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Property, Plant and Equipment and Leasehold Intangibles, Net (Tables)
12 Months Ended
Dec. 31, 2011
Property, Plant and Equipment and Leasehold Intangibles, Net [Abstract]  
Property, plant and equipment and leasehold intangibles, net
As of December 31, 2011 and 2010, net property, plant and equipment and leasehold intangibles, which include assets under capital leases, consisted of the following (dollars in thousands):

   
2011
  
2010
 
Land
 $275,277  $273,214 
Buildings, improvements and leasehold improvements
  3,080,882   3,003,788 
Furniture and equipment
  450,179   382,488 
Resident and leasehold operating intangibles
  592,499   588,633 
Construction in progress
  39,600   16,463 
Assets under capital and financing leases
  667,239   650,174 
    5,105,676   4,914,760 
Accumulated depreciation and amortization
  (1,411,612)  (1,177,918)
Property, plant and equipment and leasehold intangibles, net
 $3,694,064  $3,736,842 

Future Amortization Expense
Future amortization expense for resident and leasehold operating intangibles is estimated to be as follows (dollars in thousands):

Year Ending December 31,
 
Future Amortization
 
2012
 $43,191 
2013
  41,105 
2014
  35,775 
2015
  33,768 
2016
  31,971 
Thereafter
  68,131 
Total
 $253,941