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Property, Plant and Equipment and Leasehold Intangibles, Net (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended |
--- | --- | --- | ---
Sep. 30, 2017 | Sep. 30, 2016 | Sep. 30, 2017 | Sep. 30, 2016 | Dec. 31, 2016
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | $ 9,183,049 |  | $ 9,183,049 |  | $ 10,264,151
Accumulated depreciation and amortization | (3,002,673) |  | (3,002,673) |  | (2,884,846)
Property, plant and equipment and leasehold intangibles, net | 6,180,376 |  | 6,180,376 |  | 7,379,305
Asset impairment, non-cash charge | 368,551 | $ 19,111 | 390,816 | $ 26,638 |
Land [Member] |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | 449,295 |  | 449,295 |  | 455,307
Buildings and Improvements [Member] |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | 4,911,597 |  | 4,911,597 |  | 5,053,204
Asset impairment, non-cash charge | 149,900 |  | 152,400 |  |
Leasehold Improvements [Member] |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | 126,185 |  | 126,185 |  | 126,325
Furniture and Equipment [Member] |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | 995,975 |  | 995,975 |  | 974,516
Resident and Leasehold Operating Intangibles [Member] |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | 609,518 |  | 609,518 |  | 705,000
Construction in Progress [Member] |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | 52,003 |  | 52,003 |  | 69,803
Assets Under Capital and Financing Leases [Member] |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles gross | $ 2,038,476 |  | 2,038,476 |  | $ 2,879,996
Assisted Living [Member] |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Asset impairment, non-cash charge |  |  | 133,700 |  |
CCRCs Rental [Member] |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Asset impairment, non-cash charge |  |  | 16,200 |  |
Retirement Centers [Member] |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Asset impairment, non-cash charge |  |  | $ 2,500 |  |
Minimum [Member] |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Capitalization rate | 6.50% |  | 6.50% |  |
Maximum [Member] |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Capitalization rate | 9.00% |  | 9.00% |  |

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