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Property and Equipment (Tables) | 12 Months Ended
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Dec. 31, 2023
Property, Plant and Equipment [Abstract] |
Property, Plant and Equipment | At December 31, property and equipment consisted of the following:
| 2023 |  | 2022
Land | $ | 319.8 |  |  | $ | 256.6 |
Buildings | 8,280.0 |  |  | 7,915.9 |
Equipment | 10,329.0 |  |  | 9,406.3 |
Construction in progress | 5,084.1 |  |  | 2,798.6 |
| 24,012.9 |  |  | 20,377.4 |
Less accumulated depreciation | (11,099.3) |  |  | (10,233.4) |
Property and equipment, net | $ | 12,913.6 |  |  | $ | 10,144.0 |
Depreciation expense related to property and equipment was as follows:
| 2023 |  | 2022 |  | 2021
Depreciation expense | $ | 901.9 |  |  | $ | 816.6 |  |  | $ | 787.0 |
Long-lived Assets by Geographic Areas | The following table summarizes long-lived assets by geographical area:
|  |  |  | 2023 |  | 2022
Long-lived assets(1): |  |  |  |
U.S. and Puerto Rico |  | $ | 9,993.2 |  |  | $ | 7,709.7 |
Ireland |  | 2,722.6 |  |  | 1,898.5 |
Other foreign countries |  | 1,784.2 |  |  | 1,625.9 |
Long-lived assets |  | $ | 14,500.0 |  |  | $ | 11,234.1 |
(1) Long-lived assets consist of property and equipment, net, operating lease assets, and unamortized computer software costs.

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- Definition Tabular disclosure of long-lived assets, excluding financial instruments, long-term customer relationships of a financial institution, mortgage rights, deferred policy acquisition costs, and deferred tax assets, by geographic areas located in the entity's country of domicile and foreign countries in which the entity holds assets. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Section 50 -Paragraph 41 -Subparagraph b -SubTopic 10 -Topic 280 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482810/280-10-50-41 + Details
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- Definition Tabular disclosure of physical assets used in the normal conduct of business and not intended for resale. Includes, but is not limited to, balances by class of assets, depreciation and depletion expense and method used, including composite depreciation, and accumulated deprecation. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Section 50 -Paragraph 1 -SubTopic 10 -Topic 360 -Publisher FASB -URI https://asc.fasb.org//1943274/2147482099/360-10-50-1 + Details
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