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Property, Plant and Equipment and Leasehold Intangibles, Net (Details) - USD ($)
$ in Thousands
Sep. 30, 2015
Dec. 31, 2014
Property, Plant and Equipment [Line Items]    
Property, plant and equipment and leasehold intangibles gross $ 10,777,376 $ 10,295,498
Accumulated depreciation and amortization (2,499,701) (1,905,993)
Property, plant and equipment and leasehold intangibles, net 8,277,675 8,389,505
Land [Member]    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment and leasehold intangibles gross 513,347 475,485
Buildings and Improvements [Member]    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment and leasehold intangibles gross 5,293,822 5,017,991
Leasehold Improvements [Member]    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment and leasehold intangibles gross 87,744 56,515
Furniture and Equipment [Member]    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment and leasehold intangibles gross 858,435 735,837
Resident and Leasehold Operating Intangibles [Member]    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment and leasehold intangibles gross 851,086 852,746
Construction in Progress [Member]    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment and leasehold intangibles gross 123,568 99,408
Assets Under Capital and Financing Leases [Member]    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment and leasehold intangibles gross $ 3,049,374 $ 3,057,516