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Condensed Consolidated Statements Of Cash Flows - USD ($)
$ in Thousands
 9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Cash flows - operating activities:    
Net income including noncontrolling interests $ 282,033 $ 53,162
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 36,088 34,881
Amortization of identifiable intangible assets 48,159 44,765
Provision for credit losses 5,829 3,409
Deferred income taxes (3,650) (28,104)
Non-cash expense for impairment of goodwill, identifiable intangible assets, and other long-lived assets 0 232,750
Non-cash share-based compensation expense 8,467 8,510
Other reconciling items 624 1,169
Changes in operating assets and liabilities, excluding the effect of businesses acquired (263,609) 196,292
Net cash provided by operating activities 113,941 546,834
Cash flows - investing activities:    
Payments for acquisitions of businesses, net of cash acquired (113,658) (44,930)
Proceeds from sale or disposal of property, plant and equipment 1,930 1,891
Purchases of property, plant and equipment (25,954) (34,180)
Distributions from unconsolidated entities 196 0
Net cash used in investing activities (137,486) (77,219)
Cash flows - financing activities:    
Proceeds from revolving credit facility 0 200,000
Repayments of revolving credit facility 0 (250,000)
Proceeds from long-term debt 0 300,000
Repayments of long-term debt and debt issuance costs 0 (280,049)
Repayments of finance lease liabilities (3,253) (3,390)
Dividends paid to stockholders (21,224) (13,280)
Repurchases of common stock (183,247) (99,048)
Taxes paid related to net share settlements of equity awards (4,020) (2,574)
Issuances of common stock under employee stock purchase plan 5,418 4,887
Payments for contingent consideration arrangements (6,758) (4,070)
Distributions to noncontrolling interests (43) (70)
Net cash used in financing activities (213,127) (147,594)
Effect of exchange rate changes on cash, cash equivalents, and restricted cash (1,870) (1,304)
(Decrease) increase in cash, cash equivalents, and restricted cash (238,542) 320,717
Cash, cash equivalents, and restricted cash at beginning of year (1) [1] 903,562 359,920
Cash, cash equivalents, and restricted cash at end of period (2) [2] $ 665,020 $ 680,637
[1] Includes $0.7 million and $1.1 million of restricted cash classified as “Prepaid expenses and other” in the Consolidated Balance Sheets as of December 31, 2020 and 2019, respectively.
[2] Includes $1.1 million and $1.3 million of restricted cash classified as “Prepaid expenses and other” in the Consolidated Balance Sheets as of September 30, 2021 and 2020, respectively.