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Acquisitions (Details)
$ in Thousands
1 Months Ended 9 Months Ended
Oct. 30, 2019
bed
operation
Jun. 30, 2018
USD ($)
Sep. 30, 2019
USD ($)
facility
bed
operation
Sep. 30, 2018
USD ($)
facility
bed
operation
Business Acquisition [Line Items]        
Operational skilled nursing beds | bed     21,100  
Operational senior living units | bed     6,000  
Payments to acquire real estate | $     $ 10,735  
Payments to acquire business and asset acquisitions | $     101,463  
Payments to acquire asset acquisitions | $     75,326 $ 57,859
Payments to acquire businesses, gross | $     26,137 1,625
Notes issued | $     924  
Office Building        
Business Acquisition [Line Items]        
Payments to acquire business and asset acquisitions | $   $ 30,959   59,484
Goodwill & Indefinite-lived Intangible Assets        
Business Acquisition [Line Items]        
Payments to acquire businesses, gross | $     24,218 $ 1,609
Buildings and improvements        
Business Acquisition [Line Items]        
Payments to acquire asset acquisitions | $     48,383  
Land        
Business Acquisition [Line Items]        
Payments to acquire asset acquisitions | $     $ 23,940  
8051 Services, Skilled Nursing Care Facilities        
Business Acquisition [Line Items]        
Number of businesses acquired | operation     11 3
Operational skilled nursing beds | bed     1,454 468
Senior Living Facilities        
Business Acquisition [Line Items]        
Number of businesses acquired | operation     2 2
Operational senior living units | facility     455  
Skilled nursing, assisted living and independent living facilities | facility       218
Senior Living Facilities | Subsequent Event        
Business Acquisition [Line Items]        
Number of businesses acquired | operation 1      
Operational senior living units | bed 58      
Transitional and Skilled Services and Senior Living Campuses        
Business Acquisition [Line Items]        
Number of businesses acquired | operation     3 1
621610 Home Health Care Services        
Business Acquisition [Line Items]        
Number of businesses acquired | operation     2 2
Hospice Agencies        
Business Acquisition [Line Items]        
Number of businesses acquired | operation     5 1
Home Care Agency        
Business Acquisition [Line Items]        
Number of businesses acquired | operation     2 1
Asset Acquisition        
Business Acquisition [Line Items]        
Number of businesses acquired | operation     18 9
Business Combination        
Business Acquisition [Line Items]        
Number of businesses acquired | operation     10 2