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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2016
Jun. 30, 2015
Cash flows from operating activities:    
Net income $ 1,398.9 $ 1,075.1
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation 58.5 57.8
Amortization 192.1 131.3
Deferred income taxes (166.7) (252.6)
Impairment charges 132.6 5.6
Change in value of contingent consideration (10.7) (10.3)
Gain on sale of business (37.5) 0.0
Net (gain) loss on sale of investments (7.1) (85.6)
Share-based compensation expense 304.0 276.5
Share-based employee benefit plan expense 19.7 17.1
Derivative instruments (14.3) (4.0)
Other, net 1.5 (3.8)
Change in current assets and liabilities, excluding the effect of acquisitions:    
Accounts receivable (80.7) (140.9)
Inventory (45.2) (19.2)
Other operating assets 100.4 (46.8)
Accounts payable and other operating liabilities 55.0 76.8
Income tax payable 13.6 32.8
Deferred revenue (3.2) 31.1
Net cash provided by operating activities 1,910.9 1,140.9
Cash flows from investing activities:    
Proceeds from sales of marketable securities available for sale 428.0 1,579.8
Purchases of marketable securities available for sale (432.0) (1,127.1)
Capital expenditures (103.3) (95.0)
Proceeds from sales of investment securities 11.3 85.2
Purchases of investment securities (89.6) (200.2)
Other 0.0 (3.0)
Net cash (used in) provided by investing activities (185.6) 239.7
Cash flows from financing activities:    
Payment for treasury shares (1,706.3) (1,997.3)
Proceeds from short-term borrowing 0.0 970.9
Principal repayments on short-term borrowing 0.0 (209.7)
Net proceeds from common equity put options 5.8 6.4
Net proceeds from share-based compensation arrangements 75.9 104.2
Excess tax benefit from share-based compensation arrangements 82.1 174.2
Net cash used in financing activities (1,542.5) (951.3)
Effect of currency rate changes on cash and cash equivalents 0.6 (20.1)
Net increase in cash and cash equivalents 183.4 409.2
Cash and cash equivalents at beginning of period 4,880.3 4,121.6
Cash and cash equivalents at end of period 5,063.7 4,530.8
Supplemental schedule of non-cash investing and financing activity:    
Change in net unrealized loss on marketable securities available for sale 353.3 8.3
Investment in Human Longevity, Inc. common stock 39.6 0.0
Supplemental disclosure of cash flow information:    
Interest paid 264.8 120.2
Income taxes paid $ 227.1 $ 247.2