Property and Equipment (Tables)

12 Months Ended

Dec. 31, 2015

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment [Table Text Block]

At December 31, property and equipment consisted of the following:

	2015			2014
Land	$	220.6		$	205.2
Buildings	6,786.5			6,516.2
Equipment	7,988.5			7,609.7
Construction in progress	1,665.3			1,698.2
	16,660.9			16,029.3
Less accumulated depreciation	(8,607.4		)	(8,065.4		)
Property and equipment, net	$	8,053.5		$	7,963.9

Schedule of Rent Expense [Table Text Block]

Depreciation expense related to property and equipment and rental expense for all leases, including contingent rentals (not material), was as follows:

	2015		2014		2013
Depreciation expense	$	717.6	$	759.1	$	774.8
Rental expense	225.7		227.3		227.2