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Leases - Narrative (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2022
Jun. 30, 2021
Jun. 30, 2022
Jun. 30, 2021
Lessee, Lease, Description [Line Items]        
Straight line rent adjustment       $ 49,241
Rental and other revenues related to operating lease payments $ 361,411 $ 354,723 $ 717,801 657,566
Rental and other revenues related to operating lease payments, variable leases     96,309 89,890
Resident fees and services        
Lessee, Lease, Description [Line Items]        
Revenue from contract with customer $ 1,009,999 $ 740,891 2,004,334 1,464,355
Resident fees and services | Seniors Housing Operating        
Lessee, Lease, Description [Line Items]        
Revenue from contract with customer     $ 198,052 $ 31,918
Minimum        
Lessee, Lease, Description [Line Items]        
Lease term extension period     1 year  
Maximum        
Lessee, Lease, Description [Line Items]        
Lease term extension period     25 years