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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($) $ in Millions | 12 Months Ended
--- | ---
Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Cash flows from operating activities |  |  |
Net income | $ 4,169.7 | $ 1,399.4 | $ 1,521.9
Adjustments to reconcile net income to net cash provided by operating activities: |  |  |
Depreciation and amortization | 155.2 | 144.9 | 139.6
Non-cash operating lease cost | 27.8 | 28.2 | 27.2
Stock-based compensation (Notes 2 and 16) | 162.3 | 139.4 | 126.8
Gain on sale of product group (Note 5) | (3,348.2) | 0.0 | 0.0
Impairment charges (Note 4) | 0.0 | 0.0 | 55.1
Change in fair value of contingent consideration liabilities (Note 13) | 0.0 | (26.2) | (35.8)
(Gain) loss on investments, net | (5.2) | 0.1 | 51.5
Deferred income taxes | (323.4) | (272.1) | (254.5)
Gain on remeasurement of previously held equity interest upon acquisition (Note 10) | (55.0) | 0.0 | 0.0
Other | 18.4 | 8.4 | 7.8
Changes in operating assets and liabilities: |  |  |
Accounts and other receivables, net | 121.2 | (141.2) | (84.1)
Inventories | (256.1) | (289.0) | (213.4)
Prepaid expenses and other current assets | 22.7 | (81.8) | 0.1
Accounts payable and accrued liabilities | 89.5 | 146.0 | (21.4)
Intellectual property agreement accrual | (36.8) | (33.0) | (45.0)
Income taxes | (186.7) | (5.8) | (5.6)
Long-term prepaid royalties (Note 3) | 8.3 | (109.9) | 0.0
Other | (21.4) | (11.6) | (52.0)
Net cash provided by operating activities | 542.3 | 895.8 | 1,218.2
Cash flows from investing activities |  |  |
Capital expenditures | (252.4) | (253.0) | (244.6)
Purchases of held-to-maturity investments (Note 8) | (45.9) | (66.4) | (353.5)
Proceeds from sales and maturities of held-to-maturity investments (Note 8) | 57.5 | 97.9 | 419.5
Purchases of available-for-sale investments (Note 8) | (899.9) | (9.1) | (315.8)
Proceeds from sales and maturities of available-for-sale investments (Note 8) | 800.1 | 617.9 | 939.6
Business combinations, net of cash (Note 10) | (1,061.8) | (95.2) | 0.0
Payments for acquisition options (Note 9) | (46.2) | (30.0) | (109.6)
Issuances of notes receivable | (63.0) | (62.5) | (52.3)
Collections of notes receivable | 0.0 | 0.0 | 18.0
Investments in intangible assets | (30.0) | (13.3) | (20.2)
Proceeds from sale of product group | 3,927.4 | 0.0 | 0.0
Other | (72.9) | (12.5) | (28.8)
Net cash provided by investing activities | 2,312.9 | 173.8 | 252.3
Cash flows from financing activities |  |  |
Purchases of treasury stock | (1,159.4) | (879.6) | (1,727.1)
Proceeds from stock plans | 179.5 | 169.9 | 146.4
Other | (3.1) | (1.3) | (3.8)
Net cash used in financing activities | (983.0) | (711.0) | (1,584.5)
Effect of currency exchange rate changes on cash, cash equivalents, and restricted cash | 38.6 | 16.8 | 19.2
Net increase (decrease) in cash, cash equivalents, and restricted cash | 1,910.8 | 375.4 | (94.8)
Cash, cash equivalents, and restricted cash at beginning of year | 1,148.0 | 772.6 | 867.4
Cash, cash equivalents, and restricted cash at end of year (Note 6) | $ 3,058.8 | $ 1,148.0 | $ 772.6

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