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Leases - Lease Costs (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2019 | Sep. 30, 2018 | Sep. 30, 2019 | Sep. 30, 2018
Leases [Abstract] |  |  |  |
Facility operating expense | $ 4,532 |  | $ 13,761 |
Facility lease expense | 67,253 | $ 70,392 | 203,610 | $ 232,752
Operating lease expense | 71,785 |  | 217,371 |
Operating lease expense adjustment | 4,814 |  | 13,626 |
Changes in operating lease assets and liabilities for lessor capital expenditure reimbursements | (11,043) |  | (12,043) |
Operating cash flows from operating leases | 65,556 |  | 218,954 |
Non-cash recognition of right-of-use assets obtained in exchange for new operating lease obligations | 22,375 |  | 26,356 |
Depreciation and amortization | 11,675 |  | 35,030 |
Interest expense: financing lease obligations | 16,567 | $ 20,896 | 49,959 | $ 66,216
Financing lease expense | 28,242 |  | 84,989 |
Operating cash flows from financing leases | 16,567 |  | 49,959 |
Financing cash flows from financing leases | 5,549 |  | 16,502 |
Total cash flows from financing leases | $ 22,116 |  | $ 66,461 |

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- Definition Increase (Decrease) In Operating Lease Assets And Liabilities For Lessor Capital Expenditure Reimbursements + References No definition available. + Details
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- Definition Amount of interest expense on finance lease liability. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 50 -Paragraph 4 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=77888426&loc=SL77918686-209980 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 45 -Paragraph 4 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=77888419&loc=SL77918638-209977 Reference 3: http://www.xbrl.org/2003/role/exampleRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 55 -Paragraph 53 -URI http://asc.fasb.org/extlink&oid=77888399&loc=SL77918982-209971 + Details
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- Definition Amount of operating lease expense. Excludes sublease income. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 45 -Paragraph 4 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=77888419&loc=SL77918638-209977 + Details
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