Property, Plant and Equipment and Leasehold Intangibles, Net

9 Months Ended

Sep. 30, 2014

Property, Plant and Equipment and Leasehold Intangibles, Net [Abstract]

Property, Plant and Equipment and Leasehold Intangibles, Net

7.  Property, Plant and Equipment and Leasehold Intangibles, Net

Property, plant and equipment and leasehold intangibles, net, which include assets under capital and financing leases, consist of the following (dollars in thousands):

	September 30, 2014			December 31, 2013
Land	$	474,425		$	302,444
Buildings and improvements		5,021,617			3,508,693
Leasehold improvements		65,750			59,948
Furniture and equipment		698,205			623,352
Resident and leasehold operating intangibles		840,891			435,012
Construction in progress		107,810			88,309
Assets under capital and financing leases		3,056,244			699,973
		10,264,942			5,717,731
Accumulated depreciation and amortization		(1,691,384	)		(1,822,256	)
Property, plant and equipment and leasehold intangibles, net	$	8,573,558		$	3,895,475

Long-lived assets with definite useful lives are depreciated or amortized on a straight-line basis over their estimated useful lives (or, in certain cases, the shorter of their estimated useful lives or the lease term) and are tested for impairment whenever indicators of impairment arise. No indicators of impairment were present during the nine months ended September 30, 2014.