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Disaggregation of Revenue - Disaggregation of Revenue (Details) $ in Thousands | 12 Months Ended
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Dec. 31, 2018 USD ($)
Disaggregation of Revenue [Line Items] |
Revenue | $ 3,449,211
Private pay |
Disaggregation of Revenue [Line Items] |
Revenue | 2,809,903
Government reimbursement |
Disaggregation of Revenue [Line Items] |
Revenue | 522,209
Other third-party payor programs |
Disaggregation of Revenue [Line Items] |
Revenue | 117,099
Independent Living |
Disaggregation of Revenue [Line Items] |
Revenue | 599,977
Independent Living | Private pay |
Disaggregation of Revenue [Line Items] |
Revenue | 596,852
Independent Living | Government reimbursement |
Disaggregation of Revenue [Line Items] |
Revenue | 3,125
Independent Living | Other third-party payor programs |
Disaggregation of Revenue [Line Items] |
Revenue | 0
Assisted Living and Memory Care |
Disaggregation of Revenue [Line Items] |
Revenue | 1,995,851
Assisted Living and Memory Care | Private pay |
Disaggregation of Revenue [Line Items] |
Revenue | 1,923,676
Assisted Living and Memory Care | Government reimbursement |
Disaggregation of Revenue [Line Items] |
Revenue | 72,175
Assisted Living and Memory Care | Other third-party payor programs |
Disaggregation of Revenue [Line Items] |
Revenue | 0
CCRCs |
Disaggregation of Revenue [Line Items] |
Revenue | 416,408
CCRCs | Private pay |
Disaggregation of Revenue [Line Items] |
Revenue | 288,682
CCRCs | Government reimbursement |
Disaggregation of Revenue [Line Items] |
Revenue | 87,028
CCRCs | Other third-party payor programs |
Disaggregation of Revenue [Line Items] |
Revenue | 40,698
Health Care Services |
Disaggregation of Revenue [Line Items] |
Revenue | 436,975
Health Care Services | Private pay |
Disaggregation of Revenue [Line Items] |
Revenue | 693
Health Care Services | Government reimbursement |
Disaggregation of Revenue [Line Items] |
Revenue | 359,881
Health Care Services | Other third-party payor programs |
Disaggregation of Revenue [Line Items] |
Revenue | $ 76,401

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