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CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOW - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2017
Sep. 30, 2016
Cash from operating activities:    
Net income $ 761.1 $ 594.3
Adjustments to reconcile net income to cash provided by operating activities:    
Depreciation and amortization 168.5 163.6
Stock-based compensation expense 37.1 35.5
Excess tax benefits from stock-based compensation payment arrangements   (33.2)
Net change in components of working capital (252.8) (27.4)
Net change in other long-term assets and liabilities 2.5 (4.1)
Net cash provided by operating activities 716.4 728.7
Cash from investing activities:    
Capital expenditures (155.8) (136.3)
Proceeds from disposals of property, plant and equipment 2.0 4.0
Purchases of short-term investments (36.1) (173.3)
Sales and maturities of short-term investments 140.4 33.3
Acquisitions, net of cash acquired (243.5) (1,272.6)
Net cash used in investing activities (293.0) (1,544.9)
Cash from financing activities:    
Proceeds from issuance of senior notes, net 749.3  
Repayments of long-term debt (375.0)  
Borrowings under commercial paper program, net 173.6 145.8
Payment of costs related to debt financing (5.2) (3.0)
Proceeds from exercise of stock options 134.4 120.8
Excess tax benefits from stock-based compensation payment arrangements   33.2
Distributions to and purchases of noncontrolling interests (22.1) (5.8)
Purchase and retirement of treasury stock (555.6) (229.6)
Dividend payments (147.1) (129.4)
Net cash used in financing activities (47.7) (68.0)
Effect of exchange rate changes on cash and cash equivalents 41.9 0.6
Net change in cash and cash equivalents 417.6 (883.6)
Cash and cash equivalents balance, beginning of period 1,034.6 1,737.2
Cash and cash equivalents balance, end of period 1,452.2 853.6
Cash paid for:    
Interest 78.0 65.2
Income taxes $ 244.1 $ 192.4