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Property, Plant and Equipment and Leasehold Intangibles, Net (Details) (USD $) In Thousands, unless otherwise specified | Sep. 30, 2014 | Dec. 31, 2013
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Property, Plant and Equipment [Line Items] |  |
Property, plant and equipment and leasehold intangibles, gross | $ 10,264,942 | $ 5,717,731
Accumulated depreciation and amortization | (1,691,384) | (1,822,256)
Property, plant and equipment and leasehold intangibles, net | 8,573,558 | 3,895,475
Land [Member] |  |
Property, Plant and Equipment [Line Items] |  |
Property, plant and equipment and leasehold intangibles, gross | 474,425 | 302,444
Buildings and Improvements [Member] |  |
Property, Plant and Equipment [Line Items] |  |
Property, plant and equipment and leasehold intangibles, gross | 5,021,617 | 3,508,693
Leasehold Improvements [Member] |  |
Property, Plant and Equipment [Line Items] |  |
Property, plant and equipment and leasehold intangibles, gross | 65,750 | 59,948
Furniture and Equipment [Member] |  |
Property, Plant and Equipment [Line Items] |  |
Property, plant and equipment and leasehold intangibles, gross | 698,205 | 623,352
Resident and Leasehold Operating Intangibles [Member] |  |
Property, Plant and Equipment [Line Items] |  |
Property, plant and equipment and leasehold intangibles, gross | 840,891 | 435,012
Construction in Progress [Member] |  |
Property, Plant and Equipment [Line Items] |  |
Property, plant and equipment and leasehold intangibles, gross | 107,810 | 88,309
Assets Under Capital and Financing Leases [Member] |  |
Property, Plant and Equipment [Line Items] |  |
Property, plant and equipment and leasehold intangibles, gross | $ 3,056,244 | $ 699,973

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- Definition Amount of accumulated depreciation, depletion and amortization for physical assets used in the normal conduct of business to produce goods and services. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 360 -SubTopic 10 -Section 50 -Paragraph 1 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=6391035&loc=d3e2868-110229 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.14) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 02 -Paragraph 14 -Article 5 + Details
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- Definition Amount before accumulated depreciation, depletion and amortization of physical assets used in the normal conduct of business and not intended for resale. Examples include, but are not limited to, land, buildings, machinery and equipment, office equipment, and furniture and fixtures. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 360 -SubTopic 10 -Section 50 -Paragraph 1 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=6391035&loc=d3e2868-110229 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.13) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 + Details
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- Definition Amount after accumulated depreciation, depletion and amortization of physical assets used in the normal conduct of business to produce goods and services and not intended for resale. Examples include, but are not limited to, land, buildings, machinery and equipment, office equipment, and furniture and fixtures. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 360 -SubTopic 10 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=6391035&loc=d3e2868-110229 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.13) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 02 -Paragraph 13 -Subparagraph a -Article 5 Reference 4: http://www.xbrl.org/2003/role/presentationRef -Publisher SEC -Name Regulation S-X (SX) -Number 210 -Section 03 -Paragraph 8 -Article 7 + Details
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