Condensed Consolidated Statements of Cash Flow - USD ($) $ in Millions	9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018
Cash from operating activities:
Net income	$ 843.2	$ 875.7
Adjustments to reconcile net income to cash provided by operating activities:
Depreciation and amortization	235.4	194.5
Stock-based compensation expense	46.4	40.4
Loss on early extinguishment of debt	14.3	0.0
Deferred income tax benefit	(37.5)	(41.5)
Net change in components of working capital	(27.1)	(246.4)
Net change in accrued pension and postretirement benefits	5.3	(77.0)
Net change in other long-term assets and liabilities	(1.8)	(11.2)
Net cash provided by operating activities	1,078.2	734.5
Cash from investing activities:
Capital expenditures	(223.0)	(208.2)
Proceeds from disposals of property, plant and equipment	7.1	3.8
Purchases of short-term investments	(48.5)	(35.3)
Sales and maturities of short-term investments	44.6	48.3
Acquisitions, net of cash acquired	(891.2)	(158.9)
Net cash used in investing activities	(1,111.0)	(350.3)
Cash from financing activities:
Proceeds from issuance of senior notes	1,398.8	0.0
Repayments of long-term debt	(1,111.2)	(8.7)
Borrowings (repayments) under commercial paper programs, net	137.2	(300.1)
Payment of costs related to debt financing	(14.9)	(0.3)
Payment of premiums and fees related to early extinguishment of debt	(13.4)	0.0
Proceeds from exercise of stock options	146.3	123.0
Distributions to and purchases of noncontrolling interests	(25.0)	(17.9)
Purchase of treasury stock	(558.7)	(680.2)
Dividend payments	(205.5)	(184.4)
Net cash used in financing activities	(246.4)	(1,068.6)
Effect of exchange rate changes on cash and cash equivalents	(30.8)	(36.4)
Net change in cash and cash equivalents	(310.0)	(720.8)
Cash and cash equivalents balance, beginning of period	1,279.3	1,719.1
Cash and cash equivalents balance, end of period	969.3	998.3
Cash paid for:
Interest	81.8	79.5
Income taxes	$ 333.2	$ 307.7