Condensed Consolidated Statements Of Cash Flows - USD ($) $ in Millions	6 Months Ended
Jun. 30, 2017	Jun. 30, 2016
Cash flows from operating activities:
Net earnings	$ 363.4	$ 182.3
Adjustments to reconcile net earnings to net cash provided by operating activities:
Depreciation and amortization	836.7	600.5
Share-based compensation expense	42.0	51.9
Deferred income tax benefit	(130.0)	(92.1)
Loss from equity method investments	54.9	55.8
Other non-cash items	144.5	85.5
Litigation settlements and other contingencies, net	(41.4)	2.4
Write off of financing fees	0.0	35.8
Unrealized losses on acquisition-related foreign currency derivatives	0.0	(84.2)
Changes in operating assets and liabilities:
Accounts receivable	402.3	(100.6)
Inventories	(139.9)	(235.5)
Trade accounts payable	(296.2)	(137.6)
Income taxes	(38.0)	18.7
Other operating assets and liabilities, net	(177.6)	(54.2)
Net cash provided by operating activities	1,020.7	497.1
Cash flows from investing activities:
Cash paid for acquisitions, net	(71.6)	(943.3)
Capital expenditures	(109.3)	(121.0)
Proceeds from the sale of assets	31.1	0.0
Change in restricted cash	12.6	(50.6)
Purchase of marketable securities	(6.2)	(17.3)
Proceeds from the sale of marketable securities	6.2	10.9
Payments for product rights and other, net	(479.0)	(180.0)
Net cash used in investing activities	(616.2)	(1,301.3)
Cash flows from financing activities:
Payments of long-term debt	(1,326.6)	(500.0)
Payments of financing fees	(42.7)	54.7
Taxes paid related to net share settlement of equity awards	(7.4)	(12.7)
Contingent consideration payments	(10.1)	(15.5)
Contingent consideration payments	(8.1)	(92.3)
Proceeds from exercise of stock options	8.9	6.8
Acquisition of noncontrolling interest	0.0	0.2
Other items, net	(0.5)	0.8
Net cash (used in) provided by financing activities	(830.8)	5,920.4
Effect on cash of changes in exchange rates	40.3	9.7
Net decrease in cash and cash equivalents	(386.0)	5,125.9
Cash and cash equivalents — beginning of period	998.8	1,236.0
Cash and cash equivalents — end of period	$ 612.8	$ 6,361.9

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The cash inflow associated with the aggregate amount received by the entity through sale or maturity of marketable securities (held-to-maturity or available-for-sale) during the period.

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The cash inflow associated with the amount received from holders exercising their stock options. This item inherently excludes any excess tax benefit, which the entity may have realized and reported separately.

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The consolidated profit or loss for the period, net of income taxes, including the portion attributable to the noncontrolling interest.

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The cash outflow for debt initially having maturity due after one year or beyond the normal operating cycle, if longer.

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Write-off of amounts previously capitalized as debt issuance cost in an extinguishment of debt.

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