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Supplemental Disclosure of Cash Flow Information (Tables) | 12 Months Ended
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Dec. 31, 2017
Supplemental Cash Flow Information [Abstract] |
Supplemental cash flow information |
(in thousands) | For the Years Ended December 31,
Supplemental Disclosure of Cash Flow Information: | 2017 |  | 2016 |  | 2015
Interest paid | $ | 294,758 |  |  | $ | 349,535 |  |  | $ | 360,960 |
Income taxes paid, net of refunds | $ | 1,038 |  |  | $ | 2,047 |  |  | $ | 2,952 |
Additions to property, plant and equipment and leasehold intangibles, net: |  |  |  |  |  |  |
Property, plant and equipment and leasehold intangibles, net | $ | 221,476 |  |  | $ | 300,113 |  |  | $ | 448,682 |
Accounts payable | (7,589 | ) |  | 33,534 |  |  | (37,631 | )
Net cash paid | $ | 213,887 |  |  | $ | 333,647 |  |  | $ | 411,051 |
Acquisition of assets, net of related payables: |  |  |  |  |  |  |
Prepaid expenses and other assets | $ | — |  |  | $ | — |  |  | $ | (53,405 | )
Property, plant and equipment and leasehold intangibles, net | — |  |  | 19,457 |  |  | 198,558 |
Other intangible assets, net | 5,196 |  |  | (7,300 | ) |  | (7,294 | )
Long-term debt | — |  |  | — |  |  | (101,558 | )
Capital and financing lease obligations | — |  |  | — |  |  | 155,230 |
Other liabilities | — |  |  | — |  |  | (315 | )
Net cash paid | $ | 5,196 |  |  | $ | 12,157 |  |  | $ | 191,216 |
Proceeds from sale of assets, net: |  |  |  |  |  |  |
Prepaid expenses and other assets | $ | (17,072 | ) |  | $ | (4,543 | ) |  | $ | 25,780 |
Assets held for sale | (20,952 | ) |  | (289,452 | ) |  | — |
Property, plant and equipment and leasehold intangibles, net | (155,723 | ) |  | — |  |  | (82,953 | )
Investments in unconsolidated ventures | (52,548 | ) |  | — |  |  | — |
Other liabilities | (1,058 | ) |  | 3,281 |  |  | (960 | )
Long-term debt | 8,547 |  |  | — |  |  | — |
Capital and financing lease obligations | 157,963 |  |  | — |  |  | 8,907 |
Refundable entrance fees and deferred revenue | 30,771 |  |  | — |  |  | — |
Gain on sale of assets, net | (19,273 | ) |  | (7,218 | ) |  | — |
(Gain) loss on lease termination | (1,162 | ) |  | — |  |  | — |
Net cash received | $ | (70,507 | ) |  | $ | (297,932 | ) |  | $ | (49,226 | )
Formation of the Blackstone Venture: |  |  |  |  |
Prepaid expenses and other assets | $ | (8,173 | ) |  | $ | — |  |  | $ | — |
Property, plant and equipment and leasehold intangibles, net | (768,897 | ) |  | — |  |  | — |
Investments in unconsolidated ventures | 66,816 |  |  | — |  |  | — |
Capital and financing lease obligations | 879,959 |  |  | — |  |  | — |
Deferred liabilities | 7,504 |  |  | — |  |  | — |
Other liabilities | 1,998 |  |  | — |  |  | — |
Net cash paid | $ | 179,207 |  |  | $ | — |  |  | $ | — |
Supplemental Schedule of Non-cash Operating, Investing and Financing Activities:
Assets designated as held for sale: |  |  |  |  |
Prepaid expenses and other assets | $ | 199 |  |  | $ | (3,195 | ) |  | $ | — |
Assets held for sale | (29,544 | ) |  | 278,675 |  |  | 110,620 |
Property, plant and equipment and leasehold intangibles, net | 29,345 |  |  | (262,711 | ) |  | (113,592 | )
Goodwill | — |  |  | (28,568 | ) |  | (12,200 | )
Asset impairment | — |  |  | 15,799 |  |  | 15,172 |
Net | $ | — |  |  | $ | — |  |  | $ | — |
Amendments to leases: |  |  |  |  |
Property, plant and equipment and leasehold intangibles, net | $ | (145,645 | ) |  | $ | — |  |  | $ | 26,644 |
Other intangible assets, net | — |  |  | — |  |  | (5,202 | )
Capital and financing lease obligations | 147,886 |  |  | — |  |  | (23,738 | )
Deferred liabilities | 7,447 |  |  | — |  |  | — |
Other liabilities | (9,688 | ) |  | — |  |  | 2,296 |
Net | $ | — |  |  | $ | — |  |  | $ | — |
Contribution to CCRC Venture: |  |  |  |  |
Property, plant and equipment and leasehold intangibles, net | $ | — |  |  | $ | — |  |  | $ | (25,717 | )
Investment in unconsolidated ventures | — |  |  | — |  |  | 7,422 |
Long-term debt | — |  |  | — |  |  | 18,295 |
Net | $ | — |  |  | $ | — |  |  | $ | — |

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