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Acquisitions Cash Paid for Current and Prior Years' Acquisitions (Tables)
12 Months Ended
Dec. 31, 2021
Business Combinations [Abstract]  
Cash Paid For Current And Prior Years' Acquisitions [Table Text Block]
Details of cash paid for current and prior years' acquisitions are listed below.
Years ended December 31,
202120202019
Cost of investment: current-year acquisitions $— $8.5 $0.6 
Cost of investment: prior-year acquisitions28.0 45.9 15.8 
Less: net cash acquired— (2.9)— 
Total cost of investment
28.0 51.5 16.4 
Operating payments 1
39.1 2.9 9.3 
Total cash paid for acquisitions 2
$67.1 $54.4 $25.7 
1Represents cash payments for amounts that have been recognized in operating expenses since the date of acquisition either relating to adjustments to estimates in excess of the initial value of contingent payments recorded or were contingent upon the future employment of the former owners of the acquired companies. Amounts are reflected in the operating section of the Consolidated Statements of Cash Flows.
2Of the total cash paid for acquisitions, $0.0, $4.9 and $0.6 for the years ended December 31, 2021, 2020 and 2019, respectively, are classified under the investing section of the Consolidated Statements of Cash Flows as acquisitions, net of cash acquired. These amounts relate to initial payments for new transactions. Of the total cash paid for acquisitions, $28.0, $46.6 and $15.8 for the years ended December 31, 2021, 2020 and 2019, respectively, are classified under the financing section of the Consolidated Statements of Cash Flows as acquisition-related payments. These amounts relate to deferred payments and increases in our ownership interest for prior acquisitions.
Redeemable Noncontrolling Interest The following table presents changes in our redeemable noncontrolling interests.
Years ended December 31,
202120202019
Balance at beginning of period$93.1 $164.7 $167.9 
Change in related noncontrolling interests balance2.2 (5.4)(2.8)
Changes in redemption value of redeemable noncontrolling interests:
Additions0.0 0.0 24.3 
Redemptions and other(41.9)(20.6)(24.9)
Redemption value adjustments 1
(37.8)(45.6)0.2 
Balance at end of period$15.6 $93.1 $164.7 
1Redemption value adjustments for the year ended December 31, 2021 were primarily attributable to the expiration of redemption provision related to redeemable noncontrolling interests.