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

3 Months Ended

Mar. 31, 2020

Property, Plant and Equipment [Abstract]

Property, plant and equipment and leasehold intangibles, net

As of March 31, 2020 and December 31, 2019, net property, plant and equipment and leasehold intangibles, which include assets under financing leases, consisted of the following:

(in thousands)	March 31, 2020			December 31, 2019
Land	$	508,274		$	450,894
Buildings and improvements	5,236,408			4,790,769
Furniture and equipment	926,094			859,849
Resident and leasehold operating intangibles	317,048			317,111
Construction in progress	71,923			80,729
Assets under financing leases and leasehold improvements	1,523,689			1,847,493
Property, plant and equipment and leasehold intangibles	8,583,436			8,346,845
Accumulated depreciation and amortization	(3,284,526		)	(3,237,011		)
Property, plant and equipment and leasehold intangibles, net	$	5,298,910		$	5,109,834