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

3 Months Ended

Mar. 31, 2019

Property, Plant and Equipment [Abstract]

Property, plant and equipment and leasehold intangibles, net

As of March 31, 2019 and December 31, 2018, net property, plant and equipment and leasehold intangibles, which include assets under financing leases, consisted of the following:

(in thousands)	March 31, 2019			December 31, 2018
Land	$	455,590		$	456,912
Buildings and improvements	4,773,632			4,919,789
Furniture and equipment	820,253			1,036,113
Resident and leasehold operating intangibles	320,812			477,827
Construction in progress	72,241			57,636
Assets under financing leases and leasehold improvements	1,792,967			1,374,525
Property, plant and equipment and leasehold intangibles	8,235,495			8,322,802
Accumulated depreciation and amortization	(2,999,301		)	(3,047,375		)
Property, plant and equipment and leasehold intangibles, net	$	5,236,194		$	5,275,427