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Dispositions of Real Estate and Discontinued Operations - 2017 Dispositions (Details) $ in Thousands | 1 Months Ended | 3 Months Ended | 12 Months Ended
--- | --- | --- | ---
Mar. 31, 2017 USD ($) facility | Jan. 31, 2017 USD ($) facility | Dec. 31, 2018 facility | Sep. 30, 2018 USD ($) facility | Jun. 30, 2018 USD ($) facility | Mar. 31, 2018 USD ($) facility | Dec. 31, 2018 USD ($) | Dec. 31, 2017 USD ($) facility | Dec. 31, 2016 USD ($) facility
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |
Proceeds from sales of real estate |  |  |  |  |  |  | $ 2,044,477 | $ 1,314,325 | $ 647,754
Gain (loss) on sales of real estate, net |  |  |  | $ 95,000 | $ 25,000 |  | $ 925,985 | 356,641 | $ 164,698
Life science |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |
Number of properties disposed (in facilities) | facility |  | 4 |  | 4 |  |  |  |  | 5
Total consideration for disposition of real estate |  | $ 76,000 |  |  |  |  |  |  | $ 386,000
Gain (loss) on sales of real estate, net |  | $ 45,000 |  |  |  |  |  |  |
Life science | Land |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |
Number of properties disposed (in facilities) | facility |  |  | 1 |  |  |  |  |  |
Total consideration for disposition of real estate |  |  |  |  |  |  |  | 27,000 |
Life science | Building |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |
Proceeds from sales of real estate |  |  |  |  |  |  |  | $ 5,000 |
Medical office |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |
Number of properties disposed (in facilities) | facility |  |  | 2 | 2 |  |  |  | 4 | 3
Total consideration for disposition of real estate |  |  |  |  |  |  |  |  | $ 20,000
Proceeds from sales of real estate |  |  |  |  |  |  |  | $ 15,000 |
Gain (loss) on sales of real estate, net |  |  |  |  |  |  |  | $ 41,000 |
SHOP |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |
Number of properties disposed (in facilities) | facility |  |  | 2 | 11 | 8 | 2 |  | 5 | 3
Total consideration for disposition of real estate |  |  |  |  |  |  |  |  | $ 41,000
Proceeds from sales of real estate |  |  |  |  |  |  |  | $ 43,000 |
Gain (loss) on sales of real estate, net |  |  |  |  |  | $ 21,000 |  |  |
Senior housing triple-net |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |
Number of properties disposed (in facilities) | facility | 64 |  |  |  | 2 |  |  | 4 | 7
Total consideration for disposition of real estate | $ 1,125,000 |  |  |  |  |  |  |  | $ 88,000
Proceeds from sales of real estate |  |  |  |  |  |  |  | $ 27,000 |
Gain (loss) on sales of real estate, net | $ 170,000 |  |  |  |  |  |  |  |
Senior housing triple-net | Building |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |
Number of properties disposed (in facilities) | facility |  |  |  |  |  |  |  |  | 2

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