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Acquisitions, Dispositions and Other Significant Transactions - Acquisitions (Details) $ in Thousands |  | 3 Months Ended |
--- | --- | --- | ---
Mar. 29, 2017 USD ($) community | Mar. 31, 2017 USD ($) community | Mar. 31, 2016 USD ($) community | Nov. 01, 2016 community
Business Acquisition [Line Items] |  |  |  |
Payments to acquire joint venture |  | $ 185,971 | $ 2,365 |
Resident fee revenue |  | 1,016,927 | 1,061,148 |
Facility operating expenses |  | 674,542 | 715,902 |
Cash lease payments |  | 94,604 | 95,580 |
Asset impairment |  | 20,706 | 3,375 |
Change in valuation allowance |  |  | $ 14,200 |
Blackstone Venture [Member] |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Number of communities acquired | community |  |  |  | 64
HCP, Inc. [Member] |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Number of communities leased | community | 64 |  |  |
Term of lease | 12 years |  |  |
Formation of Blackstone Joint Venture [Member] |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Change in valuation allowance |  | 85,000 |  |
Joint Venture [Member] | Blackstone Venture [Member] |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Number of community leasehold interests contributed | community | 62 |  |  |
Payments to acquire joint venture | $ 179,200 | $ 179,200 |  |
Percentage ownership | 15.00% | 15.00% |  |
Number of communities managed | community | 60 |  |  |
Number of community leases terminated | community | 62 | 62 | 62 |
Resident fee revenue |  | $ 64,000 | $ 65,200 |
Facility operating expenses |  | 43,900 | 44,100 |
Cash lease payments |  | 22,200 | $ 21,300 |
Carrying value of investment |  | 66,800 |  |
Fair value of investment |  | 47,100 |  |
Asset impairment |  | $ 19,700 |  |
Joint Venture [Member] | Blackstone Venture [Member] | Assisted Living [Member] |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Number of community leases terminated | community |  | 47 |  |
Joint Venture [Member] | Blackstone Venture [Member] | Retirement Centers [Member] |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Number of community leases terminated | community |  | 8 |  |
Joint Venture [Member] | Blackstone Venture [Member] | CCRCs Rental [Member] |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Number of community leases terminated | community |  | 7 |  |
Joint Venture [Member] | Blackstone Venture [Member] | Senior Housing Communities [Member] |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Number of communities acquired | community | 64 |  |  |
Purchase price | $ 1,100,000 |  |  |
Joint Venture [Member] | HCP, Inc. [Member] | Blackstone Venture [Member] | Senior Housing Communities [Member] |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Number of communities acquired | community | 64 |  |  |

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