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Condensed Consolidated Statements of Cash Flows (Unaudited) - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2016
Jun. 30, 2015
Cash flows provided by (used in) operating activities:    
Net earnings (loss) $ 77.0 $ (2.7)
Adjustments to reconcile net earnings to cash provided by operating activities:    
Depreciation and amortization 499.2 188.6
Share-based compensation 30.7 21.2
Non-cash Biomet merger consideration compensation expense   164.1
Intangible asset impairment 28.0  
Excess income tax benefit from stock option exercises   (9.1)
Inventory step-up 286.4 10.5
Loss on divestiture of assets   3.4
Changes in operating assets and liabilities, net of effect of acquisitions:    
Income taxes 13.6 95.9
Receivables (120.8) (59.3)
Inventories 60.2 (140.8)
Accounts payable and accrued expenses (141.9) 102.4
Other assets and liabilities (80.0) (85.5)
Net cash provided by operating activities 652.4 288.7
Cash flows provided by (used in) investing activities:    
Additions to instruments (157.3) (104.0)
Additions to other property, plant and equipment (73.7) (64.8)
Purchases of investments (1.2) (152.6)
Sales of investments 273.3 398.9
Proceeds from divestiture of assets   24.1
Biomet acquisition, net of acquired cash   (7,812.9)
Other business combination investments, net of acquired cash (184.1)  
Investments in other assets (27.4) (9.4)
Net cash used in investing activities (170.4) (7,720.7)
Cash flows provided by (used in) financing activities:    
Proceeds from senior notes   7,628.2
Proceeds from term loan   3,000.0
Redemption of senior notes   (2,740.0)
Payments on term loan (500.0)  
Net proceeds (payments on) under revolving credit facilities (18.8) 0.9
Dividends paid to stockholders (92.4) (74.7)
Proceeds from employee stock compensation plans 78.6 34.6
Excess income tax benefit from stock option exercises   9.1
Restricted stock witholdings (5.2) (10.4)
Debt issuance costs   (58.4)
Repurchase of common stock (415.5)  
Net cash (used in) provided by financing activities (953.3) 7,789.3
Effect of exchange rates on cash and cash equivalents (11.7) (16.0)
(Decrease) increase in cash and cash equivalents (483.0) 341.3
Cash and cash equivalents, beginning of year 1,459.3 1,083.3
Cash and cash equivalents, end of period $ 976.3 $ 1,424.6