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Summary of Significant Accounting Policies - Narrative (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Jan. 01, 2020
Dec. 31, 2019
Schedule of Equity Method Investments [Line Items]          
Residency agreement term, minimum 30 days        
Residency agreement term, maximum 1 year        
Maximum period available for occupancy from cessation of significant construction activity 1 year        
Advertising expense $ 8,000 $ 11,000 $ 18,000    
Cumulative effect of new accounting principle 7,182,598 7,058,760 7,289,950   $ 6,658,859
Cumulative Effect, Period of Adoption, Adjustment          
Schedule of Equity Method Investments [Line Items]          
Cumulative effect of new accounting principle       $ 2,000 $ (1,524) [1]
Discontinued Operations          
Schedule of Equity Method Investments [Line Items]          
Advertising expense $ 100 $ 3,000 $ 12,000    
Building and Building Improvements          
Schedule of Equity Method Investments [Line Items]          
Property, plant and equipment, useful life 50 years        
[1] On January 1, 2020, the Company adopted a series of Accounting Standards Updates (“ASUs”) related to accounting for credit losses and recognized the cumulative-effect of adoption to beginning retained earnings. Refer to Note 2 for a detailed impact of adoption.