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Business Segment Information - Reconciliation of Segment Profit to Income Before Taxes (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2016
Mar. 31, 2015
Reconciliation of segment profit to income before income taxes    
Segment profit $ 59,932 $ 64,947
Stock compensation expense (8,887) (13,901)
Changes in fair value of contingent consideration 266 (14,969)
Non-controlling interest segment (loss) profit 165 (94)
Depreciation and amortization (25,007) (23,496)
Interest expense (1,748) (1,626)
Interest income 683 466
Income before income taxes $ 25,404 $ 11,327