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Condensed Consolidated Statements of Cash Flows (Unaudited) (USD $)
In Millions, unless otherwise specified
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Cash flows provided by (used in) operating activities:    
Net earnings $ 176.8us-gaap_ProfitLoss $ 221.1us-gaap_ProfitLoss
Adjustments to reconcile net earnings to cash provided by operating activities:    
Depreciation and amortization 89.0us-gaap_DepreciationDepletionAndAmortization 101.0us-gaap_DepreciationDepletionAndAmortization
Share-based compensation 12.9us-gaap_ShareBasedCompensation 11.2us-gaap_ShareBasedCompensation
Income tax benefit from stock option exercises 16.4us-gaap_EmployeeServiceShareBasedCompensationTaxBenefitRealizedFromExerciseOfStockOptions 20.2us-gaap_EmployeeServiceShareBasedCompensationTaxBenefitRealizedFromExerciseOfStockOptions
Excess income tax benefit from stock option exercises (7.8)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities (5.4)us-gaap_ExcessTaxBenefitFromShareBasedCompensationOperatingActivities
Inventory step-up 0.4zmh_InventoryStepUp 2.5zmh_InventoryStepUp
Changes in operating assets and liabilities, net of effect of acquisitions:    
Income taxes (13.3)us-gaap_IncreaseDecreaseInAccruedIncomeTaxesPayable (75.6)us-gaap_IncreaseDecreaseInAccruedIncomeTaxesPayable
Receivables 6.6us-gaap_IncreaseDecreaseInReceivables 5.3us-gaap_IncreaseDecreaseInReceivables
Inventories (62.2)us-gaap_IncreaseDecreaseInInventories (56.6)us-gaap_IncreaseDecreaseInInventories
Accounts payable and accrued expenses (149.5)us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities (56.0)us-gaap_IncreaseDecreaseInAccountsPayableAndAccruedLiabilities
Other assets and liabilities 22.2us-gaap_IncreaseDecreaseInOtherOperatingCapitalNet 21.1us-gaap_IncreaseDecreaseInOtherOperatingCapitalNet
Net cash provided by operating activities 91.5us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations 188.8us-gaap_NetCashProvidedByUsedInOperatingActivitiesContinuingOperations
Cash flows provided by (used in) investing activities:    
Additions to instruments (62.4)zmh_AdditionsToInstruments (49.4)zmh_AdditionsToInstruments
Additions to other property, plant and equipment (34.4)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment (31.4)us-gaap_PaymentsToAcquirePropertyPlantAndEquipment
Purchases of investments (152.6)us-gaap_PaymentsToAcquireAvailableForSaleSecuritiesDebt (600.7)us-gaap_PaymentsToAcquireAvailableForSaleSecuritiesDebt
Sales of investments 320.3us-gaap_ProceedsFromSaleOfAvailableForSaleSecuritiesDebt 583.1us-gaap_ProceedsFromSaleOfAvailableForSaleSecuritiesDebt
Investments in other assets (3.0)us-gaap_PaymentsForProceedsFromOtherInvestingActivities  
Net cash provided by (used in) investing activities 67.9us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations (98.4)us-gaap_NetCashProvidedByUsedInInvestingActivitiesContinuingOperations
Cash flows provided by (used in) financing activities:    
Proceeds from senior notes 7,628.2us-gaap_ProceedsFromIssuanceOfSeniorLongTermDebt  
Net proceeds under revolving credit facilities 0.8us-gaap_ProceedsFromRepaymentsOfLinesOfCredit 0.2us-gaap_ProceedsFromRepaymentsOfLinesOfCredit
Dividends paid to stockholders (37.3)us-gaap_PaymentsOfDividendsCommonStock (34.0)us-gaap_PaymentsOfDividendsCommonStock
Proceeds from employee stock compensation plans 27.5us-gaap_ProceedsFromIssuanceOfSharesUnderIncentiveAndShareBasedCompensationPlansIncludingStockOptions 138.2us-gaap_ProceedsFromIssuanceOfSharesUnderIncentiveAndShareBasedCompensationPlansIncludingStockOptions
Excess income tax benefit from stock option exercises 7.8us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities 5.4us-gaap_ExcessTaxBenefitFromShareBasedCompensationFinancingActivities
Debt issuance costs (58.4)us-gaap_PaymentsOfDebtIssuanceCosts  
Repurchase of common stock   (400.5)us-gaap_PaymentsForRepurchaseOfCommonStock
Net cash provided by (used in) financing activities 7,568.6us-gaap_NetCashProvidedByUsedInFinancingActivitiesContinuingOperations (290.7)us-gaap_NetCashProvidedByUsedInFinancingActivitiesContinuingOperations
Effect of exchange rates on cash and cash equivalents (17.8)us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents 2.4us-gaap_EffectOfExchangeRateOnCashAndCashEquivalents
Increase (decrease) in cash and cash equivalents 7,710.2us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease (197.9)us-gaap_CashAndCashEquivalentsPeriodIncreaseDecrease
Cash and cash equivalents, beginning of year 1,083.3us-gaap_CashAndCashEquivalentsAtCarryingValue 1,080.6us-gaap_CashAndCashEquivalentsAtCarryingValue
Cash and cash equivalents, end of period $ 8,793.5us-gaap_CashAndCashEquivalentsAtCarryingValue $ 882.7us-gaap_CashAndCashEquivalentsAtCarryingValue