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Consolidated Condensed Statements of Cash Flows (Unaudited) - USD ($)
$ in Millions
 3 Months Ended
Mar. 31, 2025
Mar. 31, 2024
Cash Flows from Operating Activities    
Net income $ 2,759.3 $ 2,242.9
Adjustments to Reconcile Net Income to Cash Flows from Operating Activities:    
Depreciation and amortization 462.8 400.6
Change in deferred income taxes (391.6) (279.0)
Stock-based compensation expense 153.7 159.4
Net investment (gains) losses 149.1 (15.8)
Acquired in-process research and development 1,571.7 110.5
Other changes in operating assets and liabilities, net of acquisitions and divestitures (3,364.2) (1,751.2)
Other operating activities, net 324.8 298.6
Net Cash Provided by Operating Activities 1,665.6 1,166.0
Cash Flows from Investing Activities    
Purchases of property and equipment (1,509.5) (986.3)
Proceeds from sales of and distributions from noncurrent investments 71.6 70.5
Purchases of noncurrent investments (196.7) (117.1)
Purchases of in-process research and development (1,757.0) (96.5)
Other investing activities, net 39.3 (48.2)
Net Cash Used for Investing Activities (3,352.3) (1,177.6)
Cash Flows from Financing Activities    
Dividends paid (1,346.3) (1,169.2)
Net change in short-term borrowings (1,848.7) (5,204.8)
Proceeds from issuance of long-term debt 6,461.0 6,452.5
Purchases of common stock (1,200.0) 0.0
Other financing activities, net (686.3) (389.8)
Net Cash Provided by (Used for) Financing Activities 1,379.7 (311.3)
Effect of exchange rate changes on cash and cash equivalents 131.9 (35.5)
Net decrease in cash and cash equivalents (175.1) (358.4)
Cash and cash equivalents at January 1 3,268.4 2,818.6
Cash and Cash Equivalents at March 31 $ 3,093.3 $ 2,460.2