Condensed Consolidated Statements of Cash Flows (unaudited) - USD ($) $ in Millions	9 Months Ended
	Sep. 30, 2019	Sep. 30, 2018
Cash flows provided by (used in) operating activities:
Net earnings	$ 810.1	$ 523.2
Adjustments to reconcile net earnings to cash provided by operating activities:
Depreciation and amortization	752.2	785.7
Share-based compensation	61.6	45.3
Intangible asset impairment	70.1	3.8
Changes in operating assets and liabilities, net of acquired assets and liabilities
Income taxes	(356.3)	(58.3)
Receivables	109.5	237.4
Inventories	(106.0)	(165.2)
Accounts payable and accrued liabilities	(162.7)	23.6
Other assets and liabilities	(16.0)	(27.6)
Net cash provided by operating activities	1,162.5	1,367.9
Cash flows provided by (used in) investing activities:
Additions to instruments	(239.5)	(203.7)
Additions to other property, plant and equipment	(155.3)	(115.2)
Net investment hedge settlements	37.5
Investments in other assets	(36.4)	(15.3)
Net cash used in investing activities	(591.3)	(334.2)
Cash flows provided by (used in) financing activities:
Proceeds from senior notes		749.5
Redemption of senior notes		(1,150.0)
Proceeds from multicurrency revolving facility		400.0
Payments on multicurrency revolving facility		(400.0)
Proceeds from term loans	200.0
Payments on term loans	(750.0)	(500.0)
Net payments on other debt	(5.0)	(3.9)
Dividends paid to stockholders	(147.3)	(146.2)
Proceeds from employee stock compensation plans	125.9	103.4
Net cash flows from unremitted collections from factoring programs	(15.4)	(54.6)
Business combination contingent consideration payments		(16.7)
Other financing activities	(5.4)	(8.2)
Net cash used in financing activities	(597.2)	(1,026.7)
Effect of exchange rates on cash and cash equivalents	(4.3)	(6.8)
(Decrease) increase in cash and cash equivalents	(30.3)	0.2
Cash and cash equivalents, beginning of year	542.8	524.4
Cash and cash equivalents, end of period	512.5	$ 524.6
Intellectual Property Rights
Cash flows provided by (used in) investing activities:
Acquisition of intellectual property rights	$ (197.6)