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, 2017
Sep. 30, 2016
CASH FLOWS FROM OPERATING ACTIVITIES    
Net income $ 181,555 $ 113,268
Reconciling items:    
Depreciation 107,530 104,100
Amortization 198,287 191,141
Deferred income tax benefit (9,901) (14,096)
Amortization of debt issuance costs, discounts and premium, net 9,836 7,823
Non-cash compensation expense 23,921 25,237
Unrealized changes in fair value of contingent consideration 12,198 (5,844)
Equity in losses (earnings) of nonconsolidated affiliates, net of distributions 5,333 25,742
Provision for uncollectible receivables and advances 7,226 12,743
Other, net 3,158 (250)
Changes in operating assets and liabilities, net of effects of acquisitions and dispositions:    
Increase in accounts receivable (394,753) (345,343)
Increase in prepaid expenses and other assets (280,241) (173,683)
Increase in accounts payable, accrued expenses and other liabilities 536,944 295,025
Increase (decrease) in deferred revenue 16,169 (116,347)
Net cash provided by operating activities 417,262 119,516
CASH FLOWS FROM INVESTING ACTIVITIES    
Advances of notes receivable (10,943) (11,051)
Investments made in nonconsolidated affiliates (22,157) (18,628)
Purchases of property, plant and equipment (184,499) (119,740)
Cash paid for acquisitions, net of cash acquired (18,809) (113,065)
Other, net 909 2,310
Net cash used in investing activities (235,499) (260,174)
CASH FLOWS FROM FINANCING ACTIVITIES    
Proceeds from long-term debt, net of debt issuance costs 59,313 6,881
Payments on long-term debt (84,608) (28,795)
Distributions to noncontrolling interests (22,877) (25,279)
Purchases and sales of noncontrolling interests, net (10,730) (32,266)
Proceeds from exercise of stock options 44,746 5,676
Payments for deferred and contingent consideration (14,149) (21,809)
Other, net 2,642 (14,108)
Net cash used in financing activities (25,663) (109,700)
Effect of exchange rate changes on cash and cash equivalents 118,322 (13,061)
Net increase (decrease) in cash and cash equivalents 274,422 (263,419)
Cash and cash equivalents at beginning of period 1,526,591 1,303,125
Cash and cash equivalents at end of period $ 1,801,013 $ 1,039,706