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Property, Plant and Equipment and Leasehold Intangibles, Net (Tables)
3 Months Ended
Mar. 31, 2012
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):

   
March 31,
2012
  
December 31,
2011
 
Land
 $285,703  $275,277 
Buildings and improvements
  3,207,881   3,080,882 
Leasehold improvements
  407,852   429,133 
Furniture and equipment
  464,098   450,179 
Resident and leasehold operating intangibles
  163,366   163,366 
Construction in progress
  50,300   39,600 
Assets under capital and financing leases
  674,337   667,239 
    5,253,537   5,105,676 
Accumulated depreciation and amortization
  (1,460,153)  (1,411,612)
Property, plant and equipment and leasehold intangibles, net
 $3,793,384  $3,694,064