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Stock Compensation - Narrative (Details) - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Stock compensation        
Stock compensation expense $ 77.9 $ 48.0 $ 194.3 $ 155.9
Dividend yield (as percent)     0.00%  
Assumed annualized forfeiture rate (as a percent)     5.00%  
Share-based Payment Arrangement, Option        
Stock compensation        
Stock option grant term (in years)     10 years  
Vesting period (in years)     4 years  
Percentage of units vesting at the end of each calendar year (as a percent)     25.00%  
Unrecognized compensation cost for nonvested option (in dollars) 26.2   $ 26.2  
Vesting period of recognition of the unrecognized compensation cost of nonvested awards (in years)     1 year 1 month 6 days  
Share-based Payment Arrangement, Option | Share-based Payment Arrangement, Tranche One        
Stock compensation        
Vesting period (in years)     1 year  
Share-based Payment Arrangement, Option | Share-based Payment Arrangement, Tranche Two        
Stock compensation        
Vesting period (in years)     36 months  
Restricted Stock Units (RSUs)        
Stock compensation        
Vesting period (in years)     4 years  
Percentage of units vesting at the end of each calendar year (as a percent)     25.00%  
Number of shares awarded for each RSU (in shares)     1  
Unrecognized compensation cost for nonvested option (in dollars) 280.1   $ 280.1  
Vesting period of recognition of the unrecognized compensation cost of nonvested awards (in years)     1 year 9 months 18 days  
Performance Shares        
Stock compensation        
Stock compensation expense 12.3 4.2 $ 19.2 13.4
Unrecognized compensation cost for nonvested option (in dollars) 25.4   $ 25.4  
Vesting period of recognition of the unrecognized compensation cost of nonvested awards (in years)     1 year 2 months 12 days  
Performance Shares | Minimum        
Stock compensation        
Vesting period (in years)     3 years  
Performance Shares | Maximum        
Stock compensation        
Vesting period (in years)     4 years  
Escient        
Stock compensation        
Asset acquisition, compensation expense     $ 31.5  
Research and Development Expense        
Stock compensation        
Stock compensation expense 45.8 26.9 117.1 90.7
Selling, General and Administrative Expenses        
Stock compensation        
Stock compensation expense 31.5 20.3 75.6 62.8
Cost of Sales        
Stock compensation        
Stock compensation expense $ 0.6 $ 0.8 $ 1.6 $ 2.4