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Property, Plant and Equipment and Leasehold Intangibles, Net (Details) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2016 | Sep. 30, 2016 | Jun. 30, 2016 | Mar. 31, 2016 | Dec. 31, 2015 | Sep. 30, 2015 | Jun. 30, 2015 | Mar. 31, 2015 | Dec. 31, 2016 | Dec. 31, 2015 | Dec. 31, 2014
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | $ 10,264,151 |  |  |  | $ 10,574,411 |  |  |  | $ 10,264,151 | $ 10,574,411 |
Accumulated depreciation and amortization | (2,884,846) |  |  |  | (2,543,035) |  |  |  | (2,884,846) | (2,543,035) |
Property, plant and equipment and leasehold intangibles, net | 7,379,305 |  |  |  | 8,031,376 |  |  |  | 7,379,305 | 8,031,376 |
Impaired Long-Lived Assets Held and Used [Line Items] |  |  |  |  |  |  |  |  |  |  |
Asset impairment, non-cash charge | 221,877 | $ 19,111 | $ 4,152 | $ 3,375 | 57,941 | $ 0 | $ 0 | $ 0 | 248,515 | 57,941 | $ 9,992
Depreciation and amortization expense on property, plant and equipment and leasehold intangibles |  |  |  |  |  |  |  |  | 514,200 | 721,000 | 529,100
Resident And Leasehold Operating Intangibles Future Amortization Expense [Abstract] |  |  |  |  |  |  |  |  |  |  |
2017 | 9,664 |  |  |  |  |  |  |  | 9,664 |  |
2018 | 7,601 |  |  |  |  |  |  |  | 7,601 |  |
2019 | 6,209 |  |  |  |  |  |  |  | 6,209 |  |
2020 | 4,353 |  |  |  |  |  |  |  | 4,353 |  |
2021 | 2,731 |  |  |  |  |  |  |  | 2,731 |  |
Thereafter | 9,958 |  |  |  |  |  |  |  | 9,958 |  |
Total | 40,516 |  |  |  |  |  |  |  | 40,516 |  |
Land [Member] |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | 455,307 |  |  |  | 486,567 |  |  |  | 455,307 | 486,567 |
Buildings and Improvements [Member] |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | 5,053,204 |  |  |  | 5,260,826 |  |  |  | 5,053,204 | 5,260,826 |
Leasehold Improvements [Member] |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | 126,325 |  |  |  | 100,430 |  |  |  | 126,325 | 100,430 |
Furniture and Equipment [Member] |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | 974,516 |  |  |  | 895,447 |  |  |  | 974,516 | 895,447 |
Resident and Leasehold Operating Intangibles [Member] |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | 705,000 |  |  |  | 783,434 |  |  |  | 705,000 | 783,434 |
Construction in Progress [Member] |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | 69,803 |  |  |  | 138,054 |  |  |  | 69,803 | 138,054 |
Assets Under Capital and Financing Leases [Member] |  |  |  |  |  |  |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |  |  |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | $ 2,879,996 |  |  |  | $ 2,909,653 |  |  |  | 2,879,996 | 2,909,653 |
Property, Plant and Equipment [Member] |  |  |  |  |  |  |  |  |  |  |
Impaired Long-Lived Assets Held and Used [Line Items] |  |  |  |  |  |  |  |  |  |  |
Asset impairment, non-cash charge |  |  |  |  |  |  |  |  | 166,200 | 24,300 | $ 10,000
Assets held for sale [Member] |  |  |  |  |  |  |  |  |  |  |
Impaired Long-Lived Assets Held and Used [Line Items] |  |  |  |  |  |  |  |  |  |  |
Asset impairment, non-cash charge |  |  |  |  |  |  |  |  | $ 15,800 | $ 33,600 |

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