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Fair Value
9 Months Ended
Sep. 30, 2023
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:
September 30, 2023December 31, 2022
Level 1Level 2Level 3TotalLevel 1Level 2Level 3Total
Assets:
Cash and cash equivalents$2,769.6 $2,769.6 $4,281.8 $4,281.8 
Short-term investments$  $60.7 60.7 
Marketable equity securities0.8 0.8 0.9 0.9 
Liabilities:   
Foreign currency derivatives$ $ $0.1 $0.1 
Cross currency swaps - net
 investment hedge
0.6 0.6 16.5 16.5 
Contingent purchase price obligations$292.2 292.2 $115.0 115.0 
Change in the Level 3 fair value measurement of contingent purchase price obligations:
Nine Months Ended September 30,
20232022
January 1$115.0 $167.1 
Acquisitions230.0 10.7 
Revaluation and interest(18.2)— 
Payments(34.8)(32.7)
Foreign currency translation0.2 (8.0)
September 30
$292.2 $137.1 
Carrying amount and fair value of our financial assets and liabilities:
 September 30, 2023December 31, 2022
Carrying
Amount
Fair
Value
Carrying
Amount
Fair
Value
Assets:    
Cash and cash equivalents$2,769.6 $2,769.6 $4,281.8 $4,281.8 
Short-term investments  60.7 60.7 
Marketable equity securities0.8 0.8 0.9 0.9 
Non-marketable equity securities6.7 6.7 5.6 5.6 
Liabilities:    
Short-term debt$14.5 $14.5 $16.9 $16.9 
Foreign currency derivatives  0.1 0.1 
Cross currency swaps - net investment hedge0.6 0.6 16.5 16.5 
Contingent purchase price obligations292.2 292.2 115.0 115.0 
Long-term debt5,572.1 4,897.2 5,577.2 4,993.4 
The estimated fair values of the cross-currency swaps and foreign currency derivative instruments 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.