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5. Supplemental Cash Flow Information (Details) - USD ($) $ in Thousands | 3 Months Ended
--- | ---
Mar. 31, 2019 | Mar. 31, 2018
Supplemental Cash Flow Elements [Abstract] |  |
Net Income Attributable to Parent | $ 865,195 | $ 656,774
Depreciation and Amortization | 32,900 | 34,300
Right-of-user asset amortization | 10,000 | 0
Share-based Compensation | 8,500 | 5,900
Loss on Sale of Securities, Net | 0 | 200
Other than Temporary Impairment Losses on Investments | 1,600 | 0
Changes in fair market value of equity securities | (1,059,200) | (815,900)
Gain on divestiture of a product line | 0 | (5,100)
Loss on Disposition of Property Plant Equipment | 300 | 400
Gain on sale of land | 0 | (4,100)
Changes in fair value of contingent consideration | (500) | (2,100)
Operating Lease, Payments | (11,700) | 0
(increase) decrease in accounts receivable | (2,000) | 40,200
Increase in inventories | (11,600) | (16,900)
Increase in other current assets | (16,700) | (12,800)
Increase (decrease) in accounts payable and other current liabilities | 20,600 | (47,400)
Increase in Income Taxes Payable | 13,800 | 11,500
Increase in Deferred Income Taxes | 238,500 | 184,500
(Decrease) Incrase in Other Noncurrent Liabilities | (38,300) | 10,200
Other | (8,500) | 600
Net cash provided by operating activities | 42,943 | 40,346
Noncash or Part Noncash Acquisition, Fixed Assets Acquired | $ 5,100 | $ 6,700

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