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Master Transactions and Cooperation Agreement with Brookdale (Details)
$ in Thousands
1 Months Ended 3 Months Ended 12 Months Ended
Jan. 31, 2020
USD ($)
property
Oct. 31, 2019
USD ($)
property
lease
Mar. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Nov. 30, 2017
USD ($)
property
facility
Mar. 31, 2017
USD ($)
facility
Dec. 31, 2018
property
facility
Sep. 30, 2018
facility
Jun. 30, 2018
facility
Mar. 31, 2018
facility
Dec. 31, 2019
USD ($)
property
Dec. 31, 2018
USD ($)
property
Dec. 31, 2017
USD ($)
property
facility
Sep. 30, 2019
property
Jun. 30, 2019
property
Mar. 31, 2019
property
Jan. 01, 2018
USD ($)
property
Real Estate Properties [Line Items]                                  
Non-cash lease and management fee termination loss (income), net | $                     $ 0 $ 0 $ 54,641        
Payments to acquire additional interest in subsidiaries | $     $ 63,000 $ 32,000                          
Management fee rate                       5.00%          
Operating expenses | $                     $ 879,370 $ 705,038 $ 666,251        
RIDEA Facilities                                  
Real Estate Properties [Line Items]                                  
Ownership percentage (as a percent)         90.00%                        
Brookedale MTCA                                  
Real Estate Properties [Line Items]                                  
Number of assets to be sold (in properties)             19         19          
Assets leased to others                                  
Real Estate Properties [Line Items]                                  
Number of assets sold or transitioned                       37          
Assets leased to others | RIDEA Facilities                                  
Real Estate Properties [Line Items]                                  
Number of real estate properties | facility         58                        
Other non-reportable segments                                  
Real Estate Properties [Line Items]                                  
Number of assets to be sold (in properties)                     2            
Other non-reportable segments | Assets leased to others | CCRC JV Investment                                  
Real Estate Properties [Line Items]                                  
Number of real estate properties   15                              
Senior housing triple-net                                  
Real Estate Properties [Line Items]                                  
Number of assets to be sold (in properties)                               2  
Number of properties disposed | facility           64     2       4        
Total consideration for disposition of real estate | $           $ 1,125,000                      
Senior housing triple-net | Assets leased to others                                  
Real Estate Properties [Line Items]                                  
Number of real estate properties   43     78                        
Number of assets to be sold (in properties)         2                        
Right to sell, or transition, number of properties (in properties)         32                        
Rent concessions | $                                 $ 5,000
Number of properties with rent concessions (in properties)                                 3
Total consideration for disposition of real estate | $         $ 35,000                        
Number of assets sold or transitioned                       17          
Reduction in rental and related revenues | $                       $ 20,000          
Fair value inputs (in properties)                       32 32        
Senior housing triple-net | Assets leased to others | Brookedale MTCA                                  
Real Estate Properties [Line Items]                                  
Number of assets to be sold (in properties)             11         11          
SHOP                                  
Real Estate Properties [Line Items]                                  
Number of assets to be sold (in properties)                     7     1 1 9  
Number of properties disposed | facility             2 11 8 2     5        
SHOP | Brookedale MTCA                                  
Real Estate Properties [Line Items]                                  
Number of assets to be sold (in properties)             8         8          
SHOP | Assets leased to others                                  
Real Estate Properties [Line Items]                                  
Number of assets sold or transitioned                       20          
SHOP | Assets leased to others | RIDEA Facilities                                  
Real Estate Properties [Line Items]                                  
Number of real estate properties | facility         36                        
Total consideration for disposition of real estate | $         $ 240,000                        
SHOP | Assets leased to others | Brookedale MTCA                                  
Real Estate Properties [Line Items]                                  
Number of assets to be sold (in properties)         4                        
SHOP | Assets Under Management Agreements                                  
Real Estate Properties [Line Items]                                  
Fair value inputs (in properties)                       36          
Minimum                                  
Real Estate Properties [Line Items]                                  
EBITDAR growth rates                       0.00%          
Maximum                                  
Real Estate Properties [Line Items]                                  
EBITDAR growth rates                       3.00%          
Discount rate                                  
Real Estate Properties [Line Items]                                  
Real estate capitalization rate             0.12         0.12          
Cap rate | Minimum                                  
Real Estate Properties [Line Items]                                  
Real estate capitalization rate             0.06         0.06          
Cap rate | Maximum                                  
Real Estate Properties [Line Items]                                  
Real estate capitalization rate             0.07         0.07          
Real estate | SHOP | Assets Under Management Agreements                                  
Real Estate Properties [Line Items]                                  
Operating expenses | $                       $ 35,000          
CCRC JV Investment                                  
Real Estate Properties [Line Items]                                  
Investment ownership percentage   49.00%                 49.00%            
CCRC JV                                  
Real Estate Properties [Line Items]                                  
Percent of noncontrolling interest acquired         10.00%                        
Brookedale MTCA                                  
Real Estate Properties [Line Items]                                  
Number of properties disposed   18                              
Cash proceeds | $   $ 385,000                              
Brookedale MTCA | 2019 Amended Master Lease                                  
Real Estate Properties [Line Items]                                  
Annual rent escalator   2.40%                              
Brookedale MTCA | CCRC JV Investment                                  
Real Estate Properties [Line Items]                                  
Number of real estate properties   15                              
Number of properties acquired   13                              
Brookedale MTCA | Assets leased to others | 2019 Amended Master Lease                                  
Real Estate Properties [Line Items]                                  
Number of leases to be terminated (in properties) | lease   1                              
Number of properties to be restructured   24                              
Percent of sales proceeds   6.50%                              
Number of properties to be reallocated   14                              
Amount of future rent to be paid | $   $ 20,000                              
Capital investment | $   $ 35,000                              
Annual percentage increase   7.00%                              
Capital investment term   5 years                              
Brookedale MTCA | Other non-reportable segments | Assets leased to others | CCRC JV Investment                                  
Real Estate Properties [Line Items]                                  
Number of real estate properties   13                              
Brookedale MTCA | CCRC JV Investment                                  
Real Estate Properties [Line Items]                                  
Investment ownership percentage   51.00%                              
Interest acquired   51.00%                              
Purchase cost | $   $ 1,060,000                              
Non-cash lease and management fee termination loss (income), net | $   $ 100,000                              
Number of assets to be sold (in properties)   2                              
Subsequent Event | SHOP                                  
Real Estate Properties [Line Items]                                  
Number of assets to be sold (in properties) 6                                
Subsequent Event | Brookedale MTCA | Assets leased to others | 2019 Amended Master Lease                                  
Real Estate Properties [Line Items]                                  
Number of assets to be sold (in properties) 2                                
Capital investment term 5 years                                
Subsequent Event | Brookedale MTCA | CCRC JV Investment                                  
Real Estate Properties [Line Items]                                  
Non-cash lease and management fee termination loss (income), net | $ $ 100,000