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Condensed Consolidated Statements Of Cash Flows - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Cash flows - operating activities:    
Net income including noncontrolling interests $ 55,374 $ 52,610
Depreciation and amortization 9,711 10,190
Amortization of identifiable intangible assets 10,668 12,181
Provision for doubtful accounts 1,135 1,478
Deferred income taxes 2,944 (5,910)
Excess tax benefits from share-based compensation (716) (864)
Equity income from unconsolidated entities (41) (516)
Other non-cash items 3,647 (508)
Distributions from unconsolidated entities 1,585 90
Changes in operating assets and liabilities, excluding the effect of businesses acquired (143,394) (72,656)
Net cash used in operating activities (59,087) (3,905)
Cash flows - investing activities:    
Payments for acquisitions of businesses, net of cash acquired (2,689) (81,393)
Proceeds from sale of property, plant and equipment 242 399
Purchase of property, plant and equipment (6,588) (10,575)
Investments in and advances to unconsolidated entities (2,804) 0
Net cash used in investing activities (11,839) (91,569)
Cash flows - financing activities:    
Repayments of long-term debt and debt issuance costs (3,800) (3,800)
Repayments of capital lease obligations (372) (347)
Dividends paid to stockholders (4,704) (4,793)
Repurchase of common stock (34,485) (54,901)
Taxes paid related to net share settlements of equity awards (3,267) (2,637)
Issuance of common stock under employee stock purchase plan 1,337 864
Net cash used in financing activities (45,291) (65,614)
Effect of exchange rate changes on cash, cash equivalents and restricted cash 1,733 490
Decrease in cash, cash equivalents and restricted cash (114,484) (160,598)
Cash, cash equivalents and restricted cash at beginning of year (1) [1] 469,388 466,660
Cash, cash equivalents and restricted cash at end of period (2) [2] 354,904 306,062
Cash paid for:    
Interest 2,650 2,841
Income taxes 2,741 2,681
Non-cash financing activities:    
Assets acquired under capital lease obligations $ 541 $ 466
[1] Includes $2.0 million of restricted cash classified as “Prepaid expenses and other” in the Condensed Consolidated Balance Sheet as of December 31, 2017 and 2016.
[2] Includes $2.5 million and $3.3 million of restricted cash classified as “Prepaid expenses and other” in the Condensed Consolidated Balance Sheet as of March 31, 2018 and 2017, respectively.