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Supplemental Disclosure of Cash Flow Information - Non-cash, Investing and Financing Activities (Details) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2017 | Sep. 30, 2017 | Jun. 30, 2017 | Mar. 31, 2017 | Dec. 31, 2016 | Sep. 30, 2016 | Jun. 30, 2016 | Mar. 31, 2016 | Dec. 31, 2017 | Dec. 31, 2016 | Dec. 31, 2015
Cash Flow, Noncash Investing and Financing Activities Disclosure [Abstract] |  |  |  |  |  |  |  |  |  |  |
Prepaid expenses and other assets |  |  |  |  |  |  |  |  | $ (21,970) | $ (2,954) | $ (51,079)
Goodwill | $ 505,783 |  |  |  | $ 705,476 |  |  |  | 505,783 | 705,476 |
Asset impairment | 18,966 | $ 368,551 | $ 1,559 | $ 20,706 | 221,877 | $ 19,111 | $ 4,152 | $ 3,375 | 409,782 | 248,515 | 57,941
Assets held for sale |  |  |  |  |  |  |  |  |  |  |
Cash Flow, Noncash Investing and Financing Activities Disclosure [Abstract] |  |  |  |  |  |  |  |  |  |  |
Prepaid expenses and other assets |  |  |  |  |  |  |  |  | 199 | (3,195) | 0
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 | 0 |  |  |  | (28,568) |  |  |  | 0 | (28,568) | (12,200)
Asset impairment |  |  |  |  |  |  |  |  | 0 | 15,799 | 15,172
Net |  |  |  |  |  |  |  |  | 0 | 0 | 0
Amendments to leases |  |  |  |  |  |  |  |  |  |  |
Cash Flow, Noncash Investing and Financing Activities Disclosure [Abstract] |  |  |  |  |  |  |  |  |  |  |
Property, plant and equipment and leasehold intangibles, net |  |  |  |  |  |  |  |  | (145,645) | 0 | 26,644
Other intangible assets, net |  |  |  |  |  |  |  |  | 0 | 0 | (5,202)
Capital and financing lease obligations |  |  |  |  |  |  |  |  | 147,886 | 0 | (23,738)
Deferred liabilities |  |  |  |  |  |  |  |  | 7,447 | 0 | 0
Other liabilities |  |  |  |  |  |  |  |  | (9,688) | 0 | 2,296
Net |  |  |  |  |  |  |  |  | 0 | 0 | 0
Contribution to CCRC Venture |  |  |  |  |  |  |  |  |  |  |
Cash Flow, Noncash Investing and Financing Activities Disclosure [Abstract] |  |  |  |  |  |  |  |  |  |  |
Property, plant and equipment and leasehold intangibles, net |  |  |  |  |  |  |  |  | 0 | 0 | (25,717)
Investment in unconsolidated ventures | $ 0 |  |  |  | $ 0 |  |  |  | 0 | 0 | 7,422
Long-term debt |  |  |  |  |  |  |  |  | 0 | 0 | 18,295
Net |  |  |  |  |  |  |  |  | $ 0 | $ 0 | $ 0

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- Definition This item represents the carrying amount on the entity's balance sheet of its investment in common stock of an equity method investee. This is not an indicator of the fair value of the investment, rather it is the initial cost adjusted for the entity's share of earnings and losses of the investee, adjusted for any distributions (dividends) and other than temporary impairment (OTTI) losses recognized. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 323 -SubTopic 10 -Section 45 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=66022249&loc=d3e33749-111570 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02.12) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 + Details
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