Consolidated Condensed Statements of Cash Flows - USD ($) $ in Millions	9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021
Cash Flows from Operating Activities
Net income	$ 4,307.1	$ 3,855.6
Adjustments to Reconcile Net Income to Cash Flows from Operating Activities:
Depreciation and amortization	1,147.5	1,101.9
Change in deferred income taxes	(2,195.6)	(709.8)
Debt extinguishment loss (Note 6)	0.0	405.2
Stock-based compensation expense	278.2	267.5
Net investment (gains) losses	676.4	(271.1)
Acquired in-process research and development	252.0	498.3
Other changes in operating assets and liabilities, net of acquisitions and divestitures	821.5	(548.1)
Other non-cash operating activities, net	217.6	504.7
Net Cash Provided by Operating Activities	5,504.7	5,104.2
Cash Flows from Investing Activities
Net purchases of property and equipment	(1,353.6)	(1,018.4)
Proceeds from sales and maturities of short-term investments	83.1	46.6
Purchases of short-term investments	(65.0)	(27.9)
Proceeds from sales of noncurrent investments	251.6	537.2
Purchases of noncurrent investments	(474.1)	(710.1)
Cash paid for acquisitions, net of cash acquired (Note 3)	0.0	(747.4)
Purchases of in-process research and development	(574.8)	(460.6)
Other investing activities, net	(268.3)	(2.7)
Net Cash Used for Investing Activities	(2,401.1)	(2,383.3)
Cash Flows from Financing Activities
Dividends paid	(2,651.4)	(2,313.5)
Net change in short-term borrowings	1,741.3	(1.5)
Proceeds from issuance of long-term debt	0.0	2,410.8
Repayments of long-term debt	(1,560.0)	(1,905.3)
Purchases of common stock	(1,500.0)	(500.0)
Other financing activities, net	(295.2)	(295.3)
Net Cash Used for Financing Activities	(4,265.3)	(2,604.8)
Effect of exchange rate changes on cash and cash equivalents	(39.4)	15.0
Net decrease in cash and cash equivalents	(1,201.1)	131.1
Cash and cash equivalents at January 1	3,818.5	3,657.1
Cash and Cash Equivalents at September 30	$ 2,617.4	$ 3,788.2