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Acquisitions, Dispositions and Other Significant Transactions - 2017 HCP Master Lease Transactions 2 (Details) $ in Thousands |  |  | 1 Months Ended | 3 Months Ended | 12 Months Ended
--- | --- | --- | --- | --- | ---
Nov. 01, 2018 community | Nov. 02, 2017 USD ($) community joint_venture | Dec. 31, 2017 USD ($) joint_venture | Dec. 31, 2017 USD ($) community | Dec. 31, 2018 community | Dec. 31, 2017 USD ($) community joint_venture | Dec. 31, 2016 USD ($) | Dec. 31, 2015 USD ($)
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Gain on sale of assets, net |  |  |  |  |  | $ 19,273 | $ 7,218 | $ 1,270
Resident fee revenue |  |  |  |  |  | 3,780,140 | 4,168,621 | 4,177,127
Management fees |  |  |  |  |  | 75,845 | 70,762 | 60,183
Facility operating expense |  |  |  |  |  | 2,602,155 | 2,799,402 | 2,788,862
Cash basis payment |  |  |  |  |  | 365,077 | 384,104 | $ 372,148
Master Lease Transactions |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Number of communities expected to be acquired | community |  | 6 |  |  |  |  |  |
Deferred revenue liability |  |  | $ 9,700 | $ 9,700 |  | $ 9,700 |  |
Forecast | Master Lease Transactions |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Number of communities disposed of | community | 33 |  |  |  |  |  |  |
37 Communities Disposed Of Through Management Termination | RIDEA Ventures Restructuring |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Number of communities disposed of | community |  | 37 |  |  |  |  |  |
33 Communities Disposed Of Through Lease Terminations |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Number of communities disposed of | community |  |  |  |  |  | 33 |  |
Decrease in capital lease obligations |  |  |  |  |  | $ 145,600 |  |
Carrying value |  |  | 395,000 | 395,000 |  | 395,000 |  |
Assets under leases |  |  | 347,000 | 347,000 |  | 347,000 |  |
Amount exceeding carrying value of assets under leases |  |  | $ 48,000 | $ 48,000 |  | $ 48,000 |  |
Number of communities | community |  |  |  |  |  | 20 |  |
Resident fee revenue |  |  |  |  |  | $ 143,900 | 151,700 |
Management fees |  |  |  |  |  | 10,100 | 11,800 |
Facility operating expense |  |  |  |  |  | 94,500 | 92,600 |
Cash basis payment |  |  |  |  |  | $ 48,300 | $ 44,800 |
HCP, Inc. | Master Lease Transactions |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Number of communities expected to be disposed of | community |  | 70 |  |  |  |  |  |
RIDEA Ventures |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Number of joint ventures | joint_venture |  |  |  |  |  | 2 |  |
RIDEA Ventures | RIDEA Ventures Restructuring |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Number of joint ventures | joint_venture |  | 2 | 2 |  |  |  |  |
Proceeds from sale of joint venture interest |  | $ 94,700 |  |  |  |  |  |
RIDEA Ventures | HCP, Inc. | RIDEA Ventures Restructuring |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Number of joint ventures | joint_venture |  |  | 1 |  |  |  |  |
Proceeds from sale of joint venture interest |  |  | $ 32,100 |  |  |  |  |
Gain on sale of assets, net |  |  | $ 7,200 |  |  |  |  |
Capital and Financing Lease Obligations | Forecast |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Number of communities | community |  |  |  |  | 20 |  |  |
Retirement Centers | 33 Communities Disposed Of Through Lease Terminations |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Number of communities disposed of | community |  |  |  |  |  | 5 |  |
Assisted Living | 33 Communities Disposed Of Through Lease Terminations |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Number of communities disposed of | community |  |  |  |  |  | 27 |  |
CCRCs-Rental |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Number of communities disposed of | community |  |  |  | 7 |  |  |  |
CCRCs-Rental | 33 Communities Disposed Of Through Lease Terminations |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |
Number of communities disposed of | community |  |  |  |  |  | 1 |  |

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