Condensed Consolidated Statements of Cash Flows (unaudited) - USD ($) $ in Millions	9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022
Cash flows provided by (used in) operating activities from continuing operations:
Net earnings from continuing operations	$ 605.4	$ 421.4
Adjustments to reconcile net earnings from continuing operations to cash provided by operating activities from continuing operations:
Depreciation and amortization	710.5	697.9
Share-based compensation	74.5	78.2
Intangible asset impairment		3.0
(Gain) loss on investment in ZimVie Inc.	(2.5)	114.3
Changes in operating assets and liabilities, net of acquired assets and liabilities
Income taxes	23.4	(12.4)
Receivables	15.5	(114.5)
Inventories	(212.2)	(63.5)
Accounts payable and accrued liabilities	(219.5)	(1.6)
Other assets and liabilities	(2.0)	(10.8)
Net cash provided by operating activities from continuing operations	993.2	1,112.0
Cash flows provided by (used in) investing activities from continuing operations:
Additions to instruments	(232.8)	(192.2)
Additions to other property, plant and equipment	(228.3)	(124.5)
Net investment hedge settlements	27.2	71.2
Acquisition of intellectual property rights	(86.4)
Business combination investments, net of acquired cash	(32.9)	(99.8)
Other investing activities	(5.0)	(64.2)
Net cash used in investing activities from continuing operations	(558.1)	(409.5)
Cash flows provided by (used in) financing activities from continuing operations:
Net payments on revolving facilities	(20.0)
Redemption of senior notes	(86.3)	(750.0)
Proceeds from term loan		83.0
Payments on term loans	(33.9)	(242.9)
Dividends paid to stockholders	(150.7)	(150.8)
Proceeds from employee stock compensation plans	81.8	63.2
Distribution from ZimVie Inc.		540.6
Business combination contingent consideration payments	(10.3)
Deferred business combination payments	(4.0)
Repurchase of common stock	(281.9)
Other financing activities	(6.8)	(5.4)
Net cash used in financing activities from continuing operations	(512.1)	(462.3)
Cash flows provided by (used in) discontinued operations:
Net cash used in operating activities	0.0	(71.5)
Net cash used in investing activities	0.0	(7.2)
Net cash used in financing activities	0.0	(68.1)
Net cash used in discontinued operations		(146.8)
Effect of exchange rates on cash and cash equivalents	(6.5)	(26.5)
Change in cash and cash equivalents	(83.5)	66.9
Cash and cash equivalents, beginning of year (includes $100.4 at January 1, 2022 of discontinued operations cash)	375.7	478.5
Cash and cash equivalents, end of period	$ 292.1	$ 545.4