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Acquisitions, Dispositions and Other Significant Transactions - Revenue of Disposal Groups (Details) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items] |  |  |
Cash lease payments |  |  | $ 324,870
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 | $ 34,575 | $ 115,566 | 450,092
Facility operating expense | 33,005 | 102,693 | 334,605
Cash lease payments | 4,696 | 9,011 | 91,169
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 | 0 | 0 | 81,279
Facility operating expense | 0 | 0 | 48,161
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 | 14,080 | 50,775 | 284,627
Facility operating expense | 13,008 | 43,880 | 211,546
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 | 20,495 | 64,791 | 84,186
Facility operating expense | $ 19,997 | $ 58,813 | $ 74,898

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