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Loans Receivable and Investments - 2020 Activity (Details)
$ in Thousands
12 Months Ended
Dec. 31, 2020
USD ($)
property
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
Jul. 31, 2020
USD ($)
Jul. 31, 2020
property
Jul. 31, 2020
Jul. 31, 2020
senior_housing
Apr. 30, 2020
USD ($)
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Allowance on loans receivable and investments $ 24,238 $ 0 $ 0          
Gains (losses) on real estate loan investments 167 0 $ 13,202          
Non-mortgage loans receivable, net $ 57,077 63,724            
Loan receivable Stated Interest Rate           9.00%    
Number of real estate properties | property 1,200              
Secured/mortgage loans and other, net                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Debt Securities, Held-to-maturity $ 555,840 $ 645,546            
COVID-19 Impact                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Financing Receivable, Allowance for Credit Loss, Writeoff 34,700              
Financing Receivable, Allowance for Credit Loss 10,500              
Holiday Management Company [Member] | Secured/mortgage loans and other, net                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Debt Securities, Held-to-maturity               $ 66,000
Debt securities, effective interest rate               9.20%
Brookdale Senior Living                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Non-mortgage loans receivable, net       $ 45,000        
Loan receivable Stated Interest Rate           9.00%    
Loan Receivable, Interest Rate, Annual Increase           0.50%    
Brookdale Senior Living | Collateral Pledged                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Number of real estate properties         5   5  
Brookdale Senior Living | Secured/mortgage loans and other, net                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Debt Securities, Held-to-maturity       $ 78,000        
Full Repayments on Loans Receivable                
Accounts, Notes, Loans and Financing Receivable [Line Items]                
Proceeds from collection of loans receivable $ 106,100              
Debt Instrument, Weighted Average Interest 8.30%              
Gains (losses) on real estate loan investments $ 1,400