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Condensed Consolidated Statements Of Cash Flows (USD $)
In Thousands
9 Months Ended
Sep. 30, 2011
Sep. 30, 2010
Cash Flows from Operating Activities:  
Net income$ 123,756$ 104,940
Adjustments to reconcile net income to net cash provided by operating activities:  
Depreciation and amortization35,38834,117
Loss on disposal of property and equipment4811,500
(Decrease) increase in deferred compensation liability(320)135
Provision for uncollectible accounts9971,506
Provision for deferred income taxes5981,379
Share-based compensation expense11,4979,787
Tax benefit from exercises of stock options and vesting of restricted stock units(14,009)(13,293)
Changes in assets and liabilities, net of acquisitions:  
Accounts receivable(16,181)(6,916)
Inventories(9,732)(22,460)
Other assets3,056(5,836)
Accounts payable8,3056,107
Accrued liabilities16,66416,447
Deferred revenue3,0182,570
Net cash provided by operating activities163,518129,983
Cash Flows from Investing Activities:  
Purchases of property and equipment(39,927)(28,646)
Proceeds from sale of property and equipment22386
Proceeds from disposition of pharmaceutical product lines3,000 
Acquisition of intangible assets (244)
Acquisition of a business, net of cash acquired(2,600) 
Net cash used by investing activities(39,304)(28,804)
Cash Flows from Financing Activities:  
Borrowings on revolving credit facilities, net24,9037,135
Payment of notes payable(643)(605)
Repurchases of common stock(166,016)(117,157)
Proceeds from exercises of stock options and employee stock purchase plans26,08022,055
Tax benefit from exercises of stock options and vesting of restricted stock units14,00913,293
Net cash used by financing activities(101,667)(75,279)
Net effect of changes in exchange rates on cash2,037884
Net increase in cash and cash equivalents24,58426,784
Cash and cash equivalents at beginning of period156,915106,728
Cash and cash equivalents at end of period$ 181,499$ 133,512