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CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Cash flows from operating activities    
Net income $ 1,123.5 $ 1,167.8
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 104.2 101.8
Non-cash operating lease cost 20.6 21.4
Stock-based compensation (Note 9) 98.9 85.1
Impairment charge (Note 3) 55.1 4.0
Change in fair value of contingent consideration liabilities, net (Note 7) (36.3) (106.0)
Loss (gain) on investments, net 49.1 (25.6)
Deferred income taxes (148.7) 20.1
Other 5.5 5.3
Changes in operating assets and liabilities:    
Accounts and other receivables, net (83.0) (97.9)
Inventories (151.1) 25.6
Accounts payable and accrued liabilities (55.7) 164.1
Income taxes 8.8 29.0
Prepaid expenses and other current assets 20.3 1.5
Litigation settlement accrual (36.1) (19.1)
Other (39.7) (18.6)
Net cash provided by operating activities 935.4 1,358.5
Cash flows from investing activities    
Capital expenditures (175.7) (236.0)
Purchases of held-to-maturity investments (Note 4) (285.5) (103.0)
Proceeds from held-to-maturity investments (Note 4) 324.5 70.0
Purchases of available-for-sale investments (Note 4) (302.8) (722.0)
Proceeds from available-for-sale investments (Note 4) 761.1 262.1
Payment for acquisition options (107.6) (5.7)
Issuances of notes receivable (51.5) (3.6)
Collections of notes receivable 18.0 10.0
Other (22.9) (28.4)
Net cash provided by (used in) investing activities 157.6 (756.6)
Cash flows from financing activities    
Proceeds from issuance of debt 0.0 5.2
Payments on debt and finance lease obligations (0.1) (6.9)
Purchases of treasury stock (861.1) (416.3)
Proceeds from stock plans 118.9 124.7
Other (3.8) (1.0)
Net cash used in financing activities (746.1) (294.3)
Effect of currency exchange rate changes on cash, cash equivalents, and restricted cash 37.4 12.1
Net increase in cash, cash equivalents, and restricted cash 384.3 319.7
Cash, cash equivalents, and restricted cash at beginning of period 867.4 1,200.2
Cash, cash equivalents, and restricted cash at end of period $ 1,251.7 $ 1,519.9