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Consolidated Condensed Statements of Cash Flows - USD ($)
$ in Millions
 3 Months Ended 12 Months Ended
Mar. 31, 2021
Mar. 31, 2020
Dec. 31, 2020
Cash Flows from Operating Activities      
Net income $ 1,355.3 $ 1,456.5  
Adjustments to Reconcile Net Income to Cash Flows from Operating Activities:      
Depreciation and amortization 350.3 273.6  
Change in deferred income taxes (119.1) 11.2  
Stock-based compensation expense 85.5 71.8  
Net investment gains (302.2) (186.7)  
Acquired in-process research and development (Note 3) 299.3 52.3  
Other changes in operating assets and liabilities, net of acquisitions and divestitures (102.8) (1,408.1)  
Other non-cash operating activities, net 131.1 111.8  
Net Cash Provided by Operating Activities 1,697.4 382.4  
Cash Flows from Investing Activities      
Net purchases of property and equipment (300.3) (258.3)  
Proceeds from sales and maturities of short-term investments 4.0 36.8  
Purchases of short-term investments (19.4) 0.0  
Proceeds from sales of noncurrent investments 284.8 54.5  
Purchases of noncurrent investments (291.5) (83.0)  
Cash paid for acquisitions, net of cash acquired (Note 3) (747.4) (849.3)  
Purchases of in-process research and development (191.8) (13.0)  
Other investing activities, net (21.9) 51.4  
Net Cash Used for Investing Activities (1,283.5) (1,060.9)  
Cash Flows from Financing Activities      
Dividends paid (774.8) (671.3)  
Net change in short-term borrowings (3.7)    
Net change in short-term borrowings   1,748.7  
Repayments of long-term debt 0.0 (276.3)  
Purchases of common stock 0.0 (500.0)  
Other financing activities, net (279.9) (194.4)  
Net Cash (Used for) Provided by Financing Activities (1,058.4) 106.7  
Effect of exchange rate changes on cash and cash equivalents (10.2) (66.7)  
Net decrease in cash and cash equivalents (654.7) (638.5)  
Cash and cash equivalents at January 1 3,657.1 2,337.5 $ 2,337.5
Cash and Cash Equivalents at March 31 $ 3,002.4 $ 1,699.0 $ 3,657.1