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Fair Value
3 Months Ended
Mar. 31, 2024
Fair Value [Abstract]  
Fair Value Fair Value
Financial assets and liabilities are recorded at fair value based on the following:
Level 1: Unadjusted quoted prices in active markets for identical assets or liabilities.
Level 2: Unadjusted quoted prices in active markets for similar assets or liabilities; unadjusted quoted prices for identical assets or liabilities in markets that are not active; and model-derived valuations with observable inputs.
Level 3: Unobservable inputs for the asset or liability.
Financial assets and liabilities measured at fair value on a recurring basis:
March 31, 2024December 31, 2023
Level 1Level 2Level 3TotalLevel 1Level 2Level 3Total
Assets:
Cash and cash equivalents$3,172.8 $3,172.8 $4,432.0 $4,432.0 
Marketable equity securities0.8 0.8 0.9 0.9 
Cross currency swaps - net
 investment hedge
$4.2 4.2 $— — 
Liabilities:   
Cross currency swaps - net
 investment hedge
  $6.6 $6.6 
Contingent purchase price obligations$258.6 258.6 $229.5 229.5 
Changes in contingent purchase price obligations:
Three Months Ended March 31,
20242023
January 1$229.5 $115.0 
Acquisitions26.5 21.6 
Revaluation and interest3.2 0.4 
Payments(0.5)(9.2)
Foreign currency translation(0.1)0.2 
March 31
$258.6 $128.0 
Carrying amount and fair value of our financial assets and liabilities:
 March 31, 2024December 31, 2023
Carrying
Amount
Fair
Value
Carrying
Amount
Fair
Value
Assets:    
Cash and cash equivalents$3,172.8 $3,172.8 $4,432.0 $4,432.0 
Marketable equity securities0.8 0.8 0.9 0.9 
Cross currency swaps - net investment hedge4.2 4.2 — — 
Non-marketable equity securities12.5 12.5 6.7 6.7 
Liabilities:    
Short-term debt$11.2 $11.2 $10.9 $10.9 
Cross currency swaps - net investment hedge  6.6 6.6 
Contingent purchase price obligations258.6 258.6 229.5 229.5 
Long-term debt6,251.3 5,822.1 5,639.6 5,237.8 
The estimated fair values of the cross-currency swaps are determined using model-derived valuations, taking into consideration foreign currency rates, interest rates, and counterparty credit risk. The estimated fair value of the contingent purchase price obligations is calculated in accordance with the terms of each acquisition agreement and is discounted. The fair value of long-term debt is based on quoted market prices.