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Supplemental Disclosure of Cash Flow Information (Details) - USD ($) $ in Thousands | 9 Months Ended
--- | ---
Sep. 30, 2015 | Sep. 30, 2014
Supplemental Cash Flow Information [Abstract] |  |
Interest paid | $ 270,352 | $ 132,716
Income taxes paid | 2,806 | 2,546
Acquisition of assets, net of related payables and cash received [Line Items] |  |
Prepaid expenses and other current assets | 0 |
Acquisition of Assets, Net of Related Payables and Cash Received [Member] |  |
Acquisition of assets, net of related payables and cash received [Line Items] |  |
Prepaid expenses and other current assets | (50,756) | (3,138)
Property, plant and equipment and leasehold intangibles, net | 196,196 | 80,330
Other intangible assets, net | (7,293) | (24,601)
Other liabilities | (315) | 0
Long-term debt | (20,000) | (20,568)
Capital and Financing Lease Obligations | 75,619 | 7,795
Net cash paid | 193,451 | 39,818
Capital and financing leases [Member] |  |
Acquisition of assets, net of related payables and cash received [Line Items] |  |
Property, plant and equipment and leasehold intangibles, net | 24,535 | 27,100
Other intangible assets, net | (5,202) | 0
Other liabilities | 2,296 | 0
Capital and Financing Lease Obligations | (21,629) | (27,100)
Net cash paid | 0 | 0
Formation of CCRC venture with HCP [Member] |  |
Acquisition of assets, net of related payables and cash received [Line Items] |  |
Prepaid expenses and other current assets |  | (9,137)
Property, plant and equipment and leasehold intangibles, net | 0 | (728,227)
Other intangible assets, net | 0 | (56,829)
Other liabilities | 0 | 2,163
Long-term debt | 0 | 170,416
Capital and Financing Lease Obligations | 0 | 27,085
Transfer to Investments | 0 | 192,940
Escrow Deposit Disbursements Related to Property Acquisition | 0 | 413,761
Net cash paid | 0 | 12,172
Formation of HCP 49 Venture [Member] |  |
Acquisition of assets, net of related payables and cash received [Line Items] |  |
Property, plant and equipment and leasehold intangibles, net | 0 | (525,446)
Other liabilities | 0 | (9,034)
Long-term debt | 0 | (67,640)
Capital and Financing Lease Obligations | 0 | 538,355
Transfer to Investments | 0 | 71,656
Net cash paid | 0 | 7,891
Master lease amendments [Member] |  |
Acquisition of assets, net of related payables and cash received [Line Items] |  |
Property, plant and equipment and leasehold intangibles, net | 0 | 385,696
Other intangible assets, net | 0 | (217,022)
Other liabilities | 0 | 5,338
Long-term debt | 0 | (174,012)
Net cash paid | 0 | 0
Contribution to CCRC venture with HCP [Member] |  |
Acquisition of assets, net of related payables and cash received [Line Items] |  |
Property, plant and equipment and leasehold intangibles, net | (25,459) | 0
Long-term debt | 18,115 | 0
Transfer to Investments | 7,344 | 0
Net cash paid | $ 0 | $ 0

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