

 
 

 
(887,948
)
General, administrative and professional fees
 

 
 

 
 

 
 

 
(135,490
)
Loss on extinguishment of debt, net
 

 
 

 
 

 
 

 
(754
)
Merger-related expenses and deal costs
 

 
 

 
 

 
 

 
(10,535
)
Other
 

 
 

 
 

 
 

 
(20,052
)
Gain on real estate dispositions
 
 
 
 
 
 
 
 
717,273

Income tax benefit
 

 
 

 
 

 
 

 
59,799

Income from continuing operations
 

 
 

 
 

 
 

 
$
1,361,222

 
For the Year Ended December 31, 2016
 
Triple-Net
Leased
Properties
 
Senior
Living
Operations
 
Office
Operations
 
All
Other
 
Total
 
(In thousands)
Revenues:
 
 
 
 
 
 
 
 
 
Rental income
$
845,834

 
$
—

 
$
630,342

 
$
—

 
$
1,476,176

Resident fees and services
—

 
1,847,306

 
—

 
—

 
1,847,306

Office building and other services revenue
4,921

 
—

 
13,029

 
3,120

 
21,070

Income from loans and investments
—

 
—

 
—

 
98,094

 
98,094

Interest and other income
—

 
—

 
—

 
876

 
876

Total revenues
$
850,755

 
$
1,847,306

 
$
643,371

 
$
102,090

 
$
3,443,522

 
 
 
 
 
 
 
 
 
 
Total revenues
$
850,755

 
$
1,847,306

 
$
643,371

 
$
102,090

 
$
3,443,522

Less:
 
 
 
 
 
 
 
 
 
Interest and other income
—

 
—

 
—

 
876

 
876

Property-level operating expenses
—

 
1,242,978

 
191,784

 
—

 
1,434,762

Office building services costs
—

 
—

 
7,311

 
—

 
7,311

Segment NOI
850,755

 
604,328

 
444,276

 
101,214

 
2,000,573

Income from unconsolidated entities
2,363

 
1,265

 
590

 
140

 
4,358

Segment profit
$
853,118

 
$
605,593

 
$
444,866

 
$
101,354

 
2,004,931

Interest and other income
 

 
 

 
 

 
 
 
876

Interest expense
 

 
 

 
 

 
 

 
(419,740
)
Depreciation and amortization
 

 
 

 
 

 
 

 
(898,924
)
General, administrative and professional fees
 

 
 

 
 

 
 

 
(126,875
)
Loss on extinguishment of debt, net
 
 
 
 
 
 
 
 
(2,779
)
Merger-related expenses and deal costs
 

 
 

 
 

 
 

 
(24,635
)
Other
 

 
 

 
 

 
 

 
(9,988
)
Gain on real estate dispositions
 
 
 
 
 
 
 
 
98,203

Income tax benefit
 

 
 

 
 

 
 

 
31,343

Income from continuing operations
 

 
 

 
 

 
 

 
$
652,412

Reconciliation of Assets from Segment to Consolidated [Table Text Block] Assets by reportable business segment are as follows:
 
As of December 31,
 
2018
 
2017
 
(Dollars in thousands)
Assets:
 
 
 
 
 
 
 
Triple-net leased properties
$
6,795,142

 
30.1
%
 
$
7,778,064

 
32.4
%
Senior living operations
8,156,187

 
36.1

 
7,654,609

 
32.0

Office operations
6,772,957

 
30.0

 
6,897,696

 
28.8

All other assets
860,269

 
3.8

 
1,624,172

 
6.8

Total assets
$
22,584,555

 
100.0
%
 
$
23,954,541

 
100.0
%
Segment Reporting Information Expenditures for Additions to Long-Lived Assets [Table Text Block] Capital expenditures, including investments in real estate property and development project expenditures, by reportable business segment are as follows:
 
For the Years Ended December 31,
 
2018
 
2017
 
2016
 
(In thousands)
Capital expenditures:
 
 
 
 
 
Triple-net leased properties
$
58,744

 
$
254,542

 
$
74,192

Senior living operations
337,750

 
261,900

 
105,614

Office operations
332,147

 
579,885

 
1,487,787

Total capital expenditures
$
728,641

 
$
1,096,327

 
$
1,667,593

Schedule of Revenue from External Customers Attributed to Foreign Countries by Geographic Area [Table Text Block] Geographic information regarding our operations is as follows:
 
For the Years Ended December 31,
 
2018
 
2017
 
2016
 
(In thousands)
Revenues:
 
 
 
 
 
United States
$
3,524,875

 
$
3,361,682

 
$
3,242,353

Canada
192,350

 
186,049

 
174,831

United Kingdom
28,585

 
26,418

 
26,338

Total revenues
$
3,745,810

 
$
3,574,149

 
$
3,443,522

Schedule of Disclosure on Geographic Areas, Long-Lived Assets in Individual Foreign Countries by Country [Table Text Block]
 
As of December 31,
 
2018
 
2017
 
(In thousands)
Net real estate property:
 
 
 
United States
$
18,861,163

 
$
19,253,724

Canada
963,588

 
1,070,903

United Kingdom
268,906

 
297,827

Total net real estate property
$
20,093,657

 
$
20,622,454