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Acquisitions, Dispositions and Other Significant Transactions - Ventas Lease Portfolio Restructuring (Details)
3 Months Ended 12 Months Ended
Apr. 26, 2018
USD ($)
extension_option
community
Dec. 31, 2019
USD ($)
lease
Sep. 30, 2019
USD ($)
Jun. 30, 2019
USD ($)
Mar. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
Sep. 30, 2018
USD ($)
Jun. 30, 2018
USD ($)
Mar. 31, 2018
USD ($)
Dec. 31, 2019
USD ($)
lease
community
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Jan. 01, 2019
Business Acquisition [Line Items]                              
Number of communities leased | lease   242               242          
Loss on facility lease termination and modification, net   $ (1,382,000) $ 0 $ (1,797,000) $ (209,000) $ (13,197,000) $ (2,337,000) $ (146,467,000) $ 0 $ 3,388,000 $ 162,001,000 $ 14,276,000      
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 communities added to agreement | community 18                            
Number of communities to be added to agreement | community 3                            
Number of extensions | extension_option 2                            
Extension term   10 years               10 years          
Rent expense                     175,000,000.0        
Rent credit   $ 8,000,000.0       8,000,000.0       $ 8,000,000.0 $ 8,000,000.0        
Rent credit after change of control   $ 5,000,000.0               $ 5,000,000.0          
Base rent escalator, CPI increase                             2.25%
Base rent escalator, CPI increase multiplier                             4
Base rent escalator, CPI decrease                             0.00%
Investment minimum, unit per lease $ 2,000                            
Period of lease 24 months                            
Investment in capital improvements $ 30,000,000.0                            
Payment for change of control fees $ 25,000,000.0                            
Option to terminate, rent reduction percentage 6.25%                            
Management percent fee                   5.00%          
Loss on facility lease termination and modification, net           $ (125,700,000)                  
Number of communities exercised to market for sale and sold | community                   7          
Reduction of rent for terminating communities                   $ 1,700,000          
Forecast | Ventas, Inc | Master Lease And Security Agreement                              
Business Acquisition [Line Items]                              
Rent credit                         $ 5,000,000.0 $ 7,000,000.0