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Property, Plant and Equipment and Leasehold Intangibles, Net (Details) - USD ($)	3 Months Ended		6 Months Ended
	Jun. 30, 2024	Jun. 30, 2023	Jun. 30, 2024	Jun. 30, 2023	Dec. 31, 2023
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles	$ 8,440,433,000		$ 8,440,433,000		$ 8,347,406,000
Accumulated depreciation and amortization	(4,183,943,000)		(4,183,943,000)		(4,016,777,000)
Property, plant and equipment and leasehold intangibles, net	4,256,490,000		4,256,490,000		4,330,629,000
Depreciation and amortization expense	88,000,000.0	$ 84,400,000	174,200,000	$ 169,400,000
Nonrecurring
Property, Plant and Equipment [Line Items]
Non-cash impairment charges	0	$ 500,000	1,700,000	$ 500,000
Land
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles	497,829,000		497,829,000		500,649,000
Buildings and improvements
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles	5,372,852,000		5,372,852,000		5,348,133,000
Furniture and equipment
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles	1,143,172,000		1,143,172,000		1,111,408,000
Resident in-place lease intangibles
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles	281,041,000		281,041,000		282,411,000
Construction in progress
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles	35,412,000		35,412,000		33,905,000
Assets under financing leases and leasehold improvements
Property, Plant and Equipment [Line Items]
Property, plant and equipment and leasehold intangibles	$ 1,110,127,000		$ 1,110,127,000		$ 1,070,900,000

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.

+ References

No definition available.

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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
-Topic 360
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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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Amount, before accumulated depreciation and amortization, of property, plant, and equipment and finance lease right-of-use asset.

+ References

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Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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The charge against earnings resulting from the aggregate write down of tangible assets from their carrying value to their fair value.

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