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Supplemental Disclosure of Cash Flow Information (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2018 | Sep. 30, 2017 | Sep. 30, 2018 | Sep. 30, 2017
Supplemental Cash Flow Information [Abstract] |  |  |  |
Interest paid |  |  | $ 198,133 | $ 223,929
Income taxes paid, net of refunds |  |  | 1,542 | 1,595
Net cash paid |  |  | 169,349 | 140,044
Prepaid expenses and other assets, net |  |  | 21,874 | 23,323
(Gain) loss on sale of assets, net | $ (9,833) | $ 233 | (76,586) | 1,383
Loss on facility lease termination and modification, net | 2,337 | 4,938 | 148,804 | 11,306
Net cash paid |  |  | 12,548 | 552
Additions to property, plant and equipment and leasehold intangibles, net |  |  |  |
Supplemental Cash Flow Information [Abstract] |  |  |  |
Property, plant and equipment and leasehold intangibles, net |  |  | 154,249 | 139,734
Trade accounts payable |  |  | 15,100 | 310
Net cash paid |  |  | 169,349 | 140,044
Acquisition of assets, net of related payables and cash received |  |  |  |
Supplemental Cash Flow Information [Abstract] |  |  |  |
Property, plant and equipment and leasehold intangibles, net |  |  | 237,563 | 0
Other intangible assets, net |  |  | (4,345) | 400
Capital and financing lease obligations |  |  | 36,120 | 0
Other liabilities |  |  | 2,433 | 0
Net cash paid |  |  | 271,771 | 400
Proceeds from sale of assets, net |  |  |  |
Supplemental Cash Flow Information [Abstract] |  |  |  |
Prepaid expenses and other assets, net |  |  | (3,006) | (14,387)
Assets held for sale |  |  | (18,758) | (20,952)
Property, plant and equipment and leasehold intangibles, net |  |  | (91,778) | (19,184)
Investments in unconsolidated ventures |  |  | (58,179) | (26,301)
Long-term debt |  |  | 0 | 7,552
Capital and financing lease obligations |  |  | 93,514 | 7,646
Refundable entrance fees and deferred revenue |  |  | 8,345 | 30,771
Other liabilities |  |  | 2,690 | 39
(Gain) loss on sale of assets, net |  |  | (64,740) | 1,408
Loss on facility lease termination and modification, net |  |  | 0 | 1,162
Net cash received |  |  | (131,912) | (34,570)
Lease termination and modification, net |  |  |  |
Supplemental Cash Flow Information [Abstract] |  |  |  |
Prepaid expenses and other assets, net |  |  | (2,040) | 0
Property, plant and equipment and leasehold intangibles, net |  |  | (81,320) | 0
Capital and financing lease obligations |  |  | 58,099 | 0
(Gain) loss on sale of assets, net |  |  | (5,761) | 0
Loss on facility lease termination and modification, net |  |  | 22,260 | 0
Deferred liabilities |  |  | 67,950 | 0
Net cash paid |  |  | 59,188 | 0
Formation of the Blackstone Venture |  |  |  |
Supplemental Cash Flow Information [Abstract] |  |  |  |
Prepaid expenses and other assets, net |  |  | 0 | (8,173)
Investments in unconsolidated ventures | $ 0 | $ 66,816 | 0 | 66,816
Capital and financing lease obligations |  |  | 0 | 879,959
Deferred liabilities |  |  | 0 | 7,504
Other liabilities |  |  | 0 | 1,998
Property, plant and equipment and leasehold intangibles, net |  |  | 0 | (768,897)
Net cash paid |  |  | 0 | 179,207
Assets designated as held for sale |  |  |  |
Supplemental Cash Flow Information [Abstract] |  |  |  |
Prepaid expenses and other assets, net |  |  | 281 | (199)
Assets held for sale |  |  | (162,157) | 29,544
Property, plant and equipment and leasehold intangibles, net |  |  | (161,876) | 29,345
Net |  |  | 0 | 0
Lease termination and modification, net |  |  |  |
Supplemental Cash Flow Information [Abstract] |  |  |  |
Prepaid expenses and other assets, net |  |  | 4,783 | 0
Property, plant and equipment and leasehold intangibles, net |  |  | 106,264 | 0
Capital and financing lease obligations |  |  | 112,267 | 0
Other liabilities |  |  | 625 | 0
(Gain) loss on sale of assets, net |  |  | (6,085) | 0
Loss on facility lease termination and modification, net |  |  | 126,544 | 0
Deferred liabilities |  |  | (122,304) | 0
Net |  |  | $ 0 | $ 0

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