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Dispositions, Real Property Held for Sale and Impairment - Summary of Real Property Disposition Activity (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Real estate dispositions:      
Total net book value of dispositions $ 175,633 $ 828,866 $ 3,097,299
Gain (loss) on real estate dispositions, net 16,043 235,375 1,088,455
Net other assets (liabilities) disposed 7,820 6,081 114,274
Proceeds from real estate dispositions 199,496 1,070,322 4,300,028
Seniors Housing Operating      
Real estate dispositions:      
Total net book value of dispositions 85,413 112,837 1,289,769
Triple-net      
Real estate dispositions:      
Total net book value of dispositions 89,827 486,369 51,666
Outpatient Medical      
Real estate dispositions:      
Total net book value of dispositions $ 393 $ 229,660 $ 1,755,864