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Leases (Notes)
12 Months Ended
Dec. 31, 2016
Leases [Abstract]  
Leases of Lessee Disclosure [Text Block]
Leases

Rent expense was as follows (in thousands):
Facility Rents:
 
2016
 
2015
 
2014
Minimum rents
 
$
59,002

 
$
52,650

 
$
47,754

Contingent rents
 
3,099

 
5,168

 
6,241

Total
 
$
62,101

 
$
57,818

 
$
53,995

 
 
 
 
 
 
 
Equipment Rents
 
$
5,316

 
$
4,362

 
$
3,609



The aggregate minimum rental commitments under operating leases for subsequent years are as follows (in thousands):
2017
 
$
66,493

2018
 
58,964

2019
 
49,322

2020
 
42,862

2021
 
37,517

Thereafter
 
137,239

Total future minimum lease payments
 
$
392,397