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Property, Plant and Equipment and Leasehold Intangibles, Net (Tables)
6 Months Ended
Jun. 30, 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):

 
June 30,
2013
  
December 31,
2012
 
Land
 
$
298,260
  
$
296,314
 
Buildings and improvements
  
3,434,525
   
3,391,667
 
Leasehold improvements
  
69,434
   
60,186
 
Furniture and equipment
  
584,640
   
541,585
 
Resident and leasehold operating intangibles
  
441,657
   
441,603
 
Construction in progress
  
71,892
   
75,419
 
Assets under capital and financing leases
  
682,015
   
674,492
 
  
5,582,423
   
5,481,266
 
Accumulated depreciation and amortization
  
(1,726,770
)
  
(1,601,289
)
Property, plant and equipment and leasehold intangibles, net
 
$
3,855,653
  
$
3,879,977