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

12 Months Ended

Dec. 31, 2016

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

Property, plant and equipment and leasehold intangibles, net

As of December 31, 2016 and 2015, net property, plant and equipment and leasehold intangibles, which include assets under capital and financing leases, consisted of the following (in thousands):

	2016			2015
Land	$	455,307		$	486,567
Buildings and improvements		5,053,204			5,260,826
Leasehold improvements		126,325			100,430
Furniture and equipment		974,516			895,447
Resident and leasehold operating intangibles		705,000			783,434
Construction in progress		69,803			138,054
Assets under capital and financing leases		2,879,996			2,909,653
		10,264,151			10,574,411
Accumulated depreciation and amortization		(2,884,846	)		(2,543,035	)
Property, plant and equipment and leasehold intangibles, net	$	7,379,305		$	8,031,376

Resident and Leasehold Operating Intangibles, Future Amortization Expense

Future amortization expense for resident and leasehold operating intangibles is estimated to be as follows (dollars in thousands):

Year Ending December 31,	Future Amortization
2017	$	9,664
2018		7,601
2019		6,209
2020		4,353
2021		2,731
Thereafter		9,958
Total	$	40,516