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Real Estate Transactions - Held for Sale (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Jan. 31, 2020
property
Mar. 31, 2020
property
Dec. 31, 2019
USD ($)
property
Sep. 30, 2020
USD ($)
property
investment
loan
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]        
Number of loan receivables | loan       5
Assets held for sale, net     $ 504,394 $ 2,213,185
Accumulated depreciation     $ 2,771,922 $ 2,507,881
Number of properties disposed | property   18    
Brookedale MTCA        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]        
Number of properties disposed | property 18   18  
Held-for-sale        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]        
Investments held for sale | investment       2
Assets held for sale, net     $ 504,000 $ 2,210,000
Real estate     476,000 2,150,000
Accumulated depreciation     $ 243,000 659,000
Loans receivable       $ 23,000
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     27 33
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 | property     2 5
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     28 97
Held-for-sale | Other Non-reportable Segments        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]        
Number of properties classified as held for sale | property       1
Held-for-sale | Senior housing operating portfolio and medical office        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]        
Debt on assets held for sale     $ 32,000 $ 77,000
Other liabilities     $ 4,000 $ 16,000