CONSOLIDATED STATEMENTS OF CASH FLOWS (Unaudited) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021
Cash flows from operating activities:
Net income	$ 46,536	$ 48,955
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation	18,595	14,536
Amortization of intangibles	110,353	88,393
Operating lease expense	14,397	12,897
Amortization of prepaid product discounts	26,258	23,425
Deferred income taxes	(21,791)	13,733
Employee share-based compensation expense	18,766	21,801
Gain on sale of businesses and facility	(19,331)	0
Other non-cash items, net	22,940	10,459
Changes in assets and liabilities, net of effect of acquisition:
Trade accounts receivable	(878)	15,164
Inventories and supplies	(14,540)	3,787
Other current assets	(11,826)	(27,495)
Payments for cloud computing arrangement implementation costs	(16,608)	(27,989)
Other non-current assets	(11,808)	(7,832)
Accounts payable	(1,090)	8,538
Prepaid product discount payments	(23,920)	(27,049)
Other accrued and non-current liabilities	(12,635)	(22,094)
Net cash provided by operating activities	123,418	149,229
Cash flows from investing activities:
Purchases of capital assets	(73,454)	(81,081)
Payment for acquisition, net of cash, cash equivalents, restricted cash and restricted cash equivalents acquired	0	(956,717)
Proceeds from sale of businesses and facility	25,248	2,648
Other	(1,144)	(1,211)
Net cash used by investing activities	(49,350)	(1,036,361)
Cash flows from financing activities:
Proceeds from issuing long-term debt and swingline loans	511,000	1,852,850
Payments on long-term debt and swingline loans	(524,175)	(903,438)
Payments for debt issuance costs	0	(18,153)
Net change in customer funds obligations	(88,079)	14,913
Proceeds from issuing shares	2,383	16,031
Employee taxes paid for shares withheld	(5,597)	(4,634)
Cash dividends paid to shareholders	(39,613)	(38,695)
Other	(5,480)	(7,254)
Net cash (used) provided by financing activities	(149,561)	911,620
Effect of exchange rate change on cash, cash equivalents, restricted cash and restricted cash equivalents	(14,107)	(793)
Net change in cash, cash equivalents, restricted cash and restricted cash equivalents	(89,600)	23,695
Cash, cash equivalents, restricted cash and restricted cash equivalents, beginning of year	285,491	229,409
Cash, cash equivalents, restricted cash and restricted cash equivalents, end of period	$ 195,891	$ 253,104