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

9 Months Ended

Sep. 30, 2017

Property, Plant and Equipment [Abstract]

Property, plant and equipment and leasehold intangibles, net

As of September 30, 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):

	September 30, 2017			December 31, 2016
Land	$	449,295		$	455,307
Buildings and improvements	4,911,597			5,053,204
Leasehold improvements	126,185			126,325
Furniture and equipment	995,975			974,516
Resident and leasehold operating intangibles	609,518			705,000
Construction in progress	52,003			69,803
Assets under capital and financing leases	2,038,476			2,879,996
	9,183,049			10,264,151
Accumulated depreciation and amortization	(3,002,673		)	(2,884,846		)
Property, plant and equipment and leasehold intangibles, net	$	6,180,376		$	7,379,305