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Dispositions, Real Property Held for Sale and Impairment - Narrative (Details)
$ in Thousands
3 Months Ended
Mar. 31, 2021
USD ($)
property
Mar. 31, 2020
USD ($)
property
Dec. 31, 2020
USD ($)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Real property held for sale $ 564,062   $ 216,613
Expected proceeds from properties held for sale 716,835    
Impairment of assets held for use 12,098    
Held for sale      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Real property held for sale $ 37,389    
Seniors Housing Operating      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Number of properties classified as held for sale | property 3    
Impairment of assets held for use $ 11,470    
Impairment of assets held for sale   $ 3,495  
Number of properties held for use | property 1 1  
Triple-net      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Number of properties classified as held for sale | property 61    
Impairment of assets held for use   $ 24,332  
Number of properties subject to asset impairment | property 1    
Number of properties held for use | property 2 2  
Outpatient Medical      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]      
Number of properties classified as held for sale | property 1