Property and Equipment (Tables)

12 Months Ended

Dec. 31, 2016

Property, Plant and Equipment [Line Items]

Property, Plant and Equipment [Table Text Block]

At December 31, property and equipment consisted of the following:

	2016			2015
Land	$	197.6		$	220.6
Buildings	6,917.8			6,786.5
Equipment	7,864.7			7,988.5
Construction in progress	1,797.5			1,665.3
	16,777.6			16,660.9
Less accumulated depreciation	(8,525.0		)	(8,607.4		)
Property and equipment, net	$	8,252.6		$	8,053.5

Schedule of Rent Expense [Table Text Block]

Depreciation expense related to property and equipment and rental expense for all leases, including contingent rentals (not material), was as follows:

	2016		2015		2014
Depreciation expense	$	716.2	$	717.6	$	759.1
Rental expense	221.0		225.7		227.3

Schedule of Future Minimum Rental Payments for Operating Leases [Table Text Block]

The future minimum rental commitments under non-cancelable operating leases are as follows:

	2017		2018		2019		2020		2021		After 2021
Lease commitments	$	134.8	$	120.9	$	109.9	$	93.3	$	75.3	$	339.4