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Acquisitions, Dispositions and Other Significant Transactions - Welltower Lease and RIDA Venture Restructuring (Details) $ in Thousands |  | 3 Months Ended | 9 Months Ended
--- | --- | --- | ---
Jun. 30, 2018 community | Sep. 30, 2018 USD ($) lease community | Sep. 30, 2017 USD ($) | Sep. 30, 2018 USD ($) lease_portfolio lease community | Sep. 30, 2017 USD ($)
Business Acquisition [Line Items] |  |  |  |  |
Payments for lease termination |  |  |  | $ 12,548 | $ 552
Loss on facility lease termination and modification, net |  | $ 2,337 | $ 4,938 | 148,804 | 11,306
Base rent |  | 70,392 | 84,437 | 232,752 | 257,934
Revenue |  | 840,179 |  | 2,642,414 |
Cash lease payments |  | 73,969 | 90,303 | 250,677 | 275,506
Resident fees |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Revenue |  | 840,179 | 922,892 | 2,642,414 | 2,873,889
Facility operating expense |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Costs of services |  | 607,076 | 650,654 | 1,866,477 | 1,967,601
Management fees |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Revenue |  | 18,528 | 18,138 | $ 54,280 | 56,474
48 Communities Disposed Of Through Lease Terminations |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Number of communities disposed of | community |  |  |  | 48 |
Cash lease payments |  | 3,700 | 18,600 | $ 41,400 | 55,400
48 Communities Disposed Of Through Lease Terminations | Resident fees |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Revenue |  | 12,000 | 54,700 | 123,500 | 166,600
48 Communities Disposed Of Through Lease Terminations | Facility operating expense |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Costs of services |  | 8,800 | 35,400 | 80,800 | 104,600
Retirement Centers |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Revenue |  | $ 144,631 |  | $ 462,321 |
Retirement Centers | 48 Communities Disposed Of Through Lease Terminations |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Number of communities leased | community |  | 8 |  | 8 |
Assisted Living |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Revenue |  | $ 483,125 |  | $ 1,537,432 |
Assisted Living | 48 Communities Disposed Of Through Lease Terminations |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Number of communities leased | community |  | 39 |  | 39 |
CCRCs Rental |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Revenue |  | $ 104,147 |  | $ 314,012 |
CCRCs Rental | 48 Communities Disposed Of Through Lease Terminations |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Number of communities leased | community |  | 1 |  | 1 |
Welltower Lease Transactions |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Number of communities managed | community |  |  |  | 74 |
Number Of Leases Not Renewed | lease |  | 2 |  | 2 |
Master Leases Not Renewed, Number Of Communities | community |  | 11 |  | 11 |
Welltower Lease Transactions | 37 Communities Disposed Of Through Lease Terminations |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Number of communities disposed of | community | 37 |  |  |  |
Loss on facility lease termination and modification, net |  |  |  | $ 22,600 |
Welltower Inc. | Welltower Lease Transactions |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
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 |
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 | $ 3,300 | $ 3,300

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