Consolidated Statements of Cash Flows - USD ($) $ in Millions	12 Months Ended
Dec. 31, 2021	Dec. 31, 2020	Dec. 31, 2019
Cash Flows from Operating Activities:
Net income	$ 1,507.6	$ 1,020.8	$ 1,435.9
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization of right-of-use assets	132.1	139.5	147.7
Amortization of intangible assets	80.0	83.1	83.8
Amortization of net deferred gain on interest rate swaps	(8.8)	(8.1)	(14.8)
Share-based compensation	84.7	70.8	72.5
Gain on disposition of subsidiary	(50.5)	0.0	0.0
COVID-19 repositioning costs	0.0	277.9	0.0
Other, net	39.8	109.7	5.8
Increase in operating capital	160.5	30.9	125.1
Net Cash Provided By Operating Activities	1,945.4	1,724.6	1,856.0
Cash Flows from Investing Activities:
Capital expenditures	(665.8)	(75.4)	(102.2)
Acquisition of businesses and interests in affiliates, net of cash acquired	(160.0)	(67.1)	(10.0)
Proceeds from disposition of subsidiaries	114.1	3.2	79.4
Proceeds from sale of investments and other	2.5	3.2	1.9
Net Cash Used In Investing Activities	(709.2)	(136.1)	(30.9)
Cash Flows from Financing Activities:
Proceeds from borrowings	1,221.3	1,186.6	1,112.4
Repayment of debt	(1,250.0)	(600.0)	(900.0)
Change in short-term debt	6.4	(5.6)	2.0
Dividends paid to common shareholders	(592.3)	(562.7)	(564.3)
Repurchases of common stock	(527.3)	(222.0)	(610.2)
Proceeds from stock plans	9.1	4.1	6.5
Acquisition of additional noncontrolling interests	(21.9)	(22.3)	(51.4)
Dividends paid to noncontrolling interest shareholders	(113.1)	(95.5)	(97.3)
Payment of contingent purchase price obligations	(22.6)	(31.2)	(64.6)
Other, net	(100.6)	(59.8)	(55.1)
Net Cash Used In Financing Activities	(1,391.0)	(408.4)	(1,222.0)
Effect of foreign exchange rate changes on cash and cash equivalents	(128.9)	114.7	50.2
Net Increase (Decrease) in Cash and Cash Equivalents	(283.7)	1,294.8	653.3
Cash and Cash Equivalents at the Beginning of Year	5,600.5	4,305.7	3,652.4
Cash and Cash Equivalents at the End of Year	$ 5,316.8	$ 5,600.5	$ 4,305.7

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