Consolidated Condensed Statements of Cash Flows - USD ($) $ in Millions	6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022
Cash Flows from Operating Activities
Net income	$ 3,108.1	$ 2,855.4
Adjustments to Reconcile Net Income to Cash Flows from Operating Activities:
Depreciation and amortization	728.6	784.6
Change in deferred income taxes	(990.5)	(1,125.0)
Stock-based compensation expense	292.7	193.1
Net investment losses	80.0	545.6
Acquired in-process research and development (Note 3)	202.1	606.0
Other changes in operating assets and liabilities, net of acquisitions and divestitures	(676.1)	(104.2)
Other operating activities, net	(382.4)	(49.2)
Net Cash Provided by Operating Activities	2,362.5	3,706.3
Cash Flows from Investing Activities
Purchases of property and equipment	(1,406.7)	(736.4)
Proceeds from sales and maturities of short-term investments	109.6	57.6
Purchases of short-term investments	(59.8)	(32.9)
Proceeds from sales of and distributions from noncurrent investments	388.4	168.5
Purchases of noncurrent investments	(343.4)	(251.4)
Purchases of in-process research and development	(333.1)	(958.2)
Other investing activities, net	497.1	(111.3)
Net Cash Used for Investing Activities	(1,147.9)	(1,864.1)
Cash Flows from Financing Activities
Dividends paid	(2,035.0)	(1,769.2)
Net change in short-term borrowings	(1,498.0)	2,117.2
Proceeds from issuance of long-term debt	3,958.5	0.0
Repayments of long-term debt	0.0	(1,560.0)
Purchases of common stock	(750.0)	(1,500.0)
Other financing activities, net	(296.6)	(290.0)
Net Cash Used for Financing Activities	(621.1)	(3,002.0)
Effect of exchange rate changes on cash and cash equivalents	34.0	(35.8)
Net increase (decrease) in cash and cash equivalents	627.5	(1,195.6)
Cash and cash equivalents at January 1	2,067.0	3,818.5
Cash and Cash Equivalents at June 30	$ 2,694.5	$ 2,622.9