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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
Dec. 31, 2013
Cash flows from operating activities of continuing operations:      
Net income $ 245,713 $ 188,751 $ 151,748
Adjustments to reconcile net income to net cash provided by operating activities:      
(Income) loss from discontinued operations (8,905) 2,709 435
Depreciation expense 46,013 50,207 42,368
Amortization expense of intangible assets 62,380 60,926 50,608
Amortization expense of deferred financing costs and debt discount 16,941 15,897 14,959
Loss on extinguishment of debt 10,454 0 1,250
Changes in contingent consideration (4,576) (7,418) (12,642)
Impairment of long-lived assets 0 0 3,460
Stock-based compensation 14,467 12,227 11,871
Net gain on sales of businesses and assets (408) 0 0
Deferred income taxes, net (54,413) (14,153) (10,182)
Other (20,775) (8,968) (1,319)
Changes in operating assets and liabilities, net of effects of acquisitions and disposals:      
Accounts receivable 398 9,394 (1,294)
Inventories (8,371) (15,531) (8,931)
Prepaid expenses and other current assets (3,027) 1,422 (5,926)
Accounts payable and accrued expenses (117) 9,818 2,001
Income taxes receivable and payable, net 7,672 (15,040) (7,107)
Net cash provided by operating activities from continuing operations 303,446 290,241 231,299
Cash flows from investing activities of continuing operations:      
Expenditures for property, plant and equipment (61,448) (67,571) (63,580)
Payments for businesses and intangibles acquired, net of cash acquired (93,808) (45,777) (309,008)
Proceeds from sales of businesses and assets 408 5,251 0
Investments in affiliates 0 (40) (50)
Net cash used in investing activities from continuing operations (154,848) (108,137) (372,638)
Proceeds from share based compensation plans and the related tax impacts      
Proceeds from new borrowings 288,100 250,000 680,000
Repayment of long-term borrowings (303,757) (480,102) (375,000)
Debt extinguishment, issuance and amendment fees (9,017) (4,494) (6,400)
Proceeds from share based compensation plans and the related tax impacts 4,994 4,245 6,181
Payments to noncontrolling shareholders (1,343) (1,094) (736)
Payments for contingent consideration (8,028) 0 (16,958)
Dividends paid (56,532) (56,258) (55,917)
Net cash (used in) provided by financing activities from continuing operations (85,583) (287,703) 231,170
Cash flows from discontinued operations:      
Net cash used in operating activities (2,636) (3,676) (3,327)
Net cash used in discontinued operations (2,636) (3,676) (3,327)
Effect of exchange rate changes on cash and cash equivalents (25,249) (19,473) 8,441
Net increase (decrease) in cash and cash equivalents 35,130 (128,748) 94,945
Cash and cash equivalents at the beginning of the year 303,236 431,984 337,039
Cash and cash equivalents at the end of the year 338,366 303,236 431,984
Supplemental Cash Flow Information:      
Cash interest paid 45,973 49,797 43,581
Income taxes paid, net of refunds $ 56,079 $ 52,869 $ 43,975