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Acquisitions, Dispositions and Other Significant Transactions - Welltower Lease and RIDEA Venture Restructuring (Details)
$ in Thousands
3 Months Ended 12 Months Ended 36 Months Ended
Jun. 30, 2018
USD ($)
community
lease_portfolio
Jun. 30, 2019
USD ($)
community
Jun. 30, 2018
USD ($)
Dec. 31, 2020
USD ($)
lease
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
community
Dec. 31, 2019
community
Sep. 30, 2018
lease
community
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Number of communities leased | lease       235        
Payments for lease termination       $ 0 $ 0 $ 12,548    
Loss on facility lease termination and modification, net       $ (2,303) $ 3,388 $ 162,001    
Ownership Percentage       50.00%        
Master leases not renewed, number of communities | community               11
37 Communities Disposed Of Through Lease Terminations                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Number of communities disposed of | community             147  
Welltower Lease Transactions                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Number of leases not renewed | lease               2
Number of communities managed | community           74    
Welltower Lease Transactions | 37 Communities Disposed Of Through Lease Terminations                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Number of communities disposed of | community 37              
Welltower Inc. | Welltower Lease Transactions                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Number of lease portfolios | lease_portfolio 2              
Payments for lease termination   $ 58,000            
Loss on facility lease termination and modification, net           $ (22,600)    
Rent credit, potential future lease terminations 6.25%              
Proceeds from sale of equity method investment     $ 33,500          
Gain on sale of equity method investment     $ 14,700          
Welltower Inc. | Welltower Lease Transactions, Lease Portfolio Maturing In 2028                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Number of communities leased | community   27            
Welltower Inc. | Welltower Lease Transactions, Lease Portfolio Maturing In 2020                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Number of communities leased | community   10            
Maximum | Welltower Inc. | Welltower Lease Transactions                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Base rent $ 5,000              
Welltower RIDEA                
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                
Ownership Percentage 20.00%   20.00%