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Consolidated Statements of Cash Flows - USD ($)
$ in Thousands
 12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Cash flows from operating activities:      
Net earnings $ 768,985 $ 602,739 $ 561,109
Adjustments to reconcile net earnings to net cash provided by operating activities:      
Depreciation 44,982 42,044 38,991
Amortization 63,075 56,665 49,690
Deferred tax (benefit) provision 563 (12,784) 11,203
Share-based compensation 19,595 18,687 18,285
Swiss tax reform (Note 14) 0 0 (15,833)
Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability 6,849    
Other 381 (2,399) 133
Increase (decrease) in cash resulting from changes in:      
Trade accounts receivable, net (66,468) (4,495) (31,408)
Inventories (118,718) (3,836) (4,603)
Other current assets (5,040) (4,763) (335)
Trade accounts payable 93,973 (17,803) (12,221)
Taxes payable 19,688 14,049 (6,176)
Accruals and other 80,960 36,595 (5,385)
Net Cash Provided by (Used in) Operating Activities 908,825 724,699 603,450
Cash flows from investing activities:      
Proceeds from sale of property, plant and equipment 3,652 3,106 1,422
Purchase of property, plant and equipment (107,580) (92,494) (97,341)
Acquisitions (220,862) (6,242) (2,004)
Net hedging settlements on intercompany loans (10,682) 4,730 1,160
Net cash used in investing activities (314,108) (100,360) (99,083)
Cash flows from financing activities:      
Proceeds from borrowings 2,427,519 1,489,040 1,435,081
Repayments of borrowings (2,035,546) (1,483,869) (1,176,784)
Proceeds from exercise of stock options 20,463 26,719 47,581
Repurchases of common stock (999,998) (774,998) (774,999)
Acquisition contingent consideration paid 0 0 (10,000)
Other financing activities (2,987) (800) 1,753
Net cash provided by (used in) financing activities (590,549) (743,908) (477,368)
Effect of exchange rate changes on cash and cash equivalents 142 6,038 2,676
Net increase (decrease) in cash and cash equivalents 4,310 (113,531) 29,675
Cash and cash equivalents:      
Cash and Cash Equivalents, at Carrying Value, Beginning 94,254 207,785 178,110
Cash and Cash Equivalents, at Carrying Value, End 98,564 94,254 207,785
Supplemental disclosures of cash flow information:      
Interest 41,338 37,772 37,499
Taxes $ 152,657 $ 134,674 $ 129,347