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Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2017
Sep. 30, 2016
Cash flows from operating activities:    
Net income $ 411.9 $ 371.8
Adjustments to reconcile net income to net cash provided by operating activities, net of acquired businesses:    
Depreciation and amortization 155.5 160.7
Litigation charges, net 176.2 159.2
Restructuring and productivity initiative costs, net of payments 0.8 3.8
Acquired in-process research and development 1.5 0.0
Asset impairment 0.0 1.2
Deferred income taxes (48.8) (42.8)
Share-based compensation 66.4 68.3
Inventory reserves and provision for doubtful accounts 31.9 23.3
Other items 8.9 2.1
Changes in assets and liabilities, net of acquired businesses:    
Accounts receivable (3.9) 10.3
Inventories (71.2) (78.7)
Current liabilities (203.9) (310.4)
Taxes 7.0 (19.5)
Other, net (5.5) (5.1)
Net cash provided by operating activities 526.8 344.2
Cash flows from investing activities:    
Capital expenditures (70.7) (64.6)
Payments made for purchases of businesses, net of cash acquired 0.0 (202.8)
Payments made for intangibles (20.3) (0.6)
Other (8.0) 0.0
Net cash used in investing activities (99.0) (268.0)
Cash flows from financing activities:    
Proceeds from issuance of long-term debt, net 0.0 495.6
Payment of long-term debt 0.0 (250.0)
Proceeds from exercises under share-based compensation plans, net 34.5 49.8
Excess tax benefit relating to share-based compensation plans 0.0 35.3
Purchases of common stock (232.3) (231.8)
Dividends paid (57.5) (55.3)
Payments of contingent consideration (1.0) (1.7)
Net cash (used in) provided by financing activities (256.3) 41.9
Effect of exchange rate changes on cash, cash equivalents, and restricted cash 22.5 0.9
Increase in cash, cash equivalents, and restricted cash during the period 194.0 119.0
Balance at January 1 1,106.5 1,030.9
Balance at September 30 1,300.5 1,149.9
Cash paid for:    
Interest 42.8 37.1
Income taxes 115.6 118.0
Non-cash transactions:    
Purchases of businesses and related costs $ 0.0 $ 17.1