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Condensed Consolidated Statements Of Cash Flows - USD ($)
$ in Thousands
 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Cash flows - operating activities:    
Net income including noncontrolling interests $ 205,611 $ 173,995
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 28,685 30,235
Amortization of identifiable intangible assets 31,482 36,320
Provision for doubtful accounts 261 6,027
Deferred income taxes 4,685 (5,991)
Excess tax benefits from share-based compensation (1,065) (1,565)
Equity income from unconsolidated entities (247) (1,132)
Non-cash expense for impairment of identifiable intangible assets 907 0
Non-cash share-based compensation expense 8,502 7,565
Distributions from unconsolidated entities 2,442 2,308
Other reconciling items 632 (2,830)
Changes in operating assets and liabilities, excluding the effect of businesses acquired (216,003) (6,609)
Net cash provided by operating activities 65,892 238,323
Cash flows - investing activities:    
Payments for acquisitions of businesses, net of cash acquired (25,710) (82,724)
Proceeds from sale of property, plant and equipment 915 2,125
Purchase of property, plant and equipment (28,674) (26,113)
Investments in and advances to unconsolidated entities (3,484) 0
Distributions from unconsolidated entities 82 0
Net cash used in investing activities (56,871) (106,712)
Cash flows - financing activities:    
Repayments of long-term debt and debt issuance costs (11,434) (11,401)
Repayments of capital lease obligations (1,050) (1,079)
Dividends paid to stockholders (14,036) (14,266)
Repurchase of common stock (90,804) (90,944)
Taxes paid related to net share settlements of equity awards (3,745) (3,376)
Issuance of common stock under employee stock purchase plan 4,286 3,459
Payments for contingent consideration arrangements (3,300) (1,017)
Net cash used in financing activities (120,083) (118,624)
Effect of exchange rate changes on cash, cash equivalents and restricted cash (1,985) 2,931
(Decrease) increase in cash, cash equivalents and restricted cash (113,047) 15,918
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] 356,341 482,578
Cash paid for:    
Interest 9,078 8,507
Income taxes 95,330 95,584
Non-cash financing activities:    
Assets acquired under capital lease obligations $ 1,035 $ 1,133
[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 $2.4 million and $2.1 million of restricted cash classified as “Prepaid expenses and other” in the Condensed Consolidated Balance Sheet as of September 30, 2018 and 2017, respectively.