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Real Estate Transactions - Disposition of Real Estate (Details)
$ in Thousands
1 Months Ended 3 Months Ended 6 Months Ended
Jul. 31, 2018
USD ($)
facility
Jun. 30, 2018
USD ($)
facility
Apr. 30, 2018
USD ($)
facility
Jan. 31, 2018
USD ($)
facility
Dec. 31, 2017
USD ($)
facility
Nov. 30, 2017
USD ($)
facility
Oct. 31, 2017
USD ($)
facility
Aug. 31, 2017
USD ($)
facility
Apr. 30, 2017
USD ($)
facility
Mar. 31, 2017
USD ($)
property
Jan. 31, 2017
USD ($)
facility
Jun. 30, 2018
USD ($)
Jun. 30, 2017
USD ($)
Jun. 30, 2018
USD ($)
Jun. 30, 2017
USD ($)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Gain (loss) on sales of real estate, net                       $ 46,064 $ 412 $ 66,879 $ 317,670
SHOP                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Number of properties disposed | facility   4 4 2                      
Total consideration for disposal of real estate   $ 38,000   $ 35,000                      
Gain (loss) on sales of real estate, net       $ 21,000                      
Senior housing triple-net                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Number of properties disposed     2             64          
Total consideration for disposal of real estate                   $ 1,125,000          
Gain (loss) on sales of real estate, net                   $ 170,000          
Triple-net and SHOP                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Total consideration for disposal of real estate     $ 266,000                        
Gain (loss) on sales of real estate, net     $ 26,000                        
Life science                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Number of properties disposed | facility                     4        
Total consideration for disposal of real estate                     $ 76,000        
Gain (loss) on sales of real estate, net                     $ 45,000        
Disposed of by sale | Land                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Number of properties disposed | facility                 1            
Total consideration for disposal of real estate                 $ 27,000            
Disposed of by sale | Building | SHOP                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Number of properties disposed | facility         3 1                  
Total consideration for disposal of real estate         $ 17,000 $ 24,000                  
Disposed of by sale | Building | Senior housing triple-net                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Number of properties disposed | facility             2 2              
Total consideration for disposal of real estate             $ 12,000 $ 15,000              
Gain (loss) on sales of real estate, net             $ 7,000 $ 5,000              
Disposed of by sale | Building | Life science                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Number of properties disposed | facility                 1            
Total consideration for disposal of real estate                 $ 5,000            
Gain (loss) on sales of real estate, net                 $ 1,000            
Disposed of by sale | Building | Medical office                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Number of properties disposed | facility         2 1                  
Total consideration for disposal of real estate         $ 3,000 $ 11,000                  
Disposed of by sale | Building | SHOP and Medical office                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Gain (loss) on sales of real estate, net         $ (2,000) $ 29,000                  
Subsequent Event | SHOP                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Number of properties disposed | facility 4                            
Subsequent Event | Lifescience and SHOP                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Total consideration for disposal of real estate $ 288,000                            
Gain (loss) on sales of real estate, net $ 80,000                            
Subsequent Event | Life science                              
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                              
Number of properties disposed | facility 4