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Goodwill (Details) - USD ($)
$ in Thousands
Dec. 31, 2021
Dec. 31, 2020
Goodwill [Line Items]    
Gross Carrying Amount $ 633,610 $ 760,420
Dispositions and Other Reductions (49,637) (49,637)
Accumulated Impairment (556,652) (556,652)
Net 27,321 154,131
Independent Living    
Goodwill [Line Items]    
Gross Carrying Amount 28,141 28,141
Dispositions and Other Reductions (820) (820)
Accumulated Impairment 0 0
Net 27,321 27,321
Assisted Living and Memory Care    
Goodwill [Line Items]    
Gross Carrying Amount 605,469 605,469
Dispositions and Other Reductions (48,817) (48,817)
Accumulated Impairment (556,652) (556,652)
Net $ 0 0
Health Care Services    
Goodwill [Line Items]    
Gross Carrying Amount   126,810
Dispositions and Other Reductions   0
Accumulated Impairment   0
Net   $ 126,810