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Fair Value | 9 Months Ended
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Sep. 30, 2020
Fair Value [Abstract] |
Fair Value | Fair Value Financial assets and liabilities measured at fair value on a recurring basis were (in millions):
| September 30, 2020 |  |  |  |  |  |
| Level 1 |  | Level 2 |  | Level 3 |  | Total
Assets: |  |  |  |  |  |  |
Cash and cash equivalents | $ | 3,278.3 |  |  |  |  |  |  | $ | 3,278.3 |
Short-term investments | — |  |  |  |  |  |  | — |
Marketable equity investments | 1.5 |  |  |  |  |  |  | 1.5 |
Foreign currency derivatives |  |  | $ | 0.3 |  |  |  |  | 0.3 |
Liabilities: |  |  |  |  |  |  |
Foreign currency derivative |  |  | $ | 0.3 |  |  |  |  | $ | 0.3 |
Contingent purchase price obligations |  |  |  |  | $ | 95.3 |  |  | 95.3 |
| December 31, 2019 |  |  |  |  |  |
| Level 1 |  | Level 2 |  | Level 3 |  | Total
Assets: |  |  |  |  |  |  |
Cash and cash equivalents | $ | 4,305.7 |  |  |  |  |  |  | $ | 4,305.7 |
Short-term investments | 3.6 |  |  |  |  |  |  | 3.6 |
Marketable equity investments | 1.6 |  |  |  |  |  |  | 1.6 |
Foreign currency derivative instruments |  |  | $ | 0.6 |  |  |  |  | 0.6 |
Liabilities: |  |  |  |  |  |  |
Foreign currency derivatives |  |  | 0.4 |  |  |  |  | 0.4 |
Contingent purchase price obligations |  |  |  |  | $ | 107.7 |  |  | 107.7 |
Changes in contingent purchase price obligations were (in millions):
| Nine Months Ended September 30, |  |
| 2020 |  | 2019
January 1 | $ | 107.7 |  |  | $ | 146.5 |
Acquisitions | 10.0 |  |  | 42.9 |
Revaluation and interest | 2.0 |  |  | 2.2 |
Payments | (25.4) |  |  | (43.7) |
Foreign currency translation | 1.0 |  |  | (3.0) |
September 30 | $ | 95.3 |  |  | $ | 144.9 |
The carrying amount and fair value of our financial assets and liabilities were (in millions):
| September 30, 2020 |  |  |  | December 31, 2019 |  |
| Carrying Amount |  | Fair Value |  | Carrying Amount |  | Fair Value
Assets: |  |  |  |  |  |  |
Cash and cash equivalents | $ | 3,278.3 |  |  | $ | 3,278.3 |  |  | $ | 4,305.7 |  |  | $ | 4,305.7 |
Short-term investments | — |  |  | — |  |  | 3.6 |  |  | 3.6 |
Marketable equity securities | 1.5 |  |  | 1.5 |  |  | 1.6 |  |  | 1.6 |
Non-marketable equity securities | 8.9 |  |  | 8.9 |  |  | 9.0 |  |  | 9.0 |
Foreign currency derivatives | 0.3 |  |  | 0.3 |  |  | 0.6 |  |  | 0.6 |
Liabilities: |  |  |  |  |  |  |
Short-term debt | $ | 23.6 |  |  | $ | 23.6 |  |  | $ | 10.1 |  |  | $ | 10.1 |
Foreign currency derivatives | 0.3 |  |  | 0.3 |  |  | 0.4 |  |  | 0.4 |
Contingent purchase price obligations | 95.3 |  |  | 95.3 |  |  | 107.7 |  |  | 107.7 |
Long-term debt, including current portion | 5,761.5 |  |  | 6,242.7 |  |  | 5,134.3 |  |  | 5,316.4 |
The estimated fair value of the foreign currency derivatives is determined using model-derived valuations, taking into consideration foreign currency rates and counterparty credit risk. The estimated fair value of the contingent purchase price obligations is calculated in accordance with the terms of each acquisition agreement and is discounted. The fair value of debt is based on quoted market prices.

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- Definition Fair Value [Abstract] + References No definition available. + Details
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- Definition The entire disclosure for the fair value of financial instruments (as defined), including financial assets and financial liabilities (collectively, as defined), and the measurements of those instruments as well as disclosures related to the fair value of non-financial assets and liabilities. Such disclosures about the financial instruments, assets, and liabilities would include: (1) the fair value of the required items together with their carrying amounts (as appropriate); (2) for items for which it is not practicable to estimate fair value, disclosure would include: (a) information pertinent to estimating fair value (including, carrying amount, effective interest rate, and maturity, and (b) the reasons why it is not practicable to estimate fair value; (3) significant concentrations of credit risk including: (a) information about the activity, region, or economic characteristics identifying a concentration, (b) the maximum amount of loss the entity is exposed to based on the gross fair value of the related item, (c) policy for requiring collateral or other security and information as to accessing such collateral or security, and (d) the nature and brief description of such collateral or security; (4) quantitative information about market risks and how such risks are managed; (5) for items measured on both a recurring and nonrecurring basis information regarding the inputs used to develop the fair value measurement; and (6) for items presented in the financial statement for which fair value measurement is elected: (a) information necessary to understand the reasons for the election, (b) discussion of the effect of fair value changes on earnings, (c) a description of [similar groups] items for which the election is made and the relation thereof to the balance sheet, the aggregate carrying value of items included in the balance sheet that are not eligible for the election; (7) all other required (as defined) and desired information. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 820 -SubTopic 10 -Section 50 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=117815213&loc=d3e19207-110258 + Details
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