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4. Supplemental Cash Flow Information Cash Flow, Supplemental Disclosure - (Tables)
3 Months Ended
Mar. 31, 2021
Supplemental Cash Flow Elements [Abstract]  
Schedule of Cash Flow, Supplemental Disclosures [Table Text Block]
The reconciliation of net income to net cash provided by operating activities is as follows (in millions):
Three Months Ended
March 31, 2021March 31, 2020
Net income$977.4 $685.9 
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization32.7 33.6 
Reduction in the carrying amount of right-of-use assets9.8 9.6 
Share-based compensation11.7 9.7 
Gains on dispositions of securities(0.1)(0.4)
Other-than-temporary impairment losses on investment0.8 — 
Changes in fair market value of equity securities(1,179.4)(827.7)
Losses on dispositions of fixed assets0.3 0.1 
Changes in fair value of contingent consideration— (0.1)
Payments for operating lease liabilities(9.9)(9.3)
Decrease in accounts receivable1.3 2.2 
Decrease (increase) in inventories5.8 (13.7)
Increase in other current assets(37.5)(9.5)
Decrease in accounts payable and other current liabilities(44.5)(25.6)
Increase in income taxes payable27.3 20.9 
Increase in deferred income taxes274.8 171.8 
Increase in other long term liabilities43.8 15.7 
Other(0.7)(0.4)
Net cash provided by operating activities$113.6 $62.8 
Non-cash investing activities:
   Purchased property, plant and equipment$4.7 $6.0 
   Purchased marketable securities and investments$— $2.7