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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Cash flows provided by (used in) operating activities:      
Net earnings $ 304.6 $ 146.2 $ 719.2
Adjustments to reconcile net earnings to net cash provided by operating activities:      
Depreciation and amortization 1,039.3 712.4 375.8
Biomet merger consideration compensation expense   90.4  
Intangible asset impairment 30.0    
Share-based compensation 57.3 46.4 49.4
Excess income tax benefit from stock option exercises   (11.8) (11.1)
Inventory step-up 323.3 317.8 5.4
Gain on divestiture of assets   (19.0)  
Debt extinguishment 53.3 22.0  
Deferred income tax provision (153.2) (164.0) (90.5)
Changes in operating assets and liabilities, net of acquired assets and liabilities      
Income taxes (10.9) 244.7 (13.2)
Receivables (137.8) (56.1) (40.4)
Inventories 76.4 (205.4) (164.6)
Accounts payable and accrued liabilities 28.7 (252.0) 116.1
Other assets and liabilities 21.2 (21.8) 114.4
Net cash provided by operating activities 1,632.2 849.8 1,060.5
Cash flows provided by (used in) investing activities:      
Additions to instruments (345.5) (266.4) (197.4)
Additions to other property, plant and equipment (184.7) (167.7) (144.9)
Purchases of investments (1.5) (214.8) (1,350.9)
Sales of investments 286.2 802.9 1,282.2
Proceeds from divestiture of assets   69.9  
Business combination investments, net of acquired cash (421.9)   (54.3)
Investments in other assets (3.0) (21.7) (4.1)
Net cash used in investing activities (1,691.5) (7,557.9) (469.4)
Cash flows provided by (used in) financing activities:      
Proceeds from (payments on) senior notes 1,073.5 7,628.2 (250.0)
Proceeds from term loan 750.0 3,000.0  
Redemption of senior notes (1,250.0) (2,762.0)  
Payments on term loan (800.0) (500.0)  
Net proceeds (payments) under revolving credit facilities (33.1) 0.1 2.3
Dividends paid to stockholders (188.4) (157.1) (145.5)
Proceeds from employee stock compensation plans 136.6 105.2 284.7
Restricted stock withholdings (6.3) (11.1) (7.7)
Excess income tax benefit from stock option exercises   11.8 11.1
Debt issuance costs (10.0) (58.4) (64.1)
Repurchase of common stock (415.5) (150.0) (400.9)
Net cash (used in) provided by financing activities (743.2) 7,106.7 (570.1)
Effect of exchange rates on cash and cash equivalents (22.7) (22.6) (18.3)
(Decrease) increase in cash and cash equivalents (825.2) 376.0 2.7
Cash and cash equivalents, beginning of year 1,459.3 1,083.3 1,080.6
Cash and cash equivalents, end of period 634.1 1,459.3 $ 1,083.3
Biomet [Member]      
Cash flows provided by (used in) investing activities:      
Business acquisition, net of acquired cash   $ (7,760.1)  
LDR Holding Corporation [Member]      
Adjustments to reconcile net earnings to net cash provided by operating activities:      
Biomet merger consideration compensation expense 24.1    
Cash flows provided by (used in) investing activities:      
Business acquisition, net of acquired cash $ (1,021.1)