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Condensed Consolidated Statements Of Cash Flows - USD ($)
$ in Thousands
 6 Months Ended
Jun. 30, 2016
Jun. 30, 2015
Cash flows - operating activities:    
Net income including noncontrolling interests $ 89,709 $ 79,546
Depreciation and amortization 19,265 17,942
Amortization of identifiable intangible assets 20,011 18,951
Provision for doubtful accounts 4,478 477
Deferred income taxes 1,734 1,406
Excess tax benefits from share-based compensation (1,818) (1,038)
Equity income from unconsolidated entities (160) (1,034)
Other non-cash items 5,565 5,237
Distributions from unconsolidated entities 863 3,316
Changes in operating assets and liabilities, excluding the effect of businesses acquired (91,862) (130,869)
Net cash provided by (used in) operating activities 47,785 (6,066)
Cash flows - investing activities:    
Payments for acquisitions of businesses, net of cash acquired (232,283) (1,176)
Proceeds from sale of property, plant and equipment 909 2,569
Purchase of property, plant and equipment (18,950) (15,793)
Net cash used in investing activities (250,324) (14,400)
Cash flows - financing activities:    
Proceeds from revolving credit facility 220,000 0
Repayments of long-term debt (8,756) (8,758)
Repayments of capital lease obligations (816) (1,330)
Dividends paid to stockholders (9,734) (10,054)
Repurchase of common stock (34,074) (21,148)
Proceeds from exercise of stock options 144 1,368
Payments to satisfy minimum tax withholding (4,111) (3,790)
Issuance of common stock under employee stock purchase plan 2,383 2,051
Payments for contingent consideration arrangements 0 (403)
Distributions to noncontrolling interests (2,050) (9,750)
Excess tax benefits from share-based compensation 0 1,038
Net cash provided by (used in) financing activities 162,986 (50,776)
Effect of exchange rate changes on cash and cash equivalents (4,259) 35
Decrease in cash and cash equivalents (43,812) (71,207)
Cash and cash equivalents at beginning of year 486,831 432,056
Cash and cash equivalents at end of period 443,019 360,849
Cash paid for:    
Interest 4,662 3,682
Income taxes 69,555 47,899
Non-cash financing activities:    
Assets acquired under capital lease obligations $ 1,402 $ 950