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Real Estate Transactions - Held for Sale (Details)
$ in Thousands
Mar. 31, 2018
USD ($)
property
Dec. 31, 2017
USD ($)
property
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]    
Assets held for sale, net $ 436,155 $ 417,014
Accumulated depreciation 2,826,325 2,741,695
Held-for-sale    
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]    
Assets held for sale, net $ 436,000 $ 417,000
Held-for-sale | SHOP    
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]    
Number of properties classified as held for sale | property 7 6
Held-for-sale | Senior housing triple-net    
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]    
Number of properties classified as held for sale | property 2 2
Held-for-sale | Life science    
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]    
Number of properties classified as held for sale | property 4 4
Held-for-sale | Real Estate    
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]    
Assets held for sale, net $ 410,000 $ 393,000
Accumulated depreciation $ 98,000 $ 93,000