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Commitments and Contingencies (Details) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2016 USD ($) Community Lease | Dec. 31, 2015 USD ($) | Dec. 31, 2014 USD ($)
Commitments and Contingencies [Abstract] |  |  |
Initial lease terms, minimum | 10 years |  |
Initial lease terms, maximum | 20 years |  |
Renewal options, minimum | 5 years |  |
Renewal options, maximum | 30 years |  |
Number of communities operated under long-term leases | Community | 539 |  |
Number of operating leases | Lease | 315 |  |
Number of capital and financing leases | Lease | 224 |  |
Remaining base lease terms, minimum | 1 year |  |
Remaining base lease terms, maximum | 16 years |  |
Schedule of facility operating lease expense [Abstract] |  |  |
Cash basis payment | $ 384,104 | $ 372,148 | $ 330,207
Straight-line (income) expense | 767 | 6,956 | 1,439
Amortization of (above) below market rent, net | (6,864) | (7,158) | (3,444)
Amortization of deferred gain | (4,372) | (4,372) | (4,372)
Facility lease expense | 373,635 | $ 367,574 | $ 323,830
Future minimum operating lease payments [Abstract] |  |  |
2016 | 387,521 |  |
2017 | 377,521 |  |
2018 | 359,282 |  |
2019 | 317,654 |  |
2020 | 279,040 |  |
Thereafter | 1,222,392 |  |
Total | $ 2,943,410 |  |

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- Definition Amount of required minimum rental payments for leases having an initial or remaining non-cancelable letter-terms in excess of one year. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 840 -SubTopic 10 -Section 55 -Paragraph 40 -Subparagraph (Note 3) -URI http://asc.fasb.org/extlink&oid=6584154&loc=d3e38371-112697 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 840 -SubTopic 20 -Section 50 -Paragraph 2 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=6453985&loc=d3e41502-112717 + Details
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