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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Cash provided by (used in) Operating activities    
Net earnings (loss) $ 109,590 $ (227,631)
Items not affecting cash:    
Depreciation and amortization 98,382 79,557
Settlement of long-term incentive arrangement 251,503
Deferred income tax (18,054) (8,988)
Other 12,307 2,258
Changes in non-cash working capital:    
Accounts receivable 8,908 (17,396)
Inventories (44,235) (7,107)
Prepaid expenses and other current assets (1,618) (1,033)
Accounts payable 13,710 858
Accrued liabilities 72,270 7,228
Income tax payable 4,642 4,644
Unearned revenues 13,055 11,808
Other liabilities 22,808 13,069
Contingent acquisition consideration paid (962)
Net cash provided by operating activities 291,765 107,808
Investing activities    
Acquisitions of businesses, net of cash acquired (note 5) (98,559) (579,863)
Disposal of businesses, net of cash disposed (note 7) 13,030
Purchases of fixed assets (39,415) (46,628)
Other investing activities (4,288) (1,504)
Net cash used in investing activities (142,262) (614,965)
Financing activities    
Increase in long-term debt 25,281 624,052
Repayment of long-term debt (204,568) (194,193)
Proceeds received on common share issuance (note 14) 150,008 191,737
Financing fees paid (4,000)
Purchases of non-controlling interests (20,231) (34,319)
Sale of interests in subsidiaries to non-controlling interests 3,671
Contingent acquisition consideration paid (4,664) (9,094)
Proceeds received on exercise of stock options 11,510 11,057
Dividends paid to common shareholders (27,448) (22,044)
Distributions paid to non-controlling interests (5,084) (5,725)
Net cash provided by (used in) financing activities (75,196) 561,142
Effect of exchange rate changes on cash 340 462
Increase in cash, cash equivalents and restricted cash 74,647 54,447
Cash, cash equivalents and restricted cash, beginning of year 134,291 79,844
Cash, cash equivalents and restricted cash, end of year $ 208,938 $ 134,291