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Leases and Management Agreements with Five Star (Tables)
 9 Months Ended
Sep. 30, 2020
Risks and Uncertainties [Abstract]  
Disaggregation of Revenue
The following table presents residents fees and services revenue disaggregated by type of contract and payer:
Three Months Ended September 30,Nine Months Ended September 30,
Revenue from contracts with customers:2020201920202019
Basic housing and support services$208,941 $88,623 $659,240 $265,117 
Medicare and Medicaid programs38,882 6,902 131,460 23,333 
Private pay and other third party payer SNF services 42,278 12,291 135,474 36,317 
Total residents fees and services$290,101 $107,816 $926,174 $324,767