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Real Estate Properties - Narrative (Details)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2021
USD ($)
property
state
community
Sep. 30, 2020
USD ($)
Sep. 30, 2021
USD ($)
property
state
community
Sep. 30, 2020
USD ($)
Real Estate Properties        
Number of real estate properties | property 392   392  
Number of states in which properties are located | state 36   36  
Impairment of assets $ 0 $ (64,202) $ 174 $ (106,611)
Life Science Building        
Real Estate Properties        
Number of real estate properties | property 1   1  
Senior Living Communities | Skilled nursing bed license        
Real Estate Properties        
Gain on sales of beds     $ 200  
Senior Living Communities | Scenario, Adjustment        
Real Estate Properties        
Number of real estate properties | community 10   10  
Impairment of assets     $ 174  
Disposal Group, Disposed of by Sale, Not Discontinued Operations        
Real Estate Properties        
Number of real estate properties | property 5   5  
Aggregate sale price     $ 104,500  
Joint Venture        
Real Estate Properties        
Ownership percentage 55.00%   55.00%