CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021
Cash flows from operating activities
Net income	$ 456,700	$ 330,600
Adjustments to reconcile net income to net cash provided by operating activities:
Gains on sales of assets	(3,000)	0
Gain on sale of business	(34,800)	0
Asset impairments	17,000	800
Depreciation and amortization	37,000	32,300
Amortization of intangible assets	49,200	40,700
Amortization of debt issuance expenses	1,200	1,400
Share-based compensation expense	16,400	15,400
Deferred income taxes	200	(7,100)
Non-cash interest expense associated with forward starting swaps	0	3,300
Termination of the U.S. pension plan	0	9,700
Changes in (net of the effect from acquisitions/divestitures and foreign exchange):
Receivables	(62,500)	(59,200)
Inventories	(99,600)	(28,100)
Other current assets	(4,800)	6,000
Trade accounts payable	25,600	21,000
Deferred revenue	(24,700)	14,800
Accrued expenses	13,100	18,900
Other - net	3,100	1,700
Net cash flows provided by operating activities	390,100	402,200
Cash flows from investing activities
Purchases of property, plant and equipment	(48,000)	(45,500)
Acquisition of businesses, net of cash acquired	(232,600)	(575,600)
Note receivable from collaborative partner	0	(4,200)
Proceeds from disposal of fixed assets	7,000	200
Proceeds from sale of business, net of cash remitted	49,400	0
Other - net	(200)	900
Net cash flows used in investing activities	(224,400)	(624,200)
Cash flows from financing activities
Borrowings under revolving credit facilities	40,000	0
Payments under revolving credit facilities	(40,000)	0
Proceeds from issuance of long-term borrowings	0	499,400
Payment of long-term borrowings	0	(350,000)
Payment of make-whole redemption premium	0	(6,700)
Debt issuance costs	0	(4,600)
Dividends paid	(132,200)	(120,300)
Proceeds from stock option exercises	9,000	12,500
Repurchases of common stock	(146,300)	0
Shares surrendered for tax withholding	(5,100)	(5,600)
Other - net	0	(100)
Net cash flows (used in) provided by financing activities	(274,600)	24,600
Effect of exchange rate changes on cash and cash equivalents	(65,800)	(22,000)
Net decrease in cash	(174,700)	(219,400)
Cash and cash equivalents at beginning of year	855,400	1,025,900
Cash and cash equivalents at end of period	680,700	806,500
Cash paid for:
Interest	18,900	17,800
Income taxes	$ 129,500	$ 93,900