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Acquisitions, Dispositions and Other Significant Transactions - Revenue of Disposal Groups (Details) (Details) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2019 | Mar. 31, 2018
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |
Resident fees | $ 1,042,044 | $ 1,187,234
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 | 3,718 | 123,570
Facility operating expense | 3,402 | 84,099
Cash facility lease payments | 192 | 33,500
Communities Disposed Of Through Sale And Lease Terminations | Independent Living |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |
Resident fees | 0 | 31,629
Facility operating expense | 0 | 18,653
Communities Disposed Of Through Sale And Lease Terminations | Assisted Living and Memory Care |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |
Resident fees | 3,718 | 85,448
Facility operating expense | 3,402 | 59,389
Communities Disposed Of Through Sale And Lease Terminations | CCRCs |  |
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |
Resident fees | 0 | 6,493
Facility operating expense | $ 0 | $ 6,057

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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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