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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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