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11. Supplemental Cash Flow Information (Details) - USD ($)
$ in Thousands
 3 Months Ended 12 Months Ended
Dec. 31, 2019
Sep. 30, 2019
Jun. 30, 2019
Mar. 31, 2019
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Other Significant Noncash Transactions [Line Items]                      
Net Income (Loss) Attributable to Parent $ 553,500 $ (258,800) $ 598,800 $ 865,200 $ (828,500) $ 269,300 $ 268,000 $ 656,800 $ 1,758,675 $ 365,614 $ 122,249
Depreciation and amortization                 134,200 138,100 148,700
Reduction in the carrying amount of right-of-use assets                 40,300 0 0
Share-based compensation                 35,600 27,800 23,400
Gains on disposition of securities                 (1,500) (1,600) (100)
Other than Temporary Impairment Losses on Investments                 5,800 800 7,000
Changes in fair market value of equity securities                 (2,031,000) (606,200) 0
Losses on dispositions of fixed assets                 1,200 2,000 8,100
Gain on sale of land                 0 (4,100) 0
Gain on divestiture of product line                 0 5,100 0
Payments for operating lease liabilities                 38,600 0 0
Changes in fair value of contingent consideration                 (1,600) (6,200) (18,100)
Decrease (increase) in accounts receivable, net                 1,600 59,700 (64,100)
Decrease (increase) in inventories, net                 24,200 (12,900) (47,700)
Decrease (increase) in Other Current Assets                 61,800 (15,300) (35,700)
Increase (decrease) in accounts payable and other current liabilities                 10,600 (45,600) 7,800
Decrease in Income Taxes Payable                 (4,200) (20,900) (22,400)
Increase (decrease) in deferred income taxes                 450,200 120,900 (82,000)
(Increase) decrease in other long term assets                 (1,700) 1,100 2,300
Increase (decrease) in Other Long Term Liabilities                 13,400 (10,000) 38,100
Impairment losses on goodwill and long-lived assets         $ 292,500       0 292,513 11,506
Increase (Decrease) in Other Operating Assets and Liabilities, Net                 1,100 (4,900) (5,100)
Net cash provided by operating activities                 457,897 285,494 104,137
Noncash purchased property, plant and equipment                 8,100 5,700 0
Noncash Purchased Marketable Securities and Investments                 1,400 800 2,800
Noncash or Part Noncash Acquisition, Accounts Receivable Acquired                 $ 1,300 $ 0 $ 300