Consolidated Statements of Cash Flows - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Cash flow from operating activities
Net (loss) income	$ (81,749)	$ (8,122)	$ 124,745
Adjustments to reconcile net (loss) income to net cash provided by operating activities:
Depreciation and amortization	310,528	292,788	290,942
Amortization of deferred financing costs and debt discount	18,498	18,147	18,122
Loss (Gain) on debt extinguishment	31,187	(10,754)	49,280
Interest rate swap termination	0	9,243	11,317
Deferred income taxes	(68,497)	(28,909)	(6,467)
Equity in earnings from unconsolidated entities	(2,662)	(2,371)	(2,102)
Distributions of cumulative earnings from unconsolidated entities	3,964	3,969	3,922
Cash paid for interest rate swap settlement	0	(10,413)	(12,483)
Straight-line rental revenues	(37,944)	(40,925)	(41,239)
Stock-based compensation	12,491	12,751	13,847
Gain on sale of operations	0	(176)	(28,143)
Gain on sale of unconsolidated entity	(2,646)	(7,923)	0
Goodwill impairment (Note 3)	203,998	240,500	0
Gain on prepayment of settlement payable (Note 3)	0	0	(5,432)
(Gain) Loss on asset disposals	(573)	898	(213)
Gain on sale of real estate	(2,164)	(433)	(442)
Accretion of settlement payable	10,506	11,714	16,901
Other	701	(72)	145
Changes in assets and liabilities, net of acquisitions:
Accounts receivable	(3,727)	(4,176)	24,497
Other assets	15,795	15,148	14,161
Accounts payable, accrued expenses and other liabilities	(54,577)	(30,769)	27,799
Net cash provided by operating activities	353,129	460,115	499,157
Cash flow from investing activities
Proceeds from sale of other equipment	3,146	1,815	1,487
Proceeds from sale of operations (Note 6)	0	541	62,113
Proceeds from sale of real estate, net of cash	2,545	665	1,034
Proceeds from sale of unconsolidated entity	0	32,527	0
Capital expenditures	(417,002)	(427,567)	(385,855)
Net cash used in by investing activities	(411,311)	(392,019)	(321,221)
Cash flow from financing activities
Repayment of debt	(2,263,662)	(194,043)	(2,260,000)
Proceeds from issuance of Notes	2,600,000	306,500	2,380,000
Dividends paid	(107,405)	(142,950)	(141,371)
Payments of settlement payable	(98,022)	0	(190,924)
Payments of contingent consideration	0	0	(2,979)
Borrowings under revolving credit facility	506,000	180,000	310,000
Payments under revolving credit facility	(486,000)	(192,000)	(220,000)
Finance lease payments	(2,262)	(1,193)	(2,019)
Payments for financing costs	(26,955)	(9,852)	(27,660)
Payments for capped call option	0	(21,149)	0
Payment for settlement of common stock warrant	(56)	(522)	0
Proceeds from termination of bond hedge option	59	1,190	0
Costs related to early repayment of debt	(44,303)	0	(36,486)
Distributions paid to noncontrolling interest	(48)	(233)	(1,700)
Payment for exchange of noncontrolling interest	0	(4,620)	0
Proceeds from employee stock purchase plan	730	589	672
Payments related to tax withholding for stock-based compensation	(1,433)	(4,913)	(4,100)
Net cash provided by (used in) financing activities	76,643	(83,196)	(196,567)
Net increase (decrease) in cash and cash equivalents	18,461	(15,100)	(18,631)
Cash and cash equivalents at beginning of period	43,803	58,903	77,534
Cash and cash equivalents at end of period	62,264	43,803	58,903
Non-cash investing and financing activities:
Property and equipment acquired but not yet paid	8,798	8,519	15,395
Tenant capital improvements	167,763	119,685	139,012
Sale of unconsolidated entity	$ 40,000	$ 0	$ 0