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Property and Equipment (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Property Plant And Equipment [Line Items]      
Property and equipment, gross $ 3,011,716 $ 2,963,752  
Less accumulated depreciation and amortization (889,521) (819,030)  
Property and equipment, net 2,122,195 2,144,722 $ 2,158,610
Land      
Property Plant And Equipment [Line Items]      
Property and equipment, gross 128,498 128,874  
Buildings and improvements      
Property Plant And Equipment [Line Items]      
Property and equipment, gross $ 2,264,910 2,229,956  
Buildings and improvements | Minimum      
Property Plant And Equipment [Line Items]      
Useful life 2 years    
Buildings and improvements | Maximum      
Property Plant And Equipment [Line Items]      
Useful life 50 years    
Leasehold improvements      
Property Plant And Equipment [Line Items]      
Property and equipment, gross $ 283,561 291,511  
Leasehold improvements | Minimum      
Property Plant And Equipment [Line Items]      
Useful life 1 year    
Leasehold improvements | Maximum      
Property Plant And Equipment [Line Items]      
Useful life 29 years    
Equipment      
Property Plant And Equipment [Line Items]      
Property and equipment, gross $ 225,509 216,604  
Equipment | Minimum      
Property Plant And Equipment [Line Items]      
Useful life 3 years    
Equipment | Maximum      
Property Plant And Equipment [Line Items]      
Useful life 10 years    
Furniture, fixtures and computer software      
Property Plant And Equipment [Line Items]      
Property and equipment, gross $ 66,375 64,828  
Furniture, fixtures and computer software | Minimum      
Property Plant And Equipment [Line Items]      
Useful life 1 year    
Furniture, fixtures and computer software | Maximum      
Property Plant And Equipment [Line Items]      
Useful life 7 years    
Facility construction in progress      
Property Plant And Equipment [Line Items]      
Property and equipment, gross $ 42,863 $ 31,979