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Property and Equipment - Tabular Disclosure (Details) - USD ($)
$ in Thousands
Dec. 31, 2018
Dec. 31, 2017
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 4,688,518 $ 3,494,212
Accumulated depreciation (1,539,423) (1,428,555)
Property and equipment, net 3,149,095 2,065,657
Land and land improvements [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 347,654 267,051
Buildings [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 3,379,041 2,440,471
Furniture, fixtures and equipment [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 913,528 647,988
Construction-in-progress [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 48,295 $ 138,702