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Property, Plant and Equipment and Leasehold Intangibles, Net (Tables)
3 Months Ended
Mar. 31, 2023
Property, Plant and Equipment [Abstract]  
Schedule of Property, Plant and Equipment and Leasehold Intangibles, Net
As of March 31, 2023 and December 31, 2022, net property, plant and equipment and leasehold intangibles, which include assets under financing leases, consisted of the following.

(in thousands)March 31, 2023December 31, 2022
Land$503,488 $506,968 
Buildings and improvements5,309,368 5,323,736 
Furniture and equipment1,061,777 1,055,304 
Resident and leasehold operating intangibles283,232 286,122 
Construction in progress54,315 41,778 
Assets under financing leases and leasehold improvements1,395,000 1,375,521 
Property, plant and equipment and leasehold intangibles8,607,180 8,589,429 
Accumulated depreciation and amortization(4,114,178)(4,053,727)
Property, plant and equipment and leasehold intangibles, net$4,493,002 $4,535,702