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Leases - Lease Costs (Details) - USD ($) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Mar. 31, 2020 | Mar. 31, 2019 | Dec. 31, 2019
Leases [Abstract] |  |  |
Facility operating expense | $ 4,850 | $ 4,625 |
Facility lease expense | 64,481 | 68,668 |
Operating lease expense | 69,331 | 73,293 |
Operating lease expense adjustment | 6,733 | 4,383 |
Changes in operating lease assets and liabilities for lessor capital expenditure reimbursements | (4,088) | 0 |
Operating cash flows from operating leases | 71,976 | 77,676 |
Depreciation and amortization | 9,144 | 11,678 |
Interest expense: financing lease obligations | 13,282 | 16,743 |
Financing lease expense | 22,426 | 28,421 |
Operating cash flows from financing leases | 13,282 | 16,743 |
Financing cash flows from financing leases | 5,087 | 5,453 |
Changes in financing lease assets and liabilities for lessor capital expenditure reimbursement | 1,739 |  | $ 0
Total cash flows from financing leases | $ 20,108 | $ 22,196 |

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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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