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Dispositions of Real Estate and Discontinued Operations - Brookedale MTCA Disposition (Details) $ in Thousands | 1 Months Ended | 3 Months Ended | 12 Months Ended |
--- | --- | --- | --- | ---
Mar. 31, 2017 USD ($) | Dec. 31, 2018 USD ($) property | Sep. 30, 2018 USD ($) | Jun. 30, 2018 USD ($) | Mar. 31, 2018 USD ($) | Mar. 31, 2017 USD ($) | Dec. 31, 2018 USD ($) property | Dec. 31, 2017 USD ($) | Dec. 31, 2016 USD ($) | Nov. 01, 2017 property
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |
Proceeds from sale of buildings |  |  |  |  |  |  | $ 335,709 | $ 462,242 | $ 0 |
Gain (loss) on sales of real estate, net |  |  | $ 95,000 | $ 25,000 |  |  | $ 925,985 | $ 356,641 | $ 164,698 |
Senior housing triple-net |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |
Gain (loss) on sales of real estate, net | $ 170,000 |  |  |  |  |  |  |  |  |
Senior housing triple-net | Assets Leased to Others |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |
Number of assets to be sold (in properties) | property |  |  |  |  |  |  |  |  |  | 2
SHOP |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |
Gain (loss) on sales of real estate, net |  |  |  |  | $ 21,000 |  |  |  |  |
Brookedale MTCA |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |
Number of assets to be sold (in properties) | property |  | 19 |  |  |  |  | 19 |  |  |
Brookedale MTCA | Assets Leased to Others |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |
Proceeds from sale of buildings |  | $ 377,000 |  |  |  |  |  |  |  |
Gain (loss) on sales of real estate, net |  |  |  |  |  | $ 40,000 |  |  |  |
Brookedale MTCA | Senior housing triple-net | Assets Leased to Others |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |
Number of assets to be sold (in properties) | property |  | 11 |  |  |  |  | 11 |  |  |
Brookedale MTCA | SHOP |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |
Number of assets to be sold (in properties) | property |  | 8 |  |  |  |  | 8 |  |  |

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