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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2020 | Dec. 31, 2019 | Dec. 31, 2018
Cash flows from operating activities of continuing operations: |  |  |
Net income | $ 335,324 | $ 461,466 | $ 200,802
Adjustments to reconcile net income to net cash provided by operating activities: |  |  |
Loss (Income) from discontinued operations | 477 | 515 | (4,370)
Depreciation expense | 68,567 | 64,088 | 60,494
Intangible asset amortization expense | 158,685 | 149,974 | 149,486
Deferred financing costs and debt discount amortization expense | 4,430 | 4,307 | 4,734
Loss on extinguishment of debt | 0 | 8,822 | 0
Fair value step up of acquired inventory sold | 1,707 | 0 | 0
Changes in contingent consideration | (38,164) | 53,915 | 52,977
Asset impairment charges | 21,388 | 6,966 | 19,110
Stock-based compensation | 20,739 | 26,940 | 22,438
Net gain on sales of businesses and assets | 0 | (6,077) | (1,388)
Deferred income taxes, net | (32,675) | (168,594) | (6,097)
Payments for contingent consideration | (79,801) | (26,092) | (2,100)
Interest benefit on swaps designated as net investment hedges | (19,178) | (18,866) | (3,277)
Other | (26,636) | (5,800) | (13,426)
Changes in operating assets and liabilities, net of effects of acquisitions and disposals: |  |  |
Accounts receivable | 44,748 | (59,793) | (23,412)
Inventories | (5,497) | (53,170) | (37,198)
Prepaid expenses and other current assets | (4,323) | (31,023) | (10,351)
Accounts payable, accrued expenses and other liabilities | 646 | 36,021 | 62,404
Income taxes receivable and payable, net | (13,294) | (6,531) | (35,740)
Net cash provided by operating activities from continuing operations | 437,143 | 437,068 | 435,086
Cash flows from investing activities of continuing operations: |  |  |
Expenditures for property, plant and equipment | (90,694) | (102,695) | (80,795)
Payments for businesses and intangibles acquired, net of cash acquired | (767,830) | (3,462) | (121,025)
Proceeds from sales of businesses and assets | 1,400 | 14,345 | 3,878
Net interest proceeds on swaps designated as net investment hedges | 19,341 | 18,331 | 1,548
Net cash used in investing activities from continuing operations | (837,783) | (73,481) | (196,394)
Cash flows from financing activities of continuing operations: |  |  |
Proceeds from new borrowings | 1,513,807 | 275,000 | 35,000
Reduction in borrowings | (938,807) | (528,500) | (128,500)
Debt extinguishment, issuance and amendment fees | (8,440) | (11,635) | (188)
Proceeds from share based compensation plans and the related tax impacts | 18,994 | 21,206 | 22,655
Payments for contingent consideration | (67,170) | (112,079) | (73,235)
Dividends | (63,221) | (62,828) | (62,165)
Net cash provided by (used in) financing activities from continuing operations | 455,163 | (418,836) | (206,433)
Cash flows from discontinued operations: |  |  |
Net cash (used in) provided by operating activities | (737) | 2,457 | 2,292
Net cash (used in) provided by discontinued operations | (737) | 2,457 | 2,292
Effect of exchange rate changes on cash and cash equivalents | 21,011 | (3,286) | (10,948)
Net increase (decrease) in cash and cash equivalents | 74,797 | (56,078) | 23,603
Cash and cash equivalents at the beginning of the year | 301,083 | 357,161 | 333,558
Cash and cash equivalents at the end of the year | $ 375,880 | $ 301,083 | $ 357,161

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