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Leases - Lease Costs (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended | 12 Months Ended
--- | --- | --- | ---
Jun. 30, 2020 | Jun. 30, 2019 | Jun. 30, 2020 | Jun. 30, 2019 | Dec. 31, 2019 | Dec. 31, 2018
Leases [Abstract] |  |  |  |  |  |
Facility operating expense | $ 4,935 | $ 4,604 | $ 9,785 | $ 9,229 |  |
Facility lease expense | 62,379 | 67,689 | 126,860 | 136,357 | $ 126,860 | $ 136,357
Operating lease expense | 67,314 | 72,293 | 136,645 | 145,586 |  |
Operating lease expense adjustment | 8,221 | 4,429 | 14,954 | 8,812 |  |
Changes in operating lease assets and liabilities for lessor capital expenditure reimbursements | (6,421) | (1,000) | (10,509) | (1,000) |  |
Operating cash flows from operating leases | 69,114 | 75,722 | 141,090 | 153,398 |  |
Depreciation and amortization | 8,037 | 11,677 | 17,181 | 23,355 |  |
Interest expense: financing lease obligations | 11,892 | 16,649 | 25,174 | 33,392 |  |
Financing lease expense | 19,929 | 28,326 | 42,355 | 56,747 |  |
Operating cash flows from financing leases | 11,892 | 16,649 | 25,174 | 33,392 |  |
Financing cash flows from financing leases | 4,677 | 5,500 | 9,764 | 10,953 |  |
Changes in financing lease assets and liabilities for lessor capital expenditure reimbursement | (1,675) | 0 | (3,414) | 0 |  |
Total cash flows from financing leases | $ 14,894 | $ 22,149 | $ 31,524 | $ 44,345 |  |

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