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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Cash Flows from Operating Activities:      
Net income $ 1,020.8 $ 1,435.9 $ 1,440.5
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation and amortization of right-of-use assets 139.5 147.7 161.5
Amortization of intangible assets 83.1 83.8 102.5
Amortization of net deferred gain on interest rate swaps (8.1) (14.8) (12.9)
Share-based compensation 70.8 72.5 70.5
COVID-19 repositioning costs 277.9 0.0 0.0
Net gain from disposition of subsidiaries 0.0 0.0 (178.4)
Impact of Tax Act 0.0 0.0 28.9
Other, net 109.7 5.8 29.2
Increase in operating capital 30.9 125.1 80.5
Net Cash Provided By Operating Activities 1,724.6 1,856.0 1,722.3
Cash Flows from Investing Activities:      
Capital expenditures (75.4) (102.2) (195.7)
Acquisition of businesses and interests in affiliates, net of cash acquired (67.1) (10.0) (350.4)
Proceeds from disposition of subsidiaries 3.2 79.4 308.4
Proceeds from sale of investments and other 3.2 1.9 15.9
Net Cash Used In Investing Activities (136.1) (30.9) (221.8)
Cash Flows from Financing Activities:      
Proceeds from borrowings 1,186.6 1,112.4 0.0
Repayment of debt (600.0) (900.0) 0.0
Change in short-term debt (5.6) 2.0 0.0
Dividends paid to common shareholders (562.7) (564.3) (548.5)
Repurchases of common stock (222.0) (610.2) (581.3)
Proceeds from stock plans 4.1 6.5 13.0
Acquisition of additional noncontrolling interests (22.3) (51.4) (43.6)
Dividends paid to noncontrolling interest shareholders (95.5) (97.3) (134.9)
Payment of contingent purchase price obligations (31.2) (64.6) (99.0)
Other, net (59.8) (55.1) (46.8)
Net Cash Used In Financing Activities (408.4) (1,222.0) (1,441.1)
Effect of foreign exchange rate changes on cash and cash equivalents 114.7 50.2 (203.0)
Net Increase (Decrease) in Cash and Cash Equivalents 1,294.8 653.3 (143.6)
Cash and Cash Equivalents at the Beginning of Year 4,305.7 3,652.4 3,796.0
Cash and Cash Equivalents at the End of Year $ 5,600.5 $ 4,305.7 $ 3,652.4