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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
OPERATING ACTIVITIES    
Net income including noncontrolling interest $ 935.0 $ 911.6
Adjustments to reconcile net income to cash provided by operating activities:    
Depreciation 327.9 316.9
Amortization 149.9 152.9
Deferred income taxes (60.7) (137.7)
Share-based compensation expense 75.9 82.9
Pension and postretirement plan contributions (29.0) (30.8)
Pension and postretirement plan expense (income), net 6.9 8.0
Restructuring charges, net of cash paid 5.4 (9.9)
Sale of global surgical solutions business 1.1  
Other, net 6.8 13.6
Changes in operating assets and liabilities, net of effect of acquisitions:    
Accounts receivable (122.4) (110.1)
Inventories (76.9) (92.3)
Other assets 22.3 (9.1)
Accounts payable 7.4 210.1
Other liabilities (178.4) (45.6)
Cash provided by operating activities 1,071.2 1,260.5
INVESTING ACTIVITIES    
Capital expenditures (454.6) (398.4)
Property and other assets sold 42.4 3.5
Acquisitions and investments in affiliates, net of cash acquired (0.5) (38.7)
Divestiture of businesses, net of cash divested (14.9)  
Other, net (20.8) (11.8)
Cash used for investing activities (448.4) (445.4)
FINANCING ACTIVITIES    
Net (repayments) issuances of commercial paper and notes payable (0.8) 1.7
Long-term debt borrowings 500.0  
Long-term debt repayments   (629.6)
Reacquired shares (199.2) (519.4)
Dividends paid (380.0) (340.7)
Exercise of employee stock options 139.0 154.4
Hedge settlements   (0.6)
Other, net (3.3) (1.5)
Cash used provided by (used for) financing activities 55.7 (1,335.7)
Effect of exchange rate changes on cash and cash equivalents (14.4) (8.9)
Increase (decrease) in cash and cash equivalents 664.1 (529.5)
Cash and cash equivalents, beginning of period 1,256.8 919.5
Cash and cash equivalents, end of period $ 1,920.9 384.0
Assets held for sale    
Net change in cash balances classified as assets held for sale   $ (6.0)