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CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2021
Mar. 31, 2020
Cash flows from operating activities:    
Net income $ 291,545 $ 287,895
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 165,701 154,679
Debt refinancing charges 0 884
Stock-based compensation expense 23,595 19,870
Deferred income taxes 18,688 103,301
Equity investment income, net (2,924) (9,482)
Other non-cash charges, net 3,979 5,055
Changes in operating assets and liabilities, net of effect of acquisitions and divestitures:    
Accounts receivable (224,274) (32,966)
Inventories (5,303) 1,835
Other receivables and prepaid and other current assets 13,756 (24,965)
Other long-term assets (6,521) 2,673
Accounts payable (75,504) (24,045)
Accrued compensation and benefits (126,330) (96,428)
Other current liabilities 26,970 3,982
Income taxes 62,719 (32,616)
Other long-term liabilities (11,793) 709
Net cash provided by operating activities 154,304 360,381
Cash flows from investing activities:    
Additions of property and equipment (144,913) (154,942)
Acquisitions (3,668) (34,107)
Proceeds from asset and business sales 16,337 31,518
Purchase of debt investments held-to-maturity (5,349) (5,049)
Purchase of other debt and equity investments (1,779) (2,633)
Proceeds from debt investments held-to-maturity 5,349 5,049
Proceeds from sale of other debt and equity investments 11,879 3,268
Purchase of equity method investments (3,200) (6,174)
Distributions from equity method investments 978 445
Net cash used in investing activities (124,366) (162,625)
Cash flows from financing activities:    
Borrowings 1,606,969 570,779
Payments on long-term debt (698,298) (104,592)
Deferred financing costs (8,346) (350)
Purchase of treasury stock (316,250) (321,798)
Distributions to noncontrolling interests (53,867) (58,131)
Net (payments) receipts related to stock purchases and awards (2,524)  
Net (payments) receipts related to stock purchases and awards   2,397
Contributions from noncontrolling interests 10,689 9,387
Purchases of noncontrolling interests (1,095) (700)
Net cash provided by financing activities 537,278 96,992
Effect of exchange rate changes on cash, cash equivalents and restricted cash (7,966) (14,978)
Net increase in cash, cash equivalents and restricted cash 559,250 279,770
Cash, cash equivalents and restricted cash of continuing operations at beginning of the year 501,790 1,208,718
Cash, cash equivalents and restricted cash of continuing operations at end of the year 1,061,040 1,488,488
Discontinued Operations    
Cash flows from financing activities:    
Net increase in cash, cash equivalents and restricted cash 0 0
Continuing Operations    
Cash flows from financing activities:    
Net increase in cash, cash equivalents and restricted cash $ 559,250 $ 279,770