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Segment Disclosures - Revenues and Assets by Segment (Details) - USD ($) $ in Thousands | 3 Months Ended
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Mar. 31, 2018 | Mar. 31, 2017
Segment Disclosure |  |
Total revenues | $ 479,197 | $ 492,168
Operating segment |  |
Segment Disclosure |  |
Total revenues | 479,197 | 492,168
Operating segment | Senior housing triple-net |  |
Segment Disclosure |  |
Total revenues | 74,289 | 100,034
Operating segment | SHOP |  |
Segment Disclosure |  |
Total revenues | 144,670 | 140,228
Operating segment | Life science |  |
Segment Disclosure |  |
Total revenues | 99,622 | 85,321
Operating segment | Medical office |  |
Segment Disclosure |  |
Total revenues | 123,935 | 118,371
Operating segment | Other non-reportable segments |  |
Segment Disclosure |  |
Total revenues | $ 36,681 | $ 48,214

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- Definition Amount of revenue recognized from goods sold, services rendered, insurance premiums, or other activities that constitute an earning process. Includes, but is not limited to, investment and interest income before deduction of interest expense when recognized as a component of revenue, and sales and trading gain (loss). + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.1) -URI http://asc.fasb.org/extlink&oid=63488584&loc=d3e20235-122688 + Details
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