Property and Equipment (Tables)

12 Months Ended

Dec. 31, 2019

Property, Plant and Equipment [Abstract]

Property, Plant and Equipment

At December 31, property and equipment consisted of the following:

	2019			2018
Land	$	169.5		$	165.5
Buildings	7,067.3			7,116.6
Equipment	7,913.3			7,792.3
Construction in progress	1,884.4			1,588.6
	17,034.5			16,663.0
Less accumulated depreciation	(9,161.6		)	(8,666.9		)
Property and equipment, net	$	7,872.9		$	7,996.1

Depreciation expense related to property and equipment was as follows:

	2019		2018		2017
Depreciation expense	$	814.7	$	797.1	$	681.7

Long-lived Assets by Geographic Areas

	2019		2018
Long-lived assets(1):
U.S. and Puerto Rico	$	5,595.4	$	5,425.0
Ireland	1,454.8		1,351.3
Other foreign countries	1,758.3		1,769.9
Long-lived assets	$	8,808.5	$	8,546.2

⁽¹⁾ Long-lived assets consist of property and equipment, net, operating lease assets, and certain other noncurrent assets.