Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands	9 Months Ended
Sep. 30, 2019	Sep. 30, 2018
Operating activities:
Net income	$ 612,167	$ 623,775
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	197,053	177,896
Share-based compensation	19,820	15,417
Excess tax benefits from share-based compensation	(4,054)	(3,079)
Other non-operating activities	(22,329)	0
Changes in operating assets and liabilities	(57,445)	111,517
Net cash provided by operating activities	745,212	925,526
Investing activities:
Purchases of property, plant and equipment	(182,612)	(91,942)
Proceeds from divestitures of businesses	416,784	0
Acquisitions of businesses and other investing activities	(625,565)	(153,988)
Net cash used in investing activities	(391,393)	(245,930)
Financing activities:
Proceeds from debt	3,928,716	3,406,975
Payments on debt	(3,749,509)	(3,710,934)
Share-based awards exercised	(7,495)	(5,860)
Dividends paid	(328,106)	(310,310)
Purchases of stock	(73,052)	(1,918)
Net cash used in financing activities	(229,446)	(622,047)
Effect of exchange rate changes on cash and cash equivalents	(6,645)	(13,343)
Net increase in cash and cash equivalents	117,728	44,206
Cash and cash equivalents at beginning of period	333,547	314,899
Cash and cash equivalents at end of period	$ 451,275	$ 359,105

Payments for share based awards exercised net of taxes paid.

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