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

3 Months Ended

Mar. 31, 2017

Property, Plant and Equipment [Abstract]

Property, plant and equipment and leasehold intangibles, net

As of March 31, 2017 and December 31, 2016, net property, plant and equipment and leasehold intangibles, which include assets under capital and financing leases, consisted of the following (in thousands):

	March 31, 2017			December 31, 2016
Land	$	451,875		$	455,307
Buildings and improvements	5,031,711			5,053,204
Leasehold improvements	123,541			126,325
Furniture and equipment	978,654			974,516
Resident and leasehold operating intangibles	615,128			705,000
Construction in progress	69,215			69,803
Assets under capital and financing leases	2,039,736			2,879,996
	9,309,860			10,264,151
Accumulated depreciation and amortization	(2,797,681		)	(2,884,846		)
Property, plant and equipment and leasehold intangibles, net	$	6,512,179		$	7,379,305