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Acquisitions, Dispositions and Other Significant Transactions - Formation of Venture with Blackstone (Details)
$ in Thousands
3 Months Ended 9 Months Ended
Mar. 29, 2017
USD ($)
community
Sep. 30, 2018
USD ($)
Mar. 31, 2018
USD ($)
Sep. 30, 2017
USD ($)
Mar. 31, 2017
USD ($)
Sep. 30, 2018
USD ($)
Sep. 30, 2017
USD ($)
Business Acquisition [Line Items]              
Payments to acquire joint venture           $ 8,946 $ 187,600
Goodwill and asset impairment   $ 5,500   $ 368,551   $ 451,966 390,816
Change in valuation allowance             86,600
HCP, Inc.              
Business Acquisition [Line Items]              
Term of lease 12 years            
Formation of the Blackstone Venture              
Business Acquisition [Line Items]              
Change in valuation allowance         $ 85,000   $ 85,000
Joint Venture | Blackstone Venture              
Business Acquisition [Line Items]              
Number of community leasehold interests contributed | community 62            
Payments to acquire joint venture $ 179,200            
Percentage ownership 15.00%            
Carrying value of investment $ 66,800            
Fair value of investment $ 47,100            
Goodwill and asset impairment     $ 33,400   $ 19,700    
Joint Venture | Blackstone Venture | Senior Housing Communities              
Business Acquisition [Line Items]              
Number of communities acquired | community 64            
Purchase price $ 1,100,000            
Number of communities managed by third party | community 2            
Blackstone Venture              
Business Acquisition [Line Items]              
Number of communities leased | community 2            
Number of communities managed | community 60