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Real Estate Transactions - Real Estate Investments (Details) $ in Thousands | 1 Months Ended | 3 Months Ended | 12 Months Ended
--- | --- | --- | ---
Apr. 30, 2020 USD ($) | Jan. 31, 2020 USD ($) | Dec. 31, 2019 USD ($) property asset | Jul. 31, 2019 USD ($) property facility | Jun. 30, 2019 USD ($) property | May 31, 2019 USD ($) property | Apr. 30, 2019 USD ($) property | Mar. 31, 2020 USD ($) | Mar. 31, 2019 USD ($) property | Dec. 31, 2019 USD ($) property
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |
Debt assumed |  |  |  |  |  |  |  | $ 6,422,257 |  |
Loss (gain) upon change of control, net |  |  |  |  |  |  |  | 167,434 | $ 0 |
Life science joint ventures |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |
Payments to acquire real estate |  |  |  |  | $ 245,000 |  |  |  |  |
Number of properties acquired | property |  |  |  |  | 2 |  |  |  |  |
Life science | Life science facility |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |
Payments to acquire real estate |  |  |  |  |  |  |  |  | 71,000 |
Life science | Land |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |
Payments to acquire real estate |  |  |  |  |  |  |  |  | $ 27,000 |
Senior Housing |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |
Number of properties acquired | property |  |  |  |  | 1 |  |  |  |  |
Payments to acquire outstanding equity interests |  |  |  |  | $ 24,000 |  |  |  |  |
Investment ownership percentage |  |  |  |  | 100.00% |  |  |  |  |
Gain (loss) from change of control, net |  |  |  |  | $ 12,000 |  |  |  |  |
Gain on consolidation, tax |  |  |  |  | $ 1,000 |  |  |  |  |
Senior Housing | Senior Housing |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |
Payments to acquire real estate |  |  |  | $ 284,000 |  | $ 113,000 | $ 445,000 |  |  |
Number of properties acquired | property |  |  |  | 5 |  | 3 | 9 |  |  |
Assets Leased to Others |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |
Number of assets transitioned | property |  |  |  |  |  |  |  |  | 37 |
Assets Leased to Others | Senior housing triple-net |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |
Number of assets transitioned | property |  |  |  |  |  |  |  |  | 17 |
Assets Leased to Others | SHOP |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |
Number of assets transitioned | property |  |  |  |  |  |  |  |  | 20 |
Mortgage Debt |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |
Debt assumed |  |  |  | $ 112,000 |  | $ 50,000 |  | $ 472,257 |  |
Massachusetts | Life science |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |
Deposit, nonrefundable |  | $ 20,000 |  |  |  |  |  |  |  |
San Diego | Life science |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |
Number of properties acquired | property |  |  |  |  |  |  |  |  |  | 1
San Diego | Life science | Life science facility |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |
Payments to acquire real estate |  |  |  |  |  |  |  |  |  | $ 16,000
Boston | Life science | Life science facility |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |
Payments to acquire real estate |  |  |  | $ 228,000 |  |  |  |  |  |
Number of properties acquired | facility |  |  |  | 4 |  |  |  |  |  |
Kansas | Medical office |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |
Payments to acquire real estate |  |  |  |  |  |  |  |  |  | $ 15,000
Number of properties acquired | property |  |  |  |  |  |  |  |  |  | 1
Texas | Medical office |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |
Payments to acquire real estate |  |  |  |  |  |  |  |  |  | $ 9,000
Number of properties acquired | property |  |  |  |  |  |  |  |  |  | 1
Cambridge | Life science | Life science facility |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |
Payments to acquire real estate |  |  | $ 333,000 |  |  |  |  |  |  |
Number of properties acquired | asset |  |  | 1 |  |  |  |  |  |  |
SHOP JV |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |
Investment ownership percentage |  |  |  |  |  |  |  | 54.00% |  |
Purchase cost |  |  | $ 367,000 |  |  |  |  |  |  | $ 367,000
Partnership investment ownership percentage |  |  | 46.50% |  |  |  |  |  |  | 46.50%
SHOP JV | SHOP |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |
Investment ownership percentage |  |  | 53.50% |  |  |  |  |  |  | 53.50%
Purchase cost |  |  | $ 790,000 |  |  |  |  |  |  | $ 790,000
SHOP JV | Assets Leased to Others | SHOP |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |
Number of assets transitioned | property |  |  | 19 |  |  |  |  |  |  |
SHOP JV |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |
Loss (gain) upon change of control, net |  |  | $ 161,000 |  |  |  |  |  |  |
Subsequent Event | Massachusetts | Life science |  |  |  |  |  |  |  |  |  |
Real Estate [Line Items] |  |  |  |  |  |  |  |  |  |
Payments to acquire real estate | $ 320,000 |  |  |  |  |  |  |  |  |

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