CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Cash flows from operating activities of continuing operations:
Net income	$ 363,139	$ 485,374	$ 335,324
Adjustments to reconcile net income to net cash provided by operating activities:
(Income) loss from discontinued operations	(223)	(255)	477
Depreciation expense	66,502	71,758	68,567
Intangible asset amortization expense	164,088	165,604	158,685
Deferred financing costs and debt discount amortization expense	4,053	4,493	4,430
Loss on extinguishment of debt	454	12,986	0
Fair value step up of acquired inventory sold	0	3,993	1,707
Changes in contingent consideration	2,350	8,475	(38,164)
Assets impairment charges	1,497	6,739	21,388
Stock-based compensation	27,224	22,937	20,739
Gain on sale of assets and business	(6,504)	(91,157)	0
Deferred income taxes, net	(13,008)	(110,239)	(32,675)
Payments for contingent consideration	(3,016)	(230)	(79,801)
Interest benefit on swaps designated as net investment hedges	(20,880)	(19,296)	(19,178)
Other	(2,906)	(36,388)	(26,636)
Changes in operating assets and liabilities, net of effects of acquisitions and disposals:
Accounts receivable	(38,459)	(600)	44,748
Inventories	(110,686)	(11,138)	(5,497)
Prepaid expenses and other current assets	13,420	(28,410)	(4,323)
Accounts payable, accrued expenses and other liabilities	(24,786)	94,020	646
Income taxes	(79,453)	73,473	(13,294)
Net cash provided by operating activities from continuing operations	342,806	652,139	437,143
Cash flows from investing activities of continuing operations:
Expenditures for property, plant and equipment	(79,190)	(71,618)	(90,694)
Payments for businesses and intangibles acquired, net of cash acquired	(198,429)	(4,590)	(767,830)
Proceeds from sales of business and assets	12,434	224,909	1,400
Net interest proceeds on swaps designated as net investment hedges	20,775	19,154	19,341
Proceeds from sales of investments	7,300	7,300	0
Purchase of investments	(22,300)	(18,418)	0
Net cash (used in) provided by investing activities from continuing operations	(259,410)	156,737	(837,783)
Cash flows from financing activities of continuing operations:
Proceeds from new borrowings	744,250	400,000	1,513,807
Reduction in borrowings	(884,500)	(1,034,500)	(938,807)
Debt extinguishment, issuance and amendment fees	(5,200)	(9,774)	(8,440)
Net proceeds from share based compensation plans and the related tax impacts	(4,308)
Net proceeds from share based compensation plans and the related tax impacts		12,451	18,994
Payments for contingent consideration	(3,959)	(31,448)	(67,170)
Dividends paid	(63,789)	(63,648)	(63,221)
Proceeds from sale of treasury stock	0	11,097	0
Net cash (used in) provided by financing activities from continuing operations	(217,506)	(715,822)	455,163
Cash flows from discontinued operations:
Net cash used in operating activities	(665)	(720)	(737)
Net cash provided by investing activities	1,469	0	0
Net cash provided by (used in) discontinued operations	804	(720)	(737)
Effect of exchange rate changes on cash and cash equivalents	(19,744)	(23,130)	21,011
Net (decrease) increase in cash and cash equivalents	(153,050)	69,204	74,797
Cash and cash equivalents at the beginning of the year	445,084	375,880	301,083
Cash and cash equivalents at the end of the year	$ 292,034	$ 445,084	$ 375,880