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Property, Plant and Equipment and Leasehold Intangibles, Net - Property, Plant and Equipment (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2020	Dec. 31, 2019	Dec. 31, 2018
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles	$ 8,558,158	$ 8,346,845
Accumulated depreciation and amortization	(3,490,098)	(3,237,011)
Property, plant and equipment and leasehold intangibles, net	5,068,060	5,109,834
Finance lease, right-of-use asset	400,000	600,000
Depreciation and amortization expense for plant and equipment and leasehold intangibles	359,200	377,600	$ 444,300
Land
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles	505,298	450,894
Buildings and improvements
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles	5,215,460	4,790,769
Furniture and equipment
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles	945,783	859,849
Resident and leasehold operating intangibles
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles	307,071	317,111
Construction in progress
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles	61,491	80,729
Assets under financing leases and leasehold improvements
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles	$ 1,523,055	$ 1,847,493

X

- 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.

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Amount, after accumulated amortization, of right-of-use asset from finance lease.

+ References

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-Publisher FASB
-Name Accounting Standards Codification
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Amount of accumulated depreciation and amortization from plant, property, and equipment and right-of-use asset from finance lease.

+ References

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-Publisher FASB
-Name Accounting Standards Codification
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Amount, after accumulated depreciation and amortization, of property, plant, and equipment and finance lease right-of-use asset.

+ References

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-Publisher FASB
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