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

9 Months Ended

Sep. 30, 2019

Property, Plant and Equipment [Abstract]

Property, plant and equipment and leasehold intangibles, net

As of September 30, 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)	September 30, 2019			December 31, 2018
Land	$	454,790		$	455,623
Buildings and improvements	4,812,422			4,749,877
Furniture and equipment	849,573			805,190
Resident and leasehold operating intangibles	319,049			477,827
Construction in progress	80,788			57,636
Assets under financing leases and leasehold improvements	1,832,524			1,776,649
Property, plant and equipment and leasehold intangibles	8,349,146			8,322,802
Accumulated depreciation and amortization	(3,163,465		)	(3,047,375		)
Property, plant and equipment and leasehold intangibles, net	$	5,185,681		$	5,275,427