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v3.19.1

Financial Information for the Company and Its Subsidiaries - Summary of Condensed Consolidating Balance Sheets (Detail) - USD ($) $ in Thousands | Mar. 31, 2019 | Dec. 31, 2018 | Sep. 30, 2018 | Jun. 30, 2018 | Mar. 31, 2018 | Dec. 31, 2017
--- | --- | --- | --- | --- | --- | ---
Current assets: |  |  |  |  |  |
Cash and cash equivalents | $ 43,684 | $ 50,510 |  |  | $ 57,808 | $ 67,290
Accounts receivable, net | 331,851 | 318,087 |  |  |  |
Other current assets | 76,979 | 81,820 |  |  |  |
Total current assets | 452,514 | 450,417 |  |  |  |
Property and equipment, net | 3,173,052 | 3,107,766 |  |  |  |
Goodwill | 2,441,999 | 2,396,412 |  |  |  |
Intangible assets, net | 89,796 | 88,990 |  |  |  |
Deferred tax assets | 3,436 | 3,468 |  |  |  |
Derivative instrument assets | 46,304 | 60,524 |  |  |  |
Operating lease right-of-use assets | 506,787 |  |  |  |  |
Other assets | 71,629 | 64,927 |  |  |  |
Total assets | 6,785,517 | 6,172,504 |  |  |  |
Current liabilities: |  |  |  |  |  |
Current portion of long-term debt | 36,503 | 34,112 |  |  |  |
Accounts payable | 116,666 | 117,740 |  |  |  |
Accrued salaries and benefits | 108,546 | 113,299 |  |  |  |
Current portion of operating lease liabilities | 27,984 |  |  |  |  |
Other accrued liabilities | 134,972 | 151,226 |  |  |  |
Total current liabilities | 424,671 | 416,377 |  |  |  |
Long-term debt | 3,221,709 | 3,159,375 |  |  |  |
Deferred tax liabilities | 76,922 | 80,372 |  |  |  |
Operating lease liabilities | 504,753 |  |  |  |  |
Other liabilities | 122,188 | 154,267 |  |  |  |
Total liabilities | 4,350,243 | 3,810,391 |  |  |  |
Redeemable noncontrolling interests | 31,931 | 28,806 |  |  |  |
Total equity | 2,403,343 | 2,333,307 | $ 2,680,249 | $ 2,653,301 | 2,701,619 | 2,572,871
Total liabilities and equity | 6,785,517 | 6,172,504 |  |  |  |
Consolidating Adjustments [Member] |  |  |  |  |  |
Current assets: |  |  |  |  |  |
Deferred tax assets | (2,094) | (1,841) |  |  |  |
Investment in subsidiaries | (5,340,603) | (5,190,771) |  |  |  |
Other assets | (280,753) | (303,940) |  |  |  |
Total assets | (5,623,450) | (5,496,552) |  |  |  |
Current liabilities: |  |  |  |  |  |
Long-term debt | (280,753) | (303,940) |  |  |  |
Deferred tax liabilities | (2,094) | (1,841) |  |  |  |
Total liabilities | (282,847) | (305,781) |  |  |  |
Total equity | (5,340,603) | (5,190,771) |  |  |  |
Total liabilities and equity | (5,623,450) | (5,496,552) |  |  |  |
Parent [Member] |  |  |  |  |  |
Current assets: |  |  |  |  |  |
Deferred tax assets | 2,094 | 1,841 |  |  |  |
Derivative instrument assets | 46,304 | 60,524 |  |  |  |
Investment in subsidiaries | 5,340,603 | 5,190,771 |  |  |  |
Other assets | 284,470 | 306,495 |  |  |  |
Total assets | 5,673,471 | 5,559,631 |  |  |  |
Current liabilities: |  |  |  |  |  |
Current portion of long-term debt | 36,503 | 34,112 |  |  |  |
Other accrued liabilities | 11,916 | 32,837 |  |  |  |
Total current liabilities | 48,419 | 66,949 |  |  |  |
Long-term debt | 3,221,709 | 3,159,375 |  |  |  |
Total liabilities | 3,270,128 | 3,226,324 |  |  |  |
Total equity | 2,403,343 | 2,333,307 |  |  |  |
Total liabilities and equity | 5,673,471 | 5,559,631 |  |  |  |
Combined Subsidiary Guarantors [Member] |  |  |  |  |  |
Current assets: |  |  |  |  |  |
Cash and cash equivalents | 17,843 | 32,471 |  |  | 25,212 | 46,860
Accounts receivable, net | 268,956 | 248,218 |  |  |  |
Other current assets | 55,472 | 60,160 |  |  |  |
Total current assets | 342,271 | 340,849 |  |  |  |
Property and equipment, net | 1,263,982 | 1,219,803 |  |  |  |
Goodwill | 1,989,900 | 1,936,057 |  |  |  |
Intangible assets, net | 57,994 | 56,611 |  |  |  |
Operating lease right-of-use assets | 98,419 |  |  |  |  |
Other assets | 58,157 | 52,824 |  |  |  |
Total assets | 3,810,723 | 3,606,144 |  |  |  |
Current liabilities: |  |  |  |  |  |
Accounts payable | 80,486 | 79,463 |  |  |  |
Accrued salaries and benefits | 77,320 | 84,150 |  |  |  |
Current portion of operating lease liabilities | 17,040 |  |  |  |  |
Other accrued liabilities | 35,492 | 42,062 |  |  |  |
Total current liabilities | 210,338 | 205,675 |  |  |  |
Deferred tax liabilities | 28,636 | 31,874 |  |  |  |
Operating lease liabilities | 78,042 |  |  |  |  |
Other liabilities | 102,787 | 107,866 |  |  |  |
Total liabilities | 419,803 | 345,415 |  |  |  |
Total equity | 3,390,920 | 3,260,729 |  |  |  |
Total liabilities and equity | 3,810,723 | 3,606,144 |  |  |  |
Combined Non-Guarantors [Member] |  |  |  |  |  |
Current assets: |  |  |  |  |  |
Cash and cash equivalents | 25,841 | 18,039 |  |  | $ 32,596 | $ 20,430
Accounts receivable, net | 62,895 | 69,869 |  |  |  |
Other current assets | 21,507 | 21,660 |  |  |  |
Total current assets | 110,243 | 109,568 |  |  |  |
Property and equipment, net | 1,909,070 | 1,887,963 |  |  |  |
Goodwill | 452,099 | 460,355 |  |  |  |
Intangible assets, net | 31,802 | 32,379 |  |  |  |
Deferred tax assets | 3,436 | 3,468 |  |  |  |
Operating lease right-of-use assets | 408,368 |  |  |  |  |
Other assets | 9,755 | 9,548 |  |  |  |
Total assets | 2,924,773 | 2,503,281 |  |  |  |
Current liabilities: |  |  |  |  |  |
Accounts payable | 36,180 | 38,277 |  |  |  |
Accrued salaries and benefits | 31,226 | 29,149 |  |  |  |
Current portion of operating lease liabilities | 10,944 |  |  |  |  |
Other accrued liabilities | 87,564 | 76,327 |  |  |  |
Total current liabilities | 165,914 | 143,753 |  |  |  |
Long-term debt | 280,753 | 303,940 |  |  |  |
Deferred tax liabilities | 50,380 | 50,339 |  |  |  |
Operating lease liabilities | 426,711 |  |  |  |  |
Other liabilities | 19,401 | 46,401 |  |  |  |
Total liabilities | 943,159 | 544,433 |  |  |  |
Redeemable noncontrolling interests | 31,931 | 28,806 |  |  |  |
Total equity | 1,949,683 | 1,930,042 |  |  |  |
Total liabilities and equity | $ 2,924,773 | $ 2,503,281 |  |  |  |

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