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Property, Plant and Equipment and Leasehold Intangibles, Net (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended |
--- | --- | --- | ---
Jun. 30, 2017 | Jun. 30, 2016 | Jun. 30, 2017 | Jun. 30, 2016 | Dec. 31, 2016
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | $ 9,318,160 |  | $ 9,318,160 |  | $ 10,264,151
Accumulated depreciation and amortization | (2,894,319) |  | (2,894,319) |  | (2,884,846)
Property, plant and equipment and leasehold intangibles, net | 6,423,841 |  | 6,423,841 |  | 7,379,305
Asset impairment, non-cash charge | 1,559 | $ 4,152 | 22,265 | $ 7,527 |
Land [Member] |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | 451,875 |  | 451,875 |  | 455,307
Buildings and Improvements [Member] |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | 5,058,293 |  | 5,058,293 |  | 5,053,204
Asset impairment, non-cash charge | 1,600 |  | 2,600 |  |
Leasehold Improvements [Member] |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | 119,874 |  | 119,874 |  | 126,325
Furniture and Equipment [Member] |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | 982,846 |  | 982,846 |  | 974,516
Resident and Leasehold Operating Intangibles [Member] |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | 611,908 |  | 611,908 |  | 705,000
Construction in Progress [Member] |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | 52,399 |  | 52,399 |  | 69,803
Assets Under Capital and Financing Leases [Member] |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | $ 2,040,965 |  | $ 2,040,965 |  | $ 2,879,996

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- Definition Amount of accumulated depreciation, depletion and amortization for physical assets used in the normal conduct of business to produce goods and services. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 360 -SubTopic 10 -Section 50 -Paragraph 1 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=6391035&loc=d3e2868-110229 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.14) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 + Details
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