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Property, Plant and Equipment and Leasehold Intangibles, Net
9 Months Ended
Sep. 30, 2015
Property, Plant and Equipment and Leasehold Intangibles, Net [Abstract]  
Property, Plant and Equipment and Leasehold Intangibles, Net
7.  Property, Plant and Equipment and Leasehold Intangibles, Net

Property, plant and equipment and leasehold intangibles, net, which include assets under capital and financing leases, consisted of the following (dollars in thousands):

 
 
September 30,
2015
  
December 31,
2014
 
Land
 
$
513,347
  
$
475,485
 
Buildings and improvements
  
5,293,822
   
5,017,991
 
Leasehold improvements
  
87,744
   
56,515
 
Furniture and equipment
  
858,435
   
735,837
 
Resident and leasehold operating intangibles
  
851,086
   
852,746
 
Construction in progress
  
123,568
   
99,408
 
Assets under capital and financing leases
  
3,049,374
   
3,057,516
 
 
  
10,777,376
   
10,295,498
 
Accumulated depreciation and amortization
  
(2,499,701
)
  
(1,905,993
)
Property, plant and equipment and leasehold intangibles, net
 
$
8,277,675
  
$
8,389,505
 

Long-lived assets with definite useful lives are depreciated or amortized on a straight-line basis over their estimated useful lives (or, in certain cases, the shorter of their estimated useful lives or the lease term) and are tested for impairment whenever indicators of impairment arise. The Company determined no impairment was necessary during the nine months ended September 30, 2015.