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Subsequent Events (Details)
$ in Thousands
3 Months Ended 9 Months Ended
Nov. 01, 2016
USD ($)
Community
Sep. 30, 2016
USD ($)
Sep. 30, 2015
USD ($)
Sep. 30, 2016
USD ($)
Sep. 30, 2015
USD ($)
Subsequent Event [Line Items]          
Number of Communities | Community 97        
Distributions received from unconsolidated ventures       $ 4,836 $ 7,038
Facility operating expense (excluding depreciation and amortization of $118,756, $148,120, $351,667 and $571,059, respectively)   $ 704,221 $ 699,720 2,113,226 2,091,600
Resident fees   $ 1,042,831 $ 1,040,082 $ 3,158,547 $ 3,136,292
Authorized share repurchased program amount $ 100,000        
Termination of 8 triple net leases [Member]          
Subsequent Event [Line Items]          
Percentage ownership in unconsolidated joint ventures 10.00%        
Number of communities contributed by venture partner | Community 4        
Number of Communities | Community 8        
Termination of 25 triple net leases [Member]          
Subsequent Event [Line Items]          
Number of Communities | Community 25        
68 communities acquired by unconsolidated ventures [Member]          
Subsequent Event [Line Items]          
Number of Communities | Community 68        
Facility operating expense (excluding depreciation and amortization of $118,756, $148,120, $351,667 and $571,059, respectively) $ 153,500        
Cash Lease Payment 71,700        
Resident fees $ 222,300        
Termination of 29 triple net leases [Member]          
Subsequent Event [Line Items]          
Number of Communities | Community 29        
Facility operating expense (excluding depreciation and amortization of $118,756, $148,120, $351,667 and $571,059, respectively) $ 52,000        
Cash Lease Payment 18,300        
Resident fees $ 64,700        
64 communities in the Blackstone Venture [Member]          
Subsequent Event [Line Items]          
Percentage ownership in unconsolidated joint ventures 15.00%        
Aggregate selling price $ 1,125,000        
Number of Communities | Community 64        
Remaining base lease terms, maximum 12 years        
Cash contributed to venture by venture partner $ 170,000        
CCRC Ventures, LLC [Member]          
Subsequent Event [Line Items]          
Distributions received from unconsolidated ventures $ 200,000        
Retirement Centers [Member] | 68 communities acquired by unconsolidated ventures [Member]          
Subsequent Event [Line Items]          
Number of Communities | Community 10        
Assisted Living [Member] | 68 communities acquired by unconsolidated ventures [Member]          
Subsequent Event [Line Items]          
Number of Communities | Community 50        
Assisted Living [Member] | Termination of 29 triple net leases [Member]          
Subsequent Event [Line Items]          
Number of Communities | Community 27        
CCRCs Rental [Member] | 68 communities acquired by unconsolidated ventures [Member]          
Subsequent Event [Line Items]          
Number of Communities | Community 8        
CCRCs Rental [Member] | Termination of 29 triple net leases [Member]          
Subsequent Event [Line Items]          
Number of Communities | Community 2