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Property and Equipment (Details) - USD ($)
$ in Thousands
Mar. 31, 2019
Dec. 31, 2018
Property, Plant and Equipment [Line Items]    
Finance Lease, Right-of-Use Asset $ 1,534  
Property and Equipment, gross 4,729,685 $ 4,688,518
Accumulated depreciation and amortization (1,581,936) (1,539,423)
Property and equipment, net 3,147,749 3,149,095
Land and land improvements [Member]    
Property, Plant and Equipment [Line Items]    
Property and Equipment, gross 352,143 347,654
Buildings [Member]    
Property, Plant and Equipment [Line Items]    
Property and Equipment, gross 3,393,725 3,379,041
Furniture and Fixtures and Equipment [Member]    
Property, Plant and Equipment [Line Items]    
Property and Equipment, gross 929,330 913,528
Construction in progress [Member]    
Property, Plant and Equipment [Line Items]    
Property and Equipment, gross $ 52,953 $ 48,295