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Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Thousands
 9 Months Ended
Sep. 30, 2025
Sep. 30, 2024
CASH FLOWS FROM OPERATING ACTIVITIES:    
Net income $ 89,965 $ 49,593
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 95,014 96,115
Asset impairments 1,482 3,108
Amortization of debt issuance costs and other non-cash interest 2,635 2,777
Expenses associated with acquisitions 2,319 0
Expenses associated with debt repayments and refinancing transactions 0 31,316
Gain on sale of real estate assets, net (2,461) (1,749)
Deferred income taxes 4,188 (6,019)
Non-cash revenue and other income (290) (7,504)
Non-cash equity compensation 21,029 18,720
Other expenses and non-cash items 8,700 1,197
Changes in assets and liabilities, net:    
Accounts receivable, prepaid expenses and other assets (55,063) 39,092
Accounts payable, accrued expenses and other liabilities 27,453 3,234
Net cash provided by operating activities 194,971 229,880
CASH FLOWS FROM INVESTING ACTIVITIES:    
Expenditures for facility development and expansions (6,257) (7,338)
Expenditures for other capital improvements (92,850) (41,634)
Acquisitions, net of cash acquired (73,365) 0
Net proceeds from sale of assets 3,728 11,901
Other investing activities 1,980 2,274
Net cash used in investing activities (166,764) (34,797)
CASH FLOWS FROM FINANCING ACTIVITIES:    
Proceeds from issuance of debt and borrowings from credit facility 175,000 547,000
Scheduled principal repayments (9,016) (8,662)
Principal repayments of credit facility (110,000) (47,000)
Other repayments of debt 0 (593,113)
Payment of debt defeasance, issuance and other refinancing and related costs (106) (34,944)
Payment of lease obligations for financing leases (470) (459)
Dividends paid on restricted stock units (45) (136)
Purchase and retirement of common stock (133,905) (69,161)
Net cash used in financing activities (78,542) (206,475)
NET DECREASE IN CASH, CASH EQUIVALENTS AND RESTRICTED CASH (50,335) (11,392)
CASH, CASH EQUIVALENTS AND RESTRICTED CASH, beginning of period 122,110 128,956
CASH, CASH EQUIVALENTS AND RESTRICTED CASH, end of period 71,775 117,564
NON-CASH INVESTING AND FINANCING ACTIVITIES    
Net establishment (lease modification) of right of use assets and lease liabilities 116,985 (56,804)
Cash paid during the period for:    
Interest 39,888 42,958
Income taxes paid $ 27,976 $ 26,836