Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
Cash flows from operating activities:
Net income	$ 741,503	$ 575,674
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation	1,224,476	1,145,485
Stock-based compensation	301,707	296,464
Amortization of intangible assets	157,199	153,317
Amortization of debt issuance costs and debt discounts	13,927	13,273
Provision for credit loss allowance	14,873	5,534
(Gain) Loss on asset sales	(5,022)	3,976
(Gain) Loss on debt extinguishment	106	(184)
Other items	26,992	18,964
Changes in operating assets and liabilities:
Accounts receivable	(199,703)	(97,206)
Income taxes, net	(6,585)	9,874
Other assets	(127,695)	(145,376)
Operating lease right-of-use assets	117,080	112,923
Operating lease liabilities	(98,964)	(98,245)
Accounts payable and accrued expenses	84,949	83,089
Other liabilities	(26,962)	125,431
Net cash provided by operating activities	2,217,881	2,202,993
Cash flows from investing activities:
Purchases of investments	(81,347)	(109,420)
Sales of investments	0	22,073
Business acquisitions, net of cash and restricted cash acquired	0	(964,010)
Real estate acquisitions	(153,293)	(39,899)
Purchases of other property, plant and equipment	(1,785,298)	(1,450,077)
Proceeds from sale of assets, net of cash transferred	76,936	249,906
Net cash used in investing activities	(1,943,002)	(2,291,427)
Cash flows from financing activities:
Proceeds from employee equity programs	86,963	81,543
Payment of dividends	(970,992)	(863,886)
Proceeds from public offering of common stock, net of issuance costs	300,775	796,018
Proceeds from senior notes, net of debt discounts	902,092	1,193,688
Proceed from mortgage and loans payable	0	676,850
Repayment of finance lease liabilities	(98,091)	(97,808)
Proceeds from redeemable non-controlling interest	25,000	0
Repayment of mortgage and loans payable	(5,556)	(586,227)
Debt issuance costs	(7,239)	(17,731)
Net cash provided by financing activities	232,952	1,182,447
Effect of foreign currency exchange rates on cash, cash equivalents and restricted cash	(57,825)	(135,599)
Net increase in cash, cash equivalents and restricted cash	450,006	958,414
Cash, cash equivalents and restricted cash at beginning of period	1,908,248	1,549,454
Cash, cash equivalents and restricted cash at end of period	2,358,254	2,507,868
Cash and cash equivalents	2,357,497	2,500,816
Current portion of restricted cash included in other current assets	666	2,529
Non-current portion of restricted cash included in other assets	91	4,523
Total cash, cash equivalents, and restricted cash shown in the condensed consolidated statement of cash flows	$ 2,358,254	$ 2,507,868