Leases (Tables)

3 Months Ended

Mar. 31, 2019

A summary of operating and financing lease expense (including the respective presentation on the condensed consolidated statements of operations) and cash flows from leasing transactions is as follows:



Operating Leases (in thousands)	Three Months Ended March 31, 2019
Facility operating expense	$	4,625
Facility lease expense	68,668
Operating lease expense	73,293
Operating lease expense adjustment	4,383
Operating cash flows from operating leases	$	77,676

Non-cash recognition of right-of-use assets obtained in exchange for new operating lease obligations	$	1,358



Financing Leases (in thousands)	Three Months Ended March 31, 2019
Depreciation and amortization	$	11,678
Interest expense: financing lease obligations	16,743
Financing lease expense	$	28,421

Operating cash flows from financing leases	$	16,743
Financing cash flows from financing leases	5,453
Total cash flows from financing leases	$	22,196

Finance Lease, Liability, Maturity

The aggregate amounts of future minimum lease payments, including community, office, and equipment leases recognized on the condensed consolidated balance sheet as of March 31, 2019 are as follows (in thousands):



Year Ending December 31,	Operating Leases			Financing Leases
2019	$	231,489		$	66,190
2020	308,607			89,003
2021	292,531			90,243
2022	289,447			91,633
2023	285,741			93,104
Thereafter	786,649			428,952
Total lease payments	2,194,464			859,125
Purchase option liability and non-cash gain on future sale of property	—			575,276
Imputed interest and variable lease payments	(618,081		)	(565,314		)
Total lease obligations	$	1,576,383		$	869,087

Lessee, Operating Lease, Liability, Maturity



Year Ending December 31,	Operating Leases			Financing Leases
2019	$	231,489		$	66,190
2020	308,607			89,003
2021	292,531			90,243
2022	289,447			91,633
2023	285,741			93,104
Thereafter	786,649			428,952
Total lease payments	2,194,464			859,125
Purchase option liability and non-cash gain on future sale of property	—			575,276
Imputed interest and variable lease payments	(618,081		)	(565,314		)
Total lease obligations	$	1,576,383		$	869,087

Schedule of Future Minimum Rental Payments for Operating Leases

The aggregate amounts of future minimum operating lease payments, including community, office, and equipment leases not recognized on the condensed consolidated balance sheet under ASC 840 as of December 31, 2018 are as follows (in thousands):



Year Ending December 31,	Operating Leases
2019	$	310,340
2020	307,493
2021	290,661
2022	291,114
2023	285,723
Thereafter	786,647
Total lease payments	$	2,271,978