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Business Segment and Geographic Information - Segment Revenue, Segment Profit or Loss, and Significant Segment Expenses (Details) - USD ($) $ in Millions | 12 Months Ended
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Dec. 31, 2024 | Dec. 31, 2023 | Dec. 31, 2022
Segment Reporting [Abstract] |  |  |
Revenue | $ 4,033.0 | $ 3,622.3 | $ 2,909.8
Cost of sales | 1,594.8 | 1,333.4 | 1,026.7
Payroll related expenses | 767.1 | 726.9 | 621.1
Stock-based compensation expense | 156.0 | 136.2 | 115.4
Marketing expense | 298.7 | 264.6 | 228.3
Travel related expenses | 64.8 | 55.3 | 37.6
Supply expenses and clinical trials | 64.5 | 46.5 | 50.3
Consulting & professional fees | 227.8 | 222.2 | 196.4
Equipment, office & facility expenses | 83.8 | 84.7 | 80.3
IT software and data | 130.6 | 106.6 | 86.5
Depreciation and amortization | 39.9 | 41.9 | 46.7
Other segment items | 5.0 | 6.3 | 29.3
Operating income | 600.0 | 597.7 | 391.2
Other income (expense), net | 109.0 | 112.7 | (0.4)
Income before income taxes | 709.0 | 710.4 | 390.8
Income tax expense | 132.8 | 168.9 | 49.6
Net income | 576.2 | 541.5 | 341.2
Depreciation and amortization | 217.7 | 186.0 | 155.9
Expenditures for long-lived assets | 358.8 | 236.6 | 364.8
Deferred income taxes | $ 43.8 | $ 55.0 | $ 21.6

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