Property and Equipment (Tables)

12 Months Ended

Dec. 31, 2023

Property, Plant and Equipment [Abstract]

Property, Plant and Equipment

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

	2023		2022
Land	$	319.8	$	256.6
Buildings	8,280.0		7,915.9
Equipment	10,329.0		9,406.3
Construction in progress	5,084.1		2,798.6
	24,012.9		20,377.4
Less accumulated depreciation	(11,099.3)		(10,233.4)
Property and equipment, net	$	12,913.6	$	10,144.0

Depreciation expense related to property and equipment was as follows:

	2023		2022		2021
Depreciation expense	$	901.9	$	816.6	$	787.0

Long-lived Assets by Geographic Areas

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

	2023		2022
Long-lived assets(1):
U.S. and Puerto Rico	$	9,993.2	$	7,709.7
Ireland	2,722.6		1,898.5
Other foreign countries	1,784.2		1,625.9
Long-lived assets	$	14,500.0	$	11,234.1

(1) Long-lived assets consist of property and equipment, net, operating lease assets, and unamortized computer software costs.