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Supplemental Disclosure of Cash Flow Information - Supplemental Disclosure of Cash Flow Information (Details) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2018 | Sep. 30, 2018 | Jun. 30, 2018 | Mar. 31, 2018 | Dec. 31, 2018 | Dec. 31, 2017 | Dec. 31, 2016
Supplemental Cash Flow Information [Abstract] |  |  |  |  |  |  |
Interest paid |  |  |  |  | $ 260,706 | $ 294,758 | $ 349,535
Income taxes paid, net of refunds |  |  |  |  | 2,058 | 1,038 | 2,047
Net cash paid |  |  |  |  | 225,473 | 213,887 | 333,647
Prepaid expenses and other assets, net |  |  |  |  | 26,762 | 21,970 | 2,954
(Gain) loss on sale of assets, net | $ (216,660) | $ (9,833) | $ (23,322) | $ (43,431) | (293,246) | (19,273) | (7,218)
Loss on facility lease termination and modification, net | (13,197) | $ (2,337) | $ (146,467) | $ 0 | (162,001) | (14,276) | (11,113)
Net cash paid |  |  |  |  | 12,548 | 552 | 9,250
Additions to property, plant and equipment and leasehold intangibles, net |  |  |  |  |  |  |
Supplemental Cash Flow Information [Abstract] |  |  |  |  |  |  |
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 |  |  |  |  |  |  |
Supplemental Cash Flow Information [Abstract] |  |  |  |  |  |  |
Property, plant and equipment and leasehold intangibles, net |  |  |  |  | 237,563 | 0 | 19,457
Other intangible assets, net |  |  |  |  | (4,345) | 5,196 | (7,300)
Capital and financing lease obligations |  |  |  |  | 36,120 | 0 | 0
Other liabilities |  |  |  |  | 2,433 | 0 | 0
Net cash paid |  |  |  |  | 271,771 | 5,196 | 12,157
Proceeds from sale of assets, net |  |  |  |  |  |  |
Supplemental Cash Flow Information [Abstract] |  |  |  |  |  |  |
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) | 0
Investments in unconsolidated ventures |  |  |  |  | (58,179) | (52,548) | 0
Long-term debt |  |  |  |  | 0 | 8,547 | 0
Capital and financing lease obligations |  |  |  |  | 93,514 | 157,963 | 0
Other liabilities |  |  |  |  | 1,139 | (1,058) | 3,281
Refundable entrance fees and deferred revenue |  |  |  |  | 8,632 | 30,771 | 0
(Gain) loss on sale of assets, net |  |  |  |  | (249,754) | (19,273) | (7,218)
Loss on facility lease termination and modification, net |  |  |  |  | 0 | (1,162) | 0
Net cash received |  |  |  |  | (499,807) | (70,507) | (297,932)
Lease termination and modification, net |  |  |  |  |  |  |
Supplemental Cash Flow Information [Abstract] |  |  |  |  |  |  |
Capital and financing lease obligations |  |  |  |  | 58,099 | 0 | 0
Prepaid expenses and other assets, net |  |  |  |  | (2,804) | 0 | 0
Property, plant and equipment and leasehold intangibles, net |  |  |  |  | (87,464) | 0 | 0
(Gain) loss on sale of assets, net |  |  |  |  | (5,761) | 0 | 0
Loss on facility lease termination and modification, net |  |  |  |  | (34,283) | 0 | 0
Deferred liabilities |  |  |  |  | 70,835 | 0 | 0
Net cash paid |  |  |  |  | 67,188 | 0 | 0
Formation of the Blackstone Venture |  |  |  |  |  |  |
Supplemental Cash Flow Information [Abstract] |  |  |  |  |  |  |
Prepaid expenses and other assets, net |  |  |  |  | 0 | (8,173) | 0
Deferred liabilities |  |  |  |  | 0 | 7,504 | 0
Investments in unconsolidated ventures | $ 0 |  |  |  | 0 | 66,816 | 0
Property, plant and equipment and leasehold intangibles, net |  |  |  |  | 0 | (768,897) | 0
Capital and financing lease obligations |  |  |  |  | 0 | 879,959 | 0
Other liabilities |  |  |  |  | 0 | 1,998 | 0
Net cash paid |  |  |  |  | $ 0 | $ 179,207 | $ 0

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