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Property and Equipment (Details) - USD ($)
$ in Thousands
Sep. 30, 2019
Dec. 31, 2018
Property, Plant and Equipment [Line Items]    
Right-of-use finance lease assets $ 1,613  
Property and equipment, gross 4,797,870 $ 4,688,518
Accumulated depreciation (1,666,505) (1,539,423)
Property and equipment, net 3,131,365 3,149,095
Land and land improvements [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 348,867 347,654
Buildings [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 3,427,468 3,379,041
Furniture, fixtures and equipment [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 963,901 913,528
Construction-in-progress [Member]    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 56,021 $ 48,295