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

3 Months Ended

Mar. 31, 2018

Property, Plant and Equipment [Abstract]

Property, plant and equipment and leasehold intangibles, net

As of March 31, 2018 and December 31, 2017, net property, plant and equipment and leasehold intangibles, which include assets under capital and financing leases, consisted of the following:

(in thousands)	March 31, 2018			December 31, 2017
Land	$	452,677		$	449,295
Buildings and improvements	4,941,781			4,923,621
Leasehold improvements	130,337			124,850
Furniture and equipment	1,035,909			1,006,889
Resident and leasehold operating intangibles	597,828			594,748
Construction in progress	55,747			74,678
Assets under capital and financing leases	1,738,167			1,742,384
	8,952,446			8,916,465
Accumulated depreciation and amortization	(3,176,950		)	(3,064,320		)
Property, plant and equipment and leasehold intangibles, net	$	5,775,496		$	5,852,145