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Loans Receivable - Narrative (Details)
$ in Thousands
1 Months Ended 5 Months Ended 9 Months Ended
Oct. 31, 2023
USD ($)
Jun. 30, 2023
May 31, 2023
USD ($)
loan
Apr. 30, 2023
USD ($)
loan
Feb. 28, 2023
USD ($)
loan
Dec. 31, 2022
USD ($)
loan
Nov. 30, 2022
USD ($)
Jul. 31, 2022
USD ($)
May 31, 2022
USD ($)
Feb. 28, 2022
USD ($)
Jun. 30, 2021
USD ($)
Jan. 31, 2021
USD ($)
facility
May 31, 2023
loan
Sep. 30, 2023
USD ($)
Sep. 30, 2022
USD ($)
Loans Receivable:                              
Net cash provided by financing activities                           $ (376,815) $ (165,517)
Financing receivable, after allowance for credit loss           $ 374,832               225,881  
Loans receivable, extension fee         $ 1,000                    
Credit loss reserve on unfunded loan commitments           $ 800               900  
SHOP                              
Loans Receivable:                              
Proceeds from sale of property                       $ 230,000      
Net cash provided by financing activities                       $ 150,000      
SHOP                              
Loans Receivable:                              
Number of assets to be sold | facility                       16      
Secured Mortgage Loans                              
Loans Receivable:                              
Proceeds from the collection of loans receivable         102,000                    
Secured Mortgage Loans | Other                              
Loans Receivable:                              
Proceeds from the collection of loans receivable     $ 21,000 $ 14,000 $ 35,000       $ 2,000            
Number of secured loans | loan     1 1 1 4             4    
Loans receivable, outstanding balance           $ 61,000                  
Loans receivable, term           1 year                  
Secured Mortgage Loans | Other | Subsequent Event                              
Loans Receivable:                              
Proceeds from the collection of loans receivable $ 21,000                            
Secured Mortgage Loans | Secured Overnight Financing Rate (SOFR)                              
Loans Receivable:                              
Loans receivable, basis spread on variable rate         0.11%                    
Secured Mortgage Loans | Secured Overnight Financing Rate (SOFR) | Other                              
Loans Receivable:                              
Loans receivable, conversion of basis spread on variable rate     0.10%                        
Loans receivable, basis spread on variable rate           0.11%                  
Secured Mortgage Loans | Secured Overnight Financing Rate (SOFR), First Six Months                              
Loans Receivable:                              
Loans receivable, basis spread on variable rate         6.00%                    
Secured Mortgage Loans | Secured Overnight Financing Rate (SOFR), First Six Months | Other                              
Loans Receivable:                              
Loans receivable, basis spread on variable rate           8.50%                  
Secured Mortgage Loans | Secured Overnight Financing Rate (SOFR), Last Six Months                              
Loans Receivable:                              
Loans receivable, basis spread on variable rate         7.00%                    
Secured Mortgage Loans | Secured Overnight Financing Rate (SOFR), Last Six Months | Other                              
Loans Receivable:                              
Loans receivable, basis spread on variable rate           10.50%                  
Secured Mortgage Loans | Other                              
Loans Receivable:                              
Proceeds from the collection of loans receivable     $ 12,000                        
Number of secured loans | loan     2                        
Mezzanine | Other                              
Loans Receivable:                              
Proceeds from the collection of loans receivable             $ 1,000                
Other Non-Reporting Segment | CCRC JV | Brookedale MTCA | Lessor Asset Under Operating Lease                              
Loans Receivable:                              
Financing receivable, after allowance for credit loss           $ 33,000               42,000  
Sunrise Senior Housing Portfolio | SHOP                              
Loans Receivable:                              
Net cash provided by financing activities                       $ 410,000      
Capital expenditure funding, amount committed                       $ 92,000   40,000  
Capital expenditure funding, cost of capital, percent committed                       65.00%      
Capital expenditure funding, amount funded                           4,000  
Sunrise Senior Housing Portfolio | SHOP                              
Loans Receivable:                              
Number of assets to be sold | facility                       32      
Proceeds from sale of property                       $ 664,000      
Proceeds from the collection of loans receivable           10,000   $ 27,000   $ 8,000 $ 246,000        
Financing receivable, after allowance for credit loss           $ 120,000               $ 124,000  
Sunrise Senior Housing Portfolio | SHOP | Secured Overnight Financing Rate (SOFR)                              
Loans Receivable:                              
Loans receivable, conversion of basis spread on variable rate   0.10%