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Variable Interest Entities and Investment in Unconsolidated Ventures - Additional Information (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Schedule of Investment in Unconsolidated Joint Ventures [Line Items]      
Distributions from unconsolidated ventures from cumulative share of net earnings $ 2,896 $ 8,258 $ 23,544
CCRC Venture      
Schedule of Investment in Unconsolidated Joint Ventures [Line Items]      
Equity method liability $ 56,600 $ 49,500  
Non-Recourse First Mortgages | CCRC Venture      
Schedule of Investment in Unconsolidated Joint Ventures [Line Items]      
Proceeds from issuance of debt     434,500
Distributions from unconsolidated ventures from cumulative share of net earnings     $ 221,600