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Real Estate Transactions - Held for Sale (Details)
$ in Thousands
Jun. 30, 2018
USD ($)
property
facility
Dec. 31, 2017
USD ($)
property
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]    
Number of properties classified as held for sale | property 13  
Assets held for sale, net $ 692,702 $ 417,014
Accumulated depreciation 2,750,351 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 $ 693,000 $ 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 25 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 11 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 $ 652,000 $ 393,000
Accumulated depreciation $ 184,000 $ 93,000
Land | Disposed of by sale    
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]    
Number of properties classified as held for sale | facility 1