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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Cash flows from operating activities of continuing operations:      
Net income $ 237,841 $ 245,713 $ 188,751
Adjustments to reconcile net income to net cash provided by operating activities:      
(Income) loss from discontinued operations (190) (8,905) 2,709
Depreciation expense 54,415 46,013 50,207
Amortization expense of intangible assets 63,491 62,380 60,926
Amortization expense of deferred financing costs and debt discount 10,440 16,941 15,897
Loss on extinguishment of debt 19,261 10,454 0
Changes in contingent consideration (6,445) (4,576) (7,418)
Impairment of long-lived assets 2,356 0 0
Impairment of intangible assets 41,000 0 0
Stock-based compensation 16,871 14,467 12,227
Net gain on sales of businesses and assets (4,367) (408) 0
Deferred income taxes, net (29,346) (54,413) (14,153)
Other (13,311) (20,775) (8,968)
Changes in operating assets and liabilities, net of effects of acquisitions and disposals:      
Accounts receivable (11,029) 398 9,394
Inventories 6,408 (8,371) (15,531)
Prepaid expenses and other current assets (3,613) (3,027) 1,422
Accounts payable and accrued expenses 15,422 (117) 9,818
Income taxes receivable and payable, net 11,386 7,672 (15,040)
Net cash provided by operating activities from continuing operations 410,590 303,446 290,241
Cash flows from investing activities of continuing operations:      
Expenditures for property, plant and equipment (53,135) (61,448) (67,571)
Payments for businesses and intangibles acquired, net of cash acquired (14,040) (93,808) (45,777)
Proceeds from sales of businesses and assets 10,201 408 5,251
Investments in affiliates 0 0 (40)
Net cash used in investing activities from continuing operations (56,974) (154,848) (108,137)
Cash flows from financing activities of continuing operations:      
Proceeds from new borrowings 671,700 288,100 250,000
Reduction in borrowings (714,565) (303,757) (480,102)
Debt extinguishment, issuance and amendment fees (8,958) (9,017) (4,494)
Proceeds from share based compensation plans and the related tax impacts 9,068 4,994 4,245
Payments to noncontrolling interest shareholders (464) (1,343) (1,094)
Payments for acquisition of noncontrolling interest (9,231) 0 0
Payments for contingent consideration (7,282) (8,028) 0
Dividends paid (58,960) (56,532) (56,258)
Net cash used in financing activities from continuing operations (118,692) (85,583) (287,703)
Cash flows from discontinued operations:      
Net cash used in operating activities (2,110) (2,636) (3,676)
Net cash used in discontinued operations (2,110) (2,636) (3,676)
Effect of exchange rate changes on cash and cash equivalents (27,391) (25,249) (19,473)
Net increase (decrease) in cash and cash equivalents 205,423 35,130 (128,748)
Cash and cash equivalents at the beginning of the year 338,366 303,236 431,984
Cash and cash equivalents at the end of the year 543,789 338,366 303,236
Supplemental cash flow information:      
Cash interest paid 44,203 45,973 49,797
Income taxes paid, net of refunds 23,955 56,079 52,869
Non cash financing activities of continuing operations:      
Settlement and exchange of convertible notes with common or treasury stock 35,286 133 43
Acquisition of treasury stock associated with settlement and exchange of convertible note hedge and warrant agreements $ 86,046 $ 269 $ 77