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Fair Value (Tables)
9 Months Ended
Sep. 30, 2023
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:
September 30, 2023December 31, 2022
Level 1Level 2Level 3TotalLevel 1Level 2Level 3Total
Assets:
Cash and cash equivalents$2,769.6 $2,769.6 $4,281.8 $4,281.8 
Short-term investments$  $60.7 60.7 
Marketable equity securities0.8 0.8 0.9 0.9 
Liabilities:   
Foreign currency derivatives$ $ $0.1 $0.1 
Cross currency swaps - net
 investment hedge
0.6 0.6 16.5 16.5 
Contingent purchase price obligations$292.2 292.2 $115.0 115.0 
Changes in Level 3 Fair Value Measurements
Change in the Level 3 fair value measurement of contingent purchase price obligations:
Nine Months Ended September 30,
20232022
January 1$115.0 $167.1 
Acquisitions230.0 10.7 
Revaluation and interest(18.2)— 
Payments(34.8)(32.7)
Foreign currency translation0.2 (8.0)
September 30
$292.2 $137.1 
Carrying Amount and Fair Value of Financial Assets and Liabilities Carrying amount and fair value of our financial assets and liabilities:
 September 30, 2023December 31, 2022
Carrying
Amount
Fair
Value
Carrying
Amount
Fair
Value
Assets:    
Cash and cash equivalents$2,769.6 $2,769.6 $4,281.8 $4,281.8 
Short-term investments  60.7 60.7 
Marketable equity securities0.8 0.8 0.9 0.9 
Non-marketable equity securities6.7 6.7 5.6 5.6 
Liabilities:    
Short-term debt$14.5 $14.5 $16.9 $16.9 
Foreign currency derivatives  0.1 0.1 
Cross currency swaps - net investment hedge0.6 0.6 16.5 16.5 
Contingent purchase price obligations292.2 292.2 115.0 115.0 
Long-term debt5,572.1 4,897.2 5,577.2 4,993.4