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Dispositions, Real Property Held for Sale and Impairment - Narrative (Details)
$ in Thousands
9 Months Ended
Sep. 30, 2021
USD ($)
property
Sep. 30, 2020
USD ($)
property
Dec. 31, 2020
USD ($)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Real property held for sale | $ $ 251,152   $ 216,613
Expected proceeds from properties held for sale | $ 293,526    
Impairment of assets held for use | $ 19,567    
Held for sale      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Real property held for sale | $ $ 18,081    
Seniors Housing Operating      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Number of properties classified as held for sale | property 2 13  
Impairment of assets held for use | $ $ 29,183    
Impairment of assets held for sale | $   $ 79,905  
Number of properties held for use | property 2 4  
Triple-net      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Number of properties classified as held for sale | property 20 1  
Impairment of assets held for use | $   $ 46,386  
Number of properties subject to asset impairment | property 4    
Number of properties held for use | property 2 4  
Outpatient Medical      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Number of properties classified as held for sale | property 2    
Number of properties subject to asset impairment | property 1