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Goodwill and Intangible Assets (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2018
Dec. 31, 2017
Goodwill and Intangible Assets Disclosure [Abstract]        
Goodwill, Gross Carrying Value     $ 9,898.6 $ 9,871.8
Goodwill, Accumulated Amortization     (514.3) (534.3)
Goodwill, Net Carrying Value $ 9,337.5 $ 8,976.1 9,384.3 9,337.5
Intangible assets:        
Intangible assets:, Gross Carrying Value     1,120.2 1,248.3
Intangible assets:, Accumulated Amortization     (737.4) (879.9)
Intangible assets:, Net Carrying Value     382.8 368.4
Changes in Goodwill        
Goodwill, January 1 9,337.5 8,976.1    
Goodwill, Acquisitions 250.6 19.3    
Goodwill, Noncontrolling interests in acquired businesses 112.0 18.9    
Goodwill, Contingent purchase price obligations of acquired businesses 60.0 27.1    
Goodwill, Dispositions (143.6) (4.6)    
Goodwill, Foreign currency translation (232.2) 300.7    
Goodwill, December 31 9,384.3 9,337.5    
Goodwill, impairment losses $ 0.0 $ 0.0    
Goodwill, accumulated impairment losses     0.0  
Purchased and internally developed software        
Intangible assets:        
Intangible assets:, Gross Carrying Value     356.4 368.2
Intangible assets:, Accumulated Amortization     (302.2) (303.0)
Intangible assets:, Net Carrying Value     54.2 65.2
Customer related and other        
Intangible assets:        
Intangible assets:, Gross Carrying Value     763.8 880.1
Intangible assets:, Accumulated Amortization     (435.2) (576.9)
Intangible assets:, Net Carrying Value     $ 328.6 $ 303.2