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

9 Months Ended

Sep. 30, 2018

Property, Plant and Equipment [Abstract]

Property, plant and equipment and leasehold intangibles, net

As of September 30, 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)	September 30, 2018			December 31, 2017
Land	$	461,734		$	449,295
Buildings and improvements	4,952,807			4,923,621
Leasehold improvements	123,765			124,850
Furniture and equipment	1,037,947			1,006,889
Resident and leasehold operating intangibles	522,851			594,748
Construction in progress	47,325			74,678
Assets under capital and financing leases	1,312,908			1,742,384
Property, plant and equipment and leasehold intangibles	8,459,337			8,916,465
Accumulated depreciation and amortization	(3,052,207		)	(3,064,320		)
Property, plant and equipment and leasehold intangibles, net	$	5,407,130		$	5,852,145