Increase (Decrease) In Reimbursable Revenue, Net Of Cost Of Reimbursable Expense

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- Definition

Increase (Decrease) In Resident Fee Revenue, Net Of Facility Operating Expense

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- Definition

Term Of Residency Agreements Maximum

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- Definition

Term of Residency Agreements- Minimum.

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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.

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-Name Accounting Standards Codification
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- Definition

Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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No definition available.

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- Definition

Useful life of finite-lived intangible assets, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days.

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- Definition

Amount of increase (decrease) in liability to reflect the estimated ultimate cost of settling claims relating to insured events that have occurred on or before the balance sheet date, whether or not reported to the insurer at that date.

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- Definition

Amount of cash inflow (outflow) from financing activities, including discontinued operations. Financing activity cash flows include obtaining resources from owners and providing them with a return on, and a return of, their investment; borrowing money and repaying amounts borrowed, or settling the obligation; and obtaining and paying for other resources obtained from creditors on long-term credit.

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- Definition

Amount of cash inflow (outflow) from investing activities, including discontinued operations. Investing activity cash flows include making and collecting loans and acquiring and disposing of debt or equity instruments and property, plant, and equipment and other productive assets.

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- Definition

Amount of cash inflow (outflow) from operating activities, including discontinued operations. Operating activity cash flows include transactions, adjustments, and changes in value not defined as investing or financing activities.

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Amount, including tax collected from customer, of revenue from satisfaction of performance obligation by transferring promised good or service to customer. Tax collected from customer is tax assessed by governmental authority that is both imposed on and concurrent with specific revenue-producing transaction, including, but not limited to, sales, use, value-added and excise.

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Summary of Significant Accounting Policies (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2018	Jun. 30, 2017	Jun. 30, 2018	Jun. 30, 2017
Fair Value of Financial Instruments [Line Items]
Term of residency agreements- minimum			30 days
Term of residency agreements - maximum			1 year
Decrease in facility operating expense	$ (6,300)	$ (2,000)	$ (7,500)	$ (5,600)
Decrease in net cash used in investing activities			(11,512)	259,494
Increase in net cash provided by operating activities			98,584	200,532
Decrease in net cash used in financing activities			201,980	4,186
Revenue	895,969	934,070	$ 1,802,235	1,950,997
Trade names \| Minimum
Fair Value of Financial Instruments [Line Items]
Useful lives of definite lived assets			2 years
Trade names \| Maximum
Fair Value of Financial Instruments [Line Items]
Useful lives of definite lived assets			5 years
Management contracts \| Minimum
Fair Value of Financial Instruments [Line Items]
Useful lives of definite lived assets			3 years
Management contracts \| Maximum
Fair Value of Financial Instruments [Line Items]
Useful lives of definite lived assets			9 years
ASU 2016-18
Fair Value of Financial Instruments [Line Items]
Decrease in net cash used in investing activities		1,100		1,700
ASU 2016-15
Fair Value of Financial Instruments [Line Items]
Increase in net cash provided by operating activities		700		700
Decrease in net cash used in financing activities		700		700
ASU 2014-09
Fair Value of Financial Instruments [Line Items]
Decrease in resident fee revenue and facility operating expenses	2,100		$ 3,200
Increase in revenue	11,300		23,700
Resident fees
Fair Value of Financial Instruments [Line Items]
Revenue	895,969	934,070	1,802,235	1,950,997
Facility operating
Fair Value of Financial Instruments [Line Items]
Costs of services	627,076	642,405	1,259,401	1,316,947
Reimbursed costs incurred on behalf of managed communities
Fair Value of Financial Instruments [Line Items]
Costs of services	242,160	229,960	504,447	413,905
Revenue	$ 242,160	$ 229,960	$ 504,447	$ 413,905