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Assets Held For Sale and Impairment (Details)
$ in Thousands
1 Months Ended 12 Months Ended
Mar. 31, 2018
USD ($)
property
Dec. 31, 2018
USD ($)
property
Dec. 31, 2017
USD ($)
property
Dec. 31, 2016
USD ($)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]        
Number of properties held for sale | property   1 3  
Assets held for sale   $ 5,454 $ 65,413  
Liabilities held for sale   205 60,265  
Real estate impairments related to natural disasters   $ 52,510 $ 4,616 $ 0
Medical Office Buildings        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]        
Properties no longer classified as held for sale | property 5      
Depreciation $ 5,700      
Triple Net Leased Properties        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]        
Number of properties held for sale | property   1 0  
Assets held for sale   $ 5,482 $ 0  
Liabilities held for sale   $ 40 $ 0  
Office Operations        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]        
Number of properties held for sale | property   0 3  
Assets held for sale   $ 160 $ 65,413  
Liabilities held for sale   $ 152 $ 60,265  
Senior Living Operations        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]        
Number of properties held for sale | property   0 0  
Assets held for sale   $ (188) $ 0  
Liabilities held for sale   13 0  
Depreciation and amortization        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]        
Real estate impairments related to natural disasters   29,500 32,900 35,200
Other Expense        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]        
Real estate impairments related to natural disasters   $ 52,500 $ 4,600 $ 0