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Consolidated Statements of Cash Flows (USD $)
In Millions, unless otherwise specified
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Cash flows provided by (used in) operating activities:      
Net earnings $ 719.0us-gaap_ProfitLoss $ 759.2us-gaap_ProfitLoss $ 752.9us-gaap_ProfitLoss
Adjustments to reconcile net earnings to net cash provided by operating activities:      
Depreciation and amortization 375.8us-gaap_DepreciationDepletionAndAmortization 358.5us-gaap_DepreciationDepletionAndAmortization 363.1us-gaap_DepreciationDepletionAndAmortization
Goodwill impairment 0us-gaap_GoodwillImpairmentLoss 0us-gaap_GoodwillImpairmentLoss 96.0us-gaap_GoodwillImpairmentLoss
Share-based compensation 49.4us-gaap_ShareBasedCompensation 48.5us-gaap_ShareBasedCompensation 55.0us-gaap_ShareBasedCompensation
Income tax benefit from stock option exercises 37.2us-gaap_EmployeeServiceShareBasedCompensationTaxBenefitRealizedFromExerciseOfStockOptions 38.4us-gaap_EmployeeServiceShareBasedCompensationTaxBenefitRealizedFromExerciseOfStockOptions 11.0us-gaap_EmployeeServiceShareBasedCompensationTaxBenefitRealizedFromExerciseOfStockOptions
Excess income tax benefit from stock option exercises (11.1)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities (8.6)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities (2.7)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities
Inventory step-up 5.4zmh_InventoryStepUp 8.0zmh_InventoryStepUp 4.8zmh_InventoryStepUp
Deferred income tax provision (84.2)us-gaap_DeferredIncomeTaxExpenseBenefit (126.2)us-gaap_DeferredIncomeTaxExpenseBenefit (64.8)us-gaap_DeferredIncomeTaxExpenseBenefit
Changes in operating assets and liabilities, net of acquired assets and liabilities      
Income taxes payable (51.9)us-gaap_IncreaseDecreaseInAccruedIncomeTaxesPayable 96.8us-gaap_IncreaseDecreaseInAccruedIncomeTaxesPayable 59.2us-gaap_IncreaseDecreaseInAccruedIncomeTaxesPayable
Receivables (40.4)us-gaap_IncreaseDecreaseInReceivables (74.3)us-gaap_IncreaseDecreaseInReceivables (45.5)us-gaap_IncreaseDecreaseInReceivables
Inventories (154.1)us-gaap_IncreaseDecreaseInInventories (128.4)us-gaap_IncreaseDecreaseInInventories (67.5)us-gaap_IncreaseDecreaseInInventories
Accounts payable and accrued liabilities 120.1us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities 38.3us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities 47.8us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
Other assets and liabilities 87.6us-gaap_IncreaseDecreaseInOtherOperatingCapitalNet (47.1)us-gaap_IncreaseDecreaseInOtherOperatingCapitalNet (57.4)us-gaap_IncreaseDecreaseInOtherOperatingCapitalNet
Net cash provided by operating activities 1,052.8us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations 963.1us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations 1,151.9us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
Cash flows provided by (used in) investing activities:      
Additions to instruments (197.4)zmh_AdditionsToInstruments (192.9)zmh_AdditionsToInstruments (148.9)zmh_AdditionsToInstruments
Additions to other property, plant and equipment (144.9)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment (100.0)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment (114.7)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Purchases of investments (1,350.9)us-gaap_PaymentsToAcquireAvailableForSaleSecuritiesDebt (732.7)us-gaap_PaymentsToAcquireAvailableForSaleSecuritiesDebt (1,130.1)us-gaap_PaymentsToAcquireAvailableForSaleSecuritiesDebt
Sales of investments 1,282.2us-gaap_ProceedsFromSaleOfAvailableForSaleSecuritiesDebt 830.8us-gaap_ProceedsFromSaleOfAvailableForSaleSecuritiesDebt 878.5us-gaap_ProceedsFromSaleOfAvailableForSaleSecuritiesDebt
Business combination investments (54.3)us-gaap_PaymentsToAcquireBusinessesGross (74.2)us-gaap_PaymentsToAcquireBusinessesGross (59.0)us-gaap_PaymentsToAcquireBusinessesGross
Investments in other assets (4.1)us-gaap_PaymentsForProceedsFromOtherInvestingActivities (13.5)us-gaap_PaymentsForProceedsFromOtherInvestingActivities (17.9)us-gaap_PaymentsForProceedsFromOtherInvestingActivities
Net cash used in investing activities (469.4)us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations (282.5)us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations (592.1)us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
Cash flows provided by (used in) financing activities:      
Payment of senior notes (250.0)us-gaap_RepaymentsOfSeniorDebt    
Net proceeds (payments) under revolving credit facilities 2.3us-gaap_ProceedsFromRepaymentsOfLinesOfCredit (97.5)us-gaap_ProceedsFromRepaymentsOfLinesOfCredit (50.1)us-gaap_ProceedsFromRepaymentsOfLinesOfCredit
Proceeds from term loans     147.3us-gaap_ProceedsFromIssuanceOfOtherLongTermDebt
Dividends paid to stockholders (145.5)us-gaap_PaymentsOfDividendsCommonStock (132.4)us-gaap_PaymentsOfDividendsCommonStock (94.4)us-gaap_PaymentsOfDividendsCommonStock
Debt issuance costs (64.1)us-gaap_PaymentsOfDebtIssuanceCosts   (3.3)us-gaap_PaymentsOfDebtIssuanceCosts
Equity issuance costs (0.4)us-gaap_PaymentsOfStockIssuanceCosts    
Proceeds from employee stock compensation plans 284.7us-gaap_ProceedsFromIssuanceOfSharesUnderIncentiveAndShareBasedCompensationPlansIncludingStockOptions 474.8us-gaap_ProceedsFromIssuanceOfSharesUnderIncentiveAndShareBasedCompensationPlansIncludingStockOptions 46.9us-gaap_ProceedsFromIssuanceOfSharesUnderIncentiveAndShareBasedCompensationPlansIncludingStockOptions
Excess income tax benefit from stock option exercises 11.1us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities 8.6us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities 2.7us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
Purchase of additional shares from noncontrolling interest   (1.8)us-gaap_PaymentsToMinorityShareholders  
Repurchase of common stock (400.5)us-gaap_PaymentsForRepurchaseOfCommonStock (719.0)us-gaap_PaymentsForRepurchaseOfCommonStock (485.6)us-gaap_PaymentsForRepurchaseOfCommonStock
Net cash used in financing activities (562.4)us-gaap_NetCashProvidedByUsedInFinancingActivitiesContinuingOperations (467.3)us-gaap_NetCashProvidedByUsedInFinancingActivitiesContinuingOperations (436.5)us-gaap_NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
Effect of exchange rates on cash and cash equivalents (18.3)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents (17.0)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents (7.3)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
Increase in cash and cash equivalents 2.7us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease 196.3us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease 116.0us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents, beginning of year 1,080.6us-gaap_CashAndCashEquivalentsAtCarryingValue 884.3us-gaap_CashAndCashEquivalentsAtCarryingValue 768.3us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents, end of year $ 1,083.3us-gaap_CashAndCashEquivalentsAtCarryingValue $ 1,080.6us-gaap_CashAndCashEquivalentsAtCarryingValue $ 884.3us-gaap_CashAndCashEquivalentsAtCarryingValue