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Real Estate Transactions - Held for Sale (Details) $ in Thousands | 1 Months Ended | 3 Months Ended | 12 Months Ended
--- | --- | --- | ---
Jan. 31, 2020 USD ($) property | Oct. 31, 2019 property | Mar. 31, 2017 facility | Jan. 31, 2017 facility | Dec. 31, 2019 USD ($) property | Sep. 30, 2019 USD ($) property | Jun. 30, 2019 USD ($) property | Mar. 31, 2019 USD ($) property | Dec. 31, 2018 USD ($) property facility | Sep. 30, 2018 facility | Jun. 30, 2018 facility | Mar. 31, 2018 facility | Dec. 31, 2019 USD ($) property | Dec. 31, 2018 USD ($) property | Dec. 31, 2017 USD ($) facility
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Assets held for sale, net |  |  |  |  | $ 504,394 |  |  |  | $ 108,086 |  |  |  | $ 504,394 | $ 108,086 |
Accumulated depreciation and amortization |  |  |  |  | $ 2,771,922 |  |  |  | $ 2,842,947 |  |  |  | 2,771,922 | 2,842,947 |
Proceeds from sale of buildings |  |  |  |  |  |  |  |  |  |  |  |  | $ 0 | $ 335,709 | $ 462,242
Senior housing triple-net |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties disposed | facility |  |  | 64 |  |  |  |  |  |  |  | 2 |  |  |  | 4
Number of assets to be sold (in properties) | property |  |  |  |  |  |  |  | 2 |  |  |  |  |  |  |
Medical office |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties disposed | facility |  |  |  |  |  |  |  |  |  | 2 |  |  |  |  | 4
Number of assets to be sold (in properties) | property |  |  |  |  | 4 | 1 | 5 |  |  |  |  |  | 4 |  |
SHOP |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties disposed | facility |  |  |  |  |  |  |  |  | 2 | 11 | 8 | 2 |  |  | 5
Number of assets to be sold (in properties) | property |  |  |  |  | 7 | 1 | 1 | 9 |  |  |  |  | 7 |  |
Life science |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties disposed | facility |  |  |  | 4 |  |  |  |  |  | 4 |  |  |  |  | 1
Number of assets to be sold (in properties) | property |  |  |  |  |  |  | 1 | 1 |  |  |  |  |  |  |
Held-for-sale | 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 | property |  |  |  |  | 27 |  |  |  |  |  |  |  | 27 |  |
Held-for-sale | Medical office |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties classified as held for sale | property |  |  |  |  | 2 |  |  |  |  |  |  |  | 2 |  |
Held-for-sale | SHOP |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties classified as held for sale | property |  |  |  |  | 28 |  |  |  | 9 |  |  |  | 28 | 9 |
Held-for-sale | Senior Housing Triple-Net and SHOP |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Assets held for sale, net |  |  |  |  | $ 504,000 |  |  |  |  |  |  |  | $ 504,000 |  |
Held-for-sale | Life science |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties classified as held for sale | property |  |  |  |  |  |  |  |  | 1 |  |  |  |  | 1 |
Held-for-sale | SH NNN, Life Science, SHOP |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Assets held for sale, net |  |  |  |  |  |  |  |  | $ 108,000 |  |  |  |  | $ 108,000 |
Real estate | Held-for-sale | Senior Housing Triple-Net and SHOP |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Assets held for sale, net |  |  |  |  | 476,000 |  |  |  |  |  |  |  | 476,000 |  |
Other liabilities |  |  |  |  | 4,000 |  |  |  |  |  |  |  | 4,000 |  |
Debt on assets held for sale |  |  |  |  | 32,000 |  |  |  |  |  |  |  | 32,000 |  |
Accumulated depreciation and amortization |  |  |  |  | 243,000 |  |  |  |  |  |  |  | $ 243,000 |  |
Real estate | Held-for-sale | SH NNN, Life Science, SHOP |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Assets held for sale, net |  |  |  |  |  |  |  |  | 101,000 |  |  |  |  | 101,000 |
Accumulated depreciation and amortization |  |  |  |  |  |  |  |  | $ 30,000 |  |  |  |  | $ 30,000 |
Brookedale MTCA |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties disposed | property |  | 18 |  |  |  |  |  |  |  |  |  |  |  |  |
Subsequent Event | 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 | 6 |  |  |  |  |  |  |  |  |  |  |  |  |  |
SHOP |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Proceeds from sale of buildings |  |  |  |  | $ 92,000 | $ 7,000 | $ 14,000 | $ 68,000 |  |  |  |  |  |  |
SHOP | Subsequent Event |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Proceeds from sale of buildings | $ 36,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |

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