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

9 Months Ended

Sep. 30, 2020

Property, Plant and Equipment [Abstract]

Property, plant and equipment and leasehold intangibles, net

As of September 30, 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)	September 30, 2020		December 31, 2019
Land	$	503,686	$	450,894
Buildings and improvements	5,193,677		4,790,769
Furniture and equipment	933,474		859,849
Resident and leasehold operating intangibles	310,230		317,111
Construction in progress	62,319		80,729
Assets under financing leases and leasehold improvements	1,539,276		1,847,493
Property, plant and equipment and leasehold intangibles	8,542,662		8,346,845
Accumulated depreciation and amortization	(3,415,495)		(3,237,011)
Property, plant and equipment and leasehold intangibles, net	$	5,127,167	$	5,109,834