CONSOLIDATED STATEMENTS OF CASH FLOWS € in Millions, $ in Millions	12 Months Ended
	Dec. 31, 2024 USD ($)	Dec. 31, 2023 USD ($)	Dec. 31, 2022 USD ($)
OPERATING ACTIVITIES
Net income including noncontrolling interest	$ 2,131.9	$ 1,393.0	$ 1,108.9
Adjustments to reconcile net income to cash provided by operating activities:
Depreciation	634.9	616.7	618.5
Amortization	300.5	306.9	320.2
Deferred income taxes	(190.5)	(55.7)	(142.6)
Share-based compensation expense	134.8	95.1	87.8
Pension and postretirement plan contributions	(54.4)	(109.3)	(64.3)
Pension and postretirement plan expense (income), net	14.3	3.1	45.5
Restructuring charges, net of cash paid	23.7	(32.6)	66.2
Gain on sale of global surgical solutions business	(381.7)
Other, net	24.3	31.9	24.9
Changes in operating assets and liabilities, net of effect of acquisitions:
Accounts receivable	(146.7)	(84.3)	(319.6)
Inventories	(115.6)	320.3	(402.9)
Other assets	(24.3)	72.2	(278.2)
Accounts payable	300.0	(232.3)	394.7
Other liabilities	162.7	86.8	329.3
Cash provided by operating activities	2,813.9	2,411.8	1,788.4
INVESTING ACTIVITIES
Capital expenditures	(994.5)	(774.8)	(712.8)
Property and other assets sold	11.3	9.9	2.2
Acquisitions and investments in affiliates, net of cash acquired	(312.9)	(180.4)	(7.2)
Divestiture of businesses, net of cash divested	889.7
Other, net	(27.4)	(45.2)	1.0
Cash used for investing activities	(433.8)	(990.5)	(716.8)
FINANCING ACTIVITIES
Net issuances (repayments) of commercial paper and notes payable	1.9	(1.9)	(404.3)
Long-term debt borrowings			494.0
Long-term debt repayments	(630.4)	(500.0)
Reacquired shares	(986.5)	(13.7)	(518.2)
Dividends paid	(664.3)	(617.3)	(602.8)
Exercise of employee stock options	259.4	96.8	29.1
Hedge settlements	(0.6)	(15.3)	172.0
Other, net	(3.6)	(3.3)	(7.1)
Cash used for financing activities	(2,024.1)	(1,054.7)	(837.3)
Effect of exchange rate changes on cash and cash equivalents	(18.7)	(45.7)	4.4
Increase in cash and cash equivalents	337.3	320.9	238.7
Cash and cash equivalents, beginning of period	919.5	598.6	359.9
Cash and cash equivalents, end of period	1,256.8	919.5	598.6
SUPPLEMENTAL CASH FLOW INFORMATION
Income taxes paid	647.4	469.2	308.9
Net interest paid	$ 342.6	$ 324.8	$ 222.4