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CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2021
Sep. 30, 2020
Cash flows from operating activities    
Net income $ 1,167.8 $ 513.9
Adjustments to reconcile net income to net cash provided by operating activities:    
Depreciation and amortization 101.8 74.6
Non-cash operating lease cost 21.4 20.7
Stock-based compensation (Note 7) 85.1 71.7
Change in fair value of contingent consideration liabilities (Note 5) (106.0) 8.4
Deferred income taxes 20.1 (37.8)
Other (16.3) 0.6
Changes in operating assets and liabilities:    
Accounts and other receivables, net (97.9) (9.2)
Inventories 25.6 (118.2)
Accounts payable and accrued liabilities 164.1 (66.4)
Income taxes 29.0 (65.6)
Prepaid expenses and other current assets 1.5 (18.5)
Litigation settlement accrual (19.1) 269.2
Other (18.6) 11.1
Net cash provided by operating activities 1,358.5 654.5
Cash flows from investing activities    
Capital expenditures (236.0) (293.8)
Purchases of held-to-maturity investments (Note 4) (103.0) (112.0)
Proceeds from held-to-maturity investments (Note 4) 70.0 212.2
Purchases of available-for-sale investments (Note 4) (722.0) (394.3)
Proceeds from available-for-sale investments (Note 4) 262.1 358.3
Payment for acquisition option (Note 4) (5.7) (10.0)
Issuances of notes receivable (3.6) (26.5)
Collections of notes receivable 10.0 0.0
Other (28.4) (5.1)
Net cash used in investing activities (756.6) (271.2)
Cash flows from financing activities    
Proceeds from issuance of debt 5.2 12.3
Payments on debt and finance lease obligations (6.9) (14.0)
Purchases of treasury stock (416.3) (625.2)
Proceeds from stock plans 124.7 103.5
Other (1.0) (4.9)
Net cash used in financing activities (294.3) (528.3)
Effect of currency exchange rate changes on cash, cash equivalents, and restricted cash 12.1 (9.9)
Net increase (decrease) in cash, cash equivalents, and restricted cash 319.7 (154.9)
Cash, cash equivalents, and restricted cash at beginning of period 1,200.2 1,184.4
Cash, cash equivalents, and restricted cash at end of period $ 1,519.9 $ 1,029.5