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Loans Receivable and Investments - 2021 Activity (Details)
$ in Thousands
1 Months Ended 3 Months Ended 12 Months Ended
Oct. 31, 2021
USD ($)
Jul. 31, 2021
USD ($)
Apr. 30, 2021
USD ($)
Mar. 31, 2021
USD ($)
Mar. 31, 2021
USD ($)
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Apr. 30, 2020
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Available for sale securities           $ 1,836 $ 25,712  
Full Repayments on Loans Receivable                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Proceeds from collection of loans receivable         $ 16,500   $ 106,100  
Gains (Losses) On Real Estate Loan Investments         1,000      
Available for sale securities           $ 1,200    
Debt Instrument, Weighted Average Interest           8.30% 8.30%  
Government-sponsored pooled loan investments                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Debt Securities, Held-to-maturity, Allowance for Credit Loss, Period Increase (Decrease)         $ 8,800      
Government-sponsored pooled loan investments | Full Repayments on Loans Receivable                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Proceeds from collection of loans receivable     $ 19,200          
Non-mortgage loans receivable, net (2)                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Debt Securities, Held-to-maturity, Allowance for Credit Loss, Period Increase (Decrease)       $ 11,900        
Brookdale Senior Living | Non-mortgage loans receivable, net (2)                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Proceeds From Collection Of Debt Securities, Held-to-maturity $ 45,000              
Holiday Management Company [Member] | Secured/mortgage loans and other, net                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Proceeds From Collection Of Debt Securities, Held-to-maturity   $ 66,000            
Debt securities, effective interest rate               9.20%
Ardent | Full Repayments on Loans Receivable                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Proceeds from collection of loans receivable   $ 224,000            
Debt securities, effective interest rate           9.75%    
Redemption Price, Percentage of Principal   1.07313            
Gains (Losses) On Real Estate Loan Investments           $ 16,600    
Unrealized Gains (Losses) On Real Estate Loan Investments           $ 23,000