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CONSOLIDATED STATEMENTS OF CASH FLOWS (unaudited) - USD ($)
$ in Thousands
 9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Cash flows from operating activities:    
Net income $ 962,330 $ 760,307
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 505,852 468,949
Debt prepayment, refinancing and redemption charges 0 86,957
Stock-based compensation expense 75,898 67,217
Deferred income taxes 56,724 191,783
Equity investment (income) loss, net (1,687) 3,026
Loss on sales of business interests, net 0 16,252
Other non-cash charges, net 13,418 (7,980)
Changes in operating assets and liabilities, net of effect of acquisitions and divestitures:    
Accounts receivable (205,792) (12,405)
Inventories (2,490) (8,445)
Other receivables and prepaid and other current assets 144,967 (62,025)
Other long-term assets (19,663) (1,853)
Accounts payable (47,412) 445
Accrued compensation and benefits (7,176) (12,124)
Other current liabilities (87,842) 123,833
Income taxes 22,609 (100,160)
Other long-term liabilities (8,748) (19,547)
Net cash provided by operating activities 1,400,988 1,494,230
Cash flows from investing activities:    
Additions of property and equipment (451,909) (449,896)
Acquisitions (45,143) (112,597)
Proceeds from asset and business sales 46,578 83,339
Purchase of debt investments held-to-maturity (13,274) (147,829)
Purchase of other debt and equity investments (2,609) (3,388)
Proceeds from debt investments held-to-maturity 13,274 148,341
Proceeds from sale of other debt and equity investments 11,976 3,434
Purchase of intangible assets (745) 0
Purchase of equity method investments (7,925) (9,613)
Distributions from equity method investments 1,592 902
Net cash used in investing activities (448,185) (487,307)
Cash flows from financing activities:    
Borrowings 1,613,036 3,826,484
Payments on long-term debt (812,659) (3,927,411)
Deferred financing costs (9,091) (105,705)
Purchase of treasury stock (882,411) (1,025,878)
Distributions to noncontrolling interests (177,146) (179,098)
Net payments related to stock purchases and awards (59,849)  
Net payments related to stock purchases and awards   3,838
Contributions from noncontrolling interests 28,295 32,854
Proceeds from sales of additional noncontrolling interest 2,880 0
Purchases of noncontrolling interests (11,658) (6,782)
Net cash used in financing activities (308,603) (1,381,698)
Effect of exchange rate changes on cash, cash equivalents and restricted cash (7,381) (16,606)
Net increase (decrease) in cash, cash equivalents and restricted cash 636,819 (391,381)
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 1,138,609 817,337
Discontinued Operations    
Cash flows from financing activities:    
Net increase (decrease) in cash, cash equivalents and restricted cash 0 0
Continuing Operations    
Cash flows from financing activities:    
Net increase (decrease) in cash, cash equivalents and restricted cash $ 636,819 $ (391,381)