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Condensed Consolidated Statements of Cash Flows (unaudited) - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2017
Sep. 30, 2016
Cash flows provided by (used in) operating activities:    
Net earnings $ 582.2 $ 234.9
Adjustments to reconcile net earnings to cash provided by operating activities:    
Depreciation and amortization 798.2 787.3
Share-based compensation 40.1 45.9
Goodwill and intangible asset impairment 59.5 28.0
Inventory step-up 32.2 300.9
Changes in operating assets and liabilities, net of effect of acquisitions:    
Income taxes (245.4) (125.4)
Receivables 349.7 (80.3)
Inventories (123.2) 44.2
Accounts payable and accrued expenses (173.6) (76.0)
Other assets and liabilities (140.3) (154.5)
Net cash provided by operating activities 1,179.4 1,005.0
Cash flows provided by (used in) investing activities:    
Additions to instruments (255.7) (251.3)
Additions to other property, plant and equipment (109.8) (130.1)
Purchases of investments   (1.4)
Sales of investments   273.3
Other business combination investments, net of acquired cash (4.0) (421.9)
Other investing activities (13.1) 7.8
Net cash used in investing activities (382.6) (1,544.7)
Cash flows provided by (used in) financing activities:    
Proceeds from multicurrency revolving facility 400.0  
Payments on multicurrency revolving facility (400.0)  
Redemption of senior notes (500.0)  
Proceeds from term loan 192.7 750.0
Payments on term loan (640.0) (700.0)
Net payments on other debt (0.9) (33.1)
Dividends paid to stockholders (145.0) (140.3)
Proceeds from employee stock compensation plans 132.6 113.5
Business combination contingent consideration payments (9.1)  
Restricted stock withholdings (7.6) (5.3)
Debt issuance costs (0.3) (3.4)
Repurchase of common stock   (415.5)
Net cash used in financing activities (977.6) (434.1)
Effect of exchange rates on cash and cash equivalents 27.5 (10.2)
Decrease in cash and cash equivalents (153.3) (984.0)
Cash and cash equivalents, beginning of year 634.1 1,459.3
Cash and cash equivalents, end of period $ 480.8 475.3
LDR Holding Corporation [Member]    
Cash flows provided by (used in) investing activities:    
LDR acquisition, net of acquired cash   $ (1,021.1)