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Consolidated Condensed Statements of Cash Flows - USD ($)
$ in Millions
 6 Months Ended
Jun. 30, 2021
Jun. 30, 2020
Cash Flows from Operating Activities    
Net income $ 2,745.5 $ 2,868.5
Adjustments to Reconcile Net Income to Cash Flows from Operating Activities:    
Depreciation and amortization 719.6 598.0
Change in deferred income taxes (413.8) (93.5)
Stock-based compensation expense 177.4 148.6
Net investment gains (518.1) (765.0)
Acquired in-process research and development (Note 3) 324.3 294.1
Other changes in operating assets and liabilities, net of acquisitions and divestitures 118.4 (481.6)
Other non-cash operating activities, net 319.6 308.7
Net Cash Provided by Operating Activities 3,472.9 2,877.8
Cash Flows from Investing Activities    
Net purchases of property and equipment (681.6) (540.1)
Proceeds from sales and maturities of short-term investments 21.3 111.2
Purchases of short-term investments (26.6) 0.0
Proceeds from sales of noncurrent investments 461.9 412.0
Purchases of noncurrent investments (503.1) (154.8)
Cash paid for acquisitions, net of cash acquired (Note 3) (747.4) (849.3)
Purchases of in-process research and development (341.8) (254.4)
Other investing activities, net 50.5 4.1
Net Cash Used for Investing Activities (1,766.8) (1,271.3)
Cash Flows from Financing Activities    
Dividends paid (1,543.1) (1,345.5)
Net change in short-term borrowings 196.3  
Net change in short-term borrowings   (235.4)
Proceeds from issuance of long-term debt 0.0 988.6
Repayments of long-term debt 0.0 (276.3)
Purchases of common stock (500.0) (500.0)
Other financing activities, net (294.8) (197.9)
Net Cash Used for Financing Activities (2,141.6) (1,566.5)
Effect of exchange rate changes on cash and cash equivalents (1.6) (12.4)
Net (decrease) increase in cash and cash equivalents (437.1) 27.6
Cash and cash equivalents at January 1 3,657.1 2,337.5
Cash and Cash Equivalents at June 30 $ 3,220.0 $ 2,365.1