CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017
Cash Flows from Operating Activities:
Net income (loss)	$ 205,718	$ 163,953
Loss (Income) from discontinued operations	12,427	3,421
Adjustments to reconcile net income (loss) to cash flows from operating activities:
Depreciation	337,923	302,480
Amortization (includes amortization of deferred financing costs and discounts of $11,904 and $11,537 for the nine months ended September 30, 2017 and 2018, respectively)	148,209	90,743
Revenue reduction associated with amortization of permanent withdrawal fees and above- and below-market leases (see Note 2.b.)	12,430	8,627
Stock-based compensation expense	23,352	22,853
(Benefit) provision for deferred income taxes	(783)	(28,219)
Loss on early extinguishment of debt	0	48,298
(Gain) loss on disposal/write-down of property, plant and equipment, net (including real estate)	(2,064)	(2,532)
Gain on Russia and Ukraine Divestment (see Note 10)	0	(38,869)
Foreign currency transactions and other, net	(1,271)	35,621
(Increase) decrease in assets	(24,247)	(52,725)
(Decrease) increase in liabilities	(86,156)	(31,361)
Cash Flows from Operating Activities - Continuing Operations	625,538	522,290
Cash Flows from Operating Activities - Discontinued Operations	(995)	(3,421)
Cash Flows from Operating Activities	624,543	518,869
Cash Flows from Investing Activities:
Capital expenditures (see Liquidity and Capital Resources section of Management's Discussion & Analysis of Financial Condition and Results of Operations)	(329,953)	(243,746)
Cash paid for acquisitions, net of cash acquired	(1,711,011)	(194,128)
Acquisition of customer relationships	(38,829)	(43,556)
Customer inducements (see Note 2.b.)	(6,212)	(13,331)
Contract fulfillment costs (see Note 2.c.)	(18,520)	0
Net proceeds from Divestments (see Note 10)	1,019	2,423
Proceeds from sales of property and equipment and other, net (including real estate)	713	8,937
Cash Flows from Investing Activities—Continuing Operations	(2,102,793)	(483,401)
Cash Flows from Investing Activities—Discontinued Operations	0	0
Cash Flows from Investing Activities	(2,102,793)	(483,401)
Cash Flows from Financing Activities:
Repayment of revolving credit facilities, term loan facilities and other debt	(11,226,171)	(9,662,160)
Proceeds from revolving credit facilities, term loan facilities and other debt	12,437,017	9,866,760
Early retirement of senior notes	0	(1,193,882)
Net proceeds from sales of senior notes	0	1,320,183
Debt financing and equity contribution from noncontrolling interests	0	13,230
Debt repayment and equity distribution to noncontrolling interests	(2,035)	(3,601)
Parent cash dividends	(505,403)	(292,980)
Net proceeds associated with the Over-Allotment Option (see Note 9)	76,192	0
Net proceeds associated with the At the Market (ATM) Program	8,716	0
Net proceeds (payments) associated with employee stock-based awards	(2,800)	6,615
Payment of debt financing and stock issuance costs	(15,957)	(12,685)
Net Cash Provided by (Used in) Financing Activities, Continuing Operations	769,559	41,480
Cash Flows from Financing Activities—Discontinued Operations	0	0
Net Cash Provided by (Used in) Financing Activities	769,559	41,480
Effect of Exchange Rates on Cash and Cash Equivalents	(19,332)	24,454
(Decrease) Increase in cash and cash equivalents	(728,023)	101,402
Cash and cash equivalents, beginning of period	925,699	236,484
Cash and cash equivalents, end of period	197,676	337,886
Supplemental Information:
Cash Paid for Interest	322,986	309,357
Cash Paid for Income Taxes, Net	49,061	67,716
Non-Cash Investing and Financing Activities:
Capital Leases	56,493	123,116
Accrued Capital Expenditures	60,062	50,085
Accrued Purchase Price and Other Holdbacks	27,919	0
Fair Value of Initial OSG Investment (see Note 10)	0	18,000
(Decrease) increase in Fair Value of OSG Investment (see Note 10)	(25)	(27)
Dividends Payable	174,136	151,972
FORTRUST [Member]
Non-Cash Investing and Financing Activities:
Fair Value of Stock Issued for Fortrust Transaction (as defined in Note 6 to Notes to Consolidated Financial Statements included in our Annual Report)	$ 0	$ 83,014