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Leases - Narrative (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2020
USD ($)
Dec. 31, 2019
USD ($)
property
Jun. 30, 2019
USD ($)
facility
Mar. 31, 2019
USD ($)
property
Dec. 31, 2020
USD ($)
property
Dec. 31, 2019
USD ($)
property
Dec. 31, 2018
USD ($)
Capital Leased Assets [Line Items]              
Proceeds from sale of lease receivables $ 82,000            
Gain on sale of direct financing lease $ 42,000            
Conversion of DFLs to real estate         $ 0 $ 350,540 $ 0
Intangible assets, net   $ 260,204     $ 519,917 $ 260,204  
Properties subject to direct financing leases (in properties) | property   2     1 2  
Impairments and loan loss reserves (recoveries), net         $ 42,909 $ 17,708 $ 10,917
Number Of Tenant Exercise Option To Purchase | property   1          
Purchase options land   $ 226,000       $ 226,000  
Senior Housing Operating Portfolio              
Capital Leased Assets [Line Items]              
Proceeds from sale of lease receivables     $ 274,000        
Number of leases disposed of (in facilities) | facility     13        
Impairments and loan loss reserves (recoveries), net     $ 10,000        
DFL Portfolio | Watch List DFLs | Senior housing triple-net              
Capital Leased Assets [Line Items]              
Properties with derecognized carrying value during the period (in properties) | property       14      
Conversion of DFLs to real estate       $ 351,000      
DFL Portfolio | Watch List DFLs | Senior Housing Operating Portfolio              
Capital Leased Assets [Line Items]              
Properties subject to direct financing leases (in properties) | property       14      
DFL Portfolio | Real Estate Investment | Watch List DFLs | Senior Housing Operating Portfolio              
Capital Leased Assets [Line Items]              
Real estate investment property, at cost       $ 331,000      
DFL Portfolio | Finite-Lived Intangible Assets | Watch List DFLs | Senior Housing Operating Portfolio              
Capital Leased Assets [Line Items]              
Intangible assets, net       $ 20,000