| USD ($) $ in Millions | LTM | Dec 31, 2025 | Dec 31, 2024 | Dec 31, 2023 | Dec 31, 2022 | Dec 31, 2021 | Dec 31, 2020 | Dec 31, 2019 | Dec 31, 2018 | Dec 31, 2017 | Dec 31, 2016 | Dec 31, 2015 | Dec 31, 2014 | Dec 31, 2013 | Dec 31, 2012 | Dec 31, 2011 | Dec 31, 2010 | Dec 31, 2009 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Cash from operating activities: | ||||||||||||||||||
Consolidated Statements of Cash Flow | ||||||||||||||||||
Net income | $ 5,187.8 | $ 4,305.3 | $ 2,441.6 | - | ||||||||||||||
Net income from continuing operations | - | - | - | 1,945.5 | ||||||||||||||
Adjustments to reconcile net income to net cash provided by operating activities: | ||||||||||||||||||
Depreciation and amortization | 1,303.9 | 922.4 | 572.5 | 406.4 | ||||||||||||||
Net change in receivables sold under Receivables Securitization Facility (Note 3) | - | - | - | - | ||||||||||||||
Stock-based compensation expense | 157.1 | 135.4 | 109.5 | 99.0 | ||||||||||||||
Loss on early extinguishment of debt | - | - | - | - | ||||||||||||||
Deferred income tax benefit | 249.7 | (65.6) | (82.8) | (58.8) | ||||||||||||||
Gain on bargain purchase acquisition | (0.0) | (0.0) | (0.0) | (5.4) | ||||||||||||||
Non-cash casualty loss related to flood | - | - | - | - | ||||||||||||||
Change in contingent acquisition-related obligations | - | - | - | - | ||||||||||||||
Excess tax benefits from stock-based compensation payment arrangements | - | - | - | - | ||||||||||||||
Net change in operating assets and liabilities, excluding effects of acquisitions: | ||||||||||||||||||
Accounts receivable, net | (964.4) | (964.4) | (586.8) | 146.4 | ||||||||||||||
Inventories | (487.4) | (487.4) | (200.1) | 71.4 | ||||||||||||||
Prepaid expenses and other current assets | (150.7) | (150.7) | (106.8) | (34.1) | ||||||||||||||
Accounts payable | 554.1 | 554.1 | 423.1 | (34.6) | ||||||||||||||
Accrued income taxes | 276.9 | 276.9 | 3.1 | 7.7 | ||||||||||||||
Other accrued liabilities | 739.2 | 739.2 | 257.0 | (7.0) | ||||||||||||||
Accrued pension and postretirement benefits | 0.1 | 0.1 | (2.4) | (0.3) | ||||||||||||||
Other long-term assets and liabilities | 411.3 | 109.4 | (13.2) | (7.5) | ||||||||||||||
Other long-term assets | - | - | - | - | ||||||||||||||
Other | - | - | - | - | ||||||||||||||
Net cash provided by operating activities from continuing operations | - | - | - | 2,528.7 | ||||||||||||||
Net cash provided by operating activities from discontinued operations | - | - | - | 0.0 | ||||||||||||||
Net cash provided by operating activities | 5,871.7 | 5,374.7 | 2,814.7 | 2,528.7 | ||||||||||||||
Cash from investing activities: | ||||||||||||||||||
Capital expenditures | (1,158.0) | (996.6) | (665.4) | (372.8) | ||||||||||||||
Proceeds from disposals of property, plant and equipment | 14.2 | 14.8 | 7.8 | 4.0 | ||||||||||||||
Purchases of investments | (997.7) | (309.3) | (26.2) | (305.7) | ||||||||||||||
Sales and maturities of investments | 341.4 | 27.6 | 189.7 | 246.3 | ||||||||||||||
Purchases of short-term investments | - | - | - | - | ||||||||||||||
Sales and maturities of short-term investments | - | - | - | - | ||||||||||||||
Acquisitions, net of cash acquired | (12,019.4) | (3,818.6) | (2,156.4) | (970.4) | ||||||||||||||
Other, net | (2.0) | (0.0) | 1.9 | 4.9 | ||||||||||||||
Net cash used in investing activities from continuing operations | - | - | - | (1,393.7) | ||||||||||||||
Net cash provided by investing activities from discontinued operations | - | - | - | 0.0 | ||||||||||||||
Net cash used in investing activities | (13,821.5) | (5,082.1) | (2,648.6) | (1,393.7) | ||||||||||||||
Cash from financing activities: | ||||||||||||||||||
Proceeds from issuance of senior notes and other long-term debt | 12,418.9 | 8,921.7 | 2,991.3 | 354.9 | ||||||||||||||
Repayments of senior notes and other long-term debt | (1,536.5) | (401.7) | (364.4) | (15.7) | ||||||||||||||
Net change in borrowings under revolving credit facilities | - | - | - | - | ||||||||||||||
Borrowings under credit facilities | - | - | - | - | ||||||||||||||
Repayments under credit facilities | - | - | - | - | ||||||||||||||
Proceeds from short-term borrowings | - | - | 0.0 | 0.0 | ||||||||||||||
Repayments of short-term borrowings | - | - | (0.0) | (0.0) | ||||||||||||||
Borrowings (repayments) under commercial paper programs, net | 0.0 | 0.0 | 0.0 | (632.6) | ||||||||||||||
Payment of costs related to debt financing | (91.7) | (89.1) | (28.4) | (2.3) | ||||||||||||||
Payment of premiums and fees related to early extinguishment of debt | - | - | - | - | ||||||||||||||
Payment of acquisition-related contingent consideration | - | - | - | - | ||||||||||||||
Payment of deferred purchase price related to acquisitions | (0.0) | (0.0) | (0.0) | (1.5) | ||||||||||||||
Settlement of interest rate swap agreements | - | - | - | - | ||||||||||||||
Purchase of treasury stock | (710.2) | (665.2) | (689.3) | (585.1) | ||||||||||||||
Proceeds from exercise of stock options | 419.8 | 553.0 | 447.4 | 394.5 | ||||||||||||||
Distributions to and purchases of noncontrolling interests | (4.5) | (5.8) | (33.0) | (24.0) | ||||||||||||||
Excess tax benefits from stock-based compensation payment arrangements | - | - | - | - | ||||||||||||||
Dividend payments | (1,017.1) | (802.2) | (595.1) | (500.6) | ||||||||||||||
Treasury lock settlement | (88.0) | (88.0) | - | - | ||||||||||||||
Other, net | 5.4 | 0.5 | 1.4 | - | ||||||||||||||
Transfers to discontinued operations | - | - | - | (0.0) | ||||||||||||||
Net cash used in financing activities from continuing operations | - | - | - | (1,012.4) | ||||||||||||||
Net cash used in financing activities from discontinued operations | - | - | - | 0.0 | ||||||||||||||
Net cash provided by (used in) financing activities | 9,396.1 | 7,423.2 | 1,729.9 | (1,012.4) | ||||||||||||||
Effect of exchange rate changes on cash and cash equivalents | 76.1 | 97.8 | (54.0) | (20.7) | ||||||||||||||
Net increase in cash and cash equivalents | 1,522.4 | 7,813.6 | 1,842.0 | 101.9 | ||||||||||||||
Cash paid during the year for: | ||||||||||||||||||
Interest | 524.6 | 288.1 | 179.5 | 129.2 | ||||||||||||||
Income taxes, net | $ 1,740.0 | $ 1,084.1 | $ 650.0 | $ 560.4 |