Annual report pursuant to Section 13 and 15(d)

CONSOLIDATED STATEMENTS OF CASH FLOWS

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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
CASH FLOWS FROM OPERATING ACTIVITIES      
Net income (loss) $ 20,297 $ (15,769) $ (104,450)
Reconciling items:      
Depreciation 139,288 134,148 127,168
Amortization 264,363 263,093 240,975
Goodwill impairment 0 0 134,961
Deferred income tax benefit (7,891) (9,611) (17,664)
Amortization of debt issuance costs, discounts and premium, net 12,594 10,885 16,038
Provision for uncollectible accounts receivable and advances 21,681 19,505 6,540
Loss on extinguishment of debt 14,049 0 188
Non-cash compensation expense 32,723 33,361 39,029
Equity in losses (earnings) of nonconsolidated affiliates, net of distributions 27,498 9,436 3,698
Gain on consolidation of nonconsolidated affiliates (501) (8,685) (16,356)
Other, net (8,801) 5,170 (11,313)
Changes in operating assets and liabilities, net of effects of acquisitions and dispositions:      
Increase in accounts receivable (146,128) (67,235) (14,356)
Increase in prepaid expenses and other assets (129,748) (122,872) (231,560)
Increase in accounts payable, accrued expenses and other liabilities 193,775 3,480 45,538
Increase in deferred revenue 164,291 52,948 73,730
Net cash provided by operating activities 597,490 307,854 292,166
CASH FLOWS FROM INVESTING ACTIVITIES      
Advances of notes receivable (17,227) (28,288) (34,395)
Investments made in nonconsolidated affiliates (28,922) (21,998) (19,600)
Purchases of property, plant and equipment (173,827) (142,491) (139,587)
Cash paid for acquisitions, net of cash acquired (211,624) (89,780) (210,243)
Purchases of intangible assets (6,234) (12,267) (3,350)
Other, net 11,357 3,839 15,017
Net cash used in investing activities (426,477) (290,985) (392,158)
CASH FLOWS FROM FINANCING ACTIVITIES      
Proceeds from long-term debt, net of debt issuance costs 844,451 57,276 515,385
Payments on long-term debt including extinguishment costs (606,831) (63,569) (253,773)
Distributions to noncontrolling interests (55,131) (30,645) (32,513)
Purchases and sales of noncontrolling interests, net (69,106) (9,752) (4,391)
Proceeds from exercise of stock options 20,299 16,280 21,797
Payments for deferred and contingent consideration (20,451) (6,770) (5,722)
Other, net (14,019) (6,941) (14,812)
Net cash provided by (used in) financing activities 99,212 (44,121) 225,971
Effect of exchange rate changes on cash and cash equivalents (46,759) (51,652) (43,134)
Net increase (decrease) in cash and cash equivalents 223,466 (78,904) 82,845
Cash and cash equivalents at beginning of period 1,303,125 1,382,029 1,299,184
Cash and cash equivalents at end of period 1,526,591 1,303,125 1,382,029
Cash paid during the year for:      
Interest, net of interest income 96,678 92,620 89,343
Income taxes, net of refunds $ 30,312 $ 44,287 $ 41,471