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Dispositions of Real Estate and Discontinued Operations - 2021 Dispositions of Real Estate (Details)
1 Months Ended 3 Months Ended 12 Months Ended
Sep. 30, 2021
loan
Jun. 30, 2021
USD ($)
property
May 31, 2021
USD ($)
property
Apr. 30, 2021
USD ($)
property
loan
preferred_equity_investment
Feb. 28, 2021
USD ($)
property
Jan. 31, 2021
USD ($)
property
Mar. 31, 2023
USD ($)
property
Sep. 30, 2022
USD ($)
property
Jun. 30, 2022
USD ($)
property
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
property
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Gain (loss) on sales of real estate, net                   $ 86,463,000 $ 9,078,000 $ 190,590,000
Carrying value of mortgages assumed by buyer in real estate dispositions                   0 $ 0 143,676,000
Number of loans sold | loan 1     2                
Sunrise Senior Housing Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Capital expenditure funding, amount committed                   $ 40,000,000    
Mortgage Debt                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Repayments of secured debt       $ 64,000,000                
Number of assets classified as discontinued operations | property     6 2                
Oakmont SHOP Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Carrying value of mortgages assumed by buyer in real estate dispositions       $ 107,000,000                
Oakmont SHOP Portfolio | Mortgage Debt                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of properties disposed | property       4                
Other Investments | Mortgage Debt                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Carrying value of mortgages assumed by buyer in real estate dispositions                       36,000,000
Other Investments | Disposal Group, Disposed of by Means Other than Sale, Not Discontinued Operations, Abandonment                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Gain (loss) on sales of real estate, net                       58,000,000
Other Investments | Discontinued Operations                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Gain (loss) on sales of real estate, net                       39,000,000
Senior Housing Operating Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Capital expenditure funding, amount committed           $ 92,000,000            
Senior Housing Operating Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Proceeds from sale of buildings           230,000,000            
Payments to acquire finance receivables           150,000,000            
Gain (loss) on sales of real estate, net           59,000,000            
Senior Housing Operating Portfolio | Oakmont SHOP Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Proceeds from sale of buildings       $ 564,000,000                
Gain (loss) on sales of real estate, net       80,000,000                
Senior Housing Operating Portfolio | Discovery SHOP Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Proceeds from sale of buildings       334,000,000                
Gain (loss) on sales of real estate, net       9,000,000                
Proceeds from sale of loans and preferred equity method investments       21,000,000                
Senior Housing Operating Portfolio | Sonata SHOP Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Proceeds from sale of buildings       64,000,000                
Gain (loss) on sales of real estate, net       $ 3,000,000                
Senior Housing Operating Portfolio | Other Investments                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Proceeds from sale of buildings                       169,000,000
Senior Housing Triple Net | Brookdale Triple Net Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Proceeds from sale of buildings           510,000,000            
Gain (loss) on sales of real estate, net           $ 169,000,000            
Senior Housing Triple Net | HRA Triple Net Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Proceeds from sale of buildings         $ 132,000,000              
Gain (loss) on sales of real estate, net         $ 33,000,000              
Senior Housing Triple Net | Other Investments                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Proceeds from sale of buildings                       $ 24,000,000
Senior Housing Operating Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property           16            
Senior Housing Operating Portfolio | Sunrise Senior Housing Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property           32            
Proceeds from sale of buildings           $ 664,000,000            
Senior Housing Operating Portfolio | Sunrise Senior Housing Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property           32            
Proceeds from sale of buildings           $ 664,000,000            
Payments to acquire finance receivables           $ 410,000,000            
Senior Housing Operating Portfolio | Oakmont SHOP Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property       12                
Senior Housing Operating Portfolio | Discovery SHOP Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property       10                
Gain (loss) on sales of real estate, net       $ 0                
Number of preferred equity method investments sold | preferred_equity_investment       2                
Senior Housing Operating Portfolio | Discovery SHOP Portfolio | Mezzanine                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of loans sold | loan       2                
Senior Housing Operating Portfolio | Sonata SHOP Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property       5                
Senior Housing Operating Portfolio | SLC SHOP Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property     7                  
Repayments of secured debt     $ 70,000,000                  
Senior Housing Operating Portfolio | SLC SHOP Portfolio | Definitive Agreement Four                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Proceeds from sale of buildings     113,000,000                  
Gain (loss) on sales of real estate, net     $ 1,000,000                  
Senior Housing Operating Portfolio | Other Investments                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property                       15
Senior Housing Operating Portfolio | Other Investments | Mortgage Debt                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of properties disposed | property                       1
Senior Housing Triple Net | Sunrise Senior Housing Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property   2                    
Proceeds from sale of buildings   $ 80,000,000                    
Gain (loss) on sales of real estate, net   $ 22,000,000                    
Senior Housing Triple Net | Brookdale Triple Net Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property           24            
Senior Housing Triple Net | HRA Triple Net Portfolio                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property         8              
Senior Housing Triple Net | Other Investments                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property                       7
Medical Office, Hospital                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property     1                  
Proceeds from sale of buildings     $ 226,000,000                  
Gain (loss) on sales of real estate, net     $ 172,000,000                  
Outpatient Medical                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property             2 2 3      
Proceeds from sale of buildings             $ 32,000,000 $ 9,000,000 $ 27,000,000      
Gain (loss) on sales of real estate, net             $ 21,000,000 $ 1,000,000 $ 10,000,000      
Outpatient Medical | Other Investments                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property                       10
Outpatient Medical Land Parcel                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property                 1      
Outpatient Medical Land Parcel | Other Investments                        
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                        
Number of assets sold | property                       1
Proceeds from sale of buildings                       $ 68,000,000