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Real Estate Transactions - Held for Sale (Details)
$ in Thousands
Jun. 30, 2019
USD ($)
property
Dec. 31, 2018
USD ($)
property
Jun. 30, 2018
property
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     13
Assets held for sale, net | $ $ 160,999 $ 108,086  
Accumulated depreciation | $ 2,926,656 2,842,947  
Held-for-sale      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Assets held for sale, net | $ $ 161,000 $ 108,000  
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 (in properties) | property 20 9  
Held-for-sale | Medical office      
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 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 (in properties) | property 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 (in properties) | property   1  
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 | $ $ 157,000 $ 101,000  
Accumulated depreciation | $ $ 87,000 $ 30,000