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Acquisitions, Dispositions and Other Significant Transactions - Ventas Lease Portfolio Restructuring (Details)
$ in Thousands
1 Months Ended 3 Months Ended 9 Months Ended
Apr. 30, 2018
Sep. 30, 2019
USD ($)
lease
Jun. 30, 2019
USD ($)
community
Sep. 30, 2018
USD ($)
Sep. 30, 2019
USD ($)
lease
community
Sep. 30, 2018
USD ($)
Apr. 01, 2018
community
Business Acquisition [Line Items]              
Number of communities leased | lease   244     244    
Loss on facility lease termination and modification, net | $   $ 0   $ (2,337) $ (2,006) $ (148,804)  
Ventas, Inc | Master Lease And Security Agreement              
Business Acquisition [Line Items]              
Number of communities leased | community             128
Management percent fee 5.00%            
Loss on facility lease termination and modification, net | $       $ 125,700      
Number of communities exercised to market for sale | community         28    
Option to terminate, rent reduction percentage             6.25%
Number of communities exercised to market for sale and sold | community     5        
Reduction of rent for terminating communities | $     $ 1,500