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5. Supplemental Cash Flow Information (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2019 | Jun. 30, 2019 | Mar. 31, 2019 | Sep. 30, 2018 | Jun. 30, 2018 | Mar. 31, 2018 | Sep. 30, 2019 | Sep. 30, 2018
Supplemental Cash Flow Elements [Abstract] |  |  |  |  |  |  |  |
Net Income Attributable to Parent | $ (258,816) | $ 598,810 | $ 865,195 | $ 269,326 | $ 268,043 | $ 656,774 | $ 1,205,189 | $ 1,194,143
Depreciation and Amortization |  |  |  |  |  |  | 99,800 | 103,600
Right-of-use asset amortization |  |  |  |  |  |  | 31,100 | 0
Share-based Payment Arrangement, Noncash Expense |  |  |  |  |  |  | 25,400 | 19,200
(Gain) Loss on Sale of Securities, Net |  |  |  |  |  |  | (200) | 1,000
Other than Temporary Impairment Losses on Investments |  |  |  |  |  |  | 1,600 | 0
Changes in fair market value of equity securities |  |  |  |  |  |  | (1,385,000) | (1,420,300)
Gain on divestiture of a product line | 0 |  |  | 0 |  |  | 0 | (5,100)
Loss on Disposition of Property Plant Equipment |  |  |  |  |  |  | 300 | 1,200
Gain on sale of land | $ 0 |  |  | $ 0 |  |  | 0 | (4,100)
Changes in fair value of contingent consideration |  |  |  |  |  |  | (600) | (6,500)
Payments for operating lease liabilities |  |  |  |  |  |  | (27,600) | 0
Decrease in accounts receivable |  |  |  |  |  |  | 30,400 | 72,200
Increase in inventories |  |  |  |  |  |  | (14,500) | (26,300)
Decrease (increase) in other current assets |  |  |  |  |  |  | 47,900 | (8,900)
Decrease in accounts payable and other current liabilities |  |  |  |  |  |  | (24,600) | (43,100)
Decrease in income taxes payable |  |  |  |  |  |  | (2,800) | (22,100)
Increase in deferred income taxes |  |  |  |  |  |  | 310,900 | 316,700
Increase in other long term liabilities |  |  |  |  |  |  | 5,500 | 5,400
Other |  |  |  |  |  |  | (4,700) | 3,500
Net cash provided by operating activities |  |  |  |  |  |  | 298,095 | 180,485
Noncash or Part Noncash Acquisition, Fixed Assets Acquired |  |  |  |  |  |  | 4,500 | 5,700
Noncash or Part Noncash Acquisition, Investments Acquired |  |  |  |  |  |  | $ 2,800 | $ 1,200

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