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Acquisitions, Dispositions and Other Significant Transactions (Details) $ in Thousands |  |  | 3 Months Ended | 12 Months Ended | 15 Months Ended
--- | --- | --- | --- | --- | ---
Mar. 29, 2017 community | Nov. 01, 2016 community | Mar. 31, 2017 USD ($) community | Dec. 31, 2016 community | Mar. 31, 2016 USD ($) community | Dec. 31, 2016 community | Mar. 31, 2017 USD ($) community
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |
Number of communities disposed of |  |  |  | 7 |  |  |
Resident fee revenue | $ |  |  | $ 1,016,927 |  | $ 1,061,148 |  |
Facility operating expenses | $ |  |  | 674,542 |  | 715,902 |  |
Cash lease payments | $ |  |  | $ 94,604 |  | 95,580 |  |
Number of communities contributed to joint venture |  | 4 |  |  |  |  |
16 Communities Held For Sale [Member] | Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations [Member] |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |
Number of communities classified as held for sale |  |  | 16 |  |  | 16 |
Number of communities disposed of |  |  | 1 |  |  |  |
Additional communities disposed of in agreement |  |  | 1 |  |  |  |
Assets held for sale | $ |  |  | $ 106,300 |  |  |  | $ 106,300
Resident fee revenue | $ |  |  | 13,800 |  | 14,200 |  |
Facility operating expenses | $ |  |  | 11,900 |  | 12,500 |  |
16 Communities Held For Sale [Member] | Long-term Debt [Member] | Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations [Member] |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |
Long term mortgage debt | $ |  |  | 60,500 |  |  |  | $ 60,500
16 Communities Held For Sale [Member] | Assisted Living [Member] | Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations [Member] |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |
Number of communities classified as held for sale |  |  |  |  |  | 13 |
16 Communities Held For Sale [Member] | CCRCs Rental [Member] | Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations [Member] |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |
Number of communities classified as held for sale |  |  |  |  |  | 3 |
59 Communities Disposed Of By Sale Or Lease Terminations [Member] | Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations [Member] |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |
Number of communities disposed of |  |  |  |  |  |  | 59
Resident fee revenue | $ |  |  | 700 |  | 43,500 |  |
Facility operating expenses | $ |  |  | $ 1,300 |  | 33,800 |  |
Termination Of Triple Net Leases [Member] |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |
Number of communities disposed of |  | 97 |  |  |  |  |
Termination Of 25 Triple Net Leases [Member] |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |
Number of communities disposed of |  |  | 25 |  |  |  |
Resident fee revenue | $ |  |  | $ 18,400 |  | 18,000 |  |
Facility operating expenses | $ |  |  | 14,900 |  | 14,800 |  |
Cash lease payments | $ |  |  | $ 2,700 |  | $ 4,900 |  |
Termination Of 25 Triple Net Leases [Member] | Assisted Living [Member] |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |
Number of communities disposed of |  |  | 23 |  |  |  |
Termination Of 25 Triple Net Leases [Member] | CCRCs Rental [Member] |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |
Number of communities disposed of |  |  | 2 |  |  |  |
Termination Of 8 Triple Net Leases [Member] |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |
Number of communities disposed of |  |  | 8 |  | 8 |  |
Resident fee revenue | $ |  |  |  |  | $ 11,400 |  |
Facility operating expenses | $ |  |  |  |  | 8,000 |  |
Cash lease payments | $ |  |  |  |  | $ 3,000 |  |
Termination Of 8 Triple Net Leases [Member] | Assisted Living [Member] |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |
Number of communities disposed of |  |  |  |  | 6 |  |
Termination Of 8 Triple Net Leases [Member] | CCRCs Rental [Member] |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |
Number of communities disposed of |  |  |  |  | 1 |  |
Termination Of 8 Triple Net Leases [Member] | Retirement Centers [Member] |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |
Number of communities disposed of |  |  |  |  | 1 |  |
Blackstone Venture [Member] |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |
Number of communities acquired |  | 64 |  |  |  |  |
HCP, Inc. [Member] |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |
Number of communities contributed to joint venture |  |  | 4 | 4 |  |  |
HCP, Inc. [Member] |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |
Percentage ownership |  |  | 10.00% |  |  |  | 10.00%
Joint Venture [Member] | Blackstone Venture [Member] |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |
Resident fee revenue | $ |  |  | $ 64,000 |  | $ 65,200 |  |
Facility operating expenses | $ |  |  | $ 43,900 |  | $ 44,100 |  |
Number of community leases terminated | 62 |  | 62 |  | 62 |  |
Cash lease payments | $ |  |  | $ 22,200 |  | $ 21,300 |  |
Percentage ownership | 15.00% |  | 15.00% |  |  |  | 15.00%
Joint Venture [Member] | Blackstone Venture [Member] | Assisted Living [Member] |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |
Number of community leases terminated |  |  | 47 |  |  |  |
Joint Venture [Member] | Blackstone Venture [Member] | CCRCs Rental [Member] |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |
Number of community leases terminated |  |  | 7 |  |  |  |
Joint Venture [Member] | Blackstone Venture [Member] | Retirement Centers [Member] |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |
Number of community leases terminated |  |  | 8 |  |  |  |

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