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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2017
Sep. 30, 2016
CASH FLOWS FROM OPERATING ACTIVITIES:    
Net income/(loss) $ 1,166.1 $ (129.9)
Adjustments to reconcile net income/(loss) to net cash provided by operating activities:    
Depreciation and amortization 1,644.0 877.8
Share based compensation 159.7 269.6
Amortization of deferred financing fees 10.9 121.7
Expense related to the unwind of inventory fair value adjustments 688.7 1,097.3
Change in deferred taxes (392.4) (546.9)
Change in fair value of contingent consideration 144.3 (34.8)
Impairment of PP&E and intangible assets 167.6 98.1
Other, net 88.3 35.3
Changes in operating assets and liabilities:    
Increase in accounts receivable (301.5) (411.2)
Increase in sales deduction accrual 94.0 108.2
Increase in inventory (245.2) (228.0)
Decrease/(increase) in prepayments and other assets 70.4 (66.4)
(Decrease)/increase in accounts payable and other liabilities (557.8) 315.2
Net cash provided by operating activities 2,737.1 1,506.0
CASH FLOWS FROM INVESTING ACTIVITIES:    
Purchases of PP&E and long term investments (565.5) (402.5)
Purchases of businesses, net of cash acquired 0.0 (17,476.2)
Proceeds from sale of investments 48.1 0.6
Movements in restricted cash (8.6) 68.3
Other, net 34.8 (1.5)
Net cash used in investing activities (491.2) (17,811.3)
CASH FLOWS FROM FINANCING ACTIVITIES:    
Proceeds from revolving line of credit, long term and short term borrowings 3,261.6 31,742.3
Repayment of revolving line of credit, long term and short term borrowings (5,664.5) (14,632.9)
Payment of dividend (234.7) (130.2)
Debt issuance costs 0.0 (171.0)
Proceeds from exercise of options 92.2 137.2
Other, net (26.2) (44.8)
Net cash (used in)/provided by financing activities (2,571.6) 16,900.6
Effect of foreign exchange rate changes on cash and cash equivalents 6.2 (2.2)
Net (decrease)/increase in cash and cash equivalents (319.5) 593.1
Cash and cash equivalents at beginning of period 528.8 135.5
Cash and cash equivalents at end of period 209.3 728.6
Supplemental information:    
Interest paid 434.9 223.4
Income taxes paid, net $ 308.0 $ 355.8