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Acquisitions, Dispositions and Other Significant Transactions - Revenue of Disposal Groups (Details) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2018 | Dec. 31, 2017 | Dec. 31, 2016
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Resident fees | $ 3,449,211 |  |
Cash lease payments | 324,870 | $ 365,077 | $ 384,104
Communities Disposed Of Through Sale And Lease Terminations |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Resident fees | 302,486 | 653,884 | 1,033,600
Facility operating expense | 207,802 | 453,364 | 722,448
Cash lease payments | 78,264 | 172,442 | 259,114
Independent Living |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Resident fees | 599,977 |  |
Independent Living | Communities Disposed Of Through Sale And Lease Terminations |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Resident fees | 81,280 | 152,190 | 189,205
Facility operating expense | 48,154 | 90,134 | 110,014
Assisted Living and Memory Care |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Resident fees | 1,995,851 |  |
Assisted Living and Memory Care | Communities Disposed Of Through Sale And Lease Terminations |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Resident fees | 205,241 | 423,302 | 642,782
Facility operating expense | 145,106 | 294,528 | 443,137
CCRCs |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Resident fees | 416,408 |  |
CCRCs | Communities Disposed Of Through Sale And Lease Terminations |  |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Resident fees | 15,965 | 78,392 | 201,613
Facility operating expense | $ 14,542 | $ 68,702 | $ 169,297

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- Definition The aggregate costs related to goods produced and sold and services rendered by an entity during the reporting period. This excludes costs incurred during the reporting period related to financial services rendered and other revenue generating activities. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.2(a),(d)) -URI http://asc.fasb.org/extlink&oid=115205541&loc=SL114868664-224227 + Details
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