Property and Equipment (Tables)

12 Months Ended

Dec. 31, 2020

Property, Plant and Equipment [Abstract]

Property, Plant and Equipment

At December 31, property and equipment consisted of the following:

	2020		2019
Land	$	226.8	$	169.5
Buildings	7,326.1		7,067.3
Equipment	8,560.9		7,913.3
Construction in progress	2,138.8		1,884.4
	18,252.6		17,034.5
Less accumulated depreciation	(9,570.7)		(9,161.6)
Property and equipment, net	$	8,681.9	$	7,872.9

Depreciation expense related to property and equipment was as follows:

	2020		2019		2018
Depreciation expense	$	765.2	$	814.7	$	797.1

Long-lived Assets by Geographic Areas

The following table summarizes long-lived assets by geographical area:

	2020		2019
Long-lived assets(1):
U.S. and Puerto Rico	$	6,113.6	$	5,595.4
Ireland	1,786.9		1,454.8
Other foreign countries	1,747.7		1,758.3
Long-lived assets	$	9,648.2	$	8,808.5

(1) Long-lived assets consist of property and equipment, net, operating lease assets, and certain other noncurrent assets.