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Consolidated Statements of Cash Flows - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Cash flows provided by (used in) operating activities:      
Net earnings $ 1,813.4 $ 304.6 $ 146.2
Adjustments to reconcile net earnings to net cash provided by operating activities:      
Depreciation and amortization 1,062.7 1,039.3 712.4
Biomet merger consideration compensation expense     90.4
Share-based compensation 53.7 57.3 46.4
Goodwill and intangible asset impairment 331.5 30.0  
Excess income tax benefit from stock option exercises     (11.8)
Inventory step-up 32.8 323.3 317.8
Gain on divestiture of assets     (19.0)
Debt extinguishment   53.3 22.0
Deferred income tax provision (1,776.0) (153.2) (164.0)
Changes in operating assets and liabilities, net of acquired assets and liabilities      
Income taxes 150.2 (10.9) 244.7
Receivables 176.5 (137.8) (56.1)
Inventories (122.8) 76.4 (205.4)
Accounts payable and accrued liabilities (148.2) 28.7 (252.0)
Other assets and liabilities 8.5 21.2 (21.8)
Net cash provided by operating activities 1,582.3 1,632.2 849.8
Cash flows provided by (used in) investing activities:      
Additions to instruments (337.0) (345.5) (266.4)
Additions to other property, plant and equipment (156.0) (184.7) (167.7)
Purchases of investments   (1.5) (214.8)
Sales of investments   286.2 802.9
Proceeds from divestiture of assets     69.9
Business combination investments, net of acquired cash (4.0) (421.9)  
Investments in other assets (13.8) (3.0) (21.7)
Net cash used in investing activities (510.8) (1,691.5) (7,557.9)
Cash flows provided by (used in) financing activities:      
Proceeds from senior notes   1,073.5 7,628.2
Proceeds from multicurrency revolving facility 400.0    
Payments on multicurrency revolving facility (400.0)    
Redemption of senior notes (500.0) (1,250.0) (2,762.0)
Proceeds from term loan 192.7 750.0 3,000.0
Payments on term loan (940.0) (800.0) (500.0)
Net (payments) proceeds on other debt (0.9) (33.1) 0.1
Dividends paid to stockholders (193.6) (188.4) (157.1)
Proceeds from employee stock compensation plans 145.5 136.6 105.2
Unremitted collections from factoring programs 103.5    
Business combination contingent consideration payments (9.1)    
Restricted stock withholdings (8.3) (6.3) (11.1)
Excess income tax benefit from stock option exercises     11.8
Debt issuance costs (0.3) (10.0) (58.4)
Repurchase of common stock   (415.5) (150.0)
Net cash (used in) provided by financing activities (1,210.5) (743.2) 7,106.7
Effect of exchange rates on cash and cash equivalents 29.3 (22.7) (22.6)
(Decrease) increase in cash and cash equivalents (109.7) (825.2) 376.0
Cash and cash equivalents, beginning of year 634.1 1,459.3 1,083.3
Cash and cash equivalents, end of period $ 524.4 634.1 1,459.3
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)