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Segment Disclosures - Revenues and Assets by Segment (Details) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2018 | Sep. 30, 2018 | Jun. 30, 2018 | Mar. 31, 2018 | Dec. 31, 2017 | Sep. 30, 2017 | Jun. 30, 2017 | Mar. 31, 2017 | Dec. 31, 2018 | Dec. 31, 2017 | Dec. 31, 2016
Segment Disclosure |  |  |  |  |  |  |  |  |  |  |
Total revenues | $ 441,919 | $ 456,022 | $ 469,551 | $ 479,197 | $ 443,259 | $ 454,023 | $ 458,928 | $ 492,168 | $ 1,846,689 | $ 1,848,378 | $ 2,129,294
Total assets | 12,718,553 |  |  |  | 14,088,461 |  |  |  | 12,718,553 | 14,088,461 | 15,759,265
Assets held for sale and discontinued operations, net | 108,086 |  |  |  | 417,014 |  |  |  | 108,086 | 417,014 | 927,866
Operating segment |  |  |  |  |  |  |  |  |  |  |
Segment Disclosure |  |  |  |  |  |  |  |  |  |  |
Gross assets | 13,797,386 |  |  |  | 14,051,070 |  |  |  | 13,797,386 | 14,051,070 | 14,692,941
Accumulated depreciation and amortization | (2,915,592) |  |  |  | (2,919,278) |  |  |  | (2,915,592) | (2,919,278) | (2,900,060)
Total assets | 10,881,794 |  |  |  | 11,131,792 |  |  |  | 10,881,794 | 11,131,792 | 11,792,881
Operating segment | Senior housing triple-net |  |  |  |  |  |  |  |  |  |  |
Segment Disclosure |  |  |  |  |  |  |  |  |  |  |
Total revenues |  |  |  |  |  |  |  |  | 276,091 | 313,547 | 423,118
Gross assets | 2,965,679 |  |  |  | 3,515,400 |  |  |  | 2,965,679 | 3,515,400 | 3,871,720
Operating segment | SHOP |  |  |  |  |  |  |  |  |  |  |
Segment Disclosure |  |  |  |  |  |  |  |  |  |  |
Total revenues |  |  |  |  |  |  |  |  | 547,976 | 525,473 | 686,822
Gross assets | 2,173,795 |  |  |  | 2,392,130 |  |  |  | 2,173,795 | 2,392,130 | 3,135,115
Operating segment | Life science |  |  |  |  |  |  |  |  |  |  |
Segment Disclosure |  |  |  |  |  |  |  |  |  |  |
Total revenues |  |  |  |  |  |  |  |  | 395,064 | 358,816 | 358,537
Gross assets | 4,303,471 |  |  |  | 4,154,372 |  |  |  | 4,303,471 | 4,154,372 | 3,961,623
Operating segment | Medical office |  |  |  |  |  |  |  |  |  |  |
Segment Disclosure |  |  |  |  |  |  |  |  |  |  |
Total revenues |  |  |  |  |  |  |  |  | 509,019 | 477,459 | 446,280
Gross assets | 4,354,441 |  |  |  | 3,989,168 |  |  |  | 4,354,441 | 3,989,168 | 3,724,483
Operating segment | Other non-reportable segments |  |  |  |  |  |  |  |  |  |  |
Segment Disclosure |  |  |  |  |  |  |  |  |  |  |
Total revenues |  |  |  |  |  |  |  |  | 118,539 | 173,083 | 214,537
Total assets | 1,015,854 |  |  |  | 1,904,433 |  |  |  | 1,015,854 | 1,904,433 | 2,255,712
Other non-segment |  |  |  |  |  |  |  |  |  |  |
Segment Disclosure |  |  |  |  |  |  |  |  |  |  |
Total assets | $ 712,819 |  |  |  | $ 635,222 |  |  |  | $ 712,819 | $ 635,222 | $ 782,806

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