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Property and Equipment (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Property Plant And Equipment Net By Type [Abstract]      
Property and equipment, gross $ 2,910,771 $ 2,752,111  
Less accumulated depreciation and amortization (752,161) (673,988)  
Property and equipment, net 2,158,610 2,078,123 $ 1,897,241
Land      
Property Plant And Equipment Net By Type [Abstract]      
Property and equipment, gross 131,377 129,421  
Buildings and improvements      
Property Plant And Equipment Net By Type [Abstract]      
Property and equipment, gross $ 2,144,414 2,009,279  
Buildings and improvements | Minimum      
Property Plant And Equipment Net By Type [Abstract]      
Useful life 2 years    
Buildings and improvements | Maximum      
Property Plant And Equipment Net By Type [Abstract]      
Useful life 50 years    
Leasehold improvements      
Property Plant And Equipment Net By Type [Abstract]      
Property and equipment, gross $ 303,348 288,614  
Leasehold improvements | Minimum      
Property Plant And Equipment Net By Type [Abstract]      
Useful life 1 year    
Leasehold improvements | Maximum      
Property Plant And Equipment Net By Type [Abstract]      
Useful life 29 years    
Equipment      
Property Plant And Equipment Net By Type [Abstract]      
Property and equipment, gross $ 206,191 193,281  
Equipment | Minimum      
Property Plant And Equipment Net By Type [Abstract]      
Useful life 3 years    
Equipment | Maximum      
Property Plant And Equipment Net By Type [Abstract]      
Useful life 10 years    
Furniture, fixtures and computer software      
Property Plant And Equipment Net By Type [Abstract]      
Property and equipment, gross $ 60,159 57,204  
Furniture, fixtures and computer software | Minimum      
Property Plant And Equipment Net By Type [Abstract]      
Useful life 1 year    
Furniture, fixtures and computer software | Maximum      
Property Plant And Equipment Net By Type [Abstract]      
Useful life 7 years    
Facility construction in progress      
Property Plant And Equipment Net By Type [Abstract]      
Property and equipment, gross $ 65,282 $ 74,312