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Schedule III: Real Estate and Accumulated Depreciation (Properties) (Details) - USD ($)
$ in Thousands
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Real Estate and Accumulated Depreciation        
Encumbrances $ 2,431,064      
Initial Cost to Company        
Land and Improvements 2,410,680      
Buildings and Improvements 24,189,780      
Costs Capitalized Subsequent to Acquisition 1,879,409      
Gross Amount Carried at Close of Period        
Land and Improvements 2,432,065      
Buildings and Improvements 26,047,805      
Total 28,479,870 $ 26,850,442 $ 27,133,514 $ 24,973,983
Accumulated Depreciation 7,433,480 $ 6,967,413 $ 6,200,230 $ 5,492,310
NBV 121,046,390      
UNITED STATES PROPERTIES | Senior Housing        
Real Estate and Accumulated Depreciation        
Encumbrances 794,980      
Initial Cost to Company        
Land and Improvements 1,438,304      
Buildings and Improvements 13,476,325      
Costs Capitalized Subsequent to Acquisition 1,062,825      
Gross Amount Carried at Close of Period        
Land and Improvements 1,473,486      
Buildings and Improvements 14,503,968      
Total 15,977,454      
Accumulated Depreciation 4,610,553      
NBV 11,366,901      
UNITED STATES PROPERTIES | Senior Housing | Atria Senior Living        
Real Estate and Accumulated Depreciation        
Encumbrances 243,330      
Initial Cost to Company        
Land and Improvements 454,983      
Buildings and Improvements 3,891,742      
Costs Capitalized Subsequent to Acquisition 571,695      
Gross Amount Carried at Close of Period        
Land and Improvements 479,650      
Buildings and Improvements 4,438,770      
Total 4,918,420      
Accumulated Depreciation 1,445,165      
NBV 3,473,255      
UNITED STATES PROPERTIES | Senior Housing | Brookdale Senior Living        
Real Estate and Accumulated Depreciation        
Encumbrances 48,040      
Initial Cost to Company        
Land and Improvements 190,736      
Buildings and Improvements 2,018,166      
Costs Capitalized Subsequent to Acquisition 135,697      
Gross Amount Carried at Close of Period        
Land and Improvements 190,786      
Buildings and Improvements 2,153,813      
Total 2,344,599      
Accumulated Depreciation 886,010      
NBV 1,458,589      
UNITED STATES PROPERTIES | Senior Housing | Holiday Retirement        
Real Estate and Accumulated Depreciation        
Encumbrances 284,894      
Initial Cost to Company        
Land and Improvements 186,176      
Buildings and Improvements 1,869,082      
Costs Capitalized Subsequent to Acquisition (734)      
Gross Amount Carried at Close of Period        
Land and Improvements 186,528      
Buildings and Improvements 1,867,996      
Total 2,054,524      
Accumulated Depreciation 193,361      
NBV 1,861,163      
UNITED STATES PROPERTIES | Senior Housing | Sunrise Senior Living        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 198,915      
Buildings and Improvements 2,113,355      
Costs Capitalized Subsequent to Acquisition 209,680      
Gross Amount Carried at Close of Period        
Land and Improvements 210,789      
Buildings and Improvements 2,311,161      
Total 2,521,950      
Accumulated Depreciation 1,002,870      
NBV 1,519,080      
UNITED STATES PROPERTIES | Senior Housing | Sinceri Senior Living        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 59,551      
Buildings and Improvements 597,082      
Costs Capitalized Subsequent to Acquisition 28,117      
Gross Amount Carried at Close of Period        
Land and Improvements 58,139      
Buildings and Improvements 626,611      
Total 684,750      
Accumulated Depreciation 222,131      
NBV 462,619      
UNITED STATES PROPERTIES | Senior Housing | Discovery Senior Living        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 21,906      
Buildings and Improvements 251,919      
Costs Capitalized Subsequent to Acquisition 13,347      
Gross Amount Carried at Close of Period        
Land and Improvements 22,213      
Buildings and Improvements 264,959      
Total 287,172      
Accumulated Depreciation 87,695      
NBV 199,477      
UNITED STATES PROPERTIES | Senior Housing | Koelsch Senior Communities        
Real Estate and Accumulated Depreciation        
Encumbrances 75,179      
Initial Cost to Company        
Land and Improvements 27,721      
Buildings and Improvements 292,414      
Costs Capitalized Subsequent to Acquisition 13,578      
Gross Amount Carried at Close of Period        
Land and Improvements 28,424      
Buildings and Improvements 305,289      
Total 333,713      
Accumulated Depreciation 55,138      
NBV 278,575      
UNITED STATES PROPERTIES | Senior Housing | Priority Life Care Properties        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 13,296      
Buildings and Improvements 147,310      
Costs Capitalized Subsequent to Acquisition 14,854      
Gross Amount Carried at Close of Period        
Land and Improvements 13,594      
Buildings and Improvements 161,866      
Total 175,460      
Accumulated Depreciation 57,014      
NBV 118,446      
UNITED STATES PROPERTIES | Senior Housing | Sodalis Senior Living        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 21,451      
Buildings and Improvements 208,224      
Costs Capitalized Subsequent to Acquisition (7,052)      
Gross Amount Carried at Close of Period        
Land and Improvements 21,613      
Buildings and Improvements 201,010      
Total 222,623      
Accumulated Depreciation 76,312      
NBV 146,311      
UNITED STATES PROPERTIES | Senior Housing | Eclipse Senior Living        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 15,697      
Buildings and Improvements 205,506      
Costs Capitalized Subsequent to Acquisition 10,649      
Gross Amount Carried at Close of Period        
Land and Improvements 15,940      
Buildings and Improvements 215,912      
Total 231,852      
Accumulated Depreciation 82,504      
NBV 149,348      
UNITED STATES PROPERTIES | Senior Housing | Matthews Senior Living        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 11,470      
Buildings and Improvements 25,011      
Costs Capitalized Subsequent to Acquisition (15,253)      
Gross Amount Carried at Close of Period        
Land and Improvements 8,906      
Buildings and Improvements 12,322      
Total 21,228      
Accumulated Depreciation 9,516      
NBV 11,712      
UNITED STATES PROPERTIES | Senior Housing | Avamere Family of Companies        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 24,248      
Buildings and Improvements 151,017      
Costs Capitalized Subsequent to Acquisition 10,151      
Gross Amount Carried at Close of Period        
Land and Improvements 24,494      
Buildings and Improvements 160,922      
Total 185,416      
Accumulated Depreciation 48,942      
NBV 136,474      
UNITED STATES PROPERTIES | Senior Housing | Azura Memory Care        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 6,361      
Buildings and Improvements 53,002      
Costs Capitalized Subsequent to Acquisition 10,850      
Gross Amount Carried at Close of Period        
Land and Improvements 7,200      
Buildings and Improvements 63,013      
Total 70,213      
Accumulated Depreciation 18,470      
NBV 51,743      
UNITED STATES PROPERTIES | Senior Housing | Milestone Retirement Communities        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 19,769      
Buildings and Improvements 197,527      
Costs Capitalized Subsequent to Acquisition 2,434      
Gross Amount Carried at Close of Period        
Land and Improvements 19,769      
Buildings and Improvements 199,961      
Total 219,730      
Accumulated Depreciation 50,706      
NBV 169,024      
UNITED STATES PROPERTIES | Senior Housing | Hawthorn Senior Living        
Real Estate and Accumulated Depreciation        
Encumbrances 58,406      
Initial Cost to Company        
Land and Improvements 35,668      
Buildings and Improvements 220,099      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount Carried at Close of Period        
Land and Improvements 35,668      
Buildings and Improvements 220,099      
Total 255,767      
Accumulated Depreciation 2,601      
NBV 253,166      
UNITED STATES PROPERTIES | Senior Housing | Meridian Senior Living        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 17,977      
Buildings and Improvements 77,599      
Costs Capitalized Subsequent to Acquisition 1,416      
Gross Amount Carried at Close of Period        
Land and Improvements 17,977      
Buildings and Improvements 79,015      
Total 96,992      
Accumulated Depreciation 25,575      
NBV 71,417      
UNITED STATES PROPERTIES | Senior Housing | Sonida Senior Living        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 14,080      
Buildings and Improvements 118,512      
Costs Capitalized Subsequent to Acquisition 21,910      
Gross Amount Carried at Close of Period        
Land and Improvements 14,735      
Buildings and Improvements 139,767      
Total 154,502      
Accumulated Depreciation 53,137      
NBV 101,365      
UNITED STATES PROPERTIES | Senior Housing | Other Senior Housing Operators        
Real Estate and Accumulated Depreciation        
Encumbrances 85,131      
Initial Cost to Company        
Land and Improvements 115,316      
Buildings and Improvements 1,038,608      
Costs Capitalized Subsequent to Acquisition 41,486      
Gross Amount Carried at Close of Period        
Land and Improvements 114,078      
Buildings and Improvements 1,081,332      
Total 1,195,410      
Accumulated Depreciation 293,406      
NBV 902,004      
UNITED STATES PROPERTIES | Senior Housing | Other Senior Housing CIP        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 2,983      
Buildings and Improvements 150      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount Carried at Close of Period        
Land and Improvements 2,983      
Buildings and Improvements 150      
Total 3,133      
Accumulated Depreciation 0      
NBV 3,133      
UNITED STATES PROPERTIES | Medical Office        
Real Estate and Accumulated Depreciation        
Encumbrances 275,379      
Initial Cost to Company        
Land and Improvements 340,791      
Buildings and Improvements 3,867,592      
Costs Capitalized Subsequent to Acquisition 587,453      
Gross Amount Carried at Close of Period        
Land and Improvements 337,400      
Buildings and Improvements 4,458,436      
Total 4,795,836      
Accumulated Depreciation 1,492,313      
NBV 3,303,523      
UNITED STATES PROPERTIES | Medical Office | Lillibridge        
Real Estate and Accumulated Depreciation        
Encumbrances 38,872      
Initial Cost to Company        
Land and Improvements 153,578      
Buildings and Improvements 2,047,079      
Costs Capitalized Subsequent to Acquisition 438,907      
Gross Amount Carried at Close of Period        
Land and Improvements 152,144      
Buildings and Improvements 2,487,420      
Total 2,639,564      
Accumulated Depreciation 914,439      
NBV 1,725,125      
UNITED STATES PROPERTIES | Medical Office | PMB RES        
Real Estate and Accumulated Depreciation        
Encumbrances 235,418      
Initial Cost to Company        
Land and Improvements 73,863      
Buildings and Improvements 972,701      
Costs Capitalized Subsequent to Acquisition 103,220      
Gross Amount Carried at Close of Period        
Land and Improvements 75,134      
Buildings and Improvements 1,074,650      
Total 1,149,784      
Accumulated Depreciation 316,853      
NBV 832,931      
UNITED STATES PROPERTIES | Medical Office | Other MOBs        
Real Estate and Accumulated Depreciation        
Encumbrances 1,089      
Initial Cost to Company        
Land and Improvements 113,350      
Buildings and Improvements 847,812      
Costs Capitalized Subsequent to Acquisition 45,326      
Gross Amount Carried at Close of Period        
Land and Improvements 110,122      
Buildings and Improvements 896,366      
Total 1,006,488      
Accumulated Depreciation 261,021      
NBV 745,467      
UNITED STATES PROPERTIES | Medical Office | Other MOBs CIP        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 0      
Buildings and Improvements 0      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount Carried at Close of Period        
Land and Improvements 0      
Buildings and Improvements 0      
Total 0      
Accumulated Depreciation 0      
NBV 0      
UNITED STATES PROPERTIES | Life Science, Research & Innovation        
Real Estate and Accumulated Depreciation        
Encumbrances 206,799      
Initial Cost to Company        
Land and Improvements 112,848      
Buildings and Improvements 1,656,201      
Costs Capitalized Subsequent to Acquisition 125,731      
Gross Amount Carried at Close of Period        
Land and Improvements 112,809      
Buildings and Improvements 1,781,971      
Total 1,894,780      
Accumulated Depreciation 254,616      
NBV 1,640,164      
UNITED STATES PROPERTIES | Life Science, Research & Innovation | Wexford        
Real Estate and Accumulated Depreciation        
Encumbrances 206,799      
Initial Cost to Company        
Land and Improvements 85,744      
Buildings and Improvements 1,541,924      
Costs Capitalized Subsequent to Acquisition 125,731      
Gross Amount Carried at Close of Period        
Land and Improvements 85,705      
Buildings and Improvements 1,667,694      
Total 1,753,399      
Accumulated Depreciation 247,370      
NBV 1,506,029      
UNITED STATES PROPERTIES | Life Science, Research & Innovation | Other Life Science        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 1,194      
Buildings and Improvements 76,515      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount Carried at Close of Period        
Land and Improvements 1,194      
Buildings and Improvements 76,515      
Total 77,709      
Accumulated Depreciation 4,655      
NBV 73,054      
UNITED STATES PROPERTIES | Life Science, Research & Innovation | Other Life Science CIP        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 25,910      
Buildings and Improvements 37,762      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount Carried at Close of Period        
Land and Improvements 25,910      
Buildings and Improvements 37,762      
Total 63,672      
Accumulated Depreciation 2,591      
NBV 61,081      
UNITED STATES PROPERTIES | IRFs & LTACs        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 44,442      
Buildings and Improvements 389,838      
Costs Capitalized Subsequent to Acquisition 68      
Gross Amount Carried at Close of Period        
Land and Improvements 43,442      
Buildings and Improvements 390,906      
Total 434,348      
Accumulated Depreciation 245,020      
NBV 189,328      
UNITED STATES PROPERTIES | IRFs & LTACs | Kindred Healthcare        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 35,185      
Buildings and Improvements 238,600      
Costs Capitalized Subsequent to Acquisition (1,000)      
Gross Amount Carried at Close of Period        
Land and Improvements 34,185      
Buildings and Improvements 238,600      
Total 272,785      
Accumulated Depreciation 209,361      
NBV 63,424      
UNITED STATES PROPERTIES | IRFs & LTACs | Other IRFs & LTACs        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 9,257      
Buildings and Improvements 151,238      
Costs Capitalized Subsequent to Acquisition 1,068      
Gross Amount Carried at Close of Period        
Land and Improvements 9,257      
Buildings and Improvements 152,306      
Total 161,563      
Accumulated Depreciation 35,659      
NBV 125,904      
UNITED STATES PROPERTIES | Health Systems | Ardent Health Services        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 98,428      
Buildings and Improvements 1,126,010      
Costs Capitalized Subsequent to Acquisition 78,104      
Gross Amount Carried at Close of Period        
Land and Improvements 97,416      
Buildings and Improvements 1,205,126      
Total 1,302,542      
Accumulated Depreciation 216,935      
NBV 1,085,607      
UNITED STATES PROPERTIES | Skilled Nursing        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 12,986      
Buildings and Improvements 183,538      
Costs Capitalized Subsequent to Acquisition (4,303)      
Gross Amount Carried at Close of Period        
Land and Improvements 13,166      
Buildings and Improvements 179,055      
Total 192,221      
Accumulated Depreciation 81,543      
NBV 110,678      
UNITED STATES PROPERTIES | Skilled Nursing | Genesis Healthcare        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 11,350      
Buildings and Improvements 164,745      
Costs Capitalized Subsequent to Acquisition (5,708)      
Gross Amount Carried at Close of Period        
Land and Improvements 11,350      
Buildings and Improvements 159,037      
Total 170,387      
Accumulated Depreciation 68,573      
NBV 101,814      
UNITED STATES PROPERTIES | Skilled Nursing | Other Skilled Nursing        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 1,636      
Buildings and Improvements 18,793      
Costs Capitalized Subsequent to Acquisition 1,405      
Gross Amount Carried at Close of Period        
Land and Improvements 1,816      
Buildings and Improvements 20,018      
Total 21,834      
Accumulated Depreciation 12,970      
NBV 8,864      
CANADIAN PROPERTIES | Senior Housing        
Real Estate and Accumulated Depreciation        
Encumbrances 1,153,906      
Initial Cost to Company        
Land and Improvements 308,533      
Buildings and Improvements 3,269,467      
Costs Capitalized Subsequent to Acquisition 58,123      
Gross Amount Carried at Close of Period        
Land and Improvements 304,819      
Buildings and Improvements 3,331,304      
Total 3,636,123      
Accumulated Depreciation 496,850      
NBV 3,139,273      
CANADIAN PROPERTIES | Senior Housing | Atria Senior Living        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 75,553      
Buildings and Improvements 845,363      
Costs Capitalized Subsequent to Acquisition (15,001)      
Gross Amount Carried at Close of Period        
Land and Improvements 71,248      
Buildings and Improvements 834,667      
Total 905,915      
Accumulated Depreciation 225,639      
NBV 680,276      
CANADIAN PROPERTIES | Senior Housing | Sunrise Senior Living        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 46,600      
Buildings and Improvements 418,821      
Costs Capitalized Subsequent to Acquisition (43,105)      
Gross Amount Carried at Close of Period        
Land and Improvements 40,692      
Buildings and Improvements 381,624      
Total 422,316      
Accumulated Depreciation 167,340      
NBV 254,976      
CANADIAN PROPERTIES | Senior Housing | Hawthorn Senior Living        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 25,172      
Buildings and Improvements 146,694      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount Carried at Close of Period        
Land and Improvements 25,172      
Buildings and Improvements 146,694      
Total 171,866      
Accumulated Depreciation 842      
NBV 171,024      
CANADIAN PROPERTIES | Senior Housing | Other Senior Housing CIP        
Real Estate and Accumulated Depreciation        
Encumbrances 56,338      
Initial Cost to Company        
Land and Improvements 20,085      
Buildings and Improvements 114,855      
Costs Capitalized Subsequent to Acquisition 0      
Gross Amount Carried at Close of Period        
Land and Improvements 20,085      
Buildings and Improvements 114,855      
Total 134,940      
Accumulated Depreciation 0      
NBV 134,940      
CANADIAN PROPERTIES | Senior Housing | Le Groupe Maurice        
Real Estate and Accumulated Depreciation        
Encumbrances 1,097,568      
Initial Cost to Company        
Land and Improvements 141,123      
Buildings and Improvements 1,743,734      
Costs Capitalized Subsequent to Acquisition 116,229      
Gross Amount Carried at Close of Period        
Land and Improvements 147,622      
Buildings and Improvements 1,853,464      
Total 2,001,086      
Accumulated Depreciation 103,029      
NBV 1,898,057      
UNITED KINGDOM PROPERTIES | Senior Housing | Canford Healthcare Limited        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 42,445      
Buildings and Improvements 84,181      
Costs Capitalized Subsequent to Acquisition (9,093)      
Gross Amount Carried at Close of Period        
Land and Improvements 39,186      
Buildings and Improvements 78,347      
Total 117,533      
Accumulated Depreciation 16,602      
NBV 100,931      
UNITED KINGDOM PROPERTIES | International Hospital | Spire Healthcare        
Real Estate and Accumulated Depreciation        
Encumbrances 0      
Initial Cost to Company        
Land and Improvements 11,903      
Buildings and Improvements 136,628      
Costs Capitalized Subsequent to Acquisition (19,499)      
Gross Amount Carried at Close of Period        
Land and Improvements 10,341      
Buildings and Improvements 118,692      
Total 129,033      
Accumulated Depreciation 19,048      
NBV $ 109,985