Consolidated Statements of Cash Flows - USD ($) $ in Thousands	6 Months Ended
	Jun. 30, 2020	Jun. 30, 2019
CASH FLOWS FROM OPERATING ACTIVITIES:
Net income	$ 55,424	$ 97,918
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	76,571	71,114
Asset impairments	12,253	4,706
Amortization of debt issuance costs and other non-cash interest	2,740	1,712
Deferred income taxes	1,583	(3,911)
Non-cash revenue and other income	(5,544)	(5,889)
Non-cash equity compensation	8,929	8,068
Other expenses and non-cash items	4,728	5,958
Changes in assets and liabilities, net:
Accounts receivable, prepaid expenses and other assets	29,529	(5,840)
Accounts payable, accrued expenses and other liabilities	(12,122)	(12,560)
Income taxes payable	183	5,346
Net cash provided by operating activities	174,274	166,622
CASH FLOWS FROM INVESTING ACTIVITIES:
Expenditures for facility development and expansions	(23,506)	(84,819)
Expenditures for other capital improvements	(18,512)	(23,545)
Acquisitions, net of cash acquired	(8,849)	(38,579)
Proceeds from sale of assets	5,026	4,273
Increase in other assets	(4,977)	(3,408)
Net cash used in investing activities	(50,818)	(146,078)
CASH FLOWS FROM FINANCING ACTIVITIES:
Proceeds from issuance of debt and borrowings from credit facility	374,000	349,144
Scheduled principal repayments	(15,124)	(5,772)
Principal repayments of credit facility	(108,000)	(236,000)
Payment of debt issuance and other refinancing and related costs	(891)	(93)
Payment of lease obligations for financing leases	(271)	(268)
Contingent consideration for acquisition of businesses		(7,398)
Dividends paid	(105,963)	(104,744)
Purchase and retirement of common stock	(3,560)	(3,530)
Proceeds from exercise of stock options		875
Net cash provided by (used in) financing activities	140,191	(7,786)
NET INCREASE IN CASH, CASH EQUIVALENTS AND RESTRICTED CASH	263,647	12,758
CASH, CASH EQUIVALENTS AND RESTRICTED CASH, beginning of period	119,093	74,137
CASH, CASH EQUIVALENTS AND RESTRICTED CASH, end of period	382,740	86,895
NON-CASH INVESTING AND FINANCING ACTIVITIES
Debt assumed on acquisition of property portfolio	52,217
Establishment of right of use assets and lease liabilities	62	83,064
Cash paid during the period for:
Interest (net of amounts capitalized of $0.5 million and $2.7 million in 2020 and 2019, respectively)	45,020	41,000
Income taxes paid	$ 1,156	$ 3,198