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Real Estate Transactions - Impairments of Real Estate (Details) $ / item in Thousands, $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2020 USD ($) property | Jun. 30, 2019 USD ($) $ / item property | Jun. 30, 2020 USD ($) $ / item property | Jun. 30, 2019 USD ($) property
Real Estate [Line Items] |  |  |  |
Impairments and loan loss reserves (recoveries), net |  |  | $ 63,173 | $ 77,396
Casualty realty gain |  | $ 6,000 | $ 0 | 6,579
Deferred tax expense |  | $ 300 |  | 300
Senior housing triple-net |  |  |  |
Real Estate [Line Items] |  |  |  |
Number of real estate properties impaired | property | 2 | 2 | 4 |
Medical office |  |  |  |
Real Estate [Line Items] |  |  |  |
Impairments and loan loss reserves (recoveries), net |  |  |  | $ 9,000
Number of real estate properties impaired | property | 1 | 1 | 2 | 2
Undeveloped MOB land parcel |  |  |  |
Real Estate [Line Items] |  |  |  |
Number of real estate properties impaired | property | 1 |  | 1 |
Senior Housing Triple Net, SHOP, MOB, and Other Non-Reportable |  |  |  |
Real Estate [Line Items] |  |  |  |
Impairments and loan loss reserves (recoveries), net | $ 19,000 | $ 59,000 | $ 50,000 |
SHOP |  |  |  |
Real Estate [Line Items] |  |  |  |
Impairments and loan loss reserves (recoveries), net |  | $ 10,000 |  |
Number of real estate properties impaired | property | 12 | 14 | 20 |
Minimum |  |  |  |
Real Estate [Line Items] |  |  |  |
Impairment calculation, price per unit | $ / item |  | 52 | 35 |
Impairment test, market capitalization rate |  | 4.97% |  | 4.97%
Maximum |  |  |  |
Real Estate [Line Items] |  |  |  |
Impairment calculation, price per unit | $ / item |  | 90 | 238 |
Impairment test, market capitalization rate |  | 6.64% |  | 6.64%
Weighted Average |  |  |  |
Real Estate [Line Items] |  |  |  |
Impairment calculation, price per unit | $ / item |  | 62 | 90 |
Impairment test, market capitalization rate |  | 5.41% |  | 5.41%
Impairments 2020 |  |  |  |
Real Estate [Line Items] |  |  |  |
Real estate investment property, aggregate carrying value before impairment | $ 108,000 |  | $ 108,000 |
Real estate held-for-sale | 89,000 |  | 89,000 |
Impairments 2020 |  |  |  |
Real Estate [Line Items] |  |  |  |
Real estate investment property, aggregate carrying value before impairment | 231,000 |  | 231,000 |
Real estate held-for-sale | $ 181,000 |  | $ 181,000 |
Impairments 2019 |  |  |  |
Real Estate [Line Items] |  |  |  |
Real estate investment property, aggregate carrying value before impairment |  | $ 164,000 |  | $ 164,000
Real estate held-for-sale |  | $ 105,000 |  | $ 105,000

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