Supplemental Disclosure of Cash Flow Information (Tables)

12 Months Ended

Dec. 31, 2017

Supplemental Cash Flow Information [Abstract]

Supplemental cash flow information

(in thousands)	For the Years Ended December 31,
Supplemental Disclosure of Cash Flow Information:	2017			2016			2015
Interest paid	$	294,758		$	349,535		$	360,960
Income taxes paid, net of refunds	$	1,038		$	2,047		$	2,952
Additions to property, plant and equipment and leasehold intangibles, net:
Property, plant and equipment and leasehold intangibles, net	$	221,476		$	300,113		$	448,682
Accounts payable	(7,589		)	33,534			(37,631		)
Net cash paid	$	213,887		$	333,647		$	411,051
Acquisition of assets, net of related payables:
Prepaid expenses and other assets	$	—		$	—		$	(53,405	)
Property, plant and equipment and leasehold intangibles, net	—			19,457			198,558
Other intangible assets, net	5,196			(7,300		)	(7,294		)
Long-term debt	—			—			(101,558		)
Capital and financing lease obligations	—			—			155,230
Other liabilities	—			—			(315		)
Net cash paid	$	5,196		$	12,157		$	191,216
Proceeds from sale of assets, net:
Prepaid expenses and other assets	$	(17,072	)	$	(4,543	)	$	25,780
Assets held for sale	(20,952		)	(289,452		)	—
Property, plant and equipment and leasehold intangibles, net	(155,723		)	—			(82,953		)
Investments in unconsolidated ventures	(52,548		)	—			—
Other liabilities	(1,058		)	3,281			(960		)
Long-term debt	8,547			—			—
Capital and financing lease obligations	157,963			—			8,907
Refundable entrance fees and deferred revenue	30,771			—			—
Gain on sale of assets, net	(19,273		)	(7,218		)	—
(Gain) loss on lease termination	(1,162		)	—			—
Net cash received	$	(70,507	)	$	(297,932	)	$	(49,226	)

Formation of the Blackstone Venture:
Prepaid expenses and other assets	$	(8,173	)	$	—	$	—
Property, plant and equipment and leasehold intangibles, net	(768,897		)	—		—
Investments in unconsolidated ventures	66,816			—		—
Capital and financing lease obligations	879,959			—		—
Deferred liabilities	7,504			—		—
Other liabilities	1,998			—		—
Net cash paid	$	179,207		$	—	$	—

Supplemental Schedule of Non-cash Operating, Investing and Financing Activities:
Assets designated as held for sale:
Prepaid expenses and other assets	$	199		$	(3,195	)	$	—
Assets held for sale	(29,544		)	278,675			110,620
Property, plant and equipment and leasehold intangibles, net	29,345			(262,711		)	(113,592		)
Goodwill	—			(28,568		)	(12,200		)
Asset impairment	—			15,799			15,172
Net	$	—		$	—		$	—
Amendments to leases:
Property, plant and equipment and leasehold intangibles, net	$	(145,645	)	$	—		$	26,644
Other intangible assets, net	—			—			(5,202		)
Capital and financing lease obligations	147,886			—			(23,738		)
Deferred liabilities	7,447			—			—
Other liabilities	(9,688		)	—			2,296
Net	$	—		$	—		$	—
Contribution to CCRC Venture:
Property, plant and equipment and leasehold intangibles, net	$	—		$	—		$	(25,717	)
Investment in unconsolidated ventures	—			—			7,422
Long-term debt	—			—			18,295
Net	$	—		$	—		$	—