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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2021
Jun. 30, 2020
Cash Flows from Operating Activities:    
Net Income (Loss) $ 677.5 $ 257.4
Adjustments to reconcile net income to net cash used in operating activities:    
Depreciation and amortization of right-of-use assets 65.7 71.9
Amortization of intangible assets 41.1 42.2
Amortization of net deferred gain on interest rate swaps (11.5) (5.4)
Share-based compensation 39.1 34.9
Gain on disposition of subsidiary (50.5) 0.0
COVID-19 repositioning costs 0.0 277.9
Other, net 34.1 44.7
Use of operating capital (1,091.2) (1,585.8)
Net Cash Used In Operating Activities (295.7) (862.2)
Cash Flows from Investing Activities:    
Capital expenditures (22.9) (33.6)
Acquisition of businesses and interests in affiliates, net of cash acquired (25.9) 0.0
Proceeds from disposition of subsidiaries and sale of investments 116.9 3.7
Net Cash Provided By (Used In) Investing Activities 68.1 (29.9)
Cash Flows from Financing Activities:    
Proceeds from borrowings 791.7 1,186.6
Repayment of debt (1,250.0) (600.0)
Change in short-term debt 5.7 (3.1)
Dividends paid to common shareholders (292.4) (282.9)
Repurchases of common stock (102.0) (205.2)
Proceeds from stock plans 7.3 2.3
Acquisition of additional noncontrolling interests (5.9) (16.7)
Dividends paid to noncontrolling interest shareholders (38.6) (35.2)
Payment of contingent purchase price obligations (6.9) (12.8)
Other, net (70.1) (38.7)
Net Cash Used In Financing Activities (961.2) (5.7)
Effect of foreign exchange rate changes on cash and cash equivalents (23.6) (126.9)
Net Decrease in Cash and Cash Equivalents (1,212.4) (1,024.7)
Cash and Cash Equivalents at the Beginning of Period 5,600.5 4,305.7
Cash and Cash Equivalents at the End of Period $ 4,388.1 $ 3,281.0