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Segment Disclosures - Revenues and Assets by Segment (Details) - USD ($) $ in Thousands | 3 Months Ended
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Mar. 31, 2019 | Mar. 31, 2018
Segment Disclosure |  |
Total revenues | $ 436,154 | $ 479,197
Operating segment |  |
Segment Disclosure |  |
Total revenues | 436,154 | 479,197
Operating segment | Senior housing triple-net |  |
Segment Disclosure |  |
Total revenues | 58,892 | 74,289
Operating segment | SHOP |  |
Segment Disclosure |  |
Total revenues | 126,181 | 144,670
Operating segment | Life science |  |
Segment Disclosure |  |
Total revenues | 94,473 | 99,622
Operating segment | Medical office |  |
Segment Disclosure |  |
Total revenues | 142,195 | 133,220
Operating segment | Other non-reportable segments |  |
Segment Disclosure |  |
Total revenues | $ 14,413 | $ 27,396

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- Definition Amount of revenue recognized from goods sold, services rendered, insurance premiums, or other activities that constitute an earning process. Includes, but is not limited to, investment and interest income before deduction of interest expense when recognized as a component of revenue, and sales and trading gain (loss). + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e8736-108599 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.1) -URI http://asc.fasb.org/extlink&oid=115205541&loc=SL114868664-224227 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 32 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e8933-108599 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e8736-108599 + Details
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