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Fair Value (Tables)
9 Months Ended
Sep. 30, 2019
Fair Value [Abstract]  
Financial Assets and Liabilities Measured at Fair Value on a Recurring Basis
Financial assets and liabilities measured at fair value on a recurring basis were (in millions):
 
September 30, 2019
 
Level 1
 
Level 2
 
Level 3
 
Total
Assets:
 
 
 
 
 
 
 
Cash and cash equivalents
$
2,440.4

 
 

 
 
 
$
2,440.4

Short-term investments
5.2

 
 

 
 
 
5.2

Marketable equity investments
1.5

 
 
 
 
 
1.5

Foreign currency derivative instruments
 
 
$
0.2

 
 
 
0.2

Liabilities:
 

 
 

 
 
 
 

Foreign currency derivative instruments
 
 
$
0.5

 
 
 
$
0.5

Contingent purchase price obligations
 
 
 
 
$
144.9

 
144.9

 
December 31, 2018
 
Level 1
 
Level 2
 
Level 3
 
Total
Assets:
 
 
 
 
 
 
 
Cash and cash equivalents
$
3,652.4

 
 

 
 
 
$
3,652.4

Short-term investments
5.5

 
 

 
 
 
5.5

Marketable equity investments
1.5

 
 

 
 
 
1.5

Liabilities:
 
 
 
 
 
 
 
Interest rate and foreign currency derivative instruments
 
 
$
52.9

 
 
 
$
52.9

Contingent purchase price obligations
 
 
 
 
$
146.5

 
146.5


Changes in Contingent Purchase Price Obligations
Changes in contingent purchase price obligations were (in millions):
 
Nine Months Ended September 30,
 
2019
 
2018
January 1
$
146.5

 
$
215.6

Acquisitions
42.9

 
84.1

Revaluation and interest
2.2

 
8.7

Payments
(43.7
)
 
(66.4
)
Foreign currency translation
(3.0
)
 
(17.0
)
September 30
$
144.9

 
$
225.0


Carrying Amount and Fair Value of Financial Assets and Liabilities
The carrying amount and fair value of our financial assets and liabilities were (in millions):
 
September 30, 2019
 
December 31, 2018
 
Carrying
Amount
 
Fair
Value
 
Carrying
Amount
 
Fair
Value
Assets:
 
 
 
 
 
 
 
  Cash and cash equivalents
$
2,440.4

 
$
2,440.4

 
$
3,652.4

 
$
3,652.4

  Short-term investments
5.2

 
5.2

 
5.5

 
5.5

Marketable equity investments
1.5

 
1.5

 
1.5

 
1.5

  Foreign currency derivative instruments
0.2

 
0.2

 

 

  Non-marketable equity securities
10.3

 
10.3

 
11.8

 
11.8

Liabilities:
 
 
 
 
 
 
 
  Short-term debt
$
7.9

 
$
7.9

 
$
8.1

 
$
8.1

  Interest rate and foreign currency derivative instruments
0.5

 
0.5

 
52.9

 
52.9

  Contingent purchase price obligations
144.9

 
144.9

 
146.5

 
146.5

  Long-term debt, including current portion
5,110.4

 
5,294.6

 
4,883.7

 
4,821.3