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Dispositions of Real Estate and Discontinued Operations - Held for Sale (Details) $ in Thousands | Dec. 31, 2018 USD ($) property | Dec. 31, 2017 USD ($) property | Dec. 31, 2016 property
--- | --- | --- | ---
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Assets held for sale, net | $ 108,086 | $ 417,014 |
Accumulated depreciation and amortization | $ 2,842,947 | $ 2,741,695 |
SHOP | Held-for-sale |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Number of properties classified as held for sale (in properties) | property | 9 | 6 |
Life science | Held-for-sale |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Number of properties classified as held for sale (in properties) | property |  | 4 |
Senior Housing Triple-Net and SHOP | Held-for-sale |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Assets held for sale, net | $ 108,000 |  |
Senior Housing Triple-Net and SHOP | Held-for-sale | Real estate |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Assets held for sale, net | 101,000 |  |
Accumulated depreciation and amortization | $ 30,000 |  |
Senior housing triple-net |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Number of properties classified as held for sale (in properties) | property |  | 64 | 64
Senior housing triple-net | Held-for-sale |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Number of properties classified as held for sale (in properties) | property |  | 2 |
SH NNN, Life Science, SHOP | Held-for-sale |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Assets held for sale, net |  | $ 417,000 |
SH NNN, Life Science, SHOP | Held-for-sale | Real estate |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Assets held for sale, net |  | 393,000 |
Accumulated depreciation and amortization |  | $ 93,000 |
Land | Life science | Held-for-sale |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Number of properties classified as held for sale (in properties) | property | 1 |  |

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