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Condensed Consolidated Statements Of Cash Flows - USD ($)
$ in Thousands
 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Cash flows - operating activities:    
Net income including noncontrolling interests $ 714,984 $ 421,814
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 41,799 38,444
Amortization of identifiable intangible assets 56,559 49,335
Provision for credit losses 12,585 5,256
Non-cash expense for impairment of long-lived assets 0 2,350
Non-cash share-based compensation expense 16,170 10,703
Other reconciling items (7,893) (9,121)
Changes in operating assets and liabilities, excluding the effect of businesses acquired 104,198 (42,884)
Net cash provided by operating activities 938,402 475,897
Cash flows - investing activities:    
Payments for acquisitions of businesses, net of cash acquired (189,208) (89,741)
Proceeds from sale or disposal of property, plant, and equipment 2,765 12,015
Purchases of property, plant, and equipment (57,244) (56,306)
Net cash used in investing activities (243,687) (134,032)
Cash flows - financing activities:    
Proceeds from revolving credit facility 0 100,000
Repayments of revolving credit facility 0 (100,000)
Repayments of long-term debt 0 (142,813)
Repayments of finance lease liabilities (2,144) (2,138)
Dividends paid to stockholders (31,884) (24,198)
Repurchases of common stock (405,425) (105,299)
Taxes paid related to net share settlements of equity awards (12,095) (5,365)
Issuances of common stock under employee stock purchase plan 943 6,769
Payments for contingent consideration arrangements (4,427) (3,113)
Net cash used in financing activities (455,032) (276,157)
Effect of exchange rate changes on cash, cash equivalents, and restricted cash 7,377 856
Increase in cash, cash equivalents, and restricted cash 247,060 66,564
Cash, cash equivalents, and restricted cash at beginning of year (1) [1] 789,750 457,068
Cash, cash equivalents, and restricted cash at end of period (2) [2] $ 1,036,810 $ 523,632
[1] Includes $0.6 million of restricted cash classified as “Prepaid expenses and other” in the Consolidated Balance Sheet as of December 31, 2022.
[2] Includes $1.3 million of restricted cash classified as “Prepaid expenses and other” in the Consolidated Balance Sheet as of September 30, 2024.