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Acquisitions, Dispositions and Other Significant Transactions (Details) $ in Thousands |  |  | 3 Months Ended | 6 Months Ended | 12 Months Ended | 18 Months Ended
--- | --- | --- | --- | --- | --- | ---
Mar. 29, 2017 community | Nov. 01, 2016 community | Jun. 30, 2017 USD ($) | Mar. 31, 2017 community | Dec. 31, 2016 community | Jun. 30, 2016 USD ($) | Jun. 30, 2017 USD ($) community | Jun. 30, 2016 USD ($) | Dec. 31, 2016 community | Jun. 30, 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 | $ |  |  | $ 934,070 |  |  | $ 1,054,568 | $ 1,950,997 | $ 2,115,716 |  |
Facility operating expenses | $ |  |  | 642,405 |  |  | 693,103 | 1,316,947 | 1,409,005 |  |
Cash lease payments | $ |  |  | 90,599 |  |  | 96,031 | 185,203 | 191,611 |  |
Loss on facility lease termination | $ |  |  | 6,368 |  |  | 0 | 6,368 | 0 |  |
Number of communities contributed to joint venture |  | 4 |  |  |  |  |  |  |  |
130 Communities Disposed Of By Sales And Lease Terminations [Member] |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |
Number of communities disposed of |  |  |  |  |  |  |  |  |  | 130
Resident fee revenue | $ |  |  | 6,300 |  |  | 116,200 | 82,300 | 236,100 |  |
Facility operating expenses | $ |  |  | 7,500 |  |  | 88,500 | 62,900 | 177,000 |  |
Cash lease payments | $ |  |  | 600 |  |  | 26,400 | $ 23,700 | 52,400 |  |
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 disposed of |  |  |  |  |  |  | 3 |  |  |
Number of communities classified as held for sale |  |  |  | 1 |  |  |  |  | 16 |
Additional communities disposed of in agreement |  |  |  | 1 |  |  |  |  |  |
Number of community leases terminated |  |  |  |  |  |  | 8 |  |  |
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] |  |  |  |  |  |  |  |  |  |
Additional communities disposed of in agreement |  |  |  |  |  |  | 8 |  |  |
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] |  |  |  |  |  |  |  |  |  |
Additional communities disposed of in agreement |  |  |  |  |  |  | 3 |  |  |
14 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] |  |  |  |  |  |  |  |  |  |
Resident fee revenue | $ |  |  | 9,400 |  |  | 9,700 | $ 18,900 | 19,700 |  |
Facility operating expenses | $ |  |  | 7,900 |  |  | 8,100 | $ 15,600 | 16,300 |  |
Number of communities classified as held for sale |  |  |  |  |  |  | 14 |  |  |
Assets held for sale | $ |  |  | 91,000 |  |  |  | $ 91,000 |  |  | $ 91,000
14 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 |  |  | $ 60,500
14 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] |  |  |  |  |  |  |  |  |  |
Additional communities disposed of in agreement |  |  |  |  |  |  | 12 |  |  |
14 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] |  |  |  |  |  |  |  |  |  |
Additional communities disposed of in agreement |  |  |  |  |  |  | 2 |  |  |
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 | $ |  |  | 18,600 |  |  | 18,500 | $ 36,900 | 36,500 |  |
Facility operating expenses | $ |  |  | 15,000 |  |  | 14,600 | 29,900 | 29,400 |  |
Cash lease payments | $ |  |  | $ 2,800 |  |  | $ 4,900 | $ 5,500 | $ 9,800 |  |
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 |  |  |
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] | Retirement Centers [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] | CCRCs Rental [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% |  |  | 10.00%
Joint Venture [Member] | Blackstone Venture [Member] |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |
Number of community leases terminated | 62 |  |  |  |  |  |  |  |  |
Percentage ownership | 15.00% |  | 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] | Retirement Centers [Member] |  |  |  |  |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |  |  |  |  |
Number of community leases terminated | 8 |  |  |  |  |  |  |  |  |
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 |  |  |  |  |  |  |  |  |

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