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Condensed Consolidated Statements Of Cash Flows - USD ($)
$ in Thousands
6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Cash flows - operating activities:    
Net income including noncontrolling interests $ 156,382 $ 126,190
Adjustments to reconcile net income to net cash used in operating activities:    
Depreciation and amortization 21,391 19,233
Amortization of identifiable intangible assets 23,169 21,352
Provision for doubtful accounts 851 7
Deferred income taxes (920) 4,855
Excess tax benefits from share-based compensation (593) (1,065)
Equity loss (income) from unconsolidated entities 835 (290)
Non-cash expense from contingent consideration arrangements 1,203 186
Non-cash expense for impairment of identifiable intangible assets 0 907
Non-cash share-based compensation expense 6,225 5,956
Distributions from unconsolidated entities 871 1,847
Other reconciling items 111 389
Changes in operating assets and liabilities, excluding the effect of businesses acquired (251,723) (212,217)
Net cash used in operating activities (42,198) (32,650)
Cash flows - investing activities:    
Payments for acquisitions of businesses, net of cash acquired (63,991) (25,207)
Proceeds from sale of property, plant and equipment 1,326 605
Purchase of property, plant and equipment (22,455) (15,914)
Investments in and advances to unconsolidated entities (794) (3,484)
Distributions from unconsolidated entities 84 83
Net cash used in investing activities (85,830) (43,917)
Cash flows - financing activities:    
Repayments of long-term debt and debt issuance costs (7,601) (7,634)
Repayments of finance lease liabilities (2,151) (696)
Dividends paid to stockholders (8,967) (9,381)
Repurchase of common stock 0 (60,508)
Taxes paid related to net share settlements of equity awards (3,735) (3,745)
Issuance of common stock under employee stock purchase plan 2,969 2,758
Payments for contingent consideration arrangements (2,508) (3,298)
Distributions to noncontrolling interests (250) 0
Net cash used in financing activities (22,243) (82,504)
Effect of exchange rate changes on cash, cash equivalents and restricted cash (175) (1,121)
Decrease in cash, cash equivalents and restricted cash (150,446) (160,192)
Cash, cash equivalents and restricted cash at beginning of year (1) [1] 366,214 469,388
Cash, cash equivalents and restricted cash at end of period (2) [2] 215,768 309,196
Cash paid for:    
Interest 6,432 5,824
Income taxes $ 65,799 $ 71,593
[1]
Includes $2.3 million and $2.0 million of restricted cash classified as “Prepaid expenses and other” in the Consolidated Balance Sheets as of December 31, 2018 and 2017, respectively.
[2]
Includes $2.4 million and $2.6 million of restricted cash classified as “Prepaid expenses and other” in the Consolidated Balance Sheets as of June 30, 2019 and 2018, respectively.