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Acquisitions, Dispositions and Other Significant Transactions - Ventas Lease Restructuring (Details)
1 Months Ended 3 Months Ended 12 Months Ended
Jul. 26, 2020
USD ($)
community
extensionOption
$ / shares
shares
Oct. 31, 2021
USD ($)
Sep. 30, 2020
USD ($)
Dec. 31, 2021
USD ($)
$ / shares
Dec. 31, 2020
USD ($)
$ / shares
Dec. 31, 2019
USD ($)
Business Acquisition [Line Items]            
Initial annual minimum rent amount       $ 1,065,623,000    
Repayments of lines of credit       $ 0 $ 166,381,000 $ 0
Common stock, par value (in dollars per share) | $ / shares       $ 0.01 $ 0.01  
Payments for lease restructuring         $ 119,200,000  
Ventas, Inc            
Business Acquisition [Line Items]            
Number of communities leased | community 120          
Initial annual minimum rent amount $ 100,000,000          
Reduction in rent amount to be paid $ 83,000,000          
Annual escalator rate 3.00%          
Number of extensions | extensionOption 2          
Term of extensions 10 years          
Period of lease 24 months          
Capital expenditures incurred but not yet paid $ 37,800,000          
Minimum tangible net worth 600,000,000          
Control fees $ 25,000,000          
Number of owned communities transferred | community 5          
Extinguishment of debt $ 78,400,000          
Cash payments to related party 115,000,000          
Deposit disbursements 42,400,000          
Repayments of lines of credit 4,200,000          
Operating lease obligations     $ 370,000,000      
Assets under leases     $ 159,500,000      
Payments for lease restructuring         $ 119,200,000  
Ventas, Inc | Community Level Basis            
Business Acquisition [Line Items]            
Escrow amount 1,500          
Ventas, Inc | Aggregate Community Basis            
Business Acquisition [Line Items]            
Escrow amount $ 3,600          
Disbursement Multiplier | Ventas, Inc            
Business Acquisition [Line Items]            
Annual escalator rate 50.00%          
Multiplier Percentage | Ventas, Inc            
Business Acquisition [Line Items]            
Annual escalator rate 4.50%          
Unsecured Debt | Ventas, Inc            
Business Acquisition [Line Items]            
Debt face amount $ 45,000,000          
Interest rate 9.00%          
Interest rate percentage increase per anniversary 0.50%          
Repayment of debt   $ 45,000,000        
The Warrant | Ventas, Inc            
Business Acquisition [Line Items]            
Number of shares authorized to be purchased | shares 16,300,000          
Common stock, par value (in dollars per share) | $ / shares $ 0.01          
Share price (in usd per share) | $ / shares $ 3.00          
Shares voting percentage ownership cap 9.60%          
Value of warrants issued $ 22,900,000