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Consolidated Condensed Statements of Cash Flows (Unaudited) - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2024
Jun. 30, 2023
Cash Flows from Operating Activities    
Net income $ 5,209.9 $ 3,108.1
Adjustments to Reconcile Net Income to Cash Flows from Operating Activities:    
Depreciation and amortization 815.0 728.6
Change in deferred income taxes (1,286.6) (990.5)
Stock-based compensation expense 370.5 292.7
Net investment losses 142.2 80.0
Acquired in-process research and development 264.8 202.1
Other changes in operating assets and liabilities, net of acquisitions and divestitures (3,150.3) (676.1)
Other operating activities, net 266.7 (382.4)
Net Cash Provided by Operating Activities 2,632.2 2,362.5 Close
Cash Flows from Investing Activities    
Purchases of property and equipment (2,211.1) (1,406.7)
Proceeds from sales and maturities of short-term investments 75.4 109.6
Purchases of short-term investments (48.8) (59.8)
Proceeds from sales of and distributions from noncurrent investments 250.1 388.4
Purchases of noncurrent investments (250.1) (343.4)
Cash paid for acquisitions, net of cash acquired (947.7) 0.0
Purchases of in-process research and development (274.5) (333.1)
Other investing activities, net 30.4 497.1
Net Cash Used for Investing Activities (3,376.3) (1,147.9) Close
Cash Flows from Financing Activities    
Dividends paid (2,341.6) (2,035.0)
Net change in short-term borrowings (1,804.7) (1,498.0)
Proceeds from issuance of long-term debt 6,452.5 3,958.5
Repayments of long-term debt (664.2) 0.0
Purchases of common stock 0.0 (750.0)
Other financing activities, net (397.8) (296.6)
Net Cash Provided by (Used for) Financing Activities 1,244.2 (621.1) Close
Effect of exchange rate changes on cash and cash equivalents (95.1) 34.0 Close
Net increase in cash and cash equivalents 405.0 627.5 Close
Cash and cash equivalents at January 1 2,818.6 2,067.0
Cash and Cash Equivalents at June 30 $ 3,223.6 $ 2,694.5