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Revenue - Disaggregation of Revenue (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2020 | Jun. 30, 2019 | Jun. 30, 2020 | Jun. 30, 2019
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | $ 865,909 | $ 1,019,457 | $ 1,880,048 | $ 2,061,501
Private pay |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 604,192 | 640,222 | 1,244,968 | 1,288,901
Government reimbursement |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 102,790 | 129,049 | 213,322 | 256,457
Other third-party payor programs |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 24,647 | 32,592 | 56,046 | 65,984
Total resident fee revenue |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 731,629 | 801,863 | 1,514,336 | 1,611,342
Independent Living | Private pay |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 129,678 | 135,348 | 264,968 | 270,393
Independent Living | Government reimbursement |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 600 | 603 | 1,172 | 1,252
Independent Living | Other third-party payor programs |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 0 | 0 | 0 | 0
Independent Living | Total resident fee revenue |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 130,278 | 135,951 | 266,140 | 271,645
Assisted Living and Memory Care | Private pay |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 414,276 | 433,589 | 854,889 | 875,500
Assisted Living and Memory Care | Government reimbursement |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 17,880 | 16,636 | 34,746 | 33,251
Assisted Living and Memory Care | Other third-party payor programs |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 0 | 0 | 0 | 0
Assisted Living and Memory Care | Total resident fee revenue |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 432,156 | 450,225 | 889,635 | 908,751
CCRCs | Private pay |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 59,980 | 71,092 | 124,683 | 142,625
CCRCs | Government reimbursement |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 13,744 | 20,196 | 33,149 | 41,683
CCRCs | Other third-party payor programs |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 5,301 | 9,965 | 15,740 | 20,672
CCRCs | Total resident fee revenue |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 79,025 | 101,253 | 173,572 | 204,980
Health Care Services | Private pay |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 258 | 193 | 428 | 383
Health Care Services | Government reimbursement |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 70,566 | 91,614 | 144,255 | 180,271
Health Care Services | Other third-party payor programs |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | 19,346 | 22,627 | 40,306 | 45,312
Health Care Services | Total resident fee revenue |  |  |  |
Disaggregation of Revenue [Line Items] |  |  |  |
Revenue | $ 90,170 | $ 114,434 | $ 184,989 | $ 225,966

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