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Condensed Consolidated Statements Of Cash Flows - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Cash flows - operating activities:    
Net income including noncontrolling interests $ 279,822 $ 282,033
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 35,168 36,088
Amortization of identifiable intangible assets 45,465 48,159
Non-cash share-based compensation expense 9,322 8,467
Other reconciling items (682) 2,803
Changes in operating assets and liabilities, excluding the effect of businesses acquired (130,741) (263,609)
Net cash provided by operating activities 238,354 113,941
Cash flows - investing activities:    
Payments for acquisitions of businesses, net of cash acquired (91,078) (113,658)
Proceeds from sale or disposal of property, plant and equipment 6,897 1,930
Purchases of property, plant and equipment (38,717) (25,954)
Distributions from unconsolidated entities 0 196
Net cash used in investing activities (122,898) (137,486)
Cash flows - financing activities:    
Proceeds from revolving credit facility 270,000 0
Repayments of revolving credit facility (100,000) 0
Repayments of finance lease liabilities (2,741) (3,253)
Dividends paid to stockholders (20,037) (21,224)
Repurchases of common stock (656,573) (183,247)
Taxes paid related to net share settlements of equity awards (7,295) (4,020)
Issuances of common stock under employee stock purchase plan 6,097 5,418
Payments for contingent consideration arrangements (2,049) (6,758)
Distributions to noncontrolling interests 0 (43)
Net cash used in financing activities (512,598) (213,127)
Effect of exchange rate changes on cash, cash equivalents, and restricted cash (20,540) (1,870)
Decrease in cash, cash equivalents, and restricted cash (417,682) (238,542)
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] $ 404,886 $ 665,020
[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 $1.1 million of restricted cash classified as “Prepaid expenses and other” in the Consolidated Balance Sheets as of September 30, 2022 and 2021.