v3.24.3
Fair Value Measurements - Schedule of Assets Measured at Fair Value on a Recurring Basis (Details) - USD ($)
$ in Millions
Sep. 30, 2024
Dec. 31, 2023
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities $ 14,967.4 $ 12,533.9
Corporate bonds    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 7,767.3 6,398.0
U.S. government and government agency obligations    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 5,998.6 4,833.4
Sovereign bonds    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 66.9 57.2
Commercial paper    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 557.6 636.8
Certificates of deposit    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 403.1 521.4
Asset-backed securities    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 173.9 87.1
Measured on a recurring basis    
Assets, Fair Value Disclosure [Abstract]    
Cash equivalents 934.8 928.1
Total assets 17,210.4 14,439.4
Liabilities, Fair Value Disclosure [Abstract]    
Contingent consideration 36.7 43.7
Measured on a recurring basis | Unrestricted    
Assets, Fair Value Disclosure [Abstract]    
Equity securities 1,232.1 864.5
Measured on a recurring basis | Restricted    
Assets, Fair Value Disclosure [Abstract]    
Equity securities 76.1 112.9
Measured on a recurring basis | Corporate bonds    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 7,767.3 6,398.0
Measured on a recurring basis | U.S. government and government agency obligations    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 5,998.6 4,833.4
Measured on a recurring basis | Sovereign bonds    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 66.9 57.2
Measured on a recurring basis | Commercial paper    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 557.6 636.8
Measured on a recurring basis | Certificates of deposit    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 403.1 521.4
Measured on a recurring basis | Asset-backed securities    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 173.9 87.1
Measured on a recurring basis | Level 1    
Assets, Fair Value Disclosure [Abstract]    
Cash equivalents 517.3 6.4
Total assets 1,825.5 983.8
Liabilities, Fair Value Disclosure [Abstract]    
Contingent consideration 0.0 0.0
Measured on a recurring basis | Level 1 | Unrestricted    
Assets, Fair Value Disclosure [Abstract]    
Equity securities 1,232.1 864.5
Measured on a recurring basis | Level 1 | Restricted    
Assets, Fair Value Disclosure [Abstract]    
Equity securities 76.1 112.9
Measured on a recurring basis | Level 1 | Corporate bonds    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 0.0 0.0
Measured on a recurring basis | Level 1 | U.S. government and government agency obligations    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 0.0 0.0
Measured on a recurring basis | Level 1 | Sovereign bonds    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 0.0 0.0
Measured on a recurring basis | Level 1 | Commercial paper    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 0.0 0.0
Measured on a recurring basis | Level 1 | Certificates of deposit    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 0.0 0.0
Measured on a recurring basis | Level 1 | Asset-backed securities    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 0.0 0.0
Measured on a recurring basis | Level 2    
Assets, Fair Value Disclosure [Abstract]    
Cash equivalents 417.5 921.7
Total assets 15,384.9 13,455.6
Liabilities, Fair Value Disclosure [Abstract]    
Contingent consideration 0.0 0.0
Measured on a recurring basis | Level 2 | Unrestricted    
Assets, Fair Value Disclosure [Abstract]    
Equity securities 0.0 0.0
Measured on a recurring basis | Level 2 | Restricted    
Assets, Fair Value Disclosure [Abstract]    
Equity securities 0.0 0.0
Measured on a recurring basis | Level 2 | Corporate bonds    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 7,767.3 6,398.0
Measured on a recurring basis | Level 2 | U.S. government and government agency obligations    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 5,998.6 4,833.4
Measured on a recurring basis | Level 2 | Sovereign bonds    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 66.9 57.2
Measured on a recurring basis | Level 2 | Commercial paper    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 557.6 636.8
Measured on a recurring basis | Level 2 | Certificates of deposit    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 403.1 521.4
Measured on a recurring basis | Level 2 | Asset-backed securities    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 173.9 87.1
Measured on a recurring basis | Level 3    
Assets, Fair Value Disclosure [Abstract]    
Cash equivalents 0.0 0.0
Total assets 0.0 0.0
Liabilities, Fair Value Disclosure [Abstract]    
Contingent consideration 36.7 43.7
Measured on a recurring basis | Level 3 | Unrestricted    
Assets, Fair Value Disclosure [Abstract]    
Equity securities 0.0 0.0
Measured on a recurring basis | Level 3 | Restricted    
Assets, Fair Value Disclosure [Abstract]    
Equity securities 0.0 0.0
Measured on a recurring basis | Level 3 | Corporate bonds    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 0.0 0.0
Measured on a recurring basis | Level 3 | U.S. government and government agency obligations    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 0.0 0.0
Measured on a recurring basis | Level 3 | Sovereign bonds    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 0.0 0.0
Measured on a recurring basis | Level 3 | Commercial paper    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 0.0 0.0
Measured on a recurring basis | Level 3 | Certificates of deposit    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities 0.0 0.0
Measured on a recurring basis | Level 3 | Asset-backed securities    
Assets, Fair Value Disclosure [Abstract]    
Available-for-sale debt securities $ 0.0 $ 0.0