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Dispositions of Real Estate and Discontinued Operations - Held for Sale (Details)
$ in Thousands
Dec. 31, 2018
USD ($)
property
Dec. 31, 2017
USD ($)
property
Dec. 31, 2016
property
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Assets held for sale, net $ 108,086 $ 417,014  
Accumulated depreciation and amortization $ 2,842,947 $ 2,741,695  
SHOP | Held-for-sale      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Number of properties classified as held for sale (in properties) | property 9 6  
Life science | Held-for-sale      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Number of properties classified as held for sale (in properties) | property   4  
Senior Housing Triple-Net and SHOP | Held-for-sale      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Assets held for sale, net $ 108,000    
Senior Housing Triple-Net and SHOP | 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 101,000    
Accumulated depreciation and amortization $ 30,000    
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 (in properties) | property   64 64
Senior housing triple-net | Held-for-sale      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Number of properties classified as held for sale (in properties) | property   2  
SH NNN, Life Science, SHOP | Held-for-sale      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Assets held for sale, net   $ 417,000  
SH NNN, Life Science, SHOP | 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   393,000  
Accumulated depreciation and amortization   $ 93,000  
Land | Life science | Held-for-sale      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Number of properties classified as held for sale (in properties) | property 1