Consolidated Statements of Cash Flow - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Cash from operating activities:
Net income	$ 4,305.3	$ 2,441.6	$ 1,945.5
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization	922.4	572.5	406.4
Stock-based compensation expense	135.4	109.5	99.0
Deferred income tax benefit	(65.6)	(82.8)	(58.8)
Gain on bargain purchase acquisition	0.0	0.0	(5.4)
Net change in operating assets and liabilities, excluding effects of acquisitions:
Accounts receivable, net	(964.4)	(586.8)	146.4
Inventories	(487.4)	(200.1)	71.4
Prepaid expenses and other current assets	(150.7)	(106.8)	(34.1)
Accounts payable	554.1	423.1	(34.6)
Accrued income taxes	276.9	3.1	7.7
Other accrued liabilities	739.2	257.0	(7.0)
Accrued pension and postretirement benefits	0.1	(2.4)	(0.3)
Other long-term assets and liabilities	109.4	(13.2)	(7.5)
Net cash provided by operating activities	5,374.7	2,814.7	2,528.7
Cash from investing activities:
Capital expenditures	(996.6)	(665.4)	(372.8)
Proceeds from disposals of property, plant and equipment	14.8	7.8	4.0
Purchases of investments	(309.3)	(26.2)	(305.7)
Sales and maturities of investments	27.6	189.7	246.3
Acquisitions, net of cash acquired	(3,818.6)	(2,156.4)	(970.4)
Other, net	0.0	1.9	4.9
Net cash used in investing activities	(5,082.1)	(2,648.6)	(1,393.7)
Cash from financing activities:
Proceeds from issuance of senior notes and other long-term debt	8,921.7	2,991.3	354.9
Repayments of senior notes and other long-term debt	(401.7)	(364.4)	(15.7)
Borrowings (repayments) under commercial paper programs, net	0.0	0.0	(632.6)
Payment of costs related to debt financing	(89.1)	(28.4)	(2.3)
Payment of deferred purchase price related to acquisitions	0.0	0.0	(1.5)
Purchase of treasury stock	(665.2)	(689.3)	(585.1)
Proceeds from exercise of stock options	553.0	447.4	394.5
Distributions to and purchases of noncontrolling interests	(5.8)	(33.0)	(24.0)
Dividend payments	(802.2)	(595.1)	(500.6)
Treasury lock settlement	(88.0)	0.0	0.0
Other, net	0.5	1.4	0.0
Net cash provided by (used in) financing activities	7,423.2	1,729.9	(1,012.4)
Effect of exchange rate changes on cash and cash equivalents	97.8	(54.0)	(20.7)
Net increase in cash and cash equivalents	7,813.6	1,842.0	101.9
Cash and cash equivalents balance, beginning of year	3,317.0	1,475.0	1,373.1
Cash and cash equivalents balance, end of year	11,130.6	3,317.0	1,475.0
Cash paid during the year for:
Interest	288.1	179.5	129.2
Income taxes, net	$ 1,084.1	$ 650.0	$ 560.4