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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2022
Mar. 31, 2021
Cash flows from operating activities:    
Net income $ 762.1 $ 653.1
Adjustments to reconcile net income to net cash provided by operating activities:    
Stock-based compensation expense 130.3 115.2
Depreciation expense 35.9 28.8
Decrease in fair value of contingent consideration (7.5) (3.9)
Deferred income taxes (12.3) 57.0
Losses on equity securities 75.6 52.3
Other non-cash items, net 4.9 2.3
Changes in operating assets and liabilities:    
Accounts receivable, net (165.2) (98.4)
Inventories 2.0 (22.8)
Prepaid expenses and other assets 67.6 (13.3)
Accounts payable (14.5) (10.6)
Accrued expenses 61.6 153.0
Other liabilities 15.7 8.3
Net cash provided by operating activities 956.2 921.0
Cash flows from investing activities:    
Purchases of available-for-sale debt securities (117.1) (121.5)
Maturities of available-for-sale debt securities 129.7 118.1
Purchases of property and equipment (63.6) (70.9)
Net cash used in investing activities (51.0) (74.3)
Cash flows from financing activities:    
Issuances of common stock under benefit plans 33.7 15.6
Repurchases of common stock 0.0 (424.9)
Payments in connection with common stock withheld for employee tax obligations (117.5) (102.1)
Payments on finance leases (12.9) (12.2)
Proceeds from finance leases 0.0 3.6
Other financing activities 1.3 1.3
Net cash used in financing activities (95.4) (518.7)
Effect of changes in exchange rates on cash (5.9) (4.0)
Net increase in cash, cash equivalents and restricted cash 803.9 324.0
Cash, cash equivalents and restricted cash—beginning of period 6,800.1 5,988.9
Cash, cash equivalents and restricted cash—end of period 7,604.0 6,312.9
Supplemental disclosure of cash flow information:    
Cash paid for interest 13.7 14.5
Cash paid for income taxes $ 85.0 $ 10.7