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Revenue - Disaggregation of Revenue (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2018 | Jun. 30, 2017 | Jun. 30, 2018 | Jun. 30, 2017
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | $ 895,969 | $ 934,070 | $ 1,802,235 | $ 1,950,997
Private pay |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 735,760 | 767,180 | 1,478,521 | 1,603,524
Government reimbursement |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 131,093 | 141,846 | 266,332 | 294,795
Other third-party payor programs |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 29,116 | 25,044 | 57,382 | 52,678
Retirement Centers |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 159,293 | 162,248 | 317,690 | 334,868
Retirement Centers | Private pay |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 158,405 | 161,362 | 315,912 | 332,979
Retirement Centers | Government reimbursement |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 888 | 886 | 1,778 | 1,889
Retirement Centers | Other third-party payor programs |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 0 | 0 | 0 | 0
Assisted Living |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 522,027 | 547,430 | 1,054,307 | 1,137,967
Assisted Living | Private pay |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 503,806 | 528,516 | 1,018,070 | 1,098,469
Assisted Living | Government reimbursement |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 18,221 | 18,914 | 36,237 | 39,498
Assisted Living | Other third-party payor programs |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 0 | 0 | 0 | 0
CCRCs Rental |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 104,796 | 114,202 | 209,865 | 256,000
CCRCs Rental | Private pay |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 73,392 | 77,116 | 144,113 | 171,739
CCRCs Rental | Government reimbursement |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 21,379 | 26,283 | 45,085 | 59,111
CCRCs Rental | Other third-party payor programs |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 10,025 | 10,803 | 20,667 | 25,150
Brookdale Ancillary Services |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 109,853 | 110,190 | 220,373 | 222,162
Brookdale Ancillary Services | Private pay |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 157 | 186 | 426 | 337
Brookdale Ancillary Services | Government reimbursement |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 90,605 | 95,763 | 183,232 | 194,297
Brookdale Ancillary Services | Other third-party payor programs |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | $ 19,091 | $ 14,241 | $ 36,715 | $ 27,528

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