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Condensed Consolidated Statement of Cash Flows - USD ($)
$ in Thousands
 9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Operating activities:    
Net income $ 708,372 $ 651,414
Adjustments to reconcile net income to total operating activities:    
Depreciation and amortization 214,494 190,398
Deferred income taxes (7,209) (4,532)
Share-based compensation expense 35,021 29,878
Gain on sale of business (6,349) (141,020)
Gain on sale of facilities 0 (7,523)
Net change in assets and liabilities, net of acquisitions (60,947) 176,743
Pension contributions (6,414) (5,110)
Other, net 1,592 4,850
Total operating activities 878,560 895,098
Investing activities:    
Additions to property, plant and equipment (67,229) (37,164)
Purchases of businesses, net of cash acquired (1,839,664) (116,509)
Proceeds from sale of business 12,000 245,311
Proceeds from sale of facilities 0 9,508
Other, net (291) (2,457)
Total investing activities (1,895,184) 98,689
Financing activities:    
Net change in short-term borrowings 286,126 109,997
Repayments of long-term borrowings 0 (102,947)
Repurchases of common stock (13,063) (4,569)
Cash dividends paid (138,345) (123,690)
Proceeds from stock option exercises 42,301 39,880
Other, net (5,818) (3,389)
Total financing activities 171,201 (84,718)
Effect of exchange rate changes on cash and cash equivalents    
Effect of exchange rate changes on cash and cash equivalents (8,723) 2,739
(Decrease) Increase in cash and cash equivalents (854,146) 911,808
Cash and cash equivalents:    
Beginning of period 1,212,822 393,030
End of period $ 358,676 $ 1,304,838