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Acquisitions, Dispositions and Other Significant Transactions - Welltower Lease and RIDA Venture Restructuring (Details) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2018 USD ($) community | Jun. 30, 2017 USD ($) | Jun. 30, 2018 USD ($) lease_portfolio community | Jun. 30, 2017 USD ($)
Business Acquisition [Line Items] |  |  |  |
Payments for lease termination |  |  | $ 10,548 | $ 552
Loss on facility lease termination and modification | $ 146,467 | $ 6,368 | 146,467 | 6,368
Base rent | 81,960 | 84,690 | 162,360 | 173,497
Revenue | 895,969 | 934,070 | 1,802,235 | 1,950,997
Cash lease payments | 87,115 | 90,599 | 176,708 | 185,203
Resident fees |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Revenue | 895,969 | 934,070 | 1,802,235 | 1,950,997
Facility operating |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Costs of services | 627,076 | 642,405 | 1,259,401 | 1,316,947
Management fees |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Revenue | 17,071 | 22,442 | $ 35,752 | 38,336
37 Communities Disposed Of Through Lease Terminations |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Number of communities disposed of | community |  |  | 37 |
Cash lease payments | 15,200 | 14,800 | $ 30,400 | 29,600
37 Communities Disposed Of Through Lease Terminations | Resident fees |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Revenue | 43,500 | 42,600 | 86,700 | 85,800
37 Communities Disposed Of Through Lease Terminations | Facility operating |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Costs of services | 26,800 | 26,200 | 54,100 | 51,800
Retirement Centers |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Revenue | $ 159,293 | 162,248 | $ 317,690 | 334,868
Retirement Centers | 37 Communities Disposed Of Through Lease Terminations |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Number of communities leased | community | 8 |  | 8 |
Assisted Living |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Revenue | $ 522,027 | 547,430 | $ 1,054,307 | 1,137,967
Assisted Living | 37 Communities Disposed Of Through Lease Terminations |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Number of communities leased | community | 29 |  | 29 |
Welltower Lease Transactions | 37 Communities Disposed Of Through Lease Terminations |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Loss on facility lease termination and modification | $ 22,600 |  | $ 22,600 |
Welltower Inc. | Welltower Lease Transactions |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Number of communities disposed of | community |  |  | 37 |
Number of lease portfolios | lease_portfolio |  |  | 2 |
Payments for lease termination |  |  | $ 58,000 |
Rent credit, potential future lease terminations |  |  | 6.25% |
Welltower Inc. | Welltower Lease Transactions, Lease Portfolio Maturing In 2028 |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Number of communities leased | community | 27 |  | 27 |
Welltower Inc. | Welltower Lease Transactions, Lease Portfolio Maturing In 2020 |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Number of communities leased | community | 10 |  | 10 |
Maximum | Welltower Inc. | Welltower Lease Transactions |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Base rent |  |  | $ 5,000 |
Welltower RIDEA |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Percentage ownership | 20.00% |  | 20.00% |
Welltower RIDEA | Welltower Inc. |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Proceeds from sale of equity method investment | $ 33,500 |  |  |
Gain on sale of equity method investment | 14,700 |  | $ 14,700 |
15 Communities Managed |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Number of communities managed | community |  |  | 15 |
15 Communities Managed | Management fees |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Revenue | $ 1,100 | $ 1,100 | $ 2,200 | $ 2,200

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