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Acquisitions, Dispositions and Other Significant Transactions - HCP Master Lease Transaction and RIDEA Ventures Restructuring (Details) $ in Thousands |  |  |  | 1 Months Ended | 3 Months Ended | 12 Months Ended
--- | --- | --- | --- | --- | --- | ---
Jan. 01, 2018 USD ($) community | Nov. 02, 2017 community | Nov. 01, 2017 joint_venture community | Apr. 30, 2018 USD ($) community | Mar. 31, 2018 USD ($) | Jan. 31, 2018 USD ($) community | Dec. 31, 2017 USD ($) joint_venture | Dec. 31, 2018 USD ($) community | Sep. 30, 2018 USD ($) | Jun. 30, 2018 USD ($) | Mar. 31, 2018 USD ($) | Dec. 31, 2019 community | Dec. 31, 2018 USD ($) community | Dec. 31, 2017 USD ($) | Dec. 31, 2016 USD ($)
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Deferred revenue |  |  |  |  |  |  |  |  |  |  |  |  | $ 918 | $ (13,917) | $ 3,300
Non-cash management contract termination fee |  |  |  |  |  |  |  |  |  |  |  |  | 8,724 | 0 | 0
Gain on sale of assets, net |  |  |  |  |  |  |  | $ 216,660 | $ 9,833 | $ 23,322 | $ 43,431 |  | 293,246 | 19,273 | 7,218
Gain on facility lease termination |  |  |  |  |  |  |  | $ (13,197) | $ (2,337) | $ (146,467) | $ 0 |  | (162,001) | (14,276) | (11,113)
Revenue |  |  |  |  |  |  |  |  |  |  |  |  | 3,449,211 |  |
Cash basis payment - operating leases |  |  |  |  |  |  |  |  |  |  |  |  | 324,870 | $ 365,077 | $ 384,104
Master Lease Transactions |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Annual rent reduction | $ 2,500 |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of communities with rent reduction | community | 2 |  |  |  |  |  |  |  |  |  |  |  |  |  |
RIDEA Ventures Restructuring |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of communities management is retained | community |  |  |  | 18 |  |  |  |  |  |  |  |  |  |  |
Reduction in lease liabilities |  |  |  |  |  |  |  |  |  |  |  |  | 9,700 |  |
Deferred revenue |  |  |  |  |  |  |  |  |  |  |  |  | $ 9,700 |  |
HCP, Inc. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of communities acquired | community |  |  |  | 5 |  |  |  |  |  |  |  |  |  |  |
HCP, Inc. | Master Lease Transactions |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of communities acquired | community |  |  |  |  |  |  |  |  |  |  |  |  | 2 |  |
Payment to acquire leased assets |  |  |  |  |  |  |  |  |  |  |  |  | $ 35,400 |  |
Number of communities leased | community |  |  |  |  |  |  |  | 43 |  |  |  |  | 43 |  |
HCP, Inc. | RIDEA Ventures Restructuring |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of communities acquired | community |  |  |  | 3 |  | 1 |  |  |  |  |  |  |  |  |
Payments to acquire asset from joint venture |  |  |  | $ 207,400 |  | $ 32,100 |  |  |  |  |  |  |  |  |
RIDEA Ventures | RIDEA Ventures Restructuring |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Ownership Percentage |  |  |  |  | 10.00% |  | 10.00% |  |  |  | 10.00% |  |  | 10.00% |
Number of joint ventures | joint_venture |  |  | 2 |  |  |  | 1 |  |  |  |  |  |  |  |
Proceeds from sale of joint venture interest |  |  |  |  | $ 62,300 |  | $ 32,100 |  |  |  |  |  |  |  |
Number of communities managed | community |  |  | 59 |  |  |  |  |  |  |  |  |  |  |  |
Gain on sale of assets, net |  |  |  |  | $ 41,700 |  | $ 7,200 |  |  |  |  |  |  |  |
33 Communities Disposed Of Through Lease Terminations |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Reduction in capital lease obligations and assets under lease |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 145,600 |
33 Communities Disposed Of Through Lease Terminations | HCP, Inc. | Master Lease Transactions |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of communities disposed of | community |  |  |  |  |  |  |  |  |  |  |  |  | 33 |  |
Capital Lease Obligations |  |  |  |  |  |  |  | $ 378,300 |  |  |  |  | $ 378,300 |  |
Gain on facility lease termination |  |  |  |  |  |  |  |  |  |  |  |  | 1,500 |  |
Assets under leases |  |  |  |  |  |  |  | $ 332,800 |  |  |  |  | $ 332,800 |  |
Number of communities previously subject to sale leaseback transactions | community |  |  |  |  |  |  |  |  |  |  |  |  | 20 |  |
20 Of The 33 Communities Disposed Of Through Lease Terminations | HCP, Inc. | Master Lease Transactions |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of communities disposed of | community |  |  |  |  |  |  |  |  |  |  |  |  | 20 |  |
Gain on sale of assets, net |  |  |  |  |  |  |  |  |  |  |  |  | $ 44,200 |  |
37 Communities Disposed Of Through Management Termination | RIDEA Ventures Restructuring |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of communities disposed of | community |  | 37 |  |  |  |  |  |  |  |  |  |  | 31 |  |
Non-cash management contract termination fee |  |  |  |  |  |  |  |  |  |  |  |  | $ 8,700 |  |
6 Communities Disposed Of Through Management Termination | Forecast | RIDEA Ventures Restructuring |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of communities disposed of | community |  |  |  |  |  |  |  |  |  |  |  | 6 |  |  |

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