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Consolidated Statements of Cash Flows
$ in Thousands
 12 Months Ended
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
Cash flows from operating activities:      
Net income $ 40,854 $ 55,487 $ 14,664
Adjustments to reconcile net income to net cash provided by operating acitivites:      
Depreciation 18,530 20,079 20,479
Amortization 43,273 38,469 34,830
Stock-based compensation 10,037 8,472 8,375
Impairment charges 4,212 0 0
Deferred income taxes 2,063 (40,021) (2,871)
Gain on sale of facility 0 0 (1,890)
Increase (decrease) in cash flows from changes in assets and liabilities, net of acquired assets      
Accounts receivable (17,460) (13,631) (6,380)
Inventories (15,037) (3,926) 3,103
Accounts payable 12,109 (286) 2,094
Income taxes (2,193) 4,288 (200)
Accrued compensation and benefits 9,044 336 (2,598)
Other assets (24,216) (22,401) (23,234)
Other liabilities (6,515) 18,700 (6,491)
Total operating 33,847 10,079 25,217
Net cash provided by operating activities 74,701 65,566 39,881
Cash flows from investing activities:      
Payments related to business acquisitions and asset acquisitions, net of cash acquired 0 (16,212) (256,450)
Proceeds from sale of a facility 0 0 5,178
Purchases of property, plant and equipment (16,507) (12,842) (14,753)
Net cash used in investing activities (16,507) (29,054) (266,025)
Cash flows from financing activities:      
Payments on term loan (13,125) (8,750) (8,750)
Proceeds from term loan 0 0 175,000
Payments on revolving line of credit (168,000) (157,000) (162,347)
Proceeds from revolving line of credit 153,000 155,000 225,000
Payments related to distribution agreement 0 0 (16,667)
Payments on mortgage notes (1,574) (1,452) (1,339)
Payments for Contingent Consideration Related to Asset Acquisition (21,323) 0 0
Payments related to debt issuance costs (913) 0 (5,556)
Dividends paid on common stock (22,443) (22,307) (22,213)
Other, net 2,113 (372) (585)
Net cash provided by (used in) financing activities (72,265) (34,881) 182,543
Effect of exchange rate changes on cash and cash equivalents (1,040) 3,563 (1,475)
Net increase (decrease) in cash and cash equivalents (15,111) 5,194 (45,076)
Cash and cash equivalents at beginning of year 32,622 27,428 72,504
Cash and cash equivalents at end of year 17,511 32,622 27,428
Non-cash investing and financing activities:      
Noncash or Part Noncash Acquisition, Intangible Assets Acquired 8,360 0 0
Dividends payable 5,626 5,592 5,566
Cash paid during the year for:      
Interest 19,660 16,157 13,758
Income taxes $ 11,048 $ 8,869 $ 9,588