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Acquisitions, Dispositions and Other Significant Transactions - Additional Information (Details) $ in Thousands | 3 Months Ended | 6 Months Ended | 15 Months Ended | 18 Months Ended
--- | --- | --- | --- | ---
Jun. 30, 2018 USD ($) | Jun. 30, 2017 USD ($) | Jun. 30, 2018 USD ($) community | Jun. 30, 2017 USD ($) | Jun. 30, 2018 community | Jun. 30, 2018 community
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Revenue | $ 895,969 | $ 934,070 | $ 1,802,235 | $ 1,950,997 |  |
Cash lease payments | 87,115 | 90,599 | 176,708 | 185,203 |  |
158 Communities Disposed Of By Sales And Lease Terminations |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Number of communities disposed of | community |  |  |  |  |  | 158
Cash lease payments | 17,400 | 24,800 | 37,400 | 72,100 |  |
6 Communities Disposed Of By Sales |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Number of communities disposed of | community |  |  |  |  |  | 6
152 Communities Disposed Of By Lease Terminations |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Number of communities disposed of | community |  |  |  |  |  | 152
94 Communities Disposed Of Through Sale And Lease Terminations |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Number of communities disposed of | community |  |  |  |  | 94 |
Assisted Living |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Revenue | 522,027 | 547,430 | $ 1,054,307 | 1,137,967 |  |
Assisted Living | 158 Communities Disposed Of By Sales And Lease Terminations |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Number of communities disposed of | community |  |  | 125 |  |  |
Retirement Centers |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Revenue | 159,293 | 162,248 | $ 317,690 | 334,868 |  |
Retirement Centers | 158 Communities Disposed Of By Sales And Lease Terminations |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Number of communities disposed of | community |  |  | 20 |  |  |
CCRCs Rental |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Revenue | 104,796 | 114,202 | $ 209,865 | 256,000 |  |
CCRCs Rental | 158 Communities Disposed Of By Sales And Lease Terminations |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Number of communities disposed of | community |  |  | 13 |  |  |
Resident fees |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Revenue | 895,969 | 934,070 | $ 1,802,235 | 1,950,997 |  |
Resident fees | 158 Communities Disposed Of By Sales And Lease Terminations |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Revenue | 50,000 | 94,500 | 109,100 | 259,700 |  |
Facility operating |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Costs of services | 627,076 | 642,405 | 1,259,401 | 1,316,947 |  |
Facility operating | 158 Communities Disposed Of By Sales And Lease Terminations |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Costs of services | $ 31,800 | $ 68,700 | $ 70,200 | $ 183,900 |  |

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