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Consolidated Statements of Cash Flows
$ in Thousands
 12 Months Ended
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Cash flows from operating activities:      
Net income $ 28,620 $ 40,854 $ 55,487
Adjustments to reconcile net income to net cash provided by operating acitivites:      
Depreciation 18,688 18,530 20,079
Amortization of Debt Discount 8,302 0 0
Amortization of Deferred Debt Issuance Costs 3,454 1,042 1,042
Amortization 53,635 42,231 37,427
Stock-based compensation 11,779 10,037 8,472
Impairment charges 312 4,212 0
Deferred income taxes (6,310) 2,063 (40,021)
Loss on early extinguishment of debt 300 0 0
Increase (decrease) in cash flows from changes in assets and liabilities, net of acquired assets      
Accounts receivable (13,943) (17,460) (13,631)
Inventories (117) (15,037) (3,926)
Accounts payable 38 12,109 (286)
Income taxes (1,867) (2,193) 4,288
Accrued compensation and benefits 9,957 9,044 336
Other assets (22,263) (24,216) (22,401)
Other liabilities 4,548 (6,515) 18,700
Total operating 66,513 33,847 10,079
Net cash provided by operating activities 95,133 74,701 65,566
Cash flows from investing activities:      
Payments related to business acquisitions and asset acquisitions, net of cash acquired (367,596) 0 (16,212)
Purchases of property, plant and equipment (20,066) (16,507) (12,842)
Net cash used in investing activities (387,662) (16,507) (29,054)
Cash flows from financing activities:      
Payments on term loan (154,312) (13,125) (8,750)
Proceeds from term loan 265,000 0 0
Payments on revolving line of credit (484,000) (168,000) (157,000)
Proceeds from revolving line of credit 392,000 153,000 155,000
Proceeds from Convertible Debt 345,000 0 0
Payments on mortgage notes (836) (1,574) (1,452)
Payments Related to Contingent Consideration (6,466) (21,323) 0
Payments related to debt issuance costs (16,210) (913) 0
Dividends paid on common stock (22,600) (22,443) (22,307)
Purchase of Convertible Notes Hedges (51,198) 0 0
Proceeds from Issuance of Warrants 30,567 0 0
Other, net 3,936 2,113 (372)
Net cash provided by (used in) financing activities 300,881 (72,265) (34,881)
Effect of exchange rate changes on cash and cash equivalents (7) (1,040) 3,563
Net increase (decrease) in cash and cash equivalents 8,345 (15,111) 5,194
Cash and cash equivalents at beginning of year 17,511 32,622 27,428
Cash and cash equivalents at end of year 25,856 17,511 32,622
Non-cash investing and financing activities:      
Contractual obligations from asset acquisition 5,639 8,360 0
Dividends payable 5,684 5,626 5,592
Cash paid during the year for:      
Interest Paid, Excluding Capitalized Interest, Operating Activities 27,274 19,660 16,157
Income taxes $ 10,576 $ 11,048 $ 8,869