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Supplemental Disclosure of Cash Flow Information (Tables) | 12 Months Ended
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Dec. 31, 2018
Supplemental Cash Flow Elements [Abstract] |
Supplemental cash flow information |
(in thousands) | For the Years Ended December 31,
Supplemental Disclosure of Cash Flow Information: | 2018 |  | 2017 |  | 2016
Interest paid | $ | 260,706 |  |  | $ | 294,758 |  |  | $ | 349,535 |
Income taxes paid, net of refunds | $ | 2,058 |  |  | $ | 1,038 |  |  | $ | 2,047 |
Additions to property, plant and equipment and leasehold intangibles, net: |  |  |  |  |  |  |
Property, plant and equipment and leasehold intangibles, net | $ | 220,810 |  |  | $ | 221,476 |  |  | $ | 300,113 |
Trade accounts payable | 4,663 |  |  | (7,589 | ) |  | 33,534 |
Net cash paid | $ | 225,473 |  |  | $ | 213,887 |  |  | $ | 333,647 |
Acquisition of assets, net of related payables and cash received: |  |  |  |  |  |  |
Property, plant and equipment and leasehold intangibles, net | $ | 237,563 |  |  | $ | — |  |  | $ | 19,457 |
Other intangible assets, net | (4,345 | ) |  | 5,196 |  |  | (7,300 | )
Capital and financing lease obligations | 36,120 |  |  | — |  |  | — |
Other liabilities | 2,433 |  |  | — |  |  | — |
Net cash paid | $ | 271,771 |  |  | $ | 5,196 |  |  | $ | 12,157 |
Proceeds from sale of assets, net: |  |  |  |  |  |  |
Prepaid expenses and other assets, net | $ | (4,950 | ) |  | $ | (17,072 | ) |  | $ | (4,543 | )
Assets held for sale | (197,111 | ) |  | (20,952 | ) |  | (289,452 | )
Property, plant and equipment and leasehold intangibles, net | (93,098 | ) |  | (155,723 | ) |  | — |
Investments in unconsolidated ventures | (58,179 | ) |  | (52,548 | ) |  | — |
Other liabilities | 1,139 |  |  | (1,058 | ) |  | 3,281 |
Long-term debt | — |  |  | 8,547 |  |  | — |
Capital and financing lease obligations | 93,514 |  |  | 157,963 |  |  | — |
Refundable entrance fees and deferred revenue | 8,632 |  |  | 30,771 |  |  | — |
(Gain) loss on sale of assets, net | (249,754 | ) |  | (19,273 | ) |  | (7,218 | )
Loss on facility lease termination and modification, net | — |  |  | (1,162 | ) |  | — |
Net cash received | $ | (499,807 | ) |  | $ | (70,507 | ) |  | $ | (297,932 | )
Lease termination and modification, net: |  |  |  |  |
Prepaid expenses and other assets, net | $ | (2,804 | ) |  | $ | — |  |  | $ | — |
Property, plant and equipment and leasehold intangibles, net | (87,464 | ) |  | — |  |  | — |
Capital and financing lease obligations | 58,099 |  |  | — |  |  | — |
Deferred liabilities | 70,835 |  |  | — |  |  | — |
Gain on sale of assets, net | (5,761 | ) |  | — |  |  | — |
Loss on facility lease termination and modification, net | 34,283 |  |  | — |  |  | — |
Net cash paid (1) | $ | 67,188 |  |  | $ | — |  |  | $ | — |
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:
Purchase of treasury stock: |  |  |  |  |
Treasury stock | $ | 4,244 |  |  | $ | — |  |  | $ | — |
Accounts payable | (4,244 | ) |  | — |  |  | — |
Net | $ | — |  |  | $ | — |  |  | $ | — |
Assets designated as held for sale: |  |  |  |  |
Prepaid expenses and other assets, net | $ | (517 | ) |  | $ | 199 |  |  | $ | (3,195 | )
Assets held for sale | 198,445 |  |  | (29,544 | ) |  | 278,675 |
Property, plant and equipment and leasehold intangibles, net | (197,928 | ) |  | 29,345 |  |  | (262,711 | )
Goodwill | — |  |  | — |  |  | (28,568 | )
Asset impairment | — |  |  | — |  |  | 15,799 |
Net | $ | — |  |  | $ | — |  |  | $ | — |
Lease termination and modification, net: |  |  |  |  |
Prepaid expenses and other assets, net | $ | (248 | ) |  | $ | — |  |  | $ | — |
Property, plant and equipment and leasehold intangibles, net | (132,733 | ) |  | (145,645 | ) |  | — |
Capital and financing lease obligations | 165,918 |  |  | 147,886 |  |  | — |
Deferred liabilities | (122,304 | ) |  | 7,447 |  |  | — |
Other liabilities | (620 | ) |  | (9,688 | ) |  | — |
Gain on sale of assets, net | (37,731 | ) |  | — |  |  | — |
Loss on facility lease termination and modification, net | 127,718 |  |  | — |  |  | — |
Net | $ | — |  |  | $ | — |  |  | $ | — |
(1) | The net cash paid to terminate community leases is presented within the consolidated statement of cash flows based upon the lease classification of the terminated leases. Net cash paid of $54.6 million for the termination of operating leases is presented within net cash provided by operating activities and net cash paid of $12.5 million for the termination of capital and financing leases is presented within net cash used in financing activities for the year ended December 31, 2018
Schedule of cash and cash equivalents | The following table provides a reconciliation of cash, cash equivalents and restricted cash reported within the consolidated statement of cash flows that sums to the total of the same such amounts shown in the consolidated statement of cash flows.
(in millions) | December 31, 2018 |  | December 31, 2017
Reconciliation of cash, cash equivalents and restricted cash: |  |  |
Cash and cash equivalents | $ | 398,267 |  |  | $ | 222,647 |
Restricted cash | 27,683 |  |  | 37,189 |
Long-term restricted cash | 24,268 |  |  | 22,710 |
Total cash, cash equivalents and restricted cash shown in the consolidated statement of cash flows | $ | 450,218 |  |  | $ | 282,546 |

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