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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2016
Mar. 31, 2015
CASH FLOWS FROM OPERATING ACTIVITIES:    
Net income $ 419.0 $ 410.4
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 168.9 120.6
Share-based compensation 18.3 15.3
Change in fair value of contingent consideration 11.4 2.4
Unwind of inventory fair value step-up 12.8 11.2
Movement in deferred taxes (10.1) 16.6
Gain on sale of product rights (4.2) (5.2)
Other, net 9.7 2.1
Changes in operating assets and liabilities:    
Increase in accounts receivable (100.9) (85.1)
Iincrease/(decrease) in sales deduction accruals 73.6 (24.6)
Increase in inventory (32.2) (22.0)
(Increase)/decrease in prepayments and other assets (22.2) 42.4
(Decrease)/increase in accounts and notes payable and other liabilities (154.6) 77.5
Net cash provided by operating activities 389.5 561.6
CASH FLOWS FROM INVESTING ACTIVITIES:    
Movements in restricted cash 64.8 (14.5)
Purchases of businesses, net of cash acquired (5,692.8) (5,199.7)
Purchases of non-current investments and PP&E (51.6) (22.3)
Proceeds from short-term investments 0.0 54.5
Proceeds from sale of product rights 3.0 3.9
Proceeds from disposal of non-current investments 0.0 0.9
Other, net 2.5 0.0
Net cash used in investing activities (5,674.1) (5,177.2)
CASH FLOWS FROM FINANCING ACTIVITIES:    
Proceeds from revolving line of credit, long-term and short-term borrowings 6,305.0 2,230.0
Repayment of revolving line of credit, long term and short term borrowings (995.1) (535.2)
Facility arrangement fee (93.8) (3.3)
Contingent consideration payments (2.1) (2.4)
Excess tax benefit associated with exercise of stock options 3.2 19.9
Other, net (0.1) 0.1
Net cash provided by financing activities 5,217.1 1,709.1
Effect of foreign exchange rate changes on cash and cash equivalents 1.0 (1.6)
Net decrease in cash and cash equivalents (66.5) (2,908.1)
Cash and cash equivalents at beginning of period 135.5 2,982.4
Cash and cash equivalents at end of period 69.0 74.3
Supplemental information associated with continuing operations:    
Interest paid (13.9) (5.0)
Income taxes repaid   $ 48.8
Income taxes (paid)/repaid,net $ (89.6)