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Real Estate Properties - Narrative (Details)
$ in Thousands
1 Months Ended 12 Months Ended
Feb. 23, 2021
USD ($)
property
Feb. 25, 2021
USD ($)
property
Jan. 31, 2020
USD ($)
May 31, 2019
USD ($)
building
unit
Dec. 31, 2018
ft²
property
building
community
Jun. 30, 2018
USD ($)
unit
building
Dec. 31, 2020
USD ($)
ft²
unit
property
building
Dec. 31, 2019
USD ($)
ft²
unit
property
building
Dec. 31, 2018
USD ($)
property
building
community
Sep. 30, 2019
property
Jul. 31, 2019
ft²
building
Real Estate Properties                      
Real estate investment properties, net             $ 5,715,829 $ 5,890,785      
Real estate property - accumulated depreciation             $ 1,694,901 1,570,801      
Number of properties owned (property) | property             397        
Impairment of assets             $ 106,972 115,201 $ 66,346    
Gain on sale of properties             6,487 39,696 261,916    
Lease committed but unspent tenant related obligations             19,159 23,994      
Capitalized interest             1,833 1,124 124    
Land                      
Real Estate Properties                      
Real estate investment properties, net             789,125 793,123      
Buildings and Improvements                      
Real Estate Properties                      
Real estate investment properties, net             6,621,605 6,668,463      
Building                      
Real Estate Properties                      
Real estate property - accumulated depreciation             1,561,751 1,428,850      
Building Improvements                      
Real Estate Properties                      
Real estate property - accumulated depreciation             $ 133,150 $ 141,951      
Medical Office                      
Real Estate Properties                      
Number of properties owned (property) | property             7 20      
Impairment of assets             $ 8,558 $ 43,035 $ 46,797    
Number of properties acquired | property                 13    
Senior Living Communities                      
Real Estate Properties                      
Number of properties owned (property) | property             28 25      
Number of units in real estate property | unit             29,335        
Impairment of assets             $ 98,414 $ 72,166      
Gain on sale of properties             225        
Real estate improvements by lessee purchased             2,138 1,739      
Increase in annual lease rent payable             $ 135 $ 90      
Senior Living Communities | California Colorado And Oregon                      
Real Estate Properties                      
Number of properties owned (property) | community         3       3    
Impairment of assets                 $ 19,549    
Five Star                      
Real Estate Properties                      
Increase in annual lease rent payable                 1,433    
Purchase price excluding closing costs                 17,956    
Amount of improvements to communities                 111,603    
Payments to acquire property, plant, and equipment                 49,155    
Welness Centers                      
Real Estate Properties                      
Number of properties owned (property) | property             10        
Area of real estate properties (in square feet) | ft²             812,000        
Life Science                      
Real Estate Properties                      
Number of properties owned (property) | property               1      
Medical Office / Life Science                      
Real Estate Properties                      
Number of properties owned (property) | property             123        
Area of real estate properties (in square feet) | ft²             11,300,000        
Leases committed expenditure             $ 17,901 $ 30,135      
Area of real estate properties leased (in square feet) | ft²             1,000,000.0 1,500,000      
Senior Living Communities, Independent Living, Assisted Living, and Skilled Nursing Facility                      
Real Estate Properties                      
Number of properties owned (property) | property             264        
Land Parcel | Arizona                      
Real Estate Properties                      
Real estate purchase price     $ 2,600                
Vacated | California                      
Real Estate Properties                      
Number of properties owned (property) | building                     3
Area of real estate properties (in square feet) | ft²                     164,091
Five Star                      
Real Estate Properties                      
Real estate improvements by lessee purchased                 17,956    
Increase in annual lease rent payable                 $ 1,433    
Disposal Group, Held-for-sale, Not Discontinued Operations | Medical Office                      
Real Estate Properties                      
Number of properties owned (property) | property         2   1 15 2    
Disposal Group, Held-for-sale, Not Discontinued Operations | Senior Living Communities                      
Real Estate Properties                      
Number of properties owned (property) | property             10 2      
Number of units in real estate property | property             820        
Disposal Group, Held-for-sale, Not Discontinued Operations | Medical Office / Life Science                      
Real Estate Properties                      
Area of real estate properties (in square feet) | ft²             355,656        
Number of units in real estate property | property             5        
Discontinued Operations, Disposed of by sale | California                      
Real Estate Properties                      
Gain on sale of properties           $ 2,150          
Disposal Group, Disposed of by Sale, Not Discontinued Operations                      
Real Estate Properties                      
Number of properties owned (property) | building         5   27 46 5    
Sale price of property sold and agreed to be sold             $ 152,893 $ 260,783 $ 334,865    
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Medical Office                      
Real Estate Properties                      
Number of properties owned (property) | property             4 13      
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Senior Living Communities                      
Real Estate Properties                      
Number of properties owned (property) | property             9        
Number of real estate properties closed | property             7        
Disposal Group, Disposed of by Sale, Not Discontinued Operations | SNF                      
Real Estate Properties                      
Number of properties owned (property) | property             8        
Number of units in real estate property | property                   15  
Disposal Group, Disposed of by Sale, Not Discontinued Operations | SNF | California                      
Real Estate Properties                      
Number of properties owned (property) | building       3   1          
Number of units in real estate property | unit       278   98          
Sale price of property sold and agreed to be sold       $ 21,500   $ 6,500          
Disposal Group, Disposed of by Sale, Not Discontinued Operations | Medical Office / Life Science                      
Real Estate Properties                      
Number of properties owned (property) | property               5      
Discontinued Operations, Held-for-sale | Medical Office                      
Real Estate Properties                      
Number of properties owned (property) | property         2       2    
Area of real estate properties leased (in square feet) | ft²         32,604            
Discontinued Operations, Held-for-sale | Senior Living Communities                      
Real Estate Properties                      
Number of properties owned (property) | property               12      
Number of units in real estate property | unit               1,670      
Discontinued Operations, Held-for-sale | Medical Office / Life Science                      
Real Estate Properties                      
Number of properties owned (property) | property               21      
Area of real estate properties (in square feet) | ft²               875,617      
Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations | Medical Office                      
Real Estate Properties                      
Number of properties owned (property) | property             10        
Subsequent Event | Disposal Group, Held-for-sale, Not Discontinued Operations                      
Real Estate Properties                      
Sale price of property sold and agreed to be sold   $ 9,000                  
Subsequent Event | Discontinued Operations, Held-for-sale                      
Real Estate Properties                      
Number of properties owned (property) | property 4                    
Sale price of property sold and agreed to be sold $ 95,500                    
Subsequent Event | Discontinued Operations, Held-for-sale | Medical Office / Life Science                      
Real Estate Properties                      
Number of properties owned (property) | property   1