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Condensed Consolidated Statements of Cash Flows (unaudited) - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2020
Sep. 30, 2019
Cash flows provided by (used in) operating activities:    
Net Earnings (Loss) $ (471.2) $ 810.1
Adjustments to reconcile net (loss) earnings to cash provided by operating activities:    
Depreciation and amortization 767.3 752.2
Share-based compensation 62.0 61.6
Goodwill and intangible asset impairment 645.0 70.1
Changes in operating assets and liabilities, net of acquired assets and liabilities    
Income taxes (55.0) (356.3)
Receivables 13.6 109.5
Inventories (108.6) (106.0)
Accounts payable and accrued liabilities (131.4) (162.7)
Other assets and liabilities 57.7 (16.0)
Net cash provided by operating activities 779.4 1,162.5
Cash flows provided by (used in) investing activities:    
Additions to instruments (222.8) (239.5)
Additions to other property, plant and equipment (89.8) (155.3)
Net investment hedge settlements 43.0 37.5
Investments in other assets (28.3) (36.4)
Net cash used in investing activities (297.9) (591.3)
Cash flows provided by (used in) financing activities:    
Proceeds from senior notes 1,497.1  
Redemption of senior notes (1,500.0)  
Proceeds from term loans   200.0
Payments on term loans   (750.0)
Net payments on other debt   (5.0)
Dividends paid to stockholders (148.7) (147.3)
Proceeds from employee stock compensation plans 97.7 125.9
Net cash flows from unremitted collections from factoring programs (39.6) (15.4)
Business combination contingent consideration payments (13.0)  
Debt issuance costs (22.3)  
Other financing activities (6.7) (5.4)
Net cash used in financing activities (135.5) (597.2)
Effect of exchange rates on cash and cash equivalents 3.4 (4.3)
Increase (decrease) in cash and cash equivalents 349.4 (30.3)
Cash and cash equivalents, beginning of year 617.9 542.8
Cash and cash equivalents, end of period $ 967.3 512.5
Intellectual Property Rights    
Cash flows provided by (used in) investing activities:    
Acquisition of intellectual property rights   $ (197.6)