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Acquisitions, Dispositions and Other Transactions - Ventas Lease Restructuring (Details)
3 Months Ended 9 Months Ended
Jul. 26, 2020
USD ($)
community
extension_option
$ / shares
shares
Sep. 30, 2020
USD ($)
$ / shares
shares
Sep. 30, 2020
USD ($)
$ / shares
shares
Sep. 30, 2019
USD ($)
Dec. 31, 2019
$ / shares
Business Acquisition [Line Items]          
Initial annual minimum rent amount   $ 1,335,335,000 $ 1,335,335,000    
Repayments of lines of credit     $ 166,381,000 $ 0  
Number of shares authorized to be purchased | shares   16,300,000 16,300,000    
Common stock, par value (in dollars per share) | $ / shares   $ 0.01 $ 0.01   $ 0.01
Payments for lease restructuring $ 119,200,000        
Ventas, Inc          
Business Acquisition [Line Items]          
Number of communities leased | community 120        
Initial annual minimum rent amount $ 100,000,000        
Reduction in rent amount to be paid $ 83,000,000        
Annual escalator rate 3.00%        
Number of extensions | extension_option 2        
Term of extensions 10 years        
Capital expenditures incurred but not yet paid $ 37,800,000        
Minimum tangible net worth 600,000,000.0        
Control fees $ 25,000,000.0        
Number of owned communities transferred | community 5        
Extinguishment of debt $ 78,400,000        
Cash payments to related party 115,000,000.0        
Deposit disbursements 42,400,000        
Repayments of lines of credit 4,200,000        
Operating lease obligations   $ 370,000,000.0      
Assets under leases   $ 159,500,000      
Payments for lease restructuring     $ 119,200,000    
Community Level Basis | Ventas, Inc          
Business Acquisition [Line Items]          
Escrow amount 1,500        
Aggregate Community Basis | Ventas, Inc          
Business Acquisition [Line Items]          
Escrow amount $ 3,600        
Disbursement Multiplier | Ventas, Inc          
Business Acquisition [Line Items]          
Annual escalator rate 50.00%        
Multiplier Percentage | Ventas, Inc          
Business Acquisition [Line Items]          
Annual escalator rate 4.50%        
Unsecured Debt | Ventas, Inc          
Business Acquisition [Line Items]          
Debt face amount $ 45,000,000.0        
Interest rate, stated percentage 9.00%        
Interest rate percentage increase per anniversary 0.50%        
The Warrant | Ventas, Inc          
Business Acquisition [Line Items]          
Number of shares authorized to be purchased | shares 16,300,000        
Common stock, par value (in dollars per share) | $ / shares $ 0.01        
Share price (in usd per share) | $ / shares $ 3.00        
Shares voting percentage ownership cap 9.60%        
Value of warrants issued $ 22,900,000