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Commitments and Contingencies - Facility Lease Expense (Details) - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2018 | Dec. 31, 2017 | Dec. 31, 2016
Leases, Operating [Abstract] |  |  |
Cash basis payment - operating leases | $ 324,870 | $ 365,077 | $ 384,104
Straight-line lease (income) expense | (17,218) | (20,990) | (6,097)
Amortization of deferred gain | (4,358) | (4,366) | (4,372)
Facility lease expense | $ 303,294 | $ 339,721 | $ 373,635

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- Definition The amount of expense charged against earnings by an Entity to record deferred gains from sale leaseback transactions. + References No definition available. + Details
Name: | bkd_AmortizationOfDeferredGainsFromSaleLeasebackTransaction
Namespace Prefix: | bkd_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

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- Definition Amount of rent expense incurred for leased assets, including but not limited to, furniture and equipment, that is not directly or indirectly associated with the manufacture, sale or creation of a product or product line. + References No definition available. + Details
Name: | us-gaap_LeaseAndRentalExpense
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration

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- References No definition available. + Details
Name: | us-gaap_LeasesOperatingAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

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- Definition Cash payments to lessor's for use of assets under operating leases. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 25 -Subparagraph (g) -URI http://asc.fasb.org/extlink&oid=109223946&loc=d3e3536-108585 + Details
Name: | us-gaap_PaymentsForRent
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | credit
Period Type: | duration

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- Definition Amount of the adjustment to rental revenues to measure escalating leasing revenues on a straight line basis. + References No definition available. + Details
Name: | us-gaap_StraightLineRentAdjustments
Namespace Prefix: | us-gaap_
Data Type: | xbrli:monetaryItemType
Balance Type: | debit
Period Type: | duration