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Property, Plant and Equipment and Leasehold Intangibles, Net (Tables)
6 Months Ended
Jun. 30, 2011
Property, Plant and Equipment and Leasehold Intangibles, Net [Abstract]  
Property, plant and equipment and leasehold intangibles, net
Property, plant and equipment and leasehold intangibles, net, which include assets under capital leases, consist of the following (dollars in thousands):

   
June 30,
2011
  
December 31,
2010
 
Land
 $273,306  $273,214 
Buildings and improvements
  3,019,657   3,003,788 
Furniture and equipment
  417,623   382,488 
Resident and leasehold operating intangibles
  586,254   588,633 
Construction in progress
  30,287   16,463 
Assets under capital and financing leases
  653,120   650,174 
    4,980,247   4,914,760 
Accumulated depreciation and amortization
  (1,291,217)  (1,177,918)
Property, plant and equipment and leasehold intangibles, net
 $3,689,030  $3,736,842