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Supplemental Disclosure of Cash Flow Information (Details) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2015 | Sep. 30, 2015 | Jun. 30, 2015 | Mar. 31, 2015 | Dec. 31, 2014 | Sep. 30, 2014 | Jun. 30, 2014 | Mar. 31, 2014 | Dec. 31, 2015 | Dec. 31, 2014 | Dec. 31, 2013
Supplemental Disclosure of Cash Flow Information [Abstract] |  |  |  |  |  |  |  |  |  |  |
Interest paid |  |  |  |  |  |  |  |  | $ 360,960 | $ 226,594 | $ 123,036
Income taxes paid |  |  |  |  |  |  |  |  | 2,952 | 2,746 | 2,283
Supplemental Schedule of Noncash Operating, Investing, and Financing Activities [Abstract] |  |  |  |  |  |  |  |  |  |  |
Capital Lease Obligations Incurred |  |  |  |  |  |  |  |  | 155,230 | 0 | 0
Assets Held-for-sale | $ 110,620 |  |  |  | $ 0 |  |  |  | 110,620 | 0 |
Trade accounts payable | 128,006 |  |  |  | 76,314 |  |  |  | 128,006 | 76,314 |
Goodwill | 725,696 |  |  |  | 736,805 |  |  |  | 725,696 | 736,805 |
Asset impairment | 57,941 | $ 0 | $ 0 | $ 0 | 9,992 | $ 0 | $ 0 | $ 0 | 57,941 | 9,992 | 12,891
Acquisition of assets, net of related payables and cash received [Member] |  |  |  |  |  |  |  |  |  |  |
Supplemental Schedule of Noncash Operating, Investing, and Financing Activities [Abstract] |  |  |  |  |  |  |  |  |  |  |
Cash and escrow deposits - restricted |  |  |  |  |  |  |  |  | 0 | 0 | 466
Prepaid expenses and other current assets, net |  |  |  |  |  |  |  |  | (53,405) | (3,138) | 346
Property, plant and equipment and leasehold intangibles, net |  |  |  |  |  |  |  |  | 198,558 | 80,330 | 99,657
Other intangible assets, net |  |  |  |  |  |  |  |  | (7,294) | (23,978) | 3,517
Accrued expenses |  |  |  |  |  |  |  |  | 0 | 0 | (5,169)
Other liabilities |  |  |  |  |  |  |  |  | (315) | (20,568) | 0
Long-term debt |  |  |  |  |  |  |  |  | (101,558) | 7,795 | (64,131)
Net |  |  |  |  |  |  |  |  | 191,216 | 40,441 | 34,686
Capital and financing leases [Member] |  |  |  |  |  |  |  |  |  |  |
Supplemental Schedule of Noncash Operating, Investing, and Financing Activities [Abstract] |  |  |  |  |  |  |  |  |  |  |
Property, plant and equipment and leasehold intangibles, net |  |  |  |  |  |  |  |  | 26,644 | 27,100 | 0
Capital Lease Obligations Incurred |  |  |  |  |  |  |  |  | (23,738) | (27,100) | 0
Other intangible assets, net |  |  |  |  |  |  |  |  | (5,202) | 0 | 0
Other liabilities |  |  |  |  |  |  |  |  | 2,296 | 0 | 0
Net |  |  |  |  |  |  |  |  | 0 | 0 | 0
Formation of CCRC venture with HCP [Member] |  |  |  |  |  |  |  |  |  |  |
Supplemental Schedule of Noncash Operating, Investing, and Financing Activities [Abstract] |  |  |  |  |  |  |  |  |  |  |
Other intangible assets, net |  |  |  |  |  |  |  |  | 0 | (56,829) | 0
Property, plant and equipment and leasehold intangibles, net |  |  |  |  |  |  |  |  | 0 | (729,123) | 0
Capital Lease Obligations Incurred |  |  |  |  |  |  |  |  | 0 | 27,085 | 0
Other assets, net |  |  |  |  |  |  |  |  | 0 | (9,137) | 0
Other liabilities |  |  |  |  |  |  |  |  | 0 | 1,514 | 0
Transfer to Investments |  |  |  |  |  |  |  |  | 0 | 194,485 | 0
Long-term debt |  |  |  |  |  |  |  |  | 0 | 170,416 | 0
Refundable entrance fees and deferred revenue |  |  |  |  |  |  |  |  | 0 | 413,761 | 0
Net |  |  |  |  |  |  |  |  | 0 | 12,172 | 0
Formation of HCP 49 Venture [Member] |  |  |  |  |  |  |  |  |  |  |
Supplemental Schedule of Noncash Operating, Investing, and Financing Activities [Abstract] |  |  |  |  |  |  |  |  |  |  |
Property, plant and equipment and leasehold intangibles, net |  |  |  |  |  |  |  |  | 0 | (525,446) | 0
Capital Lease Obligations Incurred |  |  |  |  |  |  |  |  | 0 | 538,355 | 0
Other liabilities |  |  |  |  |  |  |  |  | 0 | (9,034) | 0
Transfer to Investments |  |  |  |  |  |  |  |  | 0 | 71,656 | 0
Long-term debt |  |  |  |  |  |  |  |  | 0 | (67,640) | 0
Net |  |  |  |  |  |  |  |  | 0 | 7,891 | 0
Master lease amendments [Member] |  |  |  |  |  |  |  |  |  |  |
Supplemental Schedule of Noncash Operating, Investing, and Financing Activities [Abstract] |  |  |  |  |  |  |  |  |  |  |
Property, plant and equipment and leasehold intangibles, net |  |  |  |  |  |  |  |  | 0 | 385,696 | 0
Capital Lease Obligations Incurred |  |  |  |  |  |  |  |  | 0 | (217,022) | 0
Other intangible assets, net |  |  |  |  |  |  |  |  | 0 | (174,012) | 0
Other liabilities |  |  |  |  |  |  |  |  | 0 | 5,338 | 0
Net |  |  |  |  |  |  |  |  | 0 | 0 | 0
Proceeds from sale of assets, net [Member] |  |  |  |  |  |  |  |  |  |  |
Supplemental Schedule of Noncash Operating, Investing, and Financing Activities [Abstract] |  |  |  |  |  |  |  |  |  |  |
Prepaid expenses and other current assets, net |  |  |  |  |  |  |  |  | 25,780 | 0 | 0
Property, plant and equipment and leasehold intangibles, net |  |  |  |  |  |  |  |  | (82,953) | 0 | 0
Capital Lease Obligations Incurred |  |  |  |  |  |  |  |  | 8,907 | 0 | 0
Other liabilities |  |  |  |  |  |  |  |  | (960) | 0 | 0
Net |  |  |  |  |  |  |  |  | (49,226) | 0 | 0
Disposal Group, Held-for-sale, Not Discontinued Operations [Member] |  |  |  |  |  |  |  |  |  |  |
Supplemental Schedule of Noncash Operating, Investing, and Financing Activities [Abstract] |  |  |  |  |  |  |  |  |  |  |
Property, plant and equipment and leasehold intangibles, net |  |  |  |  |  |  |  |  | (113,592) | 0 | 0
Assets Held-for-sale | 110,620 |  |  |  | 0 |  |  |  | 110,620 | 0 | 0
Goodwill | (12,200) |  |  |  | 0 |  |  |  | (12,200) | 0 | 0
Asset impairment |  |  |  |  |  |  |  |  | 15,172 | 0 | 0
Net |  |  |  |  |  |  |  |  | 0 | 0 | 0
Additions to property, plant and equipment and leasehold improvements [Member] |  |  |  |  |  |  |  |  |  |  |
Supplemental Schedule of Noncash Operating, Investing, and Financing Activities [Abstract] |  |  |  |  |  |  |  |  |  |  |
Property, plant and equipment and leasehold intangibles, net |  |  |  |  |  |  |  |  | 448,682 | 304,245 | 257,527
Trade accounts payable | $ (37,631) |  |  |  | $ 0 |  |  |  | (37,631) | 0 | 0
Net |  |  |  |  |  |  |  |  | 411,051 | 304,245 | 257,527
Contribution to CCRC venture with HCP [Member] |  |  |  |  |  |  |  |  |  |  |
Supplemental Schedule of Noncash Operating, Investing, and Financing Activities [Abstract] |  |  |  |  |  |  |  |  |  |  |
Property, plant and equipment and leasehold intangibles, net |  |  |  |  |  |  |  |  | (25,717) | 0 | 0
Transfer to Investments |  |  |  |  |  |  |  |  | 7,422 | 0 | 0
Long-term debt |  |  |  |  |  |  |  |  | 18,295 | 0 | 0
Net |  |  |  |  |  |  |  |  | $ 0 | $ 0 | $ 0

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