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Acquisitions, Dispositions and Other Significant Transactions - HCP Master Lease Transaction and RIDEA Ventures Restructuring (Details)
$ in Thousands
1 Months Ended 3 Months Ended 6 Months Ended 12 Months Ended
Nov. 30, 2017
USD ($)
community
Jun. 30, 2019
USD ($)
community
Jun. 30, 2018
USD ($)
community
Mar. 31, 2018
USD ($)
community
Jun. 30, 2019
USD ($)
Jun. 30, 2018
USD ($)
Dec. 31, 2018
community
Business Acquisition [Line Items]              
Gain on sale of assets, net   $ 2,846 $ 23,322   $ 2,144 $ 66,753  
Gain on facility lease termination and modification, net   $ (1,797) $ (146,467)   (2,006) (146,467)  
Non-cash management contract termination gain         640 5,076  
HCP, Inc. | RIDEA Ventures Restructuring              
Business Acquisition [Line Items]              
Number of communities acquired | community     5 1      
Number of communities formerly leases | community     2        
Payments to acquire interest in joint venture     $ 242,800 $ 32,100      
HCP, Inc. | Master Lease Transactions              
Business Acquisition [Line Items]              
Operating and capital leases, number of communities | community     7        
33 Communities Disposed Of Through Lease Terminations | HCP, Inc. | Master Lease Transactions              
Business Acquisition [Line Items]              
Number of communities disposed of | community   10         33
Assets Under Leases     $ 86,900     86,900  
Capital Lease Obligations     93,500     93,500  
Gain on sale of assets, net     $ 6,500        
Number of communities previously subject to sale leaseback transactions | community     3        
Seven Communities Operating Under Operating and Capital Leases | HCP, Inc. | Master Lease Transactions              
Business Acquisition [Line Items]              
Gain on facility lease termination and modification, net     $ 1,900        
35 Communities Disposed Of Through Management Agreement | RIDEA Ventures Restructuring              
Business Acquisition [Line Items]              
Number of communities disposed of | community 35            
Non-cash management contract termination gain $ 9,300 $ 300 $ 2,800   $ 800 $ 5,100  
Variable Interest Entity, Not Primary Beneficiary, Real Estate Company | RIDEA Ventures Restructuring              
Business Acquisition [Line Items]              
Gain on sale of assets, net       $ 41,700      
Percentage ownership       10.00%      
Proceeds from divestiture of interest in joint venture       $ 62,300