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Goodwill and Other Intangible Assets, Net (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2015
Sep. 30, 2014
Sep. 30, 2015
Sep. 30, 2014
Dec. 31, 2014
Goodwill [Line Items]          
Gross Carrying Amount $ 746,765   $ 746,765   $ 737,574
Accumulated Impairment and Other Charges (769)   (769)   (769)
Net 745,996   745,996   736,805
Schedule of Intangible Assets by Major Class [Line Items]          
Gross Carrying Amount 149,112   149,112   161,607
Accumulated Amortization (16,033)   (16,033)   (6,834)
Net 133,079   133,079   154,773
Amortization expense related to definite-lived intangible assets 3,100 $ 2,500 9,200 $ 4,900  
Retirement Centers [Member]          
Goodwill [Line Items]          
Gross Carrying Amount 28,141   28,141   28,141
Accumulated Impairment and Other Charges (521)   (521)   (521)
Net 27,620   27,620   27,620
Assisted Living [Member]          
Goodwill [Line Items]          
Gross Carrying Amount 591,814   591,814   582,623
Accumulated Impairment and Other Charges (248)   (248)   (248)
Net 591,566   591,566   582,375
CCRCs Rental [Member]          
Goodwill [Line Items]          
Gross Carrying Amount 126,810   126,810   126,810
Accumulated Impairment and Other Charges 0   0   0
Net 126,810   126,810   126,810
Community Purchase Options [Member]          
Schedule of Intangible Assets by Major Class [Line Items]          
Gross Carrying Amount 40,270   40,270   55,738
Accumulated Amortization 0   0   0
Net 40,270   40,270   55,738
Health Care Licenses [Member]          
Schedule of Intangible Assets by Major Class [Line Items]          
Gross Carrying Amount 67,511   67,511   64,538
Accumulated Amortization 0   0   0
Net 67,511   67,511   64,538
Tradenames [Member]          
Schedule of Intangible Assets by Major Class [Line Items]          
Gross Carrying Amount 27,800   27,800   27,800
Accumulated Amortization (11,702)   (11,702)   (4,179)
Net 16,098   16,098   23,621
Other [Member]          
Schedule of Intangible Assets by Major Class [Line Items]          
Gross Carrying Amount 13,531   13,531   13,531
Accumulated Amortization (4,331)   (4,331)   (2,655)
Net $ 9,200   $ 9,200   $ 10,876