Property, Plant and Equipment and Leasehold Intangibles, Net (Tables)

3 Months Ended

Mar. 31, 2013

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, 2013			December 31, 2012
Land	$	295,513		$	296,314
Buildings and improvements		3,400,253			3,391,667
Leasehold improvements		61,183			60,186
Furniture and equipment		559,708			541,585
Resident and leasehold operating intangibles		441,547			441,603
Construction in progress		79,102			75,419
Assets under capital and financing leases		677,226			674,492
		5,514,532			5,481,266
Accumulated depreciation and amortization		(1,661,109	)		(1,601,289	)
Property, plant and equipment and leasehold intangibles, net	$	3,853,423		$	3,879,977