Quarterly report pursuant to Section 13 or 15(d)

CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED)

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CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) - USD ($)
$ in Thousands
 9 Months Ended
Sep. 30, 2016
Sep. 30, 2015
CASH FLOWS FROM OPERATING ACTIVITIES    
Net income $ 113,268 $ 58,068
Reconciling items:    
Depreciation 104,100 97,845
Amortization 191,141 174,321
Deferred income tax benefit (14,096) (7,181)
Amortization of debt issuance costs, discounts and premium, net 7,823 7,974
Non-cash compensation expense 25,237 25,594
Equity in losses (earnings) of nonconsolidated affiliates, net of distributions 25,742 6,040
Provision for uncollectible receivables and advances 12,743 7,339
Other, net (6,094) (12,091)
Changes in operating assets and liabilities, net of effects of acquisitions and dispositions:    
Increase in accounts receivable (345,343) (232,106)
Increase in prepaid expenses and other assets (173,683) (215,009)
Increase in accounts payable, accrued expenses and other liabilities 295,025 120,812
Decrease in deferred revenue (116,347) (46,530)
Net cash provided by (used in) operating activities 119,516 (14,924)
CASH FLOWS FROM INVESTING ACTIVITIES    
Advances and collections of notes receivable, net (7,971) (22,827)
Investments made in nonconsolidated affiliates (18,628) (17,130)
Purchases of property, plant and equipment (119,740) (97,506)
Cash paid for acquisitions, net of cash acquired (113,065) (87,371)
Other, net (770) (2,290)
Net cash used in investing activities (260,174) (227,124)
CASH FLOWS FROM FINANCING ACTIVITIES    
Payments on long-term debt (28,795) (22,910)
Distributions to noncontrolling interests (25,279) (13,834)
Purchases and sales of noncontrolling interests, net (32,266) (9,491)
Proceeds from exercise of stock options 5,676 14,685
Payments for deferred and contingent consideration (21,809) (4,450)
Other, net (7,227) 2,552
Net cash used in financing activities (109,700) (33,448)
Effect of exchange rate changes on cash and cash equivalents (13,061) (45,150)
Net decrease in cash and cash equivalents (263,419) (320,646)
Cash and cash equivalents at beginning of period 1,303,125 1,382,029
Cash and cash equivalents at end of period $ 1,039,706 $ 1,061,383