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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
CASH FLOWS FROM OPERATING ACTIVITIES:    
Net income $ 37,777 $ 50,047
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 38,089 36,257
Asset impairments   259
Amortization of debt issuance costs and other non-cash interest 891 783
Deferred income taxes 837 1,867
Non-cash revenue and other income (4,318) (5,371)
Non-cash equity compensation 3,486 4,086
Other expenses and non-cash items 1,939 831
Changes in assets and liabilities, net:    
Accounts receivable, prepaid expenses and other assets 41,249 22,002
Accounts payable, accrued expenses and other liabilities (12,394) (19,785)
Income taxes payable 923 515
Net cash provided by operating activities 108,479 91,491
CASH FLOWS FROM INVESTING ACTIVITIES:    
Expenditures for facility development and expansions (3,447) (6,417)
Expenditures for other capital improvements (17,285) (8,173)
Acquisitions, net of cash acquired (48,461) (7,062)
Proceeds from sale of assets 48 77
(Increase) decrease in other assets (705) 1,561
Payments received on direct financing lease and notes receivable   684
Net cash used in investing activities (69,850) (19,330)
CASH FLOWS FROM FINANCING ACTIVITIES:    
Proceeds from issuance of debt and borrowings from credit facility 89,500 60,000
Scheduled principal repayments (2,691) (2,500)
Other principal repayments of debt (66,000) (72,000)
Payment of debt issuance and other refinancing and related costs (844) (65)
Payment of lease obligations (746) (553)
Dividends paid (51,106) (51,462)
Purchase and retirement of common stock (2,525) (5,089)
Proceeds from exercise of stock options   4,961
Net cash used in financing activities (34,412) (66,708)
NET INCREASE IN CASH AND CASH EQUIVALENTS 4,217 5,453
CASH AND CASH EQUIVALENTS, beginning of period 52,183 37,711
CASH AND CASH EQUIVALENTS, end of period 56,400 43,164
Cash paid during the period for:    
Interest (net of amounts capitalized of $0 in both 2018 and 2017) 3,278 $ 10,899
Income taxes paid $ 105