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Property, Plant and Equipment - Summary of Property, Plant and Equipment (Detail) - USD ($)
$ in Millions
Dec. 31, 2019
Dec. 31, 2018
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, Gross $ 5,916.8 $ 5,437.1
Accumulated depreciation (3,839.4) (3,421.7)
Property, plant and equipment, net 2,077.4 2,015.4
Land [Member]    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, Gross 27.6 28.0
Building And Equipment [Member]    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, Gross 2,007.0 1,885.6
Capitalized Software Costs [Member]    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, Gross 482.4 425.8
Instruments [Member]    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, Gross 3,250.5 2,950.5
Construction in Progress [Member]    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, Gross $ 149.3 $ 147.2