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Financial Instruments - Financial Assets and Liabilities Measured at Fair Value on Recurring Basis (Details) - USD ($) $ in Millions | Sep. 30, 2024 | Dec. 31, 2023 | Sep. 30, 2023 | Dec. 31, 2022
--- | --- | --- | --- | ---
Assets |  |  |  |
Investments | $ 81 | $ 337 |  |
Publicly traded equity securities | 984 | 764 |  |
Other Assets | 14,443 | 11,996 |  |
Fair value of derivative, asset | 340 | 342 |  |
Liabilities |  |  |  |
Contingent consideration | 208 | 354 | $ 345 | $ 456
Fair value of derivative, liability | 298 | 239 |  |
Cumulative unrealized gains on investments | 302 |  |  |
Cumulative unrealized losses on investments | 89 |  |  |
Commercial paper |  |  |  |
Assets |  |  |  |
Investments | 0 | 252 |  |
U.S. government and agency securities |  |  |  |
Assets |  |  |  |
Investments | 81 | 72 |  |
Corporate notes and bonds |  |  |  |
Assets |  |  |  |
Investments | 0 | 13 |  |
Fair Value, Measurements, Recurring |  |  |  |
Assets |  |  |  |
Investments | 575 | 504 |  |
Other Assets | 490 | 597 |  |
Fair value of derivative, asset | 340 | 342 |  |
Total assets | 1,405 | 1,443 |  |
Liabilities |  |  |  |
Contingent consideration | 208 | 354 |  |
Fair value of derivative, liability | 298 | 239 |  |
Total liabilities | 506 | 593 |  |
Fair Value, Measurements, Recurring | Foreign exchange contracts |  |  |  |
Assets |  |  |  |
Fair value of derivative, asset | 180 | 202 |  |
Liabilities |  |  |  |
Fair value of derivative, liability | 291 | 239 |  |
Fair Value, Measurements, Recurring | Interest rate swap contracts |  |  |  |
Assets |  |  |  |
Fair value of derivative, asset | 99 | 57 |  |
Fair Value, Measurements, Recurring | Currency options |  |  |  |
Assets |  |  |  |
Fair value of derivative, asset | 61 | 83 |  |
Liabilities |  |  |  |
Fair value of derivative, liability | 7 | 0 |  |
Fair Value, Measurements, Recurring | Level 1 |  |  |  |
Assets |  |  |  |
Investments | 575 | 252 |  |
Other Assets | 490 | 597 |  |
Fair value of derivative, asset | 0 | 0 |  |
Total assets | 1,065 | 849 |  |
Liabilities |  |  |  |
Contingent consideration | 0 | 0 |  |
Fair value of derivative, liability | 0 | 0 |  |
Total liabilities | 0 | 0 |  |
Fair Value, Measurements, Recurring | Level 1 | Foreign exchange contracts |  |  |  |
Assets |  |  |  |
Fair value of derivative, asset | 0 | 0 |  |
Liabilities |  |  |  |
Fair value of derivative, liability | 0 | 0 |  |
Fair Value, Measurements, Recurring | Level 1 | Interest rate swap contracts |  |  |  |
Assets |  |  |  |
Fair value of derivative, asset | 0 | 0 |  |
Fair Value, Measurements, Recurring | Level 1 | Currency options |  |  |  |
Assets |  |  |  |
Fair value of derivative, asset | 0 | 0 |  |
Liabilities |  |  |  |
Fair value of derivative, liability | 0 | 0 |  |
Fair Value, Measurements, Recurring | Level 2 |  |  |  |
Assets |  |  |  |
Investments | 0 | 252 |  |
Other Assets | 0 | 0 |  |
Fair value of derivative, asset | 340 | 342 |  |
Total assets | 340 | 594 |  |
Liabilities |  |  |  |
Contingent consideration | 0 | 0 |  |
Fair value of derivative, liability | 298 | 239 |  |
Total liabilities | 298 | 239 |  |
Fair Value, Measurements, Recurring | Level 2 | Foreign exchange contracts |  |  |  |
Assets |  |  |  |
Fair value of derivative, asset | 180 | 202 |  |
Liabilities |  |  |  |
Fair value of derivative, liability | 291 | 239 |  |
Fair Value, Measurements, Recurring | Level 2 | Interest rate swap contracts |  |  |  |
Assets |  |  |  |
Fair value of derivative, asset | 99 | 57 |  |
Fair Value, Measurements, Recurring | Level 2 | Currency options |  |  |  |
Assets |  |  |  |
Fair value of derivative, asset | 61 | 83 |  |
Liabilities |  |  |  |
Fair value of derivative, liability | 7 | 0 |  |
Fair Value, Measurements, Recurring | Level 3 |  |  |  |
Assets |  |  |  |
Investments | 0 | 0 |  |
Other Assets | 0 | 0 |  |
Fair value of derivative, asset | 0 | 0 |  |
Total assets | 0 | 0 |  |
Liabilities |  |  |  |
Contingent consideration | 208 | 354 |  |
Fair value of derivative, liability | 0 | 0 |  |
Total liabilities | 208 | 354 |  |
Fair Value, Measurements, Recurring | Level 3 | Foreign exchange contracts |  |  |  |
Assets |  |  |  |
Fair value of derivative, asset | 0 | 0 |  |
Liabilities |  |  |  |
Fair value of derivative, liability | 0 | 0 |  |
Fair Value, Measurements, Recurring | Level 3 | Interest rate swap contracts |  |  |  |
Assets |  |  |  |
Fair value of derivative, asset | 0 | 0 |  |
Fair Value, Measurements, Recurring | Level 3 | Currency options |  |  |  |
Assets |  |  |  |
Fair value of derivative, asset | 0 | 0 |  |
Liabilities |  |  |  |
Fair value of derivative, liability | 0 | 0 |  |
Fair Value, Measurements, Recurring | Commercial paper |  |  |  |
Assets |  |  |  |
Investments | 0 | 252 |  |
Fair Value, Measurements, Recurring | Commercial paper | Level 1 |  |  |  |
Assets |  |  |  |
Investments | 0 | 0 |  |
Fair Value, Measurements, Recurring | Commercial paper | Level 2 |  |  |  |
Assets |  |  |  |
Investments | 0 | 252 |  |
Fair Value, Measurements, Recurring | Commercial paper | Level 3 |  |  |  |
Assets |  |  |  |
Investments | 0 | 0 |  |
Fair Value, Measurements, Recurring | U.S. government and agency securities |  |  |  |
Assets |  |  |  |
Debt securities, available-for-sale, noncurrent | 81 | 72 |  |
Fair Value, Measurements, Recurring | U.S. government and agency securities | Level 1 |  |  |  |
Assets |  |  |  |
Debt securities, available-for-sale, noncurrent | 81 | 72 |  |
Fair Value, Measurements, Recurring | U.S. government and agency securities | Level 2 |  |  |  |
Assets |  |  |  |
Debt securities, available-for-sale, noncurrent | 0 | 0 |  |
Fair Value, Measurements, Recurring | U.S. government and agency securities | Level 3 |  |  |  |
Assets |  |  |  |
Debt securities, available-for-sale, noncurrent | 0 | 0 |  |
Fair Value, Measurements, Recurring | Corporate notes and bonds |  |  |  |
Assets |  |  |  |
Debt securities, available-for-sale, noncurrent | 0 | 13 |  |
Fair Value, Measurements, Recurring | Corporate notes and bonds | Level 1 |  |  |  |
Assets |  |  |  |
Debt securities, available-for-sale, noncurrent | 0 | 13 |  |
Fair Value, Measurements, Recurring | Corporate notes and bonds | Level 2 |  |  |  |
Assets |  |  |  |
Debt securities, available-for-sale, noncurrent | 0 | 0 |  |
Fair Value, Measurements, Recurring | Corporate notes and bonds | Level 3 |  |  |  |
Assets |  |  |  |
Debt securities, available-for-sale, noncurrent | 0 | 0 |  |
Fair Value, Measurements, Recurring | Publicly traded equity securities |  |  |  |
Assets |  |  |  |
Publicly traded equity securities | 575 | 252 |  |
Publicly traded equity securities | 409 | 512 |  |
Fair Value, Measurements, Recurring | Publicly traded equity securities | Level 1 |  |  |  |
Assets |  |  |  |
Publicly traded equity securities | 575 | 252 |  |
Publicly traded equity securities | 409 | 512 |  |
Fair Value, Measurements, Recurring | Publicly traded equity securities | Level 2 |  |  |  |
Assets |  |  |  |
Publicly traded equity securities | 0 | 0 |  |
Publicly traded equity securities | 0 | 0 |  |
Fair Value, Measurements, Recurring | Publicly traded equity securities | Level 3 |  |  |  |
Assets |  |  |  |
Publicly traded equity securities | 0 | 0 |  |
Publicly traded equity securities | $ 0 | $ 0 |  |

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