Condensed Consolidated Statements Of Cash Flows - USD ($) $ in Millions	9 Months Ended
Sep. 30, 2018	Sep. 30, 2017
Cash flows from operating activities:
Net earnings	$ 301.3	$ 451.7
Adjustments to reconcile net earnings to net cash provided by operating activities:
Depreciation and amortization	1,501.0	1,279.8
Share-based Compensation	(8.6)	64.2
Deferred income tax (benefit) expense	(149.9)	17.4
Loss from equity method investments	58.6	77.2
Other non-cash items	238.3	265.4
Litigation settlements and other contingencies, net	(40.9)	(45.2)
Changes in operating assets and liabilities:
Accounts receivable	262.2	216.2
Inventories	(425.5)	(87.9)
Accounts payable	(14.1)	(187.4)
Income taxes	(97.4)	(149.3)
Other operating assets and liabilities, net	80.6	(332.8)
Net cash provided by operating activities	1,705.6	1,569.3
Cash flows from investing activities:
Cash paid for acquisitions, net	(65.9)	(71.6)
Capital expenditures	(137.4)	(156.4)
Proceeds from the sale of assets	0.0	31.1
Purchase of available for sale securities and other investments	(49.4)	(8.9)
Proceeds from the sale of marketable securities	72.1	8.9
Payments for product rights and other, net	(854.2)	(558.8)
Net cash used in investing activities	(1,034.8)	(755.7)
Cash flows from financing activities:
Payments of long-term debt	(2,598.6)	(1,747.3)
Purchase of ordinary shares	(432.0)	0.0
Change in short-term borrowings, net	(45.9)	(48.3)
Taxes paid related to net share settlement of equity awards	(10.1)	(7.4)
Contingent consideration payments	(0.2)	(10.1)
Payments of financing fees	(20.8)	(8.7)
Proceeds from issuance of long-term debt	2,577.7	555.8
Proceeds from exercise of stock options	15.6	12.8
Other items, net	(0.4)	(0.7)
Net cash used in financing activities	(514.7)	(1,253.9)
Effect on cash of changes in exchange rates	(22.9)	44.1
Net increase (decrease) in cash, cash equivalents and restricted cash	133.2	(396.2)
Cash, cash equivalents and restricted cash — end of period	449.2	614.9
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents	$ 503.1	$ 750.8

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- Definition

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.

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 320
-SubTopic 10
-Section 45
-Paragraph 11
-URI http://asc.fasb.org/extlink&oid=82896770&loc=d3e26853-111562

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-Section 45
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- Definition

Amount of cash inflow from exercise of stock options granted under share-based compensation arrangement.

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Reference 1: http://www.xbrl.org/2003/role/presentationRef
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-Topic 230
-SubTopic 10
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-Section 50
-Paragraph 2A
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- Definition

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

+ References

Reference 1: http://www.xbrl.org/2003/role/presentationRef
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-Name Accounting Standards Codification
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-Section 45
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- Definition

The aggregate amount of noncash, equity-based employee remuneration. This may include the value of stock or unit options, amortization of restricted stock or units, and adjustment for officers' compensation. As noncash, this element is an add back when calculating net cash generated by operating activities using the indirect method.

+ References

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