Property and Equipment (Tables)

12 Months Ended

Dec. 31, 2024

Property, Plant and Equipment [Abstract]

Property, Plant and Equipment

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

	2024		2023
Land	$	382.0	$	319.8
Buildings	8,806.8		8,280.0
Equipment	11,457.8		10,329.0
Construction in progress	8,244.8		5,084.1
	28,891.4		24,012.9
Less accumulated depreciation	(11,789.0)		(11,099.3)
Property and equipment, net	$	17,102.4	$	12,913.6

Depreciation expense related to property and equipment was as follows:

	2024		2023		2022
Depreciation expense	$	1,058.0	$	901.9	$	816.6

Long-lived Assets by Geographic Areas

The following table summarizes long-lived assets by geographical area:

	2024		2023
Long-lived assets(1):
U.S. and Puerto Rico	$	13,401.5	$	9,993.2
Ireland	3,205.0		2,722.6
Rest of world	2,158.9		1,784.2
Long-lived assets	$	18,765.4	$	14,500.0

(1) Long-lived assets consist of property and equipment, net, operating lease assets, and unamortized computer software costs.