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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Cash flows provided by (used in) operating activities from continuing operations:      
Net earnings (loss) from continuing operations $ 291.2 $ 445.5 $ (9.2)
Adjustments to reconcile net earnings (loss) to net cash provided by operating activities:      
Depreciation and amortization 926.4 937.7 898.4
Share-based compensation 105.0 76.0 73.8
Goodwill and intangible asset impairment 292.8 16.3 503.0
Loss on early extinguishment of debt   165.1  
Loss on investment in ZimVie 116.6    
Deferred income tax (benefit) provision (64.4) (102.1) 39.4
Changes in operating assets and liabilities, net of acquired assets and liabilities      
Income taxes (152.9) (123.9) (293.9)
Receivables (184.7) (40.8) (66.2)
Inventories (75.6) (8.4) (34.5)
Accounts payable and accrued liabilities 103.0 86.5 (96.3)
Other assets and liabilities (1.2) (47.6) 61.1
Net cash provided by operating activities from continuing operations 1,356.2 1,404.3 1,075.6
Cash flows provided by (used in) investing activities from continuing operations:      
Additions to instruments (258.3) (273.6) (259.0)
Additions to other property, plant and equipment (187.9) (143.6) (111.9)
Net investment hedge settlements 89.4 1.9 53.5
Business combination investments, net of acquired cash (99.8)   (227.1)
Investments in other assets (65.4) (28.0) (19.8)
Net cash used in investing activities from continuing operations (522.0) (443.3) (564.3)
Cash flows provided by (used in) financing activities from continuing operations:      
Proceeds from multicurrency revolving facility 595.0    
Payments on multicurrency revolving facility (220.0)    
Proceeds from senior notes   1,599.8 1,497.1
Redemption of senior notes (1,275.8) (2,654.8) (1,750.0)
Proceeds from term loan 83.0    
Payments on term loans (242.9)    
Dividends paid to stockholders (201.2) (200.1) (198.5)
Proceeds from employee stock compensation plans 78.1 122.5 129.8
Distribution from ZimVie, Inc. 540.6    
Net cash flows from unremitted collections from factoring programs     (53.0)
Business combination contingent consideration payments   (8.9) (15.0)
Debt issuance costs (1.6) (13.2) (22.3)
Deferred business combination payments   (145.0)  
Repurchase of common stock (126.4)    
Other financing activities (4.5) (6.3) (8.3)
Net cash used in financing activities from continuing operations (775.7) (1,306.0) (420.2)
Cash flows provided by (used in) discontinued operations:      
Net cash (used in) provided by operating activities (71.5) 94.9 128.9
Net cash used in investing activities (7.2) (60.3) (49.5)
Net cash used in financing activities (68.1) 0.0 (1.6)
Net cash (used in) provided by discontinued operations (146.8) 34.6 77.8
Effect of exchange rates on cash and cash equivalents (14.5) (13.2) 15.3
(Decrease) increase in cash and cash equivalents (102.8) (323.6) 184.2
Cash and cash equivalents, beginning of year (includes $100.4 million, $27.4 million and $36.7 million at January 1, 2022, 2021 and 2020, respectively, of discontinued operations cash) 478.5 802.1 617.9
Cash and cash equivalents, end of year (includes $100.4 million and $27.4 million at December 31, 2021 and 2020, respectively, of discontinued operations cash) $ 375.7 $ 478.5 $ 802.1