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Real Estate Transactions - Held for Sale (Details)
$ in Thousands
Sep. 30, 2018
USD ($)
property
facility
Jun. 30, 2018
property
Dec. 31, 2017
USD ($)
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 $ 423,063   $ 417,014
Accumulated depreciation 2,825,850   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 $ 423,000   $ 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 14   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
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 $ 407,000   $ 393,000
Accumulated depreciation $ 109,000   $ 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