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Consolidated Statements Of Cash Flows - USD ($)
$ in Millions
 12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Operating activities:      
Net income $ 1,817.3 $ 1,344.4 $ 1,728.1
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation and loss on disposal of property, plant, and equipment, net 401.6 338.0 282.8
Amortization of intangible assets 20.2 27.8 27.4
Gain on sale of business 0.0 (3.8) 0.0
Loss on investments, accretion of discounts, and amortization of premiums on investments, net 7.3 49.0 10.6
Deferred income taxes (280.8) (185.3) (62.6)
Share-based compensation expense 592.8 513.2 449.2
Amortization of contract acquisition assets 33.0 26.6 22.0
Changes in operating assets and liabilities, net of effects of acquisitions:      
Accounts receivable (186.3) (159.3) (142.3)
Inventory (712.5) (546.6) (256.0)
Prepaids and other assets 24.2 (129.2) (204.9)
Accounts payable 41.7 21.3 36.0
Accrued compensation and employee benefits 34.8 51.5 115.1
Deferred revenue 53.4 21.5 32.6
Other liabilities (32.9) 121.7 51.4
Net cash provided by operating activities 1,813.8 1,490.8 2,089.4
Investing activities:      
Purchase of investments (2,207.4) (1,399.5) (6,452.0)
Proceeds from sales of investments 230.3 61.1 84.9
Proceeds from maturities of investments 2,690.1 3,254.4 4,267.8
Purchase of property, plant, and equipment (1,064.2) (532.4) (339.5)
Acquisition of businesses, net of cash, and intellectual property and other investing activities 8.9 12.8 22.7
Net cash provided by (used in) investing activities (360.1) 1,370.8 (2,461.5)
Financing activities:      
Proceeds from issuance of common stock relating to employee stock plans 296.3 233.8 276.5
Taxes paid related to net share settlement of equity awards (164.7) (194.2) (211.6)
Repurchase of common stock (416.3) (2,607.4) 0.0
Payment of deferred purchase consideration (2.9) (4.5) (21.9)
Net cash provided by (used in) financing activities (287.6) (2,572.3) 43.0
Effect of exchange rate changes on cash, cash equivalents, and restricted cash 3.3 5.4 (3.4)
Net increase (decrease) in cash, cash equivalents, and restricted cash 1,169.4 294.7 (332.5)
Cash, cash equivalents, and restricted cash, beginning of year 1,600.7 1,306.0 1,638.5
Cash, cash equivalents, and restricted cash, end of year $ 2,770.1 $ 1,600.7 $ 1,306.0