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Investments in Unconsolidated Entities - Summary of Investments in Unconsolidated Entities (Details) - USD ($)
$ in Thousands
Jun. 30, 2019
Dec. 31, 2018
Schedule of Equity Method Investments [Line Items]    
Investments in unconsolidated entities $ 519,387 $ 482,914
Seniors Housing Operating    
Schedule of Equity Method Investments [Line Items]    
Investments in unconsolidated entities $ 379,886 $ 344,982
Seniors Housing Operating | Minimum    
Schedule of Equity Method Investments [Line Items]    
Percentage Ownership 10.00% 10.00%
Seniors Housing Operating | Maximum    
Schedule of Equity Method Investments [Line Items]    
Percentage Ownership 50.00% 50.00%
Triple-net    
Schedule of Equity Method Investments [Line Items]    
Investments in unconsolidated entities $ 9,459 $ 34,284
Triple-net | Minimum    
Schedule of Equity Method Investments [Line Items]    
Percentage Ownership 10.00% 10.00%
Triple-net | Maximum    
Schedule of Equity Method Investments [Line Items]    
Percentage Ownership 49.00% 49.00%
Outpatient Medical    
Schedule of Equity Method Investments [Line Items]    
Investments in unconsolidated entities $ 130,042 $ 103,648
Outpatient Medical | Minimum    
Schedule of Equity Method Investments [Line Items]    
Percentage Ownership 43.00% 43.00%
Outpatient Medical | Maximum    
Schedule of Equity Method Investments [Line Items]    
Percentage Ownership 50.00% 50.00%