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Acquisitions, Dispositions and Other Significant Transactions - Dispositions of Owned Communities and Assets Held for Sale (Details) $ in Thousands | 3 Months Ended | 6 Months Ended | 12 Months Ended
--- | --- | --- | ---
Jun. 30, 2018 USD ($) | Jun. 30, 2017 USD ($) | Jun. 30, 2018 USD ($) community | Jun. 30, 2017 USD ($) | Dec. 31, 2017 USD ($) community
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |
Gain (loss) on sale of assets, net | $ 23,322 | $ (547) | $ 66,753 | $ (1,150) |
Number of additional communities held for sale | community |  |  | 1 |  |
Assets held for sale | 141,104 |  | $ 141,104 |  | $ 106,435
Revenue | 895,969 | 934,070 | $ 1,802,235 | 1,950,997 |
Sale of 3 communities |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |
Number of communities disposed of | community |  |  |  |  | 3
Net cash proceeds |  |  |  |  | $ 8,200
43 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 |  |  |  |  | 43
26 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 |  |  |  |  | 26
Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations | 15 Communities Held For Sale |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |
Number of communities classified as held for sale | community |  |  | 15 |  | 15
Impairment of assets held for sale | 9,200 | 12,000 | $ 9,200 | 12,000 |
Assets held for sale | 141,100 |  | $ 141,100 |  |
Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations | Three Communities |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |
Number of communities disposed of | community |  |  | 3 |  |
Number of communities not previously held for sale | community |  |  | 2 |  |
Net cash proceeds |  |  | $ 12,800 |  |
Gain (loss) on sale of assets, net |  |  | 1,900 |  |
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 | Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations | 15 Communities Held For Sale |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |
Number of communities classified as held for sale | community |  |  | 1 |  |
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 | Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations | 15 Communities Held For Sale |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |
Number of communities classified as held for sale | community |  |  | 12 |  |
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 | Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations | 15 Communities Held For Sale |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |
Number of communities classified as held for sale | community |  |  | 2 |  |
Mortgage notes payable | Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations | 15 Communities Held For Sale |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |
Mortgage debt | 50,200 |  | $ 50,200 |  | $ 30,100
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 | Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations | 15 Communities Held For Sale |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |
Revenue | 14,300 | 15,000 | 29,000 | 30,300 |
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 | Disposal Group, Held-for-sale or Disposed of by Sale, Not Discontinued Operations | 15 Communities Held For Sale |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |
Costs of services | $ 11,000 | $ 10,900 | $ 22,000 | $ 21,700 |

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