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Condensed Consolidated Statements of Cash Flows (unaudited) - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Cash flows provided by (used in) operating activities from continuing operations:    
Net earnings from continuing operations $ 421.4 $ 500.2
Adjustments to reconcile net earnings from continuing operations to cash provided by operating activities:    
Depreciation and amortization 697.9 704.5
Share-based compensation 78.2 61.1
Intangible asset impairment 3.0 16.3
Changes in operating assets and liabilities, net of acquired assets and liabilities    
Income taxes (12.4) (64.7)
Receivables (114.5) (2.0)
Inventories (63.5) (95.6)
Accounts payable and accrued liabilities (1.6) 22.5
Other assets and liabilities 103.5 (75.6)
Net cash provided by operating activities from continuing operations 1,112.0 1,066.7
Cash flows provided by (used in) investing activities from continuing operations:    
Additions to instruments (192.2) (203.0)
Additions to other property, plant and equipment (124.5) (94.4)
Net investment hedge settlements 71.2 (2.4)
Business combination investments, net of acquired cash (99.8)  
Other investing activities (64.2) (19.5)
Net cash used in investing activities from continuing operations (409.5) (319.3)
Cash flows provided by (used in) financing activities from continuing operations:    
Proceeds from revolving facility 220.0  
Payments on revolving facility (220.0)  
Redemption of senior notes (750.0) (500.0)
Proceeds from term loan 83.0  
Payments on term loans (242.9)  
Dividends paid to stockholders (150.8) (149.9)
Proceeds from employee stock compensation plans 63.2 117.3
Distribution from ZimVie, Inc. 540.6  
Business combination contingent consideration payments   (6.5)
Deferred business combination payments   (100.0)
Other financing activities (5.4) (11.1)
Net cash used in financing activities from continuing operations (462.3) (650.2)
Cash flows provided by (used in) discontinued operations:    
Net cash (used in) provided by operating activities (71.5) 66.8
Net cash used in investing activities (7.2) (38.1)
Net cash used in financing activities (68.1) 0.0
Net cash (used in) provided by discontinued operations (146.8) 28.7
Effect of exchange rates on cash and cash equivalents (26.5) (8.4)
Increase in cash and cash equivalents 66.9 117.5
Cash and cash equivalents, beginning of year (includes $100.4 and $27.4 at January 1, 2022 and 2021, respectively, of discontinued operations cash) 478.5 802.1
Cash and cash equivalents, end of period (includes $24.1 at September 30, 2021 of discontinued operations cash) $ 545.4 $ 919.6