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Nature of Business and Accounting Policies - Revenue Recognition (Details) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2019
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
New Accounting Pronouncements or Change in Accounting Principle [Line Items]        
Contract liabilities   $ 171.7 $ 191.5  
Revenues related to performance obligations   191.5 62.3 $ 24.9
Revenue   $ 7,574.4 $ 6,205.7 $ 4,162.8
ORKAMBI        
New Accounting Pronouncements or Change in Accounting Principle [Line Items]        
Revenue $ 155.8