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Property, Plant and Equipment and Leasehold Intangibles, Net (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended |
--- | --- | --- | ---
Jun. 30, 2020 | Jun. 30, 2019 | Jun. 30, 2020 | Jun. 30, 2019 | Dec. 31, 2019
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles | $ 8,626,283 |  | $ 8,626,283 |  | $ 8,346,845
Accumulated depreciation and amortization | (3,369,915) |  | (3,369,915) |  | (3,237,011)
Property, plant and equipment and leasehold intangibles, net | 5,256,368 |  | 5,256,368 |  | 5,109,834
Finance lease, right-of-use asset | 400,000 |  | 400,000 |  | 600,000
Depreciation and amortization expense | 93,200 | $ 93,200 | 183,900 | $ 189,300 |
Land |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles | 507,336 |  | 507,336 |  | 450,894
Buildings and improvements |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles | 5,257,530 |  | 5,257,530 |  | 4,790,769
Furniture and equipment |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles | 935,755 |  | 935,755 |  | 859,849
Resident and leasehold operating intangibles |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles | 316,704 |  | 316,704 |  | 317,111
Construction in progress |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles | 60,653 |  | 60,653 |  | 80,729
Assets under financing leases and leasehold improvements |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles | $ 1,548,305 |  | $ 1,548,305 |  | $ 1,847,493

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- Definition The current period expense charged against earnings on long-lived, physical assets not used in production, to allocate or recognize the cost of such assets over their useful lives; or to record the reduction in book value of an intangible asset over the benefit period of such asset. + References No definition available. + Details
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- Definition Amount, after accumulated amortization, of right-of-use asset from finance lease. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 45 -Paragraph 1 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=121603541&loc=SL77918627-209977 + Details
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- Definition Amount of accumulated depreciation and amortization from plant, property, and equipment and right-of-use asset from finance lease. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -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/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 50 -Paragraph 4 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=121609121&loc=SL77918686-209980 Reference 3: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 45 -Paragraph 4 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=121603541&loc=SL77918638-209977 + Details
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