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Acquisitions, Dispositions and Other Significant Transactions - 2015 Transactions (Details) $ in Thousands |  |  |  | 1 Months Ended | 3 Months Ended | 12 Months Ended
--- | --- | --- | --- | --- | --- | ---
May 01, 2015 USD ($) community | Dec. 31, 2014 USD ($) community | Dec. 29, 2014 USD ($) | Oct. 31, 2015 USD ($) community | Feb. 28, 2015 USD ($) community | Dec. 31, 2017 USD ($) | Sep. 30, 2017 USD ($) | Jun. 30, 2017 USD ($) | Mar. 31, 2017 USD ($) | Dec. 31, 2016 USD ($) community | Sep. 30, 2016 USD ($) | Jun. 30, 2016 USD ($) | Mar. 31, 2016 USD ($) community | Dec. 31, 2017 USD ($) | Dec. 31, 2016 USD ($) community | Dec. 31, 2015 USD ($) community
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of communities purchased or sold | community |  |  |  |  |  |  |  |  |  |  |  |  | 7 |  |  |
Loss on facility lease termination |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 14,276 | $ 0 | $ 0
Proceeds from sale of assets |  |  |  |  |  |  |  |  |  |  |  |  | $ 46,700 |  |  |
Communities classified as held for sale | community |  |  |  |  |  |  |  |  |  | 10 |  |  |  |  | 10 | 17
Assets held for sale |  |  |  |  |  | $ 106,435 |  |  |  | $ 97,843 |  |  |  | 106,435 | $ 97,843 | $ 110,600
Long-term debt, less current portion |  |  |  |  |  | 3,375,324 |  |  |  | 3,413,998 |  |  |  | 3,375,324 | 3,413,998 |
Asset impairment |  |  |  |  |  | 18,966 | $ 368,551 | $ 1,559 | $ 20,706 | 221,877 | $ 19,111 | $ 4,152 | $ 3,375 | 409,782 | 248,515 | $ 57,941
Goodwill |  |  |  |  |  | $ 505,783 |  |  |  | $ 705,476 |  |  |  | $ 505,783 | $ 705,476 |
Communities sold during 2015 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of communities disposed of | community |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 17
Proceeds from sale of assets |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 82,900
Asset impairment |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 18,400
HCP Community Acquisitions |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of communities purchased or sold | community | 1 | 8 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Aggregate purchase price | $ 8,600 | $ 51,400 | $ 60,000 |  |  |  |  |  |  |  |  |  |  |  |  |
February 2015 acquisition of 15 communities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of communities purchased or sold | community |  |  |  |  | 15 |  |  |  |  |  |  |  |  |  |  |
Aggregate purchase price |  |  |  |  | $ 268,600 |  |  |  |  |  |  |  |  |  |  |
Fair value of assets acquired |  |  |  |  | 187,200 |  |  |  |  |  |  |  |  |  |  |
Loss on facility lease termination |  |  |  |  | 76,100 |  |  |  |  |  |  |  |  |  |  |
Reversal of deferred lease liability |  |  |  |  | $ 5,300 |  |  |  |  |  |  |  |  |  |  |
Seller Financed Debt |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Principal Amount |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 20,000
Loan term |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 5 years
Seller financing fixed rate |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 8.00%
5 Communities acquired in October 2015 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of communities purchased or sold | community |  |  |  | 5 |  |  |  |  |  |  |  |  |  |  |  |
Aggregate purchase price |  |  |  | $ 78,400 |  |  |  |  |  |  |  |  |  |  |  |
Minimum | February 2015 acquisition of 15 communities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cap rate |  |  |  |  | 6.25% |  |  |  |  |  |  |  |  |  |  |
Maximum | February 2015 acquisition of 15 communities |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cap rate |  |  |  |  | 8.75% |  |  |  |  |  |  |  |  |  |  |
Assets held for sale |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Communities classified as held for sale | community |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 17
Long-term debt, less current portion |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 60,800
Asset impairment |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | 15,200
Goodwill |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 8,100

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