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Consolidated Statements of Cash Flows - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2019 | Dec. 31, 2018 | Dec. 31, 2017
CASH FLOWS FROM OPERATING ACTIVITIES: |  |  |
Net income | $ 188,886 | $ 159,207 | $ 178,040
Adjustments to reconcile net income to net cash provided by operating activities: |  |  |
Depreciation and amortization | 144,572 | 156,501 | 147,129
Asset impairments | 4,706 | 1,580 | 614
Amortization of debt issuance costs and other non-cash interest | 3,351 | 3,419 | 3,222
Expenses associated with debt refinancing transactions | 602 | 1,016 |
Deferred income taxes | (1,162) | (4,436) | 921
Other expenses and non-cash items | 13,033 | 7,909 | 4,267
Non-cash revenue and other income | (11,292) | (14,509) | (14,528)
Non-cash equity compensation | 17,267 | 13,132 | 13,286
Changes in assets and liabilities, net: |  |  |
Accounts receivable, prepaid expenses and other assets | (16,938) | (19,470) | (13,913)
Accounts payable, accrued expenses and other liabilities | 11,359 | 18,531 | 22,287
Net cash provided by operating activities | 354,384 | 322,880 | 341,325
CASH FLOWS FROM INVESTING ACTIVITIES: |  |  |
Expenditures for facility development and expansions | (136,128) | (58,239) | (17,576)
Expenditures for other capital improvements | (57,192) | (63,438) | (56,168)
Acquisitions, net of cash acquired | (48,396) | (175,588) | (48,867)
Proceeds from sale of assets | 4,295 | 12,911 | 970
Increase in other assets | (7,168) | (6,703) | (3,605)
Payments received on direct financing lease and notes receivable |  |  | 684
Net cash used in investing activities | (244,589) | (291,057) | (124,562)
CASH FLOWS FROM FINANCING ACTIVITIES: |  |  |
Proceeds from issuance of debt and borrowings from credit facility | 1,146,691 | 809,831 | 475,500
Scheduled principal repayments | (14,121) | (7,816) | (10,000)
Principal repayments of credit facility | (648,000) | (603,500) | (461,500)
Satisfaction and discharge of senior notes | (325,000) |  |
Payment of debt issuance and other refinancing and related costs | (4,296) | (6,087) | (4,169)
Payment of lease obligations for financing leases | (538) | (3,744) | (2,483)
Contingent consideration for acquisition of businesses | (7,398) | (1,500) |
Proceeds from exercise of stock options | 876 | 2,367 | 6,534
Proceeds from sale/leaseback |  | 7,783 |
Purchase and retirement of common stock | (3,531) | (3,005) | (5,847)
Dividends paid | (209,522) | (204,198) | (200,326)
Net cash used in financing activities | (64,839) | (9,869) | (202,291)
NET INCREASE IN CASH, CASH EQUIVALENTS AND RESTRICTED CASH | 44,956 | 21,954 | 14,472
CASH, CASH EQUIVALENTS AND RESTRICTED CASH, beginning of period | 74,137 | 52,183 | 37,711
CASH, CASH EQUIVALENTS AND RESTRICTED CASH, end of period | 119,093 | 74,137 | 52,183
NON-CASH INVESTING AND FINANCING ACTIVITIES: |  |  |
Debt assumed on acquisition of property |  | 157,280 |
Establishment of right of use assets and lease liabilities | 137,946 |  |
Cash paid during the period for: |  |  |
Interest (net of amounts capitalized of $6.0 million, $1.0 million, and $0 in 2019, 2018, and 2017, respectively) | 85,698 | 71,787 | 57,485
Income taxes paid | $ 16,437 | $ 13,303 | $ 8,089

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- Definition The cash inflow from the sale of long-lived, physical assets that are used in the normal conduct of business to produce goods and services and not intended for resale. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=118932676&loc=d3e3179-108585 + Details
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- Definition Amount of cash inflow from exercise of option under share-based payment arrangement. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 718 -SubTopic 10 -Section 50 -Paragraph 2A -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=116856206&loc=SL79508275-113901 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 14 -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=118932676&loc=d3e3255-108585 + Details
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- Definition The consolidated profit or loss for the period, net of income taxes, including the portion attributable to the noncontrolling interest. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section 45 -Paragraph 1A -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=118930883&loc=SL7669619-108580 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 50 -Paragraph 1A -Subparagraph (a)(1) -URI http://asc.fasb.org/extlink&oid=109239629&loc=SL4573702-111684 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 220 -SubTopic 10 -Section 45 -Paragraph 1B -Subparagraph (a) -URI http://asc.fasb.org/extlink&oid=118930883&loc=SL7669625-108580 Reference 4: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 50 -Paragraph 1A -Subparagraph (c)(1) -URI http://asc.fasb.org/extlink&oid=109239629&loc=SL4573702-111684 Reference 5: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e8736-108599 Reference 6: http://www.xbrl.org/2003/role/exampleRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 55 -Paragraph 4J -URI http://asc.fasb.org/extlink&oid=116874947&loc=SL4591551-111686 Reference 7: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=118932676&loc=d3e3000-108585 Reference 8: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 45 -Paragraph 19 -URI http://asc.fasb.org/extlink&oid=108774443&loc=SL4569616-111683 Reference 9: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 32 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=115929826&loc=d3e8933-108599 Reference 10: http://www.xbrl.org/2003/role/exampleRef -Publisher FASB -Name Accounting Standards Codification -Topic 810 -SubTopic 10 -Section 55 -Paragraph 4K -URI http://asc.fasb.org/extlink&oid=116874947&loc=SL4591552-111686 + Details
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- Definition The cash outflow for debt initially having maturity due after one year or beyond the normal operating cycle, if longer. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 15 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=118932676&loc=d3e3291-108585 + Details
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- Definition Amount of increase in right-of-use asset obtained in exchange for operating lease liability. + References Reference 1: http://www.xbrl.org/2003/role/exampleRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 55 -Paragraph 53 -URI http://asc.fasb.org/extlink&oid=77888399&loc=SL77918982-209971 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 842 -SubTopic 20 -Section 50 -Paragraph 4 -Subparagraph (g)(2) -URI http://asc.fasb.org/extlink&oid=77888426&loc=SL77918686-209980 + Details
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