CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Millions	12 Months Ended
Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017
Cash flows from operating activities
Net income	$ 1,046.9	$ 722.2	$ 583.6
Adjustments to reconcile net income to cash provided by operating activities:
Depreciation and amortization	89.3	77.4	81.9
Non-cash operating lease cost	25.3
Stock-based compensation (Notes 2 and 14)	81.3	71.0	61.6
Inventory write off	73.1	0.0	0.0
Impairment charges (Note 4)	40.6	118.8	31.0
Change in fair value of contingent consideration liabilities	(6.1)	(5.7)	(9.9)
Deferred income taxes	12.1	(27.3)	17.8
Purchased in-process research and development	24.0	0.0	6.7
Other	(2.8)	13.0	(6.2)
Changes in operating assets and liabilities:
Accounts and other receivables, net	(88.0)	(28.7)	(27.8)
Inventories	(105.4)	(65.7)	(124.0)
Accounts payable and accrued liabilities	(63.5)	192.5	93.8
Income taxes	43.2	(157.8)	293.7
Prepaid expenses and other current assets	(6.8)	15.7	(9.9)
Other	16.2	1.4	8.4
Net cash provided by operating activities	1,179.4	926.8	1,000.7
Cash flows from investing activities
Capital expenditures	(254.4)	(238.7)	(168.1)
Deposit of cash in escrow	0.0	0.0	(25.0)
Purchases of held-to-maturity investments (Note 7)	(130.2)	(210.0)	(804.9)
Proceeds from sales and maturities of held-to-maturity investments (Note 7)	50.0	578.1	654.7
Purchases of available-for-sale investments (Note 7)	(437.9)	(249.3)	(529.8)
Proceeds from sales and maturities of available-for-sale investments (Note 7)	359.9	223.2	448.7
Acquisitions (Notes 8 and 9)	(100.2)	0.0	(192.9)
Payment for acquisition option	(35.0)	0.0	0.0
Investments in intangible assets and in-process research and development	(24.0)	(3.0)	(7.4)
Other	(24.0)	(23.6)	(22.5)
Net cash (used in) provided by investing activities	(595.8)	76.7	(647.2)
Cash flows from financing activities
Proceeds from issuance of debt	18.9	688.0	994.7
Payments on debt and finance lease obligations	(28.9)	(1,125.3)	(818.4)
Purchases of treasury stock	(263.3)	(795.5)	(763.3)
Proceeds from stock plans	160.5	147.0	113.8
Payment of contingent consideration	0.0	(15.1)	0.0
Other	(2.8)	(0.3)	0.0
Net cash used in financing activities	(115.6)	(1,101.2)	(473.2)
Effect of currency exchange rate changes on cash and cash equivalents	(3.0)	(6.5)	7.9
Net increase (decrease) in cash and cash equivalents	465.0	(104.2)	(111.8)
Cash and cash equivalents at beginning of year	714.1	818.3	930.1
Cash and cash equivalents at end of year	$ 1,179.1	$ 714.1	$ 818.3

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