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Condensed Consolidated Statements Of Cash Flows - USD ($)
$ in Thousands
 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Cash flows - operating activities:    
Net income including noncontrolling interests $ 126,190 $ 109,398
Adjustments to reconcile net income to net cash (used in) provided by operating activities:    
Depreciation and amortization 19,233 20,354
Amortization of identifiable intangible assets 21,352 24,257
Provision for doubtful accounts 7 2,543
Deferred income taxes 4,855 (6,410)
Excess tax benefits from share-based compensation (1,065) (1,554)
Equity income from unconsolidated entities (290) (758)
Non-cash expense for impairment of identifiable intangible assets 907 0
Distributions from unconsolidated entities 1,847 1,829
Other reconciling items 6,531 2,208
Changes in operating assets and liabilities, excluding the effect of businesses acquired (212,217) (49,204)
Net cash (used in) provided by operating activities (32,650) 102,663
Cash flows - investing activities:    
Payments for acquisitions of businesses, net of cash acquired (25,207) (82,724)
Proceeds from sale of property, plant and equipment 605 1,629
Purchase of property, plant and equipment (15,914) (17,668)
Investments in and advances to unconsolidated entities (3,484) 0
Distributions from unconsolidated entities 83 0
Net cash used in investing activities (43,917) (98,763)
Cash flows - financing activities:    
Repayments of long-term debt and debt issuance costs (7,634) (7,601)
Repayments of capital lease obligations (696) (716)
Dividends paid to stockholders (9,381) (9,531)
Repurchase of common stock (60,508) (65,775)
Taxes paid related to net share settlements of equity awards (3,745) (2,637)
Issuance of common stock under employee stock purchase plan 2,758 2,191
Payments for contingent consideration arrangements (3,298) (1,017)
Net cash used in financing activities (82,504) (85,086)
Effect of exchange rate changes on cash, cash equivalents and restricted cash (1,121) 1,739
Decrease in cash, cash equivalents and restricted cash (160,192) (79,447)
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] 309,196 387,213
Cash paid for:    
Interest 5,824 5,600
Income taxes 71,593 67,652
Non-cash financing activities:    
Assets acquired under capital lease obligations $ 903 $ 688
[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 $2.6 million and $1.8 million of restricted cash classified as “Prepaid expenses and other” in the Condensed Consolidated Balance Sheet as of June 30, 2018 and 2017, respectively.