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Stock-Based Compensation, Stock Option Activity (Details) - Employee Stock Option [Member] - USD ($)
$ / shares in Units, $ in Millions
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2023
Jun. 30, 2023
Mar. 31, 2023
Sep. 30, 2023
Dec. 31, 2022
Stock option activity          
Options outstanding at the beginning of the period (in shares) 66,483,947 63,537,988 66,135,037 66,135,037  
Non-vested options, options granted (in shares) 57,541 5,909,147 29,900    
Options exercised (in shares) (4,007,400) (2,678,572) (2,568,529)    
Options forfeited (in shares) (99,442) (284,616) (58,420)    
Options outstanding at the end of the period (in shares) 62,434,646 66,483,947 63,537,988 62,434,646 66,135,037
Vested and non-vested options expected to vest at the end of the period (in shares) 60,609,087     60,609,087  
Exercisable at the end of the period (in shares) 39,792,545     39,792,545  
Weighted Average Exercise Price          
Weighted average exercise price, options outstanding at the beginning of the period (in dollars per share) $ 49.10 $ 46.14 $ 45.57 $ 45.57  
Weighted average exercise price, options granted (in dollars per share) 83.53 75.80 79.74    
Weighted average exercise price, options exercised (in dollars per share) 35.62 37.26 31.58    
Weighted average exercise price, options forfeited (in dollars per share) 65.23 54.97 53.54    
Weighted average exercise price, options outstanding at the end of the period (in dollars per share) 49.97 $ 49.10 $ 46.14 49.97 $ 45.57
Weighted average exercise price, vested and non-vested options expected to vest (in dollars per share) 49.56     49.56  
Weighted average exercise price, exercisable (in dollars per share) $ 42.50     $ 42.50  
Weighted Average Remaining Contractual Term          
Weighted average remaining contractual term of options outstanding 5 years 11 months 23 days 6 years 25 days 5 years 10 months 20 days   6 years 10 days
Weighted average remaining contractual term of options vested options and non-vested expected to vest       5 years 10 months 28 days  
Weighted average remaining contractual term of options exercisable       4 years 9 months 29 days  
Aggregate Intrinsic Value          
Aggregate intrinsic value of options outstanding $ 2,125.3 $ 2,384.3 $ 1,911.4 $ 2,125.3 $ 2,027.2
Aggregate intrinsic value of options, vested and non-vested options expected to vest 2,088.0     2,088.0  
Aggregate intrinsic value of options exercisable $ 1,651.2     $ 1,651.2