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Master Transactions and Cooperation Agreement with Brookdale (Details) $ in Thousands |  | 1 Months Ended | 3 Months Ended | 12 Months Ended |
--- | --- | --- | --- | --- | ---
Nov. 01, 2017 USD ($) property | Apr. 30, 2018 USD ($) property | Mar. 31, 2018 USD ($) | Jan. 31, 2018 USD ($) property | Dec. 31, 2017 USD ($) | Mar. 31, 2017 USD ($) facility | Dec. 31, 2018 USD ($) property facility | Sep. 30, 2018 facility | Jun. 30, 2018 facility | Mar. 31, 2018 facility | Dec. 31, 2017 USD ($) property | Dec. 31, 2018 USD ($) property | Dec. 31, 2017 USD ($) facility | Dec. 31, 2016 USD ($) facility | Jan. 01, 2018 USD ($) property
Real Estate Properties [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Percentage of voting interest acquired | 10.00% |  |  |  |  |  |  |  |  |  |  |  |  |  |
Consideration transferred | $ | $ 95,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Payments to acquire additional interest in subsidiaries | $ |  |  | $ 63,000 |  | $ 32,000 |  |  |  |  |  |  |  |  |  |
Proceeds from sale of buildings | $ |  |  |  |  |  |  |  |  |  |  |  | $ 335,709 | $ 462,242 | $ 0 |
Management fee rate |  |  |  |  |  |  |  |  |  |  |  |  | 5.00% |  |
Operating expenses | $ |  |  |  |  |  |  |  |  |  |  |  | $ 705,038 | $ 666,251 | 738,399 |
RIDEA Facilities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Properties [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Ownership percentage (as a percent) |  |  |  |  |  |  |  |  |  |  |  |  | 90.00% |  |
Assets Leased to Others |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Properties [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties disposed (in properties) |  |  |  |  |  |  | 19 |  |  |  |  |  |  |  |
Number of assets sold or transitioned (in properties) |  |  |  |  |  |  |  |  |  |  |  | 37 |  |  |
Assets Leased to Others | RIDEA Facilities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Properties [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of real estate properties (in properties) | 58 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Proceeds from sale of buildings | $ |  |  |  |  |  |  | $ 377,000 |  |  |  |  |  |  |  |
Senior housing triple-net |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Properties [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total consideration for disposition of real estate | $ |  |  |  |  |  | $ 1,125,000 |  |  |  |  |  |  |  | $ 88,000 |
Number of properties disposed (in properties) | facility |  |  |  |  |  | 64 |  |  | 2 |  |  |  | 4 | 7 |
Senior housing triple-net | Assets Leased to Others |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Properties [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of real estate properties (in properties) | 78 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Right to sell, or transition, number of properties (in properties) |  |  |  |  |  |  | 32 |  |  |  |  | 32 |  |  |
Rent concessions | $ |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 5,000
Number of properties with rent concessions (in properties) |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 3
Number of assets to be sold (in properties) | 2 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total consideration for disposition of real estate | $ | $ 35,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties disposed (in properties) |  |  |  |  |  |  | 11 |  |  |  |  |  |  |  |
Number of assets sold or transitioned (in properties) |  |  |  |  |  |  |  |  |  |  |  | 17 |  |  |
Reduction in rental and related revenues | $ |  |  |  |  |  |  |  |  |  |  | $ 20,000 |  |  |  |
Fair value inputs (in properties) |  |  |  |  |  |  |  |  |  |  | 32 |  |  |  |
SHOP |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Properties [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total consideration for disposition of real estate | $ |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 41,000 |
Number of properties disposed (in properties) | facility |  |  |  |  |  |  | 2 | 11 | 8 | 2 |  |  | 5 | 3 |
SHOP | Assets Leased to Others |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Properties [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of assets sold or transitioned (in properties) |  |  |  |  |  |  |  |  |  |  |  | 20 |  |  |
SHOP | Assets Leased to Others | RIDEA Facilities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Properties [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of real estate properties (in properties) | 36 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of assets to be sold (in properties) | 4 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Total consideration for disposition of real estate | $ | $ 240,000 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of properties disposed (in properties) |  | 3 |  | 1 |  |  | 8 |  |  |  |  |  |  |  |
Proceeds from sale of productive assets | $ |  | $ 208,000 |  | $ 32,000 |  |  |  |  |  |  |  |  |  |  |
SHOP | Assets Under Management Agreements |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Properties [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Fair value inputs (in properties) |  |  |  |  |  |  |  |  |  |  | 36 |  |  |  |
Minimum |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Properties [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
EBITDAR growth rates |  |  |  |  |  |  |  |  |  |  |  |  | 0.00% |  |
Maximum |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Properties [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
EBITDAR growth rates |  |  |  |  |  |  |  |  |  |  |  |  | 3.00% |  |
Discount rate |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Properties [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real estate capitalization rate |  |  |  |  | 0.12 |  |  |  |  |  | 0.12 |  | 0.12 |  |
Cap rate | Minimum |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Properties [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real estate capitalization rate |  |  |  |  | 0.06 |  |  |  |  |  | 0.06 |  | 0.06 |  |
Cap rate | Maximum |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Properties [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real estate capitalization rate |  |  |  |  | 0.07 |  |  |  |  |  | 0.07 |  | 0.07 |  |
Real estate | SHOP | Assets Under Management Agreements |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Real Estate Properties [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Operating expenses | $ |  |  |  |  |  |  |  |  |  |  | $ 35,000 |  |  |  |

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