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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