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Condensed Consolidated Statements Of Cash Flows - USD ($)
$ in Thousands
 9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
Cash flows - operating activities:    
Net income including noncontrolling interests $ 141,266 $ 121,453
Depreciation and amortization 29,117 26,806
Amortization of identifiable intangible assets 30,678 28,391
Provision for doubtful accounts 3,962 2,364
Deferred income taxes (830) (3,598)
Excess tax benefits from share-based compensation (2,062) (1,306)
Equity income from unconsolidated entities (719) (1,634)
Other non-cash items 6,844 7,349
Distributions from unconsolidated entities 863 3,316
Changes in operating assets and liabilities, excluding the effect of businesses acquired (80,195) (87,560)
Net cash provided by operating activities 128,924 95,581
Cash flows - investing activities:    
Payments for acquisitions of businesses, net of cash acquired (232,883) (2,357)
Proceeds from sale of property, plant and equipment 1,850 2,921
Purchase of property, plant and equipment (29,306) (22,862)
Net cash used in investing activities (260,339) (22,298)
Cash flows - financing activities:    
Proceeds from revolving credit facility 220,000 0
Repayments of revolving credit facility (95,000) 0
Borrowings from long-term debt 400,000 0
Repayments of long-term debt and debt issuance costs (317,987) (13,136)
Repayments of capital lease obligations (1,144) (2,190)
Dividends paid to stockholders (14,598) (15,078)
Repurchase of common stock (34,805) (21,148)
Proceeds from exercise of stock options 508 2,378
Payments to satisfy minimum tax withholding (4,166) (3,866)
Issuance of common stock under employee stock purchase plan 3,583 3,147
Payments for contingent consideration arrangements 0 (403)
Distributions to noncontrolling interests (2,050) (9,750)
Excess tax benefits from share-based compensation 0 1,306
Net cash provided by (used in) financing activities 154,341 (58,740)
Effect of exchange rate changes on cash and cash equivalents (5,199) (1,199)
Increase in cash and cash equivalents 17,727 13,344
Cash and cash equivalents at beginning of year 486,831 432,056
Cash and cash equivalents at end of period 504,558 445,400
Cash paid for:    
Interest 7,920 5,539
Income taxes 98,176 72,277
Non-cash financing activities:    
Assets acquired under capital lease obligations $ 1,738 $ 1,686