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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Cash flows provided by (used in) operating activities from continuing operations:      
Net earnings from continuing operations $ 905.2 $ 1,025.1 $ 291.2
Adjustments to reconcile net earnings to net cash provided by operating activities:      
Depreciation and amortization 996.3 951.7 926.4
Share-based compensation 101.0 99.8 105.0
Goodwill and intangible asset impairment 0.0   292.8
(Gain) loss on investment in ZimVie Inc. 0.0 (2.5) 116.6
Deferred income tax benefit (47.7) (96.3) (64.4)
Changes in operating assets and liabilities, net of acquired assets and liabilities      
Income taxes (158.6) (73.8) (152.9)
Receivables (89.7) (51.9) (184.7)
Inventories 49.9 (240.4) (75.6)
Accounts payable and accrued liabilities (322.0) (55.3) 103.0
Other assets and liabilities 65.0 25.2 (1.2)
Net cash provided by operating activities from continuing operations 1,499.4 1,581.6 1,356.2
Cash flows provided by (used in) investing activities from continuing operations:      
Additions to instruments (240.3) (311.7) (258.3)
Additions to other property, plant and equipment (203.8) (291.1) (187.9)
Net investment hedge settlements 22.1 33.4 89.4
Acquisition of intangible assets (153.0) (103.4) (29.7)
Business combination investments, net of acquired cash (276.3) (134.9) (99.8)
Other investing activities (36.9) 28.8 (35.7)
Net cash used in investing activities from continuing operations (888.1) (778.9) (522.0)
Cash flows provided by (used in) financing activities from continuing operations:      
Net (payments) proceeds on revolving facilities (50.0) (325.0) 375.0
Proceeds from senior notes 1,436.3 499.8  
Redemption of senior notes (850.0) (86.3) (1,275.8)
Proceeds from term loan 0.0   83.0
Payments on term loans 0.0 (33.9) (242.9)
Dividends paid to stockholders (196.0) (200.9) (201.2)
Proceeds from employee stock compensation plans 82.1 101.1 78.1
Distribution from ZimVie, Inc.     540.6
Business combination contingent consideration payments (3.5) (10.3)  
Debt issuance costs (13.0) (5.8) (1.6)
Repurchase of common stock (868.0) (692.2) (126.4)
Other financing activities (22.4) (10.1) (4.5)
Net cash used in financing activities from continuing operations (484.5) (763.5) (775.7)
Cash flows used in discontinued operations:      
Net cash used in operating activities 0.0 0.0 (71.5)
Net cash used in investing activities 0.0 0.0 (7.2)
Net cash used in financing activities 0.0 0.0 (68.1)
Net cash used in discontinued operations 0.0 0.0 (146.8)
Effect of exchange rates on cash and cash equivalents (17.1) 0.9 (14.5)
Increase (decrease) in cash and cash equivalents 109.7 40.1 (102.8)
Cash and cash equivalents, beginning of year 415.8 375.7 478.5
Cash and cash equivalents, end of year $ 525.5 $ 415.8 $ 375.7