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Condensed Consolidated Statements Of Cash Flows - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2022
Mar. 31, 2021
Cash flows - operating activities:    
Net income including noncontrolling interests $ 73,386 $ 84,945
Adjustments to reconcile net income to net cash used in operating activities:    
Depreciation and amortization 11,578 12,001
Amortization of identifiable intangible assets 15,551 14,989
Non-cash share-based compensation expense 3,438 3,193
Other reconciling items (226) (218)
Changes in operating assets and liabilities, excluding the effect of businesses acquired (199,541) (203,899)
Net cash used in operating activities (95,814) (88,989)
Cash flows - investing activities:    
Payments for acquisitions of businesses, net of cash acquired (2,914) (24,326)
Proceeds from sale or disposal of property, plant and equipment 462 766
Purchases of property, plant and equipment (11,501) (8,204)
Net cash used in investing activities (13,953) (31,764)
Cash flows - financing activities:    
Repayments of finance lease liabilities (979) (1,145)
Dividends paid to stockholders (6,930) (7,121)
Repurchases of common stock (181,810) (12,917)
Taxes paid related to net share settlements of equity awards (4,944) (3,750)
Issuances of common stock under employee stock purchase plan 1,955 1,731
Payments for contingent consideration arrangements (805) (693)
Distributions to noncontrolling interests 0 (43)
Net cash used in financing activities (193,513) (23,938)
Effect of exchange rate changes on cash, cash equivalents, and restricted cash (3,419) 886
Decrease in cash, cash equivalents, and restricted cash (306,699) (143,805)
Cash, cash equivalents, and restricted cash at beginning of year (1) [1] 822,568 903,562
Cash, cash equivalents, and restricted cash at end of period (2) [2] $ 515,869 $ 759,757
[1] Includes $1.2 million and $0.7 million of restricted cash classified as “Prepaid expenses and other” in the Consolidated Balance Sheets as of December 31, 2021 and 2020, respectively.
[2] Includes $1.4 million and $0.9 million of restricted cash classified as “Prepaid expenses and other” in the Consolidated Balance Sheets as of March 31, 2022 and 2021, respectively.