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Loans Receivable - Narrative (Details)
1 Months Ended 3 Months Ended 6 Months Ended 9 Months Ended 12 Months Ended
Jan. 31, 2020
USD ($)
property
Sep. 30, 2021
USD ($)
property
loan
Jul. 31, 2021
USD ($)
Jun. 30, 2021
USD ($)
property
May 31, 2021
USD ($)
property
Apr. 30, 2021
USD ($)
property
Jan. 31, 2021
USD ($)
property
Dec. 31, 2020
USD ($)
property
Nov. 30, 2020
USD ($)
property
Sep. 30, 2021
USD ($)
property
Jun. 30, 2021
USD ($)
property
Mar. 31, 2021
USD ($)
Sep. 30, 2020
USD ($)
property
Mar. 31, 2020
USD ($)
Jun. 30, 2021
USD ($)
property
Sep. 30, 2021
USD ($)
property
Sep. 30, 2020
USD ($)
property
Dec. 31, 2020
USD ($)
property
Dec. 31, 2019
USD ($)
Oct. 31, 2019
property
Loans Receivable:                                        
Net cash provided by financing activities                               $ (1,687,889,000) $ 341,788,000      
Gain (loss) on sales of real estate, net                   $ 14,635,000     $ 2,283,000     $ 189,873,000 85,636,000      
Number of loans held for sale | property   1               1           1        
Financing receivable, after allowance for credit loss   $ 411,062,000           $ 195,375,000   $ 411,062,000           $ 411,062,000   $ 195,375,000    
Reserves for loans receivable   $ 2,727,000           10,280,000   2,727,000           $ 2,727,000   $ 10,280,000 $ 0  
Loss on sale of financing receivable                           $ (42,000,000)            
Number of loans sold   1                           5   3    
Financing receivable, held-for-sale   $ 51,000,000               51,000,000           $ 51,000,000        
Property count | property 15                                      
Proceeds from sale of receivables   2,000,000                                    
Credit loss reserve on unfunded loan commitments   300,000           1,000,000   300,000           300,000   $ 1,000,000    
Credit loss expenses                   2,000,000     $ 3,000,000     (3,000,000) $ (10,000,000)      
Sunrise Senior Housing Portfolio | SHOP                                        
Loans Receivable:                                        
Net cash provided by financing activities             $ 410,000,000                          
Capital expenditure funding, amount committed       $ 56,000,000     $ 92,000,000                          
Capital expenditure funding, cost of capital, percent committed             65.00%                          
Capital expenditure funding, amount funded                               400,000        
Secured Loans                                        
Loans Receivable:                                        
Reserves for loans receivable   2,713,000           3,152,000   2,713,000           2,713,000   3,152,000 $ 0  
Secured mortgage loans                                        
Loans Receivable:                                        
Financing receivable, gross   395,303,000           $ 161,530,000   $ 395,303,000           $ 395,303,000   $ 161,530,000    
SHOP                                        
Loans Receivable:                                        
Number of assets to be sold | property             16     8     4     15 13 23    
SHOP | Sunrise Senior Housing Portfolio                                        
Loans Receivable:                                        
Number of assets to be sold | property       2     32                          
Proceeds from sale of buildings             $ 664,000,000                          
Proceeds from the collection of loans receivable       $ 246,000,000                                
Gain (loss) on sales of real estate, net                               $ 7,000,000        
SHOP | Atria SHOP Portfolio                                        
Loans Receivable:                                        
Number of assets to be sold | property               4                        
SHOP | Discovery SHOP Portfolio                                        
Loans Receivable:                                        
Number of assets to be sold | property           10                            
Gain (loss) on sales of real estate, net           $ 0                            
SHOP | Atria SHOP Portfolio                                        
Loans Receivable:                                        
Number of assets to be sold | property               4                        
Proceeds from sale of buildings               $ 94,000,000                        
Net cash provided by financing activities               $ 61,000,000                        
SHOP | Secured Loans | Discovery SHOP Portfolio                                        
Loans Receivable:                                        
Number of loans held for sale | property           2                            
Loss on sale of financing receivable           $ 0                            
Number of loans sold | property           2                            
Other non-reportable                                        
Loans Receivable:                                        
Number of assets to be sold | property                         1       1 1    
Proceeds from sale of buildings                         $ 1,000,000       $ 1,000,000 $ 1,000,000    
Secured Loans                                        
Loans Receivable:                                        
Number of loans held for sale | property                 1                      
Financing receivable, gross                 $ 10,000,000                      
Loss on sale of financing receivable                 2,000,000                      
Proceeds from sale of receivables                 $ 8,000,000                      
Secured mortgage loans                                        
Loans Receivable:                                        
Number of loans held for sale | property       2       1     2       2     1    
Financing receivable, gross       $ 64,000,000       $ 115,000,000     $ 64,000,000       $ 64,000,000     $ 115,000,000    
Decrease in financing receivable                             11,000,000          
Financing receivable, after allowance for credit loss       53,000,000             53,000,000       53,000,000          
Reserves for loans receivable       $ 8,000,000             8,000,000       $ 8,000,000          
Loss on sale of financing receivable               6,000,000     $ 3,000,000         3,000,000        
Principal repayments received   15,000,000 $ 8,000,000   $ 10,000,000                              
Number of loans receivable | property         1                              
Proceeds from sale of receivables               $ 109,000,000                        
Brookedale MTCA                                        
Loans Receivable:                                        
Gain (loss) on sales of real estate, net $ 164,000,000                                      
Lessor Asset Under Operating Lease | Other non-reportable                                        
Loans Receivable:                                        
Property count | property               1                   1    
Lessor Asset Under Operating Lease | Brookedale MTCA | Other non-reportable                                        
Loans Receivable:                                        
Property count | property 13                                      
SHOP                                        
Loans Receivable:                                        
Proceeds from sale of buildings             230,000,000     $ 120,000,000     12,000,000       76,000,000 $ 190,000,000    
Net cash provided by financing activities             150,000,000                          
Gain (loss) on sales of real estate, net             $ 59,000,000         $ 16,000,000                
Loans receivable, market rate                       5.25%                
Non-cash interest income                   1,000,000     $ 0     12,000,000 $ 0      
Noncash interest income, acceleration recognition                               7,000,000        
SHOP | Minimum                                        
Loans Receivable:                                        
Loans receivable, stated interest rate                       3.50%                
Interest income, amortization period (in years)                       1 year                
SHOP | Maximum                                        
Loans Receivable:                                        
Loans receivable, stated interest rate                       4.50%                
Interest income, amortization period (in years)                       3 years                
SHOP | Atria SHOP Portfolio                                        
Loans Receivable:                                        
Number of assets to be sold | property               12                        
Proceeds from sale of buildings               $ 312,000,000                        
Gain (loss) on sales of real estate, net               39,000,000                        
SHOP | Discovery SHOP Portfolio                                        
Loans Receivable:                                        
Proceeds from sale of buildings           $ 334,000,000                            
Gain (loss) on sales of real estate, net           $ 9,000,000                            
CCRC JV | Brookedale MTCA                                        
Loans Receivable:                                        
Property count | property 15                                      
CCRC JV | Lessor Asset Under Operating Lease | Other non-reportable                                        
Loans Receivable:                                        
Property count | property                                       15
CCRC JV | Lessor Asset Under Operating Lease | Brookedale MTCA | Other non-reportable                                        
Loans Receivable:                                        
Financing receivable, after allowance for credit loss $ 30,000,000 $ 23,000,000           $ 23,000,000   $ 23,000,000           $ 23,000,000   $ 23,000,000    
Property count | property 13