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CONSOLIDATED CONDENSED STATEMENTS OF CASH FLOWS - USD ($)
$ in Millions
 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Cash flows from operating activities    
Net income $ 1,029.7 $ 1,123.5
Adjustments to reconcile net income to net cash provided by operating activities    
Depreciation and amortization 108.2 104.2
Non-cash operating lease cost 20.7 20.6
Stock-based compensation (Note 10) 108.9 98.9
Impairment charge (Note 4) 0.0 55.1
Change in fair value of contingent consideration liabilities (Note 8) (26.2) (36.3)
Loss on investments, net 4.4 49.1
Deferred income taxes (180.7) (148.7)
Other 4.4 5.5
Changes in operating assets and liabilities:    
Accounts and other receivables, net (123.0) (83.0)
Inventories (189.7) (151.1)
Accounts payable and accrued liabilities 112.6 (55.7)
Income taxes 106.3 8.8
Prepaid expenses and other current assets (63.7) 20.3
Intellectual property agreement accrual (26.0) (36.1)
Long-term prepaid royalties (Note 3) (111.9) 0.0
Other (14.8) (39.7)
Net cash provided by operating activities 759.2 935.4
Cash flows from investing activities    
Capital expenditures (164.7) (175.7)
Purchases of held-to-maturity investments (Note 5) (23.5) (285.5)
Proceeds from held-to-maturity investments (Note 5) 91.5 324.5
Purchases of available-for-sale investments (Note 5) (8.4) (302.8)
Proceeds from available-for-sale investments (Note 5) 486.9 761.1
Business combination, net of cash (Note 7) (141.2) 0.0
Payment for acquisition options (Note 6) (15.0) (107.6)
Issuances of notes receivable (47.5) (51.5)
Collections of notes receivable 0.0 18.0
Other (18.4) (22.9)
Net cash provided by investing activities 159.7 157.6
Cash flows from financing activities    
Purchases of treasury stock (431.2) (861.1)
Proceeds from stock plans 136.7 118.9
Other (3.3) (3.9)
Net cash used in financing activities (297.8) (746.1)
Effect of currency exchange rate changes on cash, cash equivalents, and restricted cash 20.2 37.4
Net increase in cash, cash equivalents, and restricted cash 641.3 384.3
Cash, cash equivalents, and restricted cash at beginning of period 772.6 867.4
Cash, cash equivalents, and restricted cash at end of period (Note 2) $ 1,413.9 $ 1,251.7