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Acquisitions, Dispositions and Other Significant Transactions - Additional Information (Details) $ in Thousands | 3 Months Ended | 9 Months Ended | 15 Months Ended | 21 Months Ended
--- | --- | --- | --- | ---
Sep. 30, 2018 USD ($) | Sep. 30, 2017 USD ($) | Sep. 30, 2018 USD ($) community | Sep. 30, 2017 USD ($) | Sep. 30, 2018 community | Sep. 30, 2018 community
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Revenue | $ 840,179 |  | $ 2,642,414 |  |  |
Cash lease payments | 73,969 | $ 90,303 | 250,677 | $ 275,506 |  |
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
171 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 |  |  |  |  |  | 171
104 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 |  |  |  |  | 104 |
Cash lease payments | 4,800 | 30,500 |  |  |  |
177 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 |  |  |  |  |  | 177
Cash lease payments |  |  | 55,200 | 115,300 |  |
Assisted Living |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Revenue | 483,125 |  | $ 1,537,432 |  |  |
Assisted Living | 177 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 |  |  | 143 |  |  |
Retirement Centers |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Revenue | 144,631 |  | $ 462,321 |  |  |
Retirement Centers | 177 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 | 104,147 |  | $ 314,012 |  |  |
CCRCs Rental | 177 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 |  |  | 14 |  |  |
Resident fees |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Revenue | 840,179 | 922,892 | $ 2,642,414 | 2,873,889 |  |
Resident fees | 104 Communities Disposed Of Through Sale And Lease Terminations |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Revenue | 15,000 | 106,900 |  |  |  |
Resident fees | 177 Communities Disposed Of By Sales And Lease Terminations |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Revenue |  |  | 164,300 | 408,800 |  |
Facility operating expense |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Costs of services | 607,076 | 650,654 | 1,866,477 | 1,967,601 |  |
Facility operating expense | 104 Communities Disposed Of Through Sale And Lease Terminations |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Costs of services | $ 11,200 | $ 75,600 |  |  |  |
Facility operating expense | 177 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 |  |  | $ 110,700 | $ 287,700 |  |
HCP Transactions |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Number of communities acquired | community |  |  | 6 |  |  |
HCP Transactions | Assisted Living |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Number of communities acquired | community |  |  | 3 |  |  |
HCP Transactions | Retirement Centers |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Number of communities acquired | community |  |  | 2 |  |  |
HCP Transactions | CCRCs Rental |  |  |  |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |  |  |  |
Number of communities acquired | community |  |  | 1 |  |  |

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