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Condensed Consolidated Statement of Cash Flows - USD ($)
$ in Thousands
 9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Operating activities:    
Net income $ 852,461 $ 708,372
Adjustments to reconcile net income to total operating activities:    
Depreciation and amortization 230,968 214,494
Deferred income taxes (32,889) (7,209)
Share-based compensation expense 34,587 35,021
Gain on sale of business/investment (3,584) (6,349)
Gain on sale of facilities (7,054) 0
Net change in assets and liabilities, net of acquisitions (299,311) (60,947)
Pension contributions (5,244) (6,414)
Other, net (5,576) 1,592
Total operating activities 764,358 878,560
Investing activities:    
Additions to property, plant and equipment (80,829) (67,229)
Purchases of businesses, net of cash acquired (190,321) (1,839,664)
Proceeds from sale of business/investment 3,734 12,000
Proceeds from sale of facilities 11,754 0
Other, net 124 (291)
Total investing activities (255,538) (1,895,184)
Financing activities:    
Net change in short-term borrowings (26,315) 286,126
Repurchases of common stock (331,424) (13,063)
Cash dividends paid (151,635) (138,345)
Proceeds from stock option exercises 23,241 42,301
Other, net (15,056) (5,818)
Total financing activities (501,189) 171,201
Effect of exchange rate changes on cash and cash equivalents (44,459) (8,723)
Decrease in cash and cash equivalents (36,828) (854,146)
Cash and cash equivalents:    
Beginning of period 346,772 1,212,822
End of period $ 309,944 $ 358,676