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Goodwill and Intangible Assets (Details) - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Mar. 31, 2018
Dec. 31, 2017
Goodwill and Intangible Assets Disclosure [Abstract]        
Goodwill, Gross Carrying Value     $ 10,176.8 $ 9,871.8
Goodwill, Accumulated Amortization     (541.4) (534.3)
Goodwill, Net Carrying Value $ 9,337.5 $ 8,976.1 9,635.4 9,337.5
Intangible assets:        
Intangible assets:, Gross Carrying Value     1,336.1 1,248.3
Intangible assets:, Accumulated Amortization     (911.4) (879.9)
Intangible assets:, Net Carrying Value     424.7 368.4
Changes in Goodwill        
Goodwill, January 1 9,337.5 8,976.1    
Goodwill, Acquisitions 113.0 15.2    
Goodwill, Noncontrolling interests in acquired businesses 55.3 13.7    
Goodwill, Contingent purchase price obligations of acquired businesses 57.3 6.2    
Goodwill, Foreign currency translation and other 72.3 64.0    
Goodwill, March 31 $ 9,635.4 $ 9,075.2    
Purchased and internally developed software        
Intangible assets:        
Intangible assets:, Gross Carrying Value     380.4 368.2
Intangible assets:, Accumulated Amortization     (317.9) (303.0)
Intangible assets:, Net Carrying Value     62.5 65.2
Customer related and other        
Intangible assets:        
Intangible assets:, Gross Carrying Value     955.7 880.1
Intangible assets:, Accumulated Amortization     (593.5) (576.9)
Intangible assets:, Net Carrying Value     $ 362.2 $ 303.2