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11. Supplemental Cash Flow Information (Details) - USD ($)
$ in Thousands
 3 Months Ended 12 Months Ended
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Other Significant Noncash Transactions [Line Items]                      
Net Income (Loss) Attributable to Parent $ (828,500) $ 269,300 $ 268,000 $ 656,800 $ 82,700 $ 22,100 $ 5,000 $ 12,400 $ 365,614 $ 122,249 $ 26,000
Depreciation and amortization                 138,100 148,700 142,900
Share-based compensation                 27,800 23,400 19,700
Gains on disposition of securities                 (1,600) (100) (800)
Other than Temporary Impairment Losses on Investments                 800 7,000 600
Changes in fair market value of equity securities                 (606,200) 0 0
Losses on dispositions of fixed assets                 2,000 8,100 600
Gain on sale of land                 (4,100) 0 0
Gain on divestiture of a product line                 (5,100) 0 0
Excess tax benefits from share-based compensation                 0 0 (1,506)
Changes in fair value of contingent consideration                 (6,200) (18,100) (400)
Decrease (increase) in accounts receivable, net                 59,700 (64,100) 12,500
Increase in inventories, net                 (12,900) (47,700) (57,100)
Increase in Other Current Assets                 (15,300) (35,700) (6,800)
(Decrease) increase in accounts payable and other current liabilities                 (45,600) 7,800 30,100
(Decrease) increase in Income Taxes Payable                 (20,900) (22,400) 10,700
Increase (decrease) in deferred income taxes                 120,900 (82,000) (51,400)
Other                 4,900 5,100 5,800
Decrease in other long term assets                 1,100 2,300 12,500
(Decrease) increase in Other Long Term Liabilities                 (10,000) 38,100 10,400
Impairment losses on goodwill and long-lived assets $ 292,500               292,513 11,506 62,305
Net cash provided by operating activities                 285,494 104,137 216,066
Noncash purchased property, plant and equipment                 5,700 0 7,200
Noncash Purchased Marketable Securities and Investments                 $ 800 $ 2,800 $ 600