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Segment Information (Assets) (Details) - USD ($)
$ in Thousands
Dec. 31, 2020
Dec. 31, 2019
Assets    
Total assets $ 23,929,404 $ 24,692,208
Percentage of total assets 100.00% 100.00%
Operating Segments | Triple-net leased properties    
Assets    
Total assets $ 5,147,503 $ 6,381,657
Percentage of total assets 21.60% 25.80%
Operating Segments | Senior living operations    
Assets    
Total assets $ 10,653,428 $ 10,142,023
Percentage of total assets 44.50% 41.10%
Operating Segments | Office operations    
Assets    
Total assets $ 6,709,602 $ 7,173,401
Percentage of total assets 28.00% 29.10%
All Other    
Assets    
Total assets $ 1,418,871 $ 995,127
Percentage of total assets 5.90% 4.00%