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Acquisitions, Dispositions and Other Significant Transactions - Revenue of Disposal Groups (Details) - Communities Disposed of Through Sale and Lease Terminations - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2021 | Dec. 31, 2020 | Dec. 31, 2019
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Resident fees | $ 11,916 | $ 53,308 | $ 134,294
Facility operating expense | 12,822 | 53,033 | 124,324
Cash lease payments | 1,726 | 6,752 | 11,014
Assisted Living and Memory Care |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Resident fees | 5,445 | 24,105 | 60,204
Facility operating expense | 5,142 | 22,723 | 52,228
CCRCs |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Resident fees | 6,471 | 29,203 | 74,090
Facility operating expense | $ 7,680 | $ 30,310 | $ 72,096

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