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5. Supplemental Cash Flow Information (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2019 | Mar. 31, 2019 | Jun. 30, 2018 | Mar. 31, 2018 | Jun. 30, 2019 | Jun. 30, 2018
Supplemental Cash Flow Elements [Abstract] |  |  |  |  |  |
Net Income Attributable to Parent | $ 598,810 | $ 865,195 | $ 268,043 | $ 656,774 | $ 1,464,005 | $ 924,817
Depreciation and Amortization |  |  |  |  | 66,100 | 68,700
Right-of-user asset amortization |  |  |  |  | 19,800 | 0
Share-based Payment Arrangement, Noncash Expense |  |  |  |  | 16,300 | 12,100
Loss on Sale of Securities, Net |  |  |  |  | 0 | 600
Other than Temporary Impairment Losses on Investments |  |  |  |  | 1,600 | 0
Changes in fair market value of equity securities |  |  |  |  | (1,775,600) | (1,102,300)
Gain on divestiture of a product line |  |  |  |  | 0 | (5,100)
Loss on Disposition of Property Plant Equipment |  |  |  |  | 200 | 800
Gain on sale of land | $ 0 |  | $ 0 |  | 0 | (4,100)
Changes in fair value of contingent consideration |  |  |  |  | (600) | (2,400)
Payments for operating lease liabilities |  |  |  |  | (18,400) | 0
Decrease in accounts receivable |  |  |  |  | 14,600 | 52,500
Increase in inventories |  |  |  |  | (8,000) | (11,700)
Decrease (increase) in other current assets |  |  |  |  | 37,600 | (5,900)
Decrease in accounts payable and other current liabilities |  |  |  |  | (23,000) | (43,700)
Increase (decrease) in income taxes payable |  |  |  |  | 8,600 | (20,900)
Increase in deferred income taxes |  |  |  |  | 395,800 | 246,200
Increase in other long term liabilities |  |  |  |  | 4,400 | 6,500
Other |  |  |  |  | (5,100) | 2,100
Net cash provided by operating activities |  |  |  |  | 198,345 | 118,208
Noncash or Part Noncash Acquisition, Fixed Assets Acquired |  |  |  |  | $ 6,200 | $ 7,300

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