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Condensed Consolidated Statements Of Cash Flows - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2017
Mar. 31, 2016
Cash flows - operating activities:    
Net income including noncontrolling interests $ 52,610 $ 34,354
Depreciation and amortization 10,190 9,332
Amortization of identifiable intangible assets 12,181 9,470
Provision for doubtful accounts 1,478 1,293
Deferred income taxes (5,910) 2,291
Excess tax benefits from share-based compensation (864) (1,217)
Equity income from unconsolidated entities (516) (228)
Other non-cash items (508) 3,318
Distributions from unconsolidated entities 90 27
Changes in operating assets and liabilities, excluding the effect of businesses acquired (73,921) (95,801)
Net cash used in operating activities (5,170) (37,161)
Cash flows - investing activities:    
Payments for acquisitions of businesses, net of cash acquired (81,393) (254)
Proceeds from sale of property, plant and equipment 399 484
Purchase of property, plant and equipment (10,575) (9,016)
Net cash used in investing activities (91,569) (8,786)
Cash flows - financing activities:    
Repayments of long-term debt (3,800) (4,378)
Repayments of capital lease obligations (347) (460)
Dividends paid to stockholders (4,793) (4,879)
Repurchase of common stock (54,901) (34,074)
Payments to satisfy minimum tax withholding (2,637) (4,097)
Issuance of common stock under employee stock purchase plan 864 1,188
Distributions to noncontrolling interests 0 (600)
Net cash used in financing activities (65,614) (47,300)
Effect of exchange rate changes on cash and cash equivalents 490 (1,220)
Decrease in cash and cash equivalents (161,863) (94,467)
Cash and cash equivalents at beginning of year 464,617 486,831
Cash and cash equivalents at end of period 302,754 392,364
Cash paid for:    
Interest 2,841 2,011
Income taxes 2,681 14,146
Non-cash financing activities:    
Assets acquired under capital lease obligations $ 466 $ 907