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Real Estate Transactions - Real Estate Investments (Details)
$ in Thousands
1 Months Ended 3 Months Ended 9 Months Ended 12 Months Ended
Nov. 03, 2020
USD ($)
Oct. 31, 2020
USD ($)
a
property
Sep. 30, 2020
USD ($)
Jul. 31, 2020
USD ($)
property
Apr. 30, 2020
USD ($)
Dec. 31, 2019
USD ($)
property
asset
Jul. 31, 2019
USD ($)
property
facility
Jun. 30, 2019
USD ($)
property
May 31, 2019
USD ($)
property
Apr. 30, 2019
USD ($)
property
Mar. 31, 2019
USD ($)
Sep. 30, 2020
USD ($)
Sep. 30, 2019
USD ($)
Dec. 31, 2019
USD ($)
property
Dec. 31, 2018
property
Real Estate [Line Items]                              
Debt assumed     $ 6,420,792                 $ 6,420,792      
Loss (gain) upon change of control, net                       $ 173,222 $ 11,481    
SHOP JV                              
Real Estate [Line Items]                              
Loss (gain) upon change of control, net           $ 161,000                  
Assets Leased to Others                              
Real Estate [Line Items]                              
Number of assets transitioned | property                             37
SHOP JV                              
Real Estate [Line Items]                              
Investment ownership percentage     54.00%                 54.00%      
Purchase cost           $ 367,000               $ 367,000  
Partnership investment ownership percentage           46.50%               46.50%  
Mortgage Debt                              
Real Estate [Line Items]                              
Debt assumed     $ 420,792       $ 112,000   $ 50,000     $ 420,792      
Massachusetts | Subsequent Event                              
Real Estate [Line Items]                              
Payments to acquire real estate   $ 54,000                          
Massachusetts | Life science joint ventures | Subsequent Event                              
Real Estate [Line Items]                              
Investment ownership percentage   49.00%                          
San Francisco, California | Subsequent Event                              
Real Estate [Line Items]                              
Payments for deposits on real estate acquisitions $ 10,000                            
Area of land | a   12                          
Payments to acquire land   $ 128,000                          
Number of adjacent sites currently held | property   2                          
Life science | Life science facility                              
Real Estate [Line Items]                              
Payments to acquire real estate                     $ 71,000        
Life science | Land                              
Real Estate [Line Items]                              
Payments to acquire real estate                     $ 27,000        
Life science | Massachusetts                              
Real Estate [Line Items]                              
Payments to acquire real estate         $ 320,000                    
Life science | Massachusetts | Subsequent Event                              
Real Estate [Line Items]                              
Payments to acquire real estate   $ 610,000                          
Number of properties acquired | property   3                          
Payments for deposits on real estate acquisitions   $ 20,000                          
Life science | Boston | Life science facility                              
Real Estate [Line Items]                              
Payments to acquire real estate             $ 228,000                
Number of properties acquired | facility             4                
Life science | Cambridge | Life science facility                              
Real Estate [Line Items]                              
Payments to acquire real estate           $ 333,000                  
Number of properties acquired | asset           1                  
Life science | San Diego                              
Real Estate [Line Items]                              
Number of properties acquired | property                           1  
Life science | San Diego | Life science facility                              
Real Estate [Line Items]                              
Payments to acquire real estate                           $ 16,000  
Medical office                              
Real Estate [Line Items]                              
Number of properties acquired | property       1                      
Medical office | ARIZONA                              
Real Estate [Line Items]                              
Payments to acquire real estate       $ 27,000                      
Medical office | Indiana, Missouri, Illinois                              
Real Estate [Line Items]                              
Payments for deposits on real estate acquisitions     $ 9,000                        
Medical office | Indiana, Missouri, Illinois | Subsequent Event                              
Real Estate [Line Items]                              
Payments to acquire real estate   $ 169,000                          
Number of properties acquired | property   7                          
Medical office | Kansas                              
Real Estate [Line Items]                              
Payments to acquire real estate                           $ 15,000  
Number of properties acquired | property                           1  
Medical office | Texas                              
Real Estate [Line Items]                              
Payments to acquire real estate                           $ 9,000  
Number of properties acquired | property                           1  
Life science joint ventures                              
Real Estate [Line Items]                              
Payments to acquire real estate               $ 245,000              
Number of properties acquired | property               2              
Senior Housing | Vintage Park JV                              
Real Estate [Line Items]                              
Number of properties acquired | property               1              
Investment ownership percentage               100.00%              
Payments to acquire outstanding equity interests               $ 24,000              
Gain (loss) from change of control, net               12,000              
Gain on consolidation, tax               $ 1,000              
Senior Housing | Senior Housing                              
Real Estate [Line Items]                              
Payments to acquire real estate             $ 284,000   $ 113,000 $ 445,000          
Number of properties acquired | property             5   3 9          
SHOP | Assets Leased to Others                              
Real Estate [Line Items]                              
Number of assets transitioned | property                             20
SHOP | SHOP JV                              
Real Estate [Line Items]                              
Investment ownership percentage           53.50%               53.50%  
Purchase cost           $ 790,000               $ 790,000  
SHOP | SHOP JV | Assets Leased to Others                              
Real Estate [Line Items]                              
Number of assets transitioned | property           19