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Fair Value
9 Months Ended
Sep. 30, 2025
Fair Value [Abstract]  
Fair Value Fair Value
Financial assets and liabilities measured at fair value on a recurring basis:
September 30, 2025
Level 1Level 2Level 3Total
Assets:
Cash and cash equivalents$3,406.5 $3,406.5 
Marketable equity securities$0.9 $0.9 
Liabilities:   
Cross currency swaps - net investment hedge$8.8 $8.8 
Contingent purchase price obligations$204.8 $204.8 
December 31, 2024
Level 1Level 2Level 3Total
Assets:
Cash and cash equivalents$4,339.4 $4,339.4 
Marketable equity securities0.9 0.9 
Cross currency swaps - net investment hedge$9.3 9.3 
Liabilities:
Foreign currency derivatives$0.1 $0.1 
Contingent purchase price obligations$220.1 220.1 

Changes in contingent purchase price obligations:
Nine Months Ended September 30,
20252024
January 1$220.1 $229.5 
Acquisitions27.6 28.5 
Revaluation and interest4.5 1.9 
Payments(47.9)(23.6)
Foreign currency translation0.5 0.1 
September 30
$204.8 $236.4 
Carrying amount and fair value of our financial assets and liabilities:
 September 30, 2025December 31, 2024
Carrying
Amount
Fair
Value
Carrying
Amount
Fair
Value
Assets:    
Cash and cash equivalents$3,406.5 $3,406.5 $4,339.4 $4,339.4 
Marketable equity securities0.9 0.9 0.9 0.9 
Non-marketable equity securities30.6 30.6 36.8 36.8 
Cross currency swaps - net investment hedge  9.3 9.3 
Liabilities:    
Short-term debt$24.1 $24.1 $21.3 $21.3 
Foreign currency derivatives  0.1 0.1 
Cross currency swaps - net investment hedge8.8 8.8 — — 
Contingent purchase price obligations204.8 204.8 220.1 220.1 
Long-Term Debt6,275.2 6,036.3 6,035.3 5,664.9 
The estimated fair value of the foreign currency derivatives and the cross-currency swaps 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.