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Property, Plant and Equipment and Leasehold Intangibles, Net (Tables)
9 Months Ended
Sep. 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):

 
September 30,
2013
  
December 31,
2012
 
Land
 
$
297,992
  
$
296,314
 
Buildings and improvements
  
3,454,304
   
3,391,667
 
Leasehold improvements
  
73,832
   
60,186
 
Furniture and equipment
  
608,728
   
541,585
 
Resident and leasehold operating intangibles
  
441,657
   
441,603
 
Construction in progress
  
75,678
   
75,419
 
Assets under capital and financing leases
  
687,698
   
674,492
 
  
5,639,889
   
5,481,266
 
Accumulated depreciation and amortization
  
(1,794,148
)
  
(1,601,289
)
Property, plant and equipment and leasehold intangibles, net
 
$
3,845,741
  
$
3,879,977