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Property, Plant and Equipment and Leasehold Intangibles, Net (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended |
--- | --- | --- | ---
Jun. 30, 2022 | Jun. 30, 2021 | Jun. 30, 2022 | Jun. 30, 2021 | Dec. 31, 2021
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles | $ 8,815,216 |  | $ 8,815,216 |  | $ 8,718,743
Accumulated depreciation and amortization | (3,975,573) |  | (3,975,573) |  | (3,814,451)
Property, plant and equipment and leasehold intangibles, net | 4,839,643 |  | 4,839,643 |  | 4,904,292
Finance lease, right-of-use asset | 315,400 |  | 315,400 |  | 332,300
Depreciation and amortization expense | 86,600 | $ 83,600 | 172,300 | $ 167,500 |
Nonrecurring |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Non-cash impairment charges | 1,600 | $ 600 | 2,100 | $ 2,300 |
Land |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles | 508,210 |  | 508,210 |  | 502,610
Buildings and improvements |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles | 5,293,975 |  | 5,293,975 |  | 5,262,136
Furniture and equipment |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles | 1,019,609 |  | 1,019,609 |  | 990,006
Resident and leasehold operating intangibles |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles | 301,732 |  | 301,732 |  | 303,737
Construction in progress |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles | 58,387 |  | 58,387 |  | 51,037
Assets under financing leases and leasehold improvements |  |  |  |  |
Property, Plant and Equipment [Line Items] |  |  |  |  |
Property, plant and equipment and leasehold intangibles | $ 1,633,303 |  | $ 1,633,303 |  | $ 1,609,217

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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 https://asc.fasb.org/extlink&oid=123391704&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 https://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 https://asc.fasb.org/extlink&oid=128292326&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 https://asc.fasb.org/extlink&oid=123391704&loc=SL77918638-209977 + Details
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