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Condensed Consolidated Statement of Cash Flows - USD ($)
$ in Thousands
 6 Months Ended
Jun. 30, 2021
Jun. 30, 2020
Operating activities:    
Net income $ 450,912 $ 446,833
Adjustments to reconcile net income to total operating activities:    
Depreciation and amortization 139,814 127,404
Deferred income taxes 27,482 (2,976)
Share-based compensation expense 23,593 19,053
Gain on sale of business 0 (141,020)
Gain on sale of facilities 0 (4,592)
Net change in assets and liabilities, net of acquisitions (58,497) 145,473
Pension contributions (4,094) (3,209)
Other, net (7,767) (1,598)
Total operating activities 571,443 585,368
Investing activities:    
Additions to property, plant and equipment (41,005) (27,017)
Purchases of businesses, net of cash acquired (1,840,845) (116,509)
Proceeds from sale of business 0 245,311
Proceeds from sale of facilities 0 5,463
Other, net (292) (2,457)
Total investing activities (1,882,142) 104,791
Financing activities:    
Net change in short-term borrowings 569,949 (374,771)
Proceeds from long-term borrowings 0 500,000
Repurchases of common stock (12,878) (4,496)
Cash dividends paid (92,167) (82,399)
Proceeds from stock option exercises 31,112 20,676
Other, net (4,420) (2,614)
Total financing activities 491,596 56,396
Effect of exchange rate changes on cash and cash equivalents    
Effect of exchange rate changes on cash and cash equivalents (3,075) (8,610)
(Decrease) Increase in cash and cash equivalents (822,178) 737,945
Cash and cash equivalents:    
Beginning of period 1,212,822 393,030
End of period $ 390,644 $ 1,130,975