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Consolidated Condensed Statements of Cash Flows (Unaudited) - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Cash Flows from Operating Activities    
Net income $ 6,180.2 $ 3,050.7
Adjustments to Reconcile Net Income to Cash Flows from Operating Activities:    
Depreciation and amortization 1,281.8 1,139.6
Change in deferred income taxes (1,716.4) (1,834.8)
Stock-based compensation expense 503.7 508.3
Net investment losses 29.8 144.5
Gains on sale of product rights (100.7) (1,853.9)
Acquired in-process research and development 3,091.2 3,177.2
Other changes in operating assets and liabilities, net of acquisitions and divestitures (3,160.1) 117.2
Other operating activities, net 234.6 103.2
Net Cash Provided by Operating Activities 6,344.1 4,552.0 Close
Cash Flows from Investing Activities    
Purchases of property and equipment (3,561.8) (2,377.0)
Proceeds from sales and maturities of short-term investments 107.3 155.2
Purchases of short-term investments (68.6) (79.2)
Proceeds from sales of and distributions from noncurrent investments 318.0 476.2
Purchases of noncurrent investments (525.1) (474.8)
Proceeds from sale of product rights 530.9 1,604.3
Cash paid for acquisitions, net of cash acquired (947.7) 0.0
Purchases of in-process research and development (3,094.6) (3,364.0)
Other investing activities, net (139.4) (169.1)
Net Cash Used for Investing Activities (7,381.0) (4,228.4) Close
Cash Flows from Financing Activities    
Dividends paid (3,512.1) (3,051.2)
Net change in short-term borrowings (4,894.1) 97.0
Proceeds from issuance of long-term debt 11,417.1 3,958.5
Repayments of long-term debt (664.2) 0.0
Purchases of common stock (446.1) (750.0)
Other financing activities, net (445.1) (303.4)
Net Cash Provided by (Used for) Financing Activities 1,455.5 (49.1) Close
Effect of exchange rate changes on cash and cash equivalents 131.8 39.3 Close
Net increase in cash and cash equivalents 550.4 313.8 Close
Cash and cash equivalents at January 1 2,818.6 2,067.0
Cash and Cash Equivalents at September 30 $ 3,369.0 $ 2,380.8