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Acquisitions, Dispositions and Other Significant Transactions - Ventas Lease Portfolio Restructuring (Details)
3 Months Ended 6 Months Ended 12 Months Ended
Apr. 26, 2018
USD ($)
community
extension_option
Jun. 30, 2018
USD ($)
Jun. 30, 2017
USD ($)
Jun. 30, 2018
USD ($)
Jun. 30, 2017
USD ($)
Dec. 31, 2018
USD ($)
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
Apr. 26, 2019
USD ($)
Business Acquisition [Line Items]                    
Loss on facility lease termination and modification   $ 146,467,000 $ 6,368,000 $ 146,467,000 $ 6,368,000          
Ventas, Inc | Master Lease And Security Agreement                    
Business Acquisition [Line Items]                    
Number of communities leased | community 128                  
Prior number of communities | community 107                  
Additional number of communities | community 21                  
Number of extensions | extension_option 2                  
Extension term 10 years                  
Investment minimum, unit per lease $ 2,000                  
Investment in capital improvements $ 30,000,000                  
Period of lease 24 months                  
Payment for change of control fees $ 25,000,000                  
Loss on facility lease termination and modification   $ 125,700,000   $ 125,700,000            
Forecast | Ventas, Inc | Master Lease And Security Agreement                    
Business Acquisition [Line Items]                    
Rent expense           $ 175,000,000        
Rent credit           8,000,000 $ 5,000,000 $ 7,000,000 $ 8,000,000  
Rent credit after change of control           $ 5,000,000        
Base rent escalator, CPI increase           2.25%        
Base rent escalator, CPI decrease           0.00%        
Option to terminate, annual base rent                   $ 30,000,000
Option to terminate, rent reduction percentage                   6.25%