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CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $)
In Thousands, unless otherwise specified
12 Months Ended
Dec. 31, 2013
Dec. 31, 2012
Dec. 31, 2011
OPERATING ACTIVITIES:      
Net income $ 313,084 $ 269,941 $ 237,343
Adjustments to reconcile net income to net cash provided by operating activities:      
Stock compensation expense 17,457 16,339 15,367
Excess tax benefit of stock options exercised (17,153) (30,161) (17,410)
Depreciation 61,341 54,229 49,777
Amortization 27,067 22,054 16,269
Deferred income taxes 30,930 22,678 31,837
Loss on sale of business 0 4,867 19
Change in fair value of contingent consideration (2,278) 752 (7,221)
Other, net 3,381 1,677 5,253
Changes in operating assets and liabilities, net of effect of acquisitions and divestitures:      
Accounts receivable (54,767) (4,329) (31,821)
Accounts payable 7 406 (9,132)
Accrued liabilities 4,547 24,537 36,289
Deferred revenues (1,319) 931 (1,997)
Other assets and liabilities 21,170 3,527 (18,469)
Net cash provided by operating activities 403,467 387,448 306,104
INVESTING ACTIVITIES:      
Payments for acquisitions, net of cash acquired (161,936) (224,367) (469,209)
Proceeds from/ (purchase of) short-term investments 73 (89) 15,942
Proceeds from sale of business and other assets 0 764 2,371
Capital expenditures (73,109) (65,236) (53,301)
Net cash used in investing activities (234,972) (288,928) (504,197)
FINANCING ACTIVITIES:      
Repayment of long-term debt and other obligations (88,507) (102,932) (65,546)
Borrowings on foreign bank debt 218,968 98,620 42,178
Repayments on foreign bank debt (201,967) (69,454) (16,168)
Borrowings on senior credit facility 1,029,718 863,286 1,643,458
Repayments on senior credit facility (984,979) (1,167,595) (1,372,631)
Proceeds from private placement of long-term note 0 250,000 0
Payments of deferred financing costs 0 (956) (3,740)
Payments on capital lease obligations (4,024) (3,192) (3,333)
Purchase and cancellation of treasury stock (163,700) (48,028) (124,056)
Proceeds from issuance of common stock 42,345 64,461 31,286
Excess tax benefit of stock options exercised 17,153 30,161 17,410
Payments to noncontrolling interests (1,026) (5,897) (10,986)
Net cash used in financing activities (136,019) (91,526) 137,872
Effect of exchange rate changes on cash and cash equivalents (1,809) 1,819 3,456
Net increase/ (decrease) in cash and cash equivalents 30,667 8,813 (56,765)
Cash and cash equivalents at beginning of period 31,324 22,511 79,276
Cash and cash equivalents at end of period 61,991 31,324 22,511
NON-CASH ACTIVITIES:      
Issuance of obligations for acquisitions 100,101 97,541 57,560
Issuance of obligations for noncontrolling interests $ 6,119 $ 8,197 $ 779