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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
WASHINGTON, D.C. 20549
FORM 10-Q
(Mark One)
xQUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 20222023
OR
oTRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from              to
Commission File No. 1-2189
ABBOTT LABORATORIES
An Illinois CorporationI.R.S. Employer Identification No.
36-0698440
100 Abbott Park Road
Abbott Park, Illinois 60064-6400
Telephone: (224) 667-6100
Securities Registered Pursuant to Section 12(b) of the Act:
Title of Each ClassTrading Symbol(s)Name of Each Exchange on Which Registered
Common Shares, Without Par ValueABT
New York Stock Exchange
Chicago Stock Exchange, Inc.
Indicate by check mark whether the registrant: (l) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of l934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes x No o
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T (§ 229.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes x No o
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See the definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large Accelerated Filer x
Accelerated Filer o
Non-Accelerated Filer o
Smaller reporting company o
Emerging growth company o
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. o
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). Yes o No x
As of September 30, 2022,2023, Abbott Laboratories had 1,743,573,7771,736,058,536 common shares without par value outstanding.


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Abbott Laboratories
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Abbott Laboratories and Subsidiaries
Condensed Consolidated Statement of Earnings
(Unaudited)
(dollars in millions except per share data; shares in thousands)
Three Months EndedNine Months EndedThree Months EndedNine Months Ended
September 30September 30September 30September 30
20222021202220212023202220232022
Net salesNet sales$10,410 $10,928 $33,562 $31,607 Net sales$10,143 $10,410 $29,868 $33,562 
Cost of products sold, excluding amortization of intangible assetsCost of products sold, excluding amortization of intangible assets4,629 4,423 14,549 13,771 Cost of products sold, excluding amortization of intangible assets4,605 4,629 13,419 14,549 
Amortization of intangible assetsAmortization of intangible assets498 520 1,517 1,533 Amortization of intangible assets496 498 1,485 1,517 
Research and developmentResearch and development782 672 2,163 1,980 Research and development672 782 2,041 2,163 
Selling, general and administrativeSelling, general and administrative2,731 2,767 8,275 8,276 Selling, general and administrative2,723 2,731 8,225 8,275 
Total operating cost and expensesTotal operating cost and expenses8,640 8,382 26,504 25,560 Total operating cost and expenses8,496 8,640 25,170 26,504 
Operating earningsOperating earnings1,770 2,546 7,058 6,047 Operating earnings1,647 1,770 4,698 7,058 
Interest expenseInterest expense141 133 404 402 Interest expense166 141 478 404 
Interest (income)Interest (income)(55)(10)(95)(32)Interest (income)(97)(55)(296)(95)
Net foreign exchange (gain) lossNet foreign exchange (gain) loss19 16 Net foreign exchange (gain) loss(10)19 17 16 
Other (income) expense, netOther (income) expense, net(93)(74)(253)(214)Other (income) expense, net(83)(93)(370)(253)
Earnings before taxesEarnings before taxes1,758 2,493 6,986 5,884 Earnings before taxes1,671 1,758 4,869 6,986 
Taxes on earningsTaxes on earnings323 393 1,086 802 Taxes on earnings235 323 740 1,086 
Net EarningsNet Earnings$1,435 $2,100 $5,900 $5,082 Net Earnings$1,436 $1,435 $4,129 $5,900 
Basic Earnings Per Common ShareBasic Earnings Per Common Share$0.82 $1.18 $3.35 $2.85 Basic Earnings Per Common Share$0.82 $0.82 $2.36 $3.35 
Diluted Earnings Per Common ShareDiluted Earnings Per Common Share$0.81 $1.17 $3.32 $2.83 Diluted Earnings Per Common Share$0.82 $0.81 $2.35 $3.32 
Average Number of Common Shares Outstanding Used for Basic Earnings Per Common ShareAverage Number of Common Shares Outstanding Used for Basic Earnings Per Common Share1,752,968 1,774,516 1,756,209 1,776,870 Average Number of Common Shares Outstanding Used for Basic Earnings Per Common Share1,738,700 1,752,968 1,740,255 1,756,209 
Dilutive Common Stock OptionsDilutive Common Stock Options10,685 14,483 11,638 14,407 Dilutive Common Stock Options9,589 10,685 9,819 11,638 
Average Number of Common Shares Outstanding Plus Dilutive Common Stock OptionsAverage Number of Common Shares Outstanding Plus Dilutive Common Stock Options1,763,653 1,788,999 1,767,847 1,791,277 Average Number of Common Shares Outstanding Plus Dilutive Common Stock Options1,748,289 1,763,653 1,750,074 1,767,847 
Outstanding Common Stock Options Having No Dilutive EffectOutstanding Common Stock Options Having No Dilutive Effect5,445 2,740 2,655 2,694 Outstanding Common Stock Options Having No Dilutive Effect7,334 5,445 5,474 2,655 
The accompanying notes to the condensed consolidated financial statements are an integral part of this statement.
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Abbott Laboratories and Subsidiaries
Condensed Consolidated Statement of Comprehensive Income
(Unaudited)
(dollars in millions)
Three Months EndedNine Months EndedThree Months EndedNine Months Ended
September 30September 30September 30September 30
20222021202220212023202220232022
Net EarningsNet Earnings$1,435 $2,100 $5,900 $5,082 Net Earnings$1,436 $1,435 $4,129 $5,900 
Foreign currency translation gain (loss) adjustmentsForeign currency translation gain (loss) adjustments(1,008)(391)(1,429)(762)Foreign currency translation gain (loss) adjustments(480)(1,008)(393)(1,429)
Net actuarial gains (losses) and amortization of net actuarial losses and prior service costs and credits, net of taxes of $11 and $36 in 2022 and $18 and $54 in 202156 78 172 211 
Net gains (losses) for derivative instruments designated as cash flow hedges and other, net of taxes of $50 and $96 in 2022 and $50 and $98 in 2021213 139 186 257 
Net actuarial gains (losses) and amortization of net actuarial losses and prior service costs and credits, net of taxes of $(1) and $(4) in 2023 and $11 and $36 in 2022Net actuarial gains (losses) and amortization of net actuarial losses and prior service costs and credits, net of taxes of $(1) and $(4) in 2023 and $11 and $36 in 2022(9)56 (13)172 
Net gains (losses) for derivative instruments designated as cash flow hedges and other, net of taxes of $30 and $(24) in 2023 and $50 and $96 in 2022Net gains (losses) for derivative instruments designated as cash flow hedges and other, net of taxes of $30 and $(24) in 2023 and $50 and $96 in 202280 213 (23)186 
Other comprehensive income (loss)Other comprehensive income (loss)(739)(174)(1,071)(294)Other comprehensive income (loss)(409)(739)(429)(1,071)
Comprehensive IncomeComprehensive Income$696 $1,926 $4,829 $4,788 Comprehensive Income$1,027 $696 $3,700 $4,829 
September 30,
2022
December 31,
2021
September 30,
2023
December 31,
2022
Supplemental Accumulated Other Comprehensive Income (Loss) Information, net of tax:Supplemental Accumulated Other Comprehensive Income (Loss) Information, net of tax:Supplemental Accumulated Other Comprehensive Income (Loss) Information, net of tax:
Cumulative foreign currency translation (loss) adjustmentsCumulative foreign currency translation (loss) adjustments$(7,268)$(5,839)Cumulative foreign currency translation (loss) adjustments$(7,126)$(6,733)
Net actuarial (losses) and prior service (costs) and creditsNet actuarial (losses) and prior service (costs) and credits(2,498)(2,670)Net actuarial (losses) and prior service (costs) and credits(1,506)(1,493)
Cumulative gains (losses) on derivative instruments designated as cash flow hedges and otherCumulative gains (losses) on derivative instruments designated as cash flow hedges and other321 135 Cumulative gains (losses) on derivative instruments designated as cash flow hedges and other152 175 
Accumulated other comprehensive income (loss)Accumulated other comprehensive income (loss)$(9,445)$(8,374)Accumulated other comprehensive income (loss)$(8,480)$(8,051)
The accompanying notes to the condensed consolidated financial statements are an integral part of this statement.
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Abbott Laboratories and Subsidiaries
Condensed Consolidated Balance Sheet
(Unaudited)
(dollars in millions)
September 30,
2022
December 31,
2021
September 30,
2023
December 31,
2022
AssetsAssetsAssets
Current Assets:Current Assets:Current Assets:
Cash and cash equivalentsCash and cash equivalents$9,594 $9,799 Cash and cash equivalents$6,709 $9,882 
Short-term investmentsShort-term investments313 450 Short-term investments338 288 
Trade receivables, less allowances of $520 in 2022 and $519 in 20216,408 6,487 
Trade receivables, less allowances of $472 in 2023 and $500 in 2022Trade receivables, less allowances of $472 in 2023 and $500 in 20226,499 6,218 
Inventories:Inventories:Inventories:
Finished productsFinished products3,407 3,081 Finished products3,847 3,805 
Work in processWork in process726 694 Work in process888 680 
MaterialsMaterials1,601 1,382 Materials1,915 1,688 
Total inventoriesTotal inventories5,734 5,157 Total inventories6,650 6,173 
Prepaid expenses and other receivablesPrepaid expenses and other receivables2,796 2,346 Prepaid expenses and other receivables2,468 2,663 
Total Current AssetsTotal Current Assets24,845 24,239 Total Current Assets22,664 25,224 
InvestmentsInvestments764 816 Investments788 766 
Property and equipment, at costProperty and equipment, at cost19,306 19,364 Property and equipment, at cost21,111 20,212 
Less: accumulated depreciation and amortizationLess: accumulated depreciation and amortization10,617 10,405 Less: accumulated depreciation and amortization11,559 11,050 
Net property and equipmentNet property and equipment8,689 8,959 Net property and equipment9,552 9,162 
Intangible assets, net of amortizationIntangible assets, net of amortization10,850 12,739 Intangible assets, net of amortization9,282 10,454 
GoodwillGoodwill22,284 23,231 Goodwill23,277 22,799 
Deferred income taxes and other assetsDeferred income taxes and other assets5,369 5,212 Deferred income taxes and other assets6,527 6,033 
$72,801 $75,196 $72,090 $74,438 
Liabilities and Shareholders’ InvestmentLiabilities and Shareholders’ InvestmentLiabilities and Shareholders’ Investment
Current Liabilities:Current Liabilities:Current Liabilities:
Trade accounts payableTrade accounts payable$4,133 $4,408 Trade accounts payable$3,961 $4,607 
Salaries, wages and commissionsSalaries, wages and commissions1,426 1,625 Salaries, wages and commissions1,479 1,556 
Other accrued liabilitiesOther accrued liabilities5,475 5,181 Other accrued liabilities5,347 5,845 
Dividends payableDividends payable820 831 Dividends payable886 887 
Income taxes payableIncome taxes payable394 306 Income taxes payable318 343 
Current portion of long-term debtCurrent portion of long-term debt1,117 754 Current portion of long-term debt1,051 2,251 
Total Current LiabilitiesTotal Current Liabilities13,365 13,105 Total Current Liabilities13,042 15,489 
Long-term debtLong-term debt15,297 17,296 Long-term debt14,477 14,522 
Post-employment obligations, deferred income taxes and other long-term liabilitiesPost-employment obligations, deferred income taxes and other long-term liabilities8,255 8,771 Post-employment obligations, deferred income taxes and other long-term liabilities6,877 7,522 
Commitments and ContingenciesCommitments and ContingenciesCommitments and Contingencies
Shareholders’ Investment:Shareholders’ Investment:Shareholders’ Investment:
Preferred shares, one dollar par value Authorized — 1,000,000 shares, none issuedPreferred shares, one dollar par value Authorized — 1,000,000 shares, none issued— — Preferred shares, one dollar par value Authorized — 1,000,000 shares, none issued— — 
Common shares, without par value Authorized — 2,400,000,000 shares
Issued at stated capital amount — Shares: 2022: 1,985,919,440; 2021: 1,985,273,421
24,560 24,470 
Common shares held in treasury, at cost — Shares: 2022: 242,345,663; 2021: 221,191,228(14,555)(11,822)
Common shares, without par value Authorized — 2,400,000,000 shares
Issued at stated capital amount — Shares: 2023: 1,987,305,154; 2022: 1,986,519,278
Common shares, without par value Authorized — 2,400,000,000 shares
Issued at stated capital amount — Shares: 2023: 1,987,305,154; 2022: 1,986,519,278
24,727 24,709 
Common shares held in treasury, at cost — Shares: 2023: 251,246,618; 2022: 248,724,257Common shares held in treasury, at cost — Shares: 2023: 251,246,618; 2022: 248,724,257(15,686)(15,229)
Earnings employed in the businessEarnings employed in the business35,115 31,528 Earnings employed in the business36,920 35,257 
Accumulated other comprehensive income (loss)Accumulated other comprehensive income (loss)(9,445)(8,374)Accumulated other comprehensive income (loss)(8,480)(8,051)
Total Abbott Shareholders’ InvestmentTotal Abbott Shareholders’ Investment35,675 35,802 Total Abbott Shareholders’ Investment37,481 36,686 
Noncontrolling Interests in SubsidiariesNoncontrolling Interests in Subsidiaries209 222 Noncontrolling Interests in Subsidiaries213 219 
Total Shareholders’ InvestmentTotal Shareholders’ Investment35,884 36,024 Total Shareholders’ Investment37,694 36,905 
$72,801 $75,196 $72,090 $74,438 
The accompanying notes to the condensed consolidated financial statements are an integral part of this statement.
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Abbott Laboratories and Subsidiaries
Condensed Consolidated Statement of Shareholders’ Investment
(Unaudited)
(in millions except shares and per share data)
Three Months Ended September 30
20222021
Common Shares:
Balance at June 30
Shares: 2022: 1,985,676,735; 2021: 1,982,553,488$24,429 $24,153 
Issued under incentive stock programs  
Shares: 2022: 242,705; 2021: 550,36612 26 
Share-based compensation123 113 
Issuance of restricted stock awards(4)(7)
Balance at September 30  
Shares: 2022: 1,985,919,440; 2021: 1,983,103,854$24,560 $24,285 
Common Shares Held in Treasury:
Balance at June 30
Shares: 2022: 234,456,992; 2021: 209,736,139$(13,720)$(10,340)
Issued under incentive stock programs  
Shares: 2022: 528,436; 2021: 545,86031 26 
Purchased  
Shares: 2022: 8,417,107; 2021: 5,626,606(866)(685)
Balance at September 30  
Shares: 2022: 242,345,663; 2021: 214,816,885$(14,555)$(10,999)
Earnings Employed in the Business:
Balance at June 30$34,487 $29,053 
Net earnings1,435 2,100 
Cash dividends declared on common shares (per share — 2022: $0.47; 2021: $0.45)(822)(799)
Effect of common and treasury share transactions15 22 
Balance at September 30$35,115 $30,376 
Accumulated Other Comprehensive Income (Loss):
Balance at June 30$(8,706)$(9,066)
Other comprehensive income (loss)(739)(174)
Balance at September 30$(9,445)$(9,240)
Noncontrolling Interests in Subsidiaries:
Balance at June 30$226 $229 
Noncontrolling Interests’ share of income, business combinations, net of distributions and share repurchases(17)(13)
Balance at September 30$209 $216 
The accompanying notes to condensed consolidated financial statements are an integral part of this statement.
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Abbott Laboratories and Subsidiaries
Condensed Consolidated Statement of Shareholders’ Investment
(Unaudited)
(in millions except shares and per share data)
Nine Months Ended September 30Three Months Ended September 30
2022202120232022
Common Shares:Common Shares:Common Shares:
Balance at January 1
Shares: 2022: 1,985,273,421; 2021: 1,981,156,896$24,470 $24,145 
Balance at June 30Balance at June 30
Shares: 2023: 1,987,181,491; 2022: 1,985,676,735Shares: 2023: 1,987,181,491; 2022: 1,985,676,735$24,612 $24,429 
Issued under incentive stock programsIssued under incentive stock programsIssued under incentive stock programs  
Shares: 2022: 646,019; 2021: 1,946,95836 91 
Shares: 2023: 123,663; 2022: 242,705Shares: 2023: 123,663; 2022: 242,70512 
Share-based compensationShare-based compensation572 536 Share-based compensation116 123 
Issuance of restricted stock awardsIssuance of restricted stock awards(518)(487)Issuance of restricted stock awards(7)(4)
Balance at September 30Balance at September 30Balance at September 30  
Shares: 2022: 1,985,919,440; 2021: 1,983,103,854$24,560 $24,285 
Shares: 2023: 1,987,305,154; 2022: 1,985,919,440Shares: 2023: 1,987,305,154; 2022: 1,985,919,440$24,727 $24,560 
Common Shares Held in Treasury:Common Shares Held in Treasury:Common Shares Held in Treasury:
Balance at January 1
Shares: 2022: 221,191,228; 2021: 209,926,622$(11,822)$(10,042)
Balance at June 30Balance at June 30
Shares: 2023: 251,823,511; 2022: 234,456,992Shares: 2023: 251,823,511; 2022: 234,456,992$(15,722)$(13,720)
Issued under incentive stock programsIssued under incentive stock programsIssued under incentive stock programs  
Shares: 2022: 4,808,575; 2021: 5,524,291261 265 
Shares: 2023: 579,159; 2022: 528,436Shares: 2023: 579,159; 2022: 528,43636 31 
PurchasedPurchasedPurchased  
Shares: 2022: 25,963,010; 2021: 10,414,554(2,994)(1,222)
Shares: 2023: 2,266; 2022: 8,417,107Shares: 2023: 2,266; 2022: 8,417,107— (866)
Balance at September 30Balance at September 30Balance at September 30  
Shares: 2022: 242,345,663; 2021: 214,816,885$(14,555)$(10,999)
Shares: 2023: 251,246,618; 2022: 242,345,663Shares: 2023: 251,246,618; 2022: 242,345,663$(15,686)$(14,555)
Earnings Employed in the Business:Earnings Employed in the Business:Earnings Employed in the Business:
Balance at January 1$31,528 $27,627 
Balance at June 30Balance at June 30$36,355 $34,487 
Net earningsNet earnings5,900 5,082 Net earnings1,436 1,435 
Cash dividends declared on common shares (per share — 2022: $1.41; 2021: $1.35)(2,475)(2,403)
Cash dividends declared on common shares (per share — 2023: $0.51; 2022: $0.47)Cash dividends declared on common shares (per share — 2023: $0.51; 2022: $0.47)(889)(822)
Effect of common and treasury share transactionsEffect of common and treasury share transactions162 70 Effect of common and treasury share transactions18 15 
Balance at September 30Balance at September 30$35,115 $30,376 Balance at September 30$36,920 $35,115 
Accumulated Other Comprehensive Income (Loss):Accumulated Other Comprehensive Income (Loss):Accumulated Other Comprehensive Income (Loss):
Balance at January 1$(8,374)$(8,946)
Balance at June 30Balance at June 30$(8,071)$(8,706)
Other comprehensive income (loss)Other comprehensive income (loss)(1,071)(294)Other comprehensive income (loss)(409)(739)
Balance at September 30Balance at September 30$(9,445)$(9,240)Balance at September 30$(8,480)$(9,445)
Noncontrolling Interests in Subsidiaries:Noncontrolling Interests in Subsidiaries:Noncontrolling Interests in Subsidiaries:
Balance at January 1$222 $219 
Balance at June 30Balance at June 30$230 $226 
Noncontrolling Interests’ share of income, business combinations, net of distributions and share repurchasesNoncontrolling Interests’ share of income, business combinations, net of distributions and share repurchases(13)(3)Noncontrolling Interests’ share of income, business combinations, net of distributions and share repurchases(17)(17)
Balance at September 30Balance at September 30$209 $216 Balance at September 30$213 $209 
The accompanying notes to the condensed consolidated financial statements are an integral part of this statement.
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Abbott Laboratories and Subsidiaries
Condensed Consolidated Statement of Shareholders’ Investment
(Unaudited)
(in millions except shares and per share data)
Nine Months Ended September 30
20232022
Common Shares:
Balance at January 1
Shares: 2023: 1,986,519,278; 2022: 1,985,273,421$24,709 $24,470 
Issued under incentive stock programs
Shares: 2023: 785,876; 2022: 646,01936 36 
Share-based compensation531 572 
Issuance of restricted stock awards(549)(518)
Balance at September 30
Shares: 2023: 1,987,305,154; 2022: 1,985,919,440$24,727 $24,560 
Common Shares Held in Treasury:
Balance at January 1
Shares: 2023: 248,724,257; 2022: 221,191,228$(15,229)$(11,822)
Issued under incentive stock programs
Shares: 2023: 4,669,629; 2022: 4,808,575288 261 
Purchased
Shares: 2023: 7,191,990; 2022: 25,963,010(745)(2,994)
Balance at September 30
Shares: 2023: 251,246,618; 2022: 242,345,663$(15,686)$(14,555)
Earnings Employed in the Business:
Balance at January 1$35,257 $31,528 
Net earnings4,129 5,900 
Cash dividends declared on common shares (per share — 2023: $1.53; 2022: $1.41)(2,668)(2,475)
Effect of common and treasury share transactions202 162 
Balance at September 30$36,920 $35,115 
Accumulated Other Comprehensive Income (Loss):
Balance at January 1$(8,051)$(8,374)
Other comprehensive income (loss)(429)(1,071)
Balance at September 30$(8,480)$(9,445)
Noncontrolling Interests in Subsidiaries:
Balance at January 1$219 $222 
Noncontrolling Interests’ share of income, business combinations, net of distributions and share repurchases(6)(13)
Balance at September 30$213 $209 
The accompanying notes to the condensed consolidated financial statements are an integral part of this statement.
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Abbott Laboratories and Subsidiaries
Condensed Consolidated Statement of Cash Flows
(Unaudited)
(dollars in millions)
Nine Months Ended September 30Nine Months Ended September 30
2022202120232022
Cash Flow From (Used in) Operating Activities:Cash Flow From (Used in) Operating Activities:Cash Flow From (Used in) Operating Activities:
Net earningsNet earnings$5,900 $5,082 Net earnings$4,129 $5,900 
Adjustments to reconcile net earnings to net cash from operating activities —Adjustments to reconcile net earnings to net cash from operating activities —Adjustments to reconcile net earnings to net cash from operating activities —
DepreciationDepreciation943 1,122 Depreciation945 943 
Amortization of intangible assetsAmortization of intangible assets1,517 1,533 Amortization of intangible assets1,485 1,517 
Share-based compensationShare-based compensation570 534 Share-based compensation530 570 
Trade receivablesTrade receivables(409)(194)Trade receivables(424)(409)
InventoriesInventories(1,224)(471)Inventories(527)(1,224)
Other, netOther, net(42)(140)Other, net(1,915)(42)
Net Cash From Operating ActivitiesNet Cash From Operating Activities7,255 7,466 Net Cash From Operating Activities4,223 7,255 
Cash Flow From (Used in) Investing Activities:Cash Flow From (Used in) Investing Activities:Cash Flow From (Used in) Investing Activities:
Acquisitions of property and equipmentAcquisitions of property and equipment(1,167)(1,271)Acquisitions of property and equipment(1,447)(1,167)
Acquisitions of businesses and technologies, net of cash acquiredAcquisitions of businesses and technologies, net of cash acquired— (187)Acquisitions of businesses and technologies, net of cash acquired(877)— 
Proceeds from business dispositionsProceeds from business dispositions48 134 Proceeds from business dispositions40 48 
Sales (purchases) of other investment securities, netSales (purchases) of other investment securities, net(3)(27)Sales (purchases) of other investment securities, net(45)(3)
OtherOther14 14 Other20 14 
Net Cash From (Used in) Investing ActivitiesNet Cash From (Used in) Investing Activities(1,108)(1,337)Net Cash From (Used in) Investing Activities(2,309)(1,108)
Cash Flow From (Used in) Financing Activities:Cash Flow From (Used in) Financing Activities:Cash Flow From (Used in) Financing Activities:
Net borrowings (repayments) of short-term debt and otherNet borrowings (repayments) of short-term debt and other37 (7)Net borrowings (repayments) of short-term debt and other(90)37 
Proceeds from issuance of long-term debtProceeds from issuance of long-term debt— Proceeds from issuance of long-term debt
Repayments of long-term debtRepayments of long-term debt(753)(45)Repayments of long-term debt(1,447)(753)
Purchases of common sharesPurchases of common shares(3,110)(1,325)Purchases of common shares(968)(3,110)
Proceeds from stock options exercisedProceeds from stock options exercised126 173 Proceeds from stock options exercised133 126 
Dividends paidDividends paid(2,486)(2,404)Dividends paid(2,668)(2,486)
Net Cash From (Used in) Financing ActivitiesNet Cash From (Used in) Financing Activities(6,179)(3,608)Net Cash From (Used in) Financing Activities(5,039)(6,179)
Effect of exchange rate changes on cash and cash equivalentsEffect of exchange rate changes on cash and cash equivalents(173)(57)Effect of exchange rate changes on cash and cash equivalents(48)(173)
Net Increase (Decrease) in Cash and Cash EquivalentsNet Increase (Decrease) in Cash and Cash Equivalents(205)2,464 Net Increase (Decrease) in Cash and Cash Equivalents(3,173)(205)
Cash and Cash Equivalents, Beginning of YearCash and Cash Equivalents, Beginning of Year9,799 6,838 Cash and Cash Equivalents, Beginning of Year9,882 9,799 
Cash and Cash Equivalents, End of PeriodCash and Cash Equivalents, End of Period$9,594 $9,302 Cash and Cash Equivalents, End of Period$6,709 $9,594 
The accompanying notes to the condensed consolidated financial statements are an integral part of this statement.
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Abbott Laboratories and Subsidiaries
Notes to the Condensed Consolidated Financial Statements
September 30, 20222023
(Unaudited)

Note 1 — Basis of Presentation

The accompanying unaudited, condensed consolidated financial statements have been prepared pursuant to rules and regulations of the Securities and Exchange Commission and, therefore, do not include all information and footnote disclosures normally included in audited financial statements. However, in the opinion of management, all adjustments (which include only normal adjustments) necessary to present fairly the results of operations, financial position and cash flows have been made. It is suggested that these statements be read in conjunction with the financial statements included in Abbott’s Annual Report on Form 10-K for the year ended December 31, 2021.2022. The condensed consolidated financial statements include the accounts of the parent company and subsidiaries, after elimination of intercompany transactions.


Note 2 — New Accounting Standards

Recently Adopted Accounting Standards

In September 2022, the Financial Accounting Standards Board (FASB) issued Accounting Standards Update 2022-04, Disclosure of Supplier Finance Program Obligations, which requires an entity to report information about its supplier finance program. Abbott adopted the standard on January 1, 2023. The new standard did not have an impact on Abbott's condensed consolidated financial statements.
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Abbott Laboratories and Subsidiaries
Notes to the Condensed Consolidated Financial Statements
September 30, 2023
(Unaudited)
Note 3 — Revenue

Abbott’s revenues are derived primarily from the sale of a broad line of health care products under short-term receivable arrangements. Abbott has four reportable segments: Established Pharmaceutical Products, Diagnostic Products, Nutritional Products, and Medical Devices.

The following tables provide detail by sales category:

Three Months Ended September 30, 2022Three Months Ended September 30, 2021Three Months Ended September 30, 2023Three Months Ended September 30, 2022
(in millions)(in millions)U.S.Int’lTotalU.S.Int’lTotal(in millions)U.S.Int’lTotalU.S.Int’lTotal
Established Pharmaceutical Products —Established Pharmaceutical Products —Established Pharmaceutical Products —
Key Emerging MarketsKey Emerging Markets$— $993 $993 $— $936 $936 Key Emerging Markets$— $987 $987 $— $1,001 $1,001 
OtherOther— 333 333  329 329 Other— 381 381  325 325 
TotalTotal— 1,326 1,326 — 1,265 1,265 Total— 1,368 1,368 — 1,326 1,326 
Nutritionals —Nutritionals —    Nutritionals —    
Pediatric NutritionalsPediatric Nutritionals357 470 827 586 514 1,100 Pediatric Nutritionals506 495 1,001 357 470 827 
Adult NutritionalsAdult Nutritionals329 639 968 333 675 1,008 Adult Nutritionals354 718 1,072 329 639 968 
TotalTotal686 1,109 1,795 919 1,189 2,108 Total860 1,213 2,073 686 1,109 1,795 
Diagnostics —Diagnostics —    Diagnostics —    
Core LaboratoryCore Laboratory281 938 1,219 291 1,001 1,292 Core Laboratory317 997 1,314 281 938 1,219 
MolecularMolecular65 118 183 162 183 345 Molecular38 95 133 65 118 183 
Point of CarePoint of Care92 35 127 100 35 135 Point of Care97 43 140 92 35 127 
Rapid DiagnosticsRapid Diagnostics1,303 839 2,142 1,394 746 2,140 Rapid Diagnostics561 301 862 1,273 839 2,112 
TotalTotal1,741 1,930 3,671 1,947 1,965 3,912 Total1,013 1,436 2,449 1,711 1,930 3,641 
Medical Devices —Medical Devices —    Medical Devices —    
Rhythm ManagementRhythm Management263 270 533 266 305 571 Rhythm Management271 292 563 263 270 533 
ElectrophysiologyElectrophysiology225 244 469 192 293 485 Electrophysiology246 298 544 225 244 469 
Heart FailureHeart Failure177 51 228 170 59 229 Heart Failure217 67 284 207 51 258 
VascularVascular213 393 606 219 425 644 Vascular251 421 672 213 393 606 
Structural HeartStructural Heart207 213 420 177 215 392 Structural Heart223 264 487 207 213 420 
NeuromodulationNeuromodulation156 36 192 149 41 190 Neuromodulation188 39 227 156 36 192 
Diabetes CareDiabetes Care423 744 1,167 323 798 1,121 Diabetes Care544 928 1,472 423 744 1,167 
TotalTotal1,664 1,951 3,615 1,496 2,136 3,632 Total1,940 2,309 4,249 1,694 1,951 3,645 
OtherOther— 11 Other— — 
TotalTotal$4,094 $6,316 $10,410 $4,368 $6,560 $10,928 Total$3,817 $6,326 $10,143 $4,094 $6,316 $10,410 


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Abbott Laboratories and Subsidiaries
Notes to the Condensed Consolidated Financial Statements
September 30, 20222023
(Unaudited)
Note 23 — Revenue (Continued)
Nine Months Ended September 30, 2022Nine Months Ended September 30, 2021Nine Months Ended September 30, 2023Nine Months Ended September 30, 2022
(in millions)(in millions)U.S.Int’lTotalU.S.Int’lTotal(in millions)U.S.Int’lTotalU.S.Int’lTotal
Established Pharmaceutical Products —Established Pharmaceutical Products —Established Pharmaceutical Products —
Key Emerging MarketsKey Emerging Markets$— $2,826 $2,826 $— $2,672 $2,672 Key Emerging Markets$— $2,889 $2,889 $— $2,853 $2,853 
OtherOther— 870 870 — 843 843 Other— 955 955 — 843 843 
TotalTotal— 3,696 3,696 — 3,515 3,515 Total— 3,844 3,844 — 3,696 3,696 
Nutritionals —Nutritionals —    Nutritionals —    
Pediatric NutritionalsPediatric Nutritionals1,108 1,491 2,599 1,622 1,637 3,259 Pediatric Nutritionals1,472 1,477 2,949 1,108 1,491 2,599 
Adult NutritionalsAdult Nutritionals1,016 2,027 3,043 1,006 1,987 2,993 Adult Nutritionals1,081 2,086 3,167 1,016 2,027 3,043 
TotalTotal2,124 3,518 5,642 2,628 3,624 6,252 Total2,553 3,563 6,116 2,124 3,518 5,642 
Diagnostics —Diagnostics —Diagnostics —
Core LaboratoryCore Laboratory836 2,788 3,624 845 2,935 3,780 Core Laboratory917 2,872 3,789 836 2,788 3,624 
MolecularMolecular308 507 815 431 651 1,082 Molecular128 293 421 308 507 815 
Point of CarePoint of Care284 110 394 289 112 401 Point of Care289 127 416 284 110 394 
Rapid DiagnosticsRapid Diagnostics5,523 2,923 8,446 3,178 2,732 5,910 Rapid Diagnostics1,975 853 2,828 5,436 2,923 8,359 
TotalTotal6,951 6,328 13,279 4,743 6,430 11,173 Total3,309 4,145 7,454 6,864 6,328 13,192 
Medical Devices —Medical Devices —Medical Devices —
Rhythm ManagementRhythm Management775 830 1,605 776 881 1,657 Rhythm Management800 873 1,673 775 830 1,605 
ElectrophysiologyElectrophysiology667 773 1,440 580 823 1,403 Electrophysiology729 873 1,602 667 773 1,440 
Heart FailureHeart Failure523 167 690 483 167 650 Heart Failure661 199 860 610 167 777 
VascularVascular650 1,228 1,878 684 1,292 1,976 Vascular733 1,271 2,004 650 1,228 1,878 
Structural HeartStructural Heart604 667 1,271 537 654 1,191 Structural Heart652 794 1,446 604 667 1,271 
NeuromodulationNeuromodulation456 112 568 460 124 584 Neuromodulation528 122 650 456 112 568 
Diabetes CareDiabetes Care1,165 2,320 3,485 865 2,292 3,157 Diabetes Care1,528 2,681 4,209 1,165 2,320 3,485 
TotalTotal4,840 6,097 10,937 4,385 6,233 10,618 Total5,631 6,813 12,444 4,927 6,097 11,024 
OtherOther— 31 18 49 Other10 — 10 — 
TotalTotal$13,923 $19,639 $33,562 $11,787 $19,820 $31,607 Total$11,503 $18,365 $29,868 $13,923 $19,639 $33,562 

Note: The Acelis Connected Health business was internally transferred from Rapid Diagnostics to Heart Failure on January 1, 2023. As a result, $30 million of sales in the third quarter of 2022 and $87 million in the first nine months of 2022 were moved from Rapid Diagnostics to Heart Failure.

Remaining Performance Obligations

As of September 30, 2022,2023, the estimated revenue expected to be recognized in the future related to performance obligations that are unsatisfied (or partially unsatisfied) was approximately $3.9$4.2 billion in the Diagnostics segment and approximately $433$456 million in the Medical Devices segment. Abbott expects to recognize revenue on approximately 6059 percent of these remaining performance obligations over the next 24 months, approximately 1617 percent over the subsequent 12 months and the remainder thereafter.

These performance obligations primarily reflect the future sale of reagents/consumables in contracts with minimum purchase obligations, extended warranty or service obligations related to previously sold equipment, and remote monitoring services related to previously implanted devices. Abbott has applied the practical expedient described in Financial Accounting Standards Board (FASB)FASB Accounting Standards Codification (ASC) 606-10-50-14 and has not included remaining performance obligations related to contracts with original expected durations of one year or less in the amounts above.

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Abbott Laboratories and Subsidiaries
Notes to the Condensed Consolidated Financial Statements
September 30, 20222023
(Unaudited)
Note 23 — Revenue (Continued)
Other Contract Assets and Liabilities

Abbott discloses Trade receivables separately in the Condensed Consolidated Balance Sheet at the net amount expected to be collected. Contract assets primarily relate to Abbott’s conditional right to consideration for work completed but not billed at the reporting date. Contract assets at the beginning and the end of the period, as well as the changes in the balance, were not significant.

Contract liabilities primarily relate to payments received from customers in advance of performance under the contract. Abbott’s contract liabilities arise primarily in the Medical Devices reportable segment when payment is received upfront for various multi-period extended service arrangements.

Changes in the contract liabilities during the period are as follows:

(in millions)
Contract Liabilities:
Balance at December 31, 20212022$520500 
Unearned revenue from cash received during the period466346 
Revenue recognized related to contract liability balance(508)(292)
Balance at September 30, 20222023$478554 

Note 34 — Supplemental Financial Information

Shares of unvested restricted stock that contain non-forfeitable rights to dividends are treated as participating securities and are included in the computation of earnings per share under the two-class method. Under the two-class method, net earnings are allocated between common shares and participating securities. Net earnings allocated to common shares for the three months ended September 30, 2023 and 2022 and 2021 were $1.429$1.431 billion and $2.092$1.429 billion, respectively, and for the nine months ended September 30, 2023 and 2022 and 2021 were $5.876$4.113 billion and $5.061$5.876 billion, respectively.

Other, net in Net cash from operating activities in the Condensed Consolidated Statement of Cash Flows for the first nine months of 2023 includes $302 million of pension contributions and the payment of cash taxes of approximately $1.180 billion. The first nine months of 2022 includes $362 million of pension contributions and the payment of cash taxes of approximately $987 million. The first nine months of 2021 includes $366 million of pension contributions and the payment of cash taxes of approximately $990 million.

The following summarizes the activity for the first nine months of 20222023 related to the allowance for doubtful accounts as of September 30, 2022:2023:

(in millions)
Allowance for Doubtful Accounts:
Balance at December 31, 20212022$313262 
Provisions/charges to income1022 
Amounts charged off and other deductions(49)(25)
Balance at September 30, 20222023$274259 

The allowance for doubtful accounts reflects the current estimate of credit losses expected to be incurred over the life of the accounts receivable. Abbott considers various factors in establishing, monitoring, and adjusting its allowance for doubtful accounts, including the aging of the accounts and aging trends, the historical level of charge-offs, and specific exposures related to particular customers. Abbott also monitors other risk factors and forward-looking information, such as country risk, when determining credit limits for customers and establishing adequate allowances.
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Notes to the Condensed Consolidated Financial Statements
September 30, 20222023
(Unaudited)
Note 34 — Supplemental Financial Information (Continued)
The components of long-term investments as of September 30, 20222023 and December 31, 20212022 are as follows:

(in millions)(in millions)September 30,
2022
December 31,
2021
(in millions)September 30,
2023
December 31,
2022
Long-term Investments:Long-term Investments:Long-term Investments:
Equity securitiesEquity securities$604 $748 Equity securities$566 $558 
OtherOther160 68 Other222 208 
TotalTotal$764 $816 Total$788 $766 

The decreaseincrease in Abbott’s long-term investments as of September 30, 20222023 versus the balance as of December 31, 20212022 is primarily relatesdue to investments acquired as part of a decrease in the value ofbusiness acquisition and other additional investments, held in a rabbi trust andpartially offset by the impact of equity method investment losses partially offset by an investment in long-term time deposits.losses.

Abbott’s equity securities as of September 30, 2022,2023 include $285$291 million of investments in mutual funds that are held in a rabbi trust and were acquired as part of the St. Jude Medical, Inc. (St. Jude Medical) business acquisition. These investments, which are specifically designated as available for the purpose of paying benefits under a deferred compensation plan, are not available for general corporate purposes and are subject to creditor claims in the event of insolvency.

Abbott also holds certain investments as of September 30, 20222023 with a carrying value of $228$175 million that are accounted for under the equity method of accounting and other equity investments with a carrying value of approximately $83$87 million that do not have a readily determinable fair value.

In September 2021, Abbott acquired 100 percent of Walk Vascular, LLC (Walk Vascular), a commercial-stage medical device company with a minimally invasive thrombectomy system designed to remove peripheral blood clots. The purchase price, the allocation of acquired assets and liabilities, and the revenue and net income contributed by Walk Vascular since the date of acquisition are not material to Abbott’s condensed consolidated financial statements.

Note 45 — Changes In Accumulated Other Comprehensive Income (Loss)

The changes in accumulated other comprehensive income (loss), net of income taxes, are as follows:

Three Months Ended September 30Three Months Ended September 30
Cumulative Foreign
Currency Translation
(Loss) Adjustments
Net Actuarial (Losses) and
Prior Service (Costs) and
Credits
Cumulative Gains (Losses)
on Derivative Instruments
Designated as Cash Flow
Hedges and Other
Cumulative Foreign
Currency Translation
(Loss) Adjustments
Net Actuarial (Losses) and
Prior Service (Costs) and
Credits
Cumulative Gains (Losses)
on Derivative Instruments
Designated as Cash Flow
Hedges and Other
(in millions)(in millions)202220212022202120222021(in millions)202320222023202220232022
Balance at June 30Balance at June 30$(6,260)$(5,230)$(2,554)$(3,738)$108 $(98)Balance at June 30$(6,646)$(6,260)$(1,497)$(2,554)$72 $108 
Other comprehensive income (loss) before reclassificationsOther comprehensive income (loss) before reclassifications(1,008)(391)15 16 278 70 Other comprehensive income (loss) before reclassifications(497)(1,008)(9)15 96 278 
Amounts reclassified from accumulated other comprehensive incomeAmounts reclassified from accumulated other comprehensive income— — 41 62 (65)69 Amounts reclassified from accumulated other comprehensive income17 — — 41 (16)(65)
Net current period comprehensive income (loss)Net current period comprehensive income (loss)(1,008)(391)56 78 213 139 Net current period comprehensive income (loss)(480)(1,008)(9)56 80 213 
Balance at September 30Balance at September 30$(7,268)$(5,621)$(2,498)$(3,660)$321 $41 Balance at September 30$(7,126)$(7,268)$(1,506)$(2,498)$152 $321 
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Notes to the Condensed Consolidated Financial Statements
September 30, 20222023
(Unaudited)
Note 45 — Changes In Accumulated Other Comprehensive Income (Loss) (Continued)
Nine Months Ended September 30Nine Months Ended September 30
Cumulative Foreign
Currency Translation
(Loss) Adjustments
Net Actuarial (Losses) and
Prior Service (Costs) and
Credits
Cumulative Gains (Losses)
on Derivative Instruments
Designated as Cash Flow
Hedges and Other
Cumulative Foreign
Currency Translation
(Loss) Adjustments
Net Actuarial (Losses) and
Prior Service (Costs) and
Credits
Cumulative Gains (Losses)
on Derivative Instruments
Designated as Cash Flow
Hedges and Other
(in millions)(in millions)20222021202220212022 2021(in millions)20232022202320222023 2022
Balance at January 1Balance at January 1$(5,839)$(4,859)$(2,670)$(3,871)$135 $(216)Balance at January 1$(6,733)$(5,839)$(1,493)$(2,670)$175 $135 
Other comprehensive income (loss) before reclassificationsOther comprehensive income (loss) before reclassifications(1,429)(762)45 26 289 138 Other comprehensive income (loss) before reclassifications(410)(1,429)(6)45 134 289 
Amounts reclassified from accumulated other comprehensive incomeAmounts reclassified from accumulated other comprehensive income— — 127 185 (103)119 Amounts reclassified from accumulated other comprehensive income17 — (7)127 (157)(103)
Net current period comprehensive income (loss)Net current period comprehensive income (loss)(1,429)(762)172 211 186 257 Net current period comprehensive income (loss)(393)(1,429)(13)172 (23)186 
Balance at September 30Balance at September 30$(7,268)$(5,621)$(2,498)$(3,660)$321 $41 Balance at September 30$(7,126)$(7,268)$(1,506)$(2,498)$152 $321 

Reclassified amounts for cash flow hedges are recorded as Cost of products sold. Net actuarial losses and prior service cost are included as a component of net periodic benefit costs; see Note 1113 for additional details.

Note 56 — Business Acquisitions

On September 22, 2023, Abbott completed the acquisition of Bigfoot Biomedical, Inc. (Bigfoot), which will further Abbott's efforts to develop connected solutions for making diabetes management even more personal and precise. The purchase price, the allocation of acquired assets and liabilities, and the revenue and net income contributed by Bigfoot since the date of acquisition are not material to Abbott's condensed consolidated financial statements.

On April 27, 2023, Abbott completed the acquisition of Cardiovascular Systems, Inc. (CSI) for $20 per common share, which equated to a purchase price of $851 million. The transaction was funded with cash on hand and accounted for as a business combination. CSI's atherectomy system, which is used in treating peripheral and coronary artery disease, adds complementary technologies to Abbott's portfolio of vascular device offerings.

The preliminary allocation of the purchase price of the CSI acquisition resulted in the recording of two non-deductible developed technology intangible assets of $305 million; non-deductible in-process research and development of $15 million, which will be accounted for as an indefinite-lived intangible asset until regulatory approval or discontinuation; non-deductible goodwill of approximately $384 million; net deferred tax assets of approximately $31 million and other net assets of approximately $116 million. The goodwill is identifiable to the Medical Devices reportable segment and is attributable to expected synergies from combining operations, as well as intangible assets that do not qualify for separate recognition. Allocation of the purchase price of the acquisition will be finalized when the valuation of assets and liabilities is completed. Revenues and earnings of CSI included in Abbott's consolidated financial statements since the acquisition date are not material to Abbott's consolidated revenue and earnings. If the acquisition of CSI had taken place as of the beginning of 2022, consolidated net sales and earnings would not have been significantly different from reported amounts.

Note 7 — Goodwill and Intangible Assets

The total amount of goodwill reported was $22.3$23.3 billion at September 30, 20222023 and $23.2$22.8 billion at December 31, 2021. Foreign2022. Recent business acquisitions increased goodwill by approximately $590 million and foreign currency translation adjustments decreased goodwill by approximately $946$112 million in the first nine months of 2022.2023. The amount of goodwill related to reportable segments at September 30, 20222023 was $2.6 billion for the Established Pharmaceutical Products segment, $286$285 million for the Nutritional Products segment, $3.5 billion for the Diagnostic Products segment, and $15.9$16.8 billion for the Medical Devices segment. There waswere no reductionreductions of goodwill relating to impairments in the first nine months of 2022.

The gross amount of amortizable intangible assets, primarily product rights and technology, was $26.9 billion and $27.7 billion as of September 30, 2022 and December 31, 2021, respectively. Accumulated amortization was $16.9 billion and $15.9 billion as of September 30, 2022 and December 31, 2021, respectively. Foreign currency translation adjustments decreased intangible assets by $250 million in the first nine months of 2022. Abbott’s estimated annual amortization expense for intangible assets is approximately $2.1 billion in 2022, $2.0 billion in 2023, $1.9 billion in 2024, $1.7 billion in 2025 and $1.6 billion in 2026.

Indefinite-lived intangible assets, which relate to in-process R&D (IPR&D) acquired in a business combination, were approximately $807 million as of September 30, 2022 and $919 million as of December 31, 2021. In the third quarter of 2022, $111 million of impairment charges were recorded on the Research and development line of the Condensed Consolidated Statement of Earnings related to certain IPR&D intangible assets associated with the Medical Devices business segment.

Note 6 — Restructuring Plans

On May 27, 2021, Abbott management approved a restructuring plan related to its Diagnostic Products segment to align its manufacturing network for COVID-19 diagnostic tests with changes in the second quarter in projected testing demand driven by several factors, including significant reductions in cases in the U.S. and other major developed countries, the accelerated rollout of COVID-19 vaccines globally and the U.S. health authority’s updated guidance on testing for fully vaccinated individuals. In the second quarter of 2021, Abbott recorded charges of $499 million under this plan in Cost of products sold. The charge recognized in the second quarter of 2021 included fixed asset write-downs of $80 million, inventory-related charges of $248 million, and other exit costs, which included contract cancellations and employee-related costs of $171 million.
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Abbott Laboratories and Subsidiaries
Notes to the Condensed Consolidated Financial Statements
September 30, 2022
(Unaudited)
Note 6 — Restructuring Plans (Continued)
In the second half of 2021, as the Delta and Omicron variants of COVID-19 spread and the number of new COVID-19 cases increased significantly, particularly in the U.S., demand for rapid COVID-19 tests increased significantly. As a result, in the second half of 2021, Abbott sold approximately $181 million of inventory that was previously estimated to have no net realizable value under the second quarter of 2021 restructuring action. In addition, the estimate of other exit costs was reduced by a net $58 million as Abbott fulfilled its purchase obligations under certain contracts for which a liability was recorded in the second quarter of 2021 or Abbott settled with the counterparty in the second half of 2021.

The following summarizes the activity related to this restructuring action and the status of the related accruals as of September 30, 2022:

(in millions)Inventory-
Related
Charges
Fixed Asset
Write-Downs
Other Exit
Costs
Total
Restructuring charges recorded in 2021$248 $80 $113 $441 
Payments— — (90)(90)
Other non-cash(248)(80)— (328)
Accrued balance at December 31, 2021— — 23 23 
Payments and other adjustments— — (10)(10)
Accrued balance at September 30, 2022$— $— $13 $13 

In 2021, Abbott management approved plans to streamline operations in order to reduce costs and improve efficiencies in Abbott’s diagnostic, established pharmaceutical, and nutritional businesses. In 2022 and 2021, Abbott management approved plans to streamline operations in its medical devices segment. Abbott recorded employees-related severance and other charges of approximately $12 million in the first nine months of 2022 of which approximately $5 million was recorded in Cost of products sold, approximately $2 million was recorded in Research and development, and approximately $5 million was recorded in Selling, general and administrative expense.

The following summarizes the activity for these restructurings:

(in millions)
Restructuring charges recorded in 2021$68 
Payments and other adjustments(7)
Accrued balance at December 31, 202161 
Restructuring charges recorded in 202212 
Payments and other adjustments(39)
Accrued balance at September 30, 2022$34 


2023.
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Notes to the Condensed Consolidated Financial Statements
September 30, 20222023
(Unaudited)

Note 7 — Goodwill and Intangible Assets (continued)
The gross amount of amortizable intangible assets, primarily product rights and technology, was $27.5 billion and $27.2 billion as of September 30, 2023 and December 31, 2022, respectively. The gross amount of amortizable intangible assets increased by $305 million due to a recent business acquisition. Accumulated amortization was $19.0 billion and $17.6 billion as of September 30, 2023 and December 31, 2022, respectively. Foreign currency translation adjustments decreased intangible assets by $14 million in the first nine months of 2023. Abbott’s estimated annual amortization expense for intangible assets is approximately $2.0 billion in 2023, $1.9 billion in 2024, $1.7 billion in 2025, $1.6 billion in 2026 and $1.3 billion in 2027.

Indefinite-lived intangible assets, which relate to in-process research and development (IPR&D) acquired in a business combination, were approximately $832 million as of September 30, 2023 and $807 million as of December 31, 2022. Recent business acquisitions increased IPR&D by $80 million. This increase was partially offset by $55 million of charges recorded on the Research and development line of the Condensed Consolidated Statement of Earnings for the impairment of certain indefinite-lived intangible assets related to the Medical Devices reportable segment.

Note 8 — Restructuring Plans

In 2022 and 2023, Abbott management approved various plans to streamline operations in order to reduce costs and improve efficiencies in its medical devices, nutritional, diagnostic, and established pharmaceutical businesses. In the nine months ended September 30, 2023, Abbott recorded employee related severance and other charges of approximately $102 million, of which approximately $31 million was recorded in Cost of products sold, approximately $16 million was recorded in Research and development, and approximately $55 million was recorded in Selling, general and administrative expenses. In addition, Abbott recognized fixed asset impairment charges of approximately $29 million related to these restructuring plans.

The following summarizes the activity related to these restructuring actions and the status of the related accruals as of September 30, 2023:

(in millions)Total
Accrued balance at December 31, 2022$228 
Restructuring charges in 2023102 
Payments and other adjustments(181)
Accrued balance at September 30, 2023$149 

Note 9 — Incentive Stock ProgramPrograms

In the first nine months of 2022,2023, Abbott granted 2,634,6471,986,671 stock options, 514,205463,856 restricted stock awards and 5,427,6974,927,476 restricted stock units under its incentive stock program. At September 30, 2022,2023, approximately 8774 million shares were reserved for future grants. Information regarding the number of options outstanding and exercisable at September 30, 20222023 is as follows:

OutstandingExercisableOutstandingExercisable
Number of sharesNumber of shares29,048,449 23,310,464 Number of shares29,342,041 24,718,236 
Weighted average remaining life (years)
Weighted average remaining life (years)
5.44.6
Weighted average remaining life (years)
5.04.3
Weighted average exercise priceWeighted average exercise price$70.22 $59.69 Weighted average exercise price$73.77 $66.27 
Aggregate intrinsic value (in millions)
Aggregate intrinsic value (in millions)
$901 $890 
Aggregate intrinsic value (in millions)
$825 $825 

The total unrecognized share-based compensation cost at September 30, 20222023 amounted to approximately $600$560 million which is expected to be recognized over the next three years.

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Abbott Laboratories and Subsidiaries
Notes to the Condensed Consolidated Financial Statements
September 30, 2023
(Unaudited)
Note 810 — Debt and Lines of Credit

On September 27, 2023, Abbott repaid the €1.14 billion outstanding principal amount of its 0.875% Notes upon maturity. The repayment equated to approximately $1.2 billion. In September 2023, Abbott repaid approximately $197 million of debt assumed as part of a recent business acquisition. On March 15, 2022, Abbott repaid the $750 million outstanding principal amount of its 2.55% Notes upon maturity.

Note 911 — Financial Instruments, Derivatives and Fair Value Measures

Certain Abbott foreign subsidiaries enter into foreign currency forward exchange contracts to manage exposures to changes in foreign exchange rates, primarily for anticipated intercompany purchases by those subsidiaries whose functional currencies are not the U.S. dollar. These contracts, with gross notional amounts totaling $7.9$7.3 billion at September 30, 20222023 and $8.6$7.7 billion at December 31, 2021,2022, are designated as cash flow hedges of the variability of the cash flows due to changes in foreign exchange rates and are recorded at fair value. Accumulated gains and losses as of September 30, 20222023 will be included in Cost of products sold at the time the products are sold, generally through the next twelve to eighteen months.

Abbott enters into foreign currency forward exchange contracts to manage currency exposures for foreign currency denominated third-party trade payables and receivables, and for intercompany loans and trade accounts payable where the receivable or payable is denominated in a currency other than the functional currency of the entity. For intercompany loans, the contracts require Abbott to sell or buy foreign currencies, primarily European currencies, in exchange for primarily U.S. dollars and other European currencies. For intercompany and trade payables and receivables, the currency exposures are primarily the U.S. dollar and European currencies. At September 30, 20222023 and December 31, 2021,2022, Abbott held the gross notional amounts of $10.3$14.2 billion and $12.2$12.0 billion, respectively, of such foreign currency forward exchange contracts.

Abbott has designated a yen-denominated, 5-year term loan of approximately $413$401 million and $521$446 million as of September 30, 20222023 and December 31, 2021,2022, respectively, as a hedge of the net investment in certain foreign subsidiaries. The change in the value of the debt, which is due to changes in foreign exchange rates, is recorded in Accumulated other comprehensive income (loss), net of tax.

Abbott is a party to interest rate hedge contracts with a notional valuesamount totaling approximately $2.9 billion at September 30, 20222023 and December 31, 20212022 to manage its exposure to changes in the fair value of fixed-rate debt. These contracts are designated as fair value hedges of the variability of the fair value of fixed-rate debt due to changes in the long-term benchmark interest rates. The effect of the hedge is to change a fixed-rate interest obligation to a variable rate for that portion of the debt. Abbott records the contracts at fair value and adjusts the carrying amount of the fixed-rate debt by an offsetting amount.

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Abbott Laboratories and Subsidiaries
Notes to the Condensed Consolidated Financial Statements
September 30, 20222023
(Unaudited)
Note 911 — Financial Instruments, Derivatives and Fair Value Measures (Continued)

The following table summarizes the amounts and location of certain derivative and non-derivative financial instruments as of September 30, 20222023 and December 31, 2021:2022:

Fair Value - AssetsFair Value - LiabilitiesFair Value - AssetsFair Value - Liabilities
(in millions)(in millions)September 30,
2022
Dec. 31,
2021
Balance Sheet CaptionSeptember 30,
2022
Dec. 31,
2021
Balance Sheet Caption(in millions)September 30,
2023
December 31, 2022Balance Sheet CaptionSeptember 30,
2023
December 31, 2022Balance Sheet Caption
Interest rate swaps designated as fair value hedges$— $87 Deferred income taxes and other assets$166 $— Post-employment obligations, deferred income taxes and other long-term liabilities
Interest rate swaps designated as fair value hedges:Interest rate swaps designated as fair value hedges:
Non-currentNon-current$— $— Deferred income taxes and other assets$158 $136 Post-employment obligations, deferred income taxes and other long-term liabilities
CurrentCurrent— — Prepaid expenses and other receivables13 20 Other accrued liabilities
Foreign currency forward exchange contracts:Foreign currency forward exchange contracts:Foreign currency forward exchange contracts:
Hedging instrumentsHedging instruments760 222 Prepaid expenses and other receivables66 65 Other accrued liabilitiesHedging instruments254 304 Prepaid expenses and other receivables63 96 Other accrued liabilities
Others not designated as hedgesOthers not designated as hedges148 70 Prepaid expenses and other receivables141 32 Other accrued liabilitiesOthers not designated as hedges113 108 Prepaid expenses and other receivables115 130 Other accrued liabilities
Debt designated as a hedge of net investment in a foreign subsidiaryDebt designated as a hedge of net investment in a foreign subsidiary— — n/a413 521 Long-term debtDebt designated as a hedge of net investment in a foreign subsidiary— — n/a401 446 Long-term debt
$908 $379 $786 $618 $367 $412 $750 $828 

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Abbott Laboratories and Subsidiaries
Notes to the Condensed Consolidated Financial Statements
September 30, 2023
(Unaudited)
Note 11 — Financial Instruments, Derivatives and Fair Value Measures (Continued)
The following table summarizes the activity for foreign currency forward exchange contracts designated as cash flow hedges and certain other derivative financial instruments, as well as the amounts and location of income (expense) and gain (loss) reclassified into income for the three and nine months ended September 30, 20222023 and 2021.2022.

Gain (loss) Recognized in Other
Comprehensive Income (loss)
Income (expense) and Gain (loss)
Reclassified into Income
Gain (loss) Recognized in Other
Comprehensive Income (loss)
Income (expense) and Gain (loss)
Reclassified into Income
Three Months
Ended September 30
Nine Months
Ended September 30
Three Months
Ended September 30
Nine Months
Ended September 30
Three Months
Ended September 30
Nine Months
Ended September 30
Three Months
Ended September 30
Nine Months
Ended September 30
(in millions)(in millions)20222021202220212022202120222021Income Statement Caption(in millions)20232022202320222023202220232022Income Statement Caption
Foreign currency forward exchange contracts designated as cash flow hedgesForeign currency forward exchange contracts designated as cash flow hedges$350 $96 $442 $142 $79 $(92)$149 $(207)Cost of products soldForeign currency forward exchange contracts designated as cash flow hedges$125 $350 $152 $442 $22 $79 $211 $149 Cost of products sold
Debt designated as a hedge of net investment in a foreign subsidiaryDebt designated as a hedge of net investment in a foreign subsidiary24 108 41 — — — — n/aDebt designated as a hedge of net investment in a foreign subsidiary12 24 45 108 n/an/an/an/an/a
Interest rate swaps designated as fair value hedgesInterest rate swaps designated as fair value hedgesn/an/an/an/a(85)(14)(253)(81)Interest expenseInterest rate swaps designated as fair value hedgesn/an/an/an/a(18)(85)(15)(253)Interest expense

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Abbott Laboratories and Subsidiaries
Notes to the Condensed Consolidated Financial Statements
September 30, 2022
(Unaudited)
Note 9 — Financial Instruments, Derivatives and Fair Value Measures (Continued)
Losses of $27$60 million and $18a loss of $27 million were recognized in the three months ended September 30, 20222023 and 2021,2022, respectively, related to foreign currency forward exchange contracts not designated as a hedge. GainsA loss of $225$4 million and $15a gain of $225 million were recognized in the first nine months ended September 30, 20222023 and 2021,2022, respectively, related to foreign currency forward exchange contracts not designated as a hedge. These amounts are reported in the Condensed Consolidated Statement of Earnings on the Net foreign exchange (gain) loss line.

The carrying values and fair values of certain financial instruments as of September 30, 20222023 and December 31, 20212022 are shown in the following table. The carrying values of all other financial instruments approximate their estimated fair values. The counterparties to financial instruments consist of select major international financial institutions. Abbott does not expect any losses from non-performance by these counterparties.

September 30, 2022December 31, 2021September 30, 2023December 31, 2022
(in millions)(in millions)Carrying
Value
Fair
Value
Carrying
Value
Fair
Value
(in millions)Carrying
Value
Fair
Value
Carrying
Value
Fair
Value
Long-term Investment Securities:Long-term Investment Securities:Long-term Investment Securities:
Equity securitiesEquity securities$604 $604 $748 $748 Equity securities$566 $566 $558 $558 
OtherOther160 160 68 68 Other222 222 208 208 
Total Long-term DebtTotal Long-term Debt(16,414)(15,821)(18,050)(21,152)Total Long-term Debt(15,528)(14,681)(16,773)(16,313)
Foreign Currency Forward Exchange Contracts:Foreign Currency Forward Exchange Contracts:   Foreign Currency Forward Exchange Contracts:   
Receivable positionReceivable position908 908 292 292 Receivable position367 367 412 412 
(Payable) position(Payable) position(207)(207)(97)(97)(Payable) position(178)(178)(226)(226)
Interest Rate Hedge Contracts:Interest Rate Hedge Contracts:    Interest Rate Hedge Contracts:    
Receivable positionReceivable position— — 87 87 Receivable position— — — — 
(Payable) position(Payable) position(166)(166)— — (Payable) position(171)(171)(156)(156)

The fair value of the debt was determined based on significant other observable inputs, including current interest rates.

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Abbott Laboratories and Subsidiaries
Notes to the Condensed Consolidated Financial Statements
September 30, 20222023
(Unaudited)
Note 911 — Financial Instruments, Derivatives and Fair Value Measures (Continued)

The following table summarizes the bases used to measure certain assets and liabilities at fair value on a recurring basis in the balance sheet:

Basis of Fair Value MeasurementBasis of Fair Value Measurement
(in millions)(in millions)Outstanding
Balances
Quoted
Prices in
Active
Markets
Significant
Other
Observable
Inputs
Significant
Unobservable
Inputs
(in millions)Outstanding
Balances
Quoted
Prices in
Active
Markets
Significant
Other
Observable
Inputs
Significant
Unobservable
Inputs
September 30, 2022:
September 30, 2023:September 30, 2023:
Equity securitiesEquity securities$293 $293 $— $— Equity securities$304 $304 $— $— 
Foreign currency forward exchange contractsForeign currency forward exchange contracts908 — 908 — Foreign currency forward exchange contracts367 — 367 — 
Total AssetsTotal Assets$1,201 $293 $908 $— Total Assets$671 $304 $367 $— 
Fair value of hedged long-term debtFair value of hedged long-term debt$2,685 $— $2,685 $— Fair value of hedged long-term debt$2,702 $— $2,702 $— 
Interest rate swap derivative financial instrumentsInterest rate swap derivative financial instruments166 — 166 — Interest rate swap derivative financial instruments171 — 171 — 
Foreign currency forward exchange contractsForeign currency forward exchange contracts207 — 207 — Foreign currency forward exchange contracts178 — 178 — 
Contingent consideration related to business combinationsContingent consideration related to business combinations138 — — 138 Contingent consideration related to business combinations109 — — 109 
Total LiabilitiesTotal Liabilities$3,196 $— $3,058 $138 Total Liabilities$3,160 $— $3,051 $109 
December 31, 2021:
December 31, 2022:December 31, 2022:
Equity securitiesEquity securities$402 $402 $— $— Equity securities$307 $307 $— $— 
Interest rate swap derivative financial instruments87 — 87 — 
Foreign currency forward exchange contractsForeign currency forward exchange contracts292 — 292 — Foreign currency forward exchange contracts412 — 412 — 
Total AssetsTotal Assets$781 $402 $379 $— Total Assets$719 $307 $412 $— 
Fair value of hedged long-term debtFair value of hedged long-term debt$2,926 $— $2,926 $— Fair value of hedged long-term debt$2,691 $— $2,691 $— 
Interest rate swap derivative financial instrumentsInterest rate swap derivative financial instruments156 156 
Foreign currency forward exchange contractsForeign currency forward exchange contracts97 — 97 — Foreign currency forward exchange contracts226 — 226 — 
Contingent consideration related to business combinationsContingent consideration related to business combinations130 — — 130 Contingent consideration related to business combinations130 — — 130 
Total LiabilitiesTotal Liabilities$3,153 $— $3,023 $130 Total Liabilities$3,203 $— $3,073 $130 

The fair value of foreign currency forward exchange contracts is determined using a market approach, which utilizes values for comparable derivative instruments. The fair value of debt was determined based on the face value of the debt adjusted for the fair value of the interest rate swaps, which is based on a discounted cash flow analysis using significant other observable inputs. The fair value of the contingent consideration was determined based on independent appraisals at the time of acquisition, adjusted for the time value of money and other changes in fair value. The decrease in the amount of contingent consideration from December 31, 2022 reflects the impact of projected timeline changes for events that will trigger payment of contingent consideration, partially offset by additional contingent consideration due to a recent business acquisition.

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Abbott Laboratories and Subsidiaries
Notes to the Condensed Consolidated Financial Statements
September 30, 2023
(Unaudited)

Note 1012 — Litigation and Environmental Matters

Abbott has been identified as a potentially responsible party for investigation and cleanup costs at a number of locations in the United States and Puerto Rico under federal and state remediation laws and is investigating potential contamination at a number of company-owned locations. Abbott has recorded an estimated cleanup cost for each site for which management believes Abbott has a probable loss exposure. No individual site cleanup exposure is expected to exceed $4 million, and the aggregate cleanup exposure is not expected to exceed $10 million.

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Abbott Laboratories and Subsidiaries
Notes to the Condensed Consolidated Financial Statements
September 30, 2022
(Unaudited)
Note 10 — Litigation and Environmental Matters (Continued)
Abbott is involved in various claims and legal proceedings, and Abbott estimates the range of possible loss for its legal proceedings and environmental exposures to be from approximately $40$25 million to $50$35 million. The recorded accrual balance at September 30, 20222023 for these proceedings and exposures was approximately $45$30 million. This accrual represents management’s best estimate of probable loss, as defined by FASB ASC No. 450, “Contingencies.” Within the next year, legal proceedings may occur that may result in a change in the estimated loss accrued by Abbott. While it is not feasible to predict the outcome of all such proceedings and exposures with certainty, management believes that their ultimate disposition should not have a material adverse effect on Abbott’s financial position, cash flows, or results of operations.

Note 1113 — Post-Employment Benefits

Retirement plans consist of defined benefit, defined contribution, and medical and dental plans. Net periodic benefit costs, other than service costs, are recognized in the Other (income) expense, net line of the Condensed Consolidated Statement of Earnings. Net cost recognized for the three and nine months ended September 30 for Abbott’s major defined benefit plans and post-employment medical and dental benefit plans is as follows:

Defined Benefit PlansMedical and Dental PlansDefined Benefit PlansMedical and Dental Plans
Three Months
Ended Sept. 30
Nine Months
Ended Sept. 30
Three Months
Ended Sept. 30
Nine Months
Ended Sept. 30
Three Months
Ended September 30
Nine Months
Ended September 30
Three Months
Ended September 30
Nine Months
Ended September 30
(in millions)(in millions)20222021202220212022202120222021(in millions)20232022202320222023202220232022
Service cost - benefits earned during the periodService cost - benefits earned during the period$92 $98 $282 $294 $13 $14 $38 $42 Service cost - benefits earned during the period$56 $92 $174 $282 $10 $13 $29 $38 
Interest cost on projected benefit obligationsInterest cost on projected benefit obligations74 62 225 186 27 25 Interest cost on projected benefit obligations114 74 342 225 15 45 27 
Expected return on plan assetsExpected return on plan assets(231)(211)(701)(633)(8)(6)(23)(20)Expected return on plan assets(244)(231)(729)(701)(6)(8)(18)(23)
Curtailment gainCurtailment gain— — (14)— — — — — 
Net amortization of:Net amortization of:Net amortization of:
Actuarial loss, netActuarial loss, net58 79 174 238 21 Actuarial loss, net58 174 (1)(2)
Prior service cost (credit)Prior service cost (credit)— — (6)(7)(18)(21)Prior service cost (credit)— (3)(6)(10)(18)
Net cost (credit)Net cost (credit)$(7)$28 $(19)$86 $10 $16 $32 $47 Net cost (credit)$(71)$(7)$(218)$(19)$15 $10 $44 $32 

Abbott funds its domestic defined benefit plans according to Internal Revenue Service funding limitations. International pension plans are funded according to similar regulations. In the first nine months of 2023 and 2022, and 2021, $362$302 million and $366$362 million, respectively, were contributed to defined benefit plans. In the first nine months of 20222023 and 2021,2022, $28 millionand$26 million, respectively, were was contributed, in each year, to the post-employment medical and dental plans.

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Abbott Laboratories and Subsidiaries
Notes to the Condensed Consolidated Financial Statements
September 30, 2023
(Unaudited)
Note 1214 — Taxes on Earnings

Taxes on earnings reflect the estimated annual effective rates and include charges for interest and penalties. In the first nine months of 20222023 and 2021,2022, taxes on earnings include approximately $36$11 million and $97$36 million, respectively, in excess tax benefits associated with share-based compensation. In the first nine months of 2023 and 2022, taxes on earnings also include approximately $59 million and $20 million, respectively, of tax expense as the result of the resolution of various tax positions related to prior years.

Tax authorities in various jurisdictions regularly review Abbott’s income tax filings. Abbott believes that it is reasonably possible that the recorded amount of gross unrecognized tax benefits may decrease approximately $75 million to $100$55 million, including cash adjustments, within the next twelve months as a result of concluding various domestic and international tax matters.

In September 2023, Abbott received a Statutory Notice of Deficiency (SNOD) from the U.S. Internal Revenue Service (IRS) for the 2019 Federal tax year in the amount of $417 million. The primary adjustments proposed in the SNOD relate to the reallocation of income between Abbott’s U.S. entities and its foreign affiliates. Abbott believes that the income reallocation adjustments proposed in the SNOD are without merit, in part because certain adjustments contradict methods that were agreed to with the IRS in prior audit periods. The SNOD also contains other proposed adjustments that Abbott believes are erroneous and unsupported. Abbott expects to file a petition with the U.S. Tax Court contesting the 2019 SNOD in December of 2023.

Abbott’s 2017 and 2018 Federal tax years are also currently under examination by the IRS with respect to income reallocation issues similar to those included in the 2019 Federal tax year. Abbott intends to vigorously defend its filing positions through ongoing discussions with the IRS, the IRS independent appeals process and/or through litigation as necessary.

Abbott reserves for uncertain tax positions related to unresolved matters with the IRS and other taxing authorities. Abbott continues to believe that its reserves for uncertain tax positions are appropriate.

The Organization for Economic Cooperation & Development (OECD) has proposed a two-pillared plan for a revised international tax system. Pillar 1 proposes to reallocate taxing rights among the jurisdictions in which in-scope multinational corporations operate. Abbott is continuing to analyze the Pillar 1 proposal. Pillar 2 proposes to assess a 15% minimum tax on the earnings of in-scope multinational corporations on a country-by-country basis. Numerous countries have indicated their intent to adopt the proposal and are drafting legislation to implement the Pillar 2 model rules with a subset of the rules becoming effective January 1, 2024, and the remaining rules becoming effective January 1, 2025, or in later periods. Abbott is also continuing to analyze the Pillar 2 model rules. Implementation of the OECD proposal may have a material impact on Abbott’s Condensed Consolidated Financial Statements in the future.


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Abbott Laboratories and Subsidiaries
Notes to the Condensed Consolidated Financial Statements
September 30, 20222023
(Unaudited)

Note 1315 — Segment Information

Abbott’s principal business is the discovery, development, manufacture and sale of a broad line of health care products. Abbott’s products are generally sold directly to retailers, wholesalers, hospitals, health care facilities, laboratories, physicians’ offices and government agencies throughout the world.

Abbott’s reportable segments are as follows:

Established Pharmaceutical Products — International sales of a broad line of branded generic pharmaceutical products.

Nutritional Products — Worldwide sales of a broad line of adult and pediatric nutritional products.

Diagnostic Products — Worldwide sales of diagnostic systems and tests for blood banks, hospitals, commercial laboratories physician offices and alternate-care testing sites. For segment reporting purposes, the Core Laboratory Diagnostics, Rapid Diagnostics, Molecular Diagnostics and Point of Care Diagnostics divisions are aggregated and reported as the Diagnostic Products segment.

Medical Devices — Worldwide sales of rhythm management, electrophysiology, heart failure, vascular, structural heart, neuromodulation and diabetes care products. For segment reporting purposes, the Cardiac Rhythm Management, Electrophysiology, Heart Failure, Vascular, Structural Heart, Neuromodulation and Diabetes Care divisions are aggregated and reported as the Medical Devices segment.

Abbott’s underlying accounting records are maintained on a legal entity basis for government and public reporting requirements. Segment disclosures are on a performance basis consistent with internal management reporting. Intersegment transfers of inventory are recorded at standard cost and are not a measure of segment operating earnings. The cost of some corporate functions and the cost of certain employee benefits are charged to segments at predetermined rates that approximate cost. Remaining costs, if any, are not allocated to segments. In addition, intangible asset amortization is not allocated to operating segments, and intangible assets and goodwill are not included in the measure of each segment’s assets.

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Abbott Laboratories and Subsidiaries
Notes to the Condensed Consolidated Financial Statements
September 30, 20222023
(Unaudited)
Note 1315 — Segment Information (Continued)
The following segment information has been prepared in accordance with the internal accounting policies of Abbott, as described above, and is not presented in accordance with generally accepted accounting principles applied to the consolidated financial statements.

Net Sales to External CustomersOperating Earnings Net Sales to External CustomersOperating Earnings
Three Months
Ended Sept. 30
Nine Months
Ended Sept. 30
Three Months
Ended Sept. 30
Nine Months
Ended Sept. 30
Three Months
Ended September 30
Nine Months
Ended September 30
Three Months
Ended September 30
Nine Months
Ended September 30
(in millions)(in millions)20222021202220212022 2021 2022 2021(in millions)20232022202320222023 2022 2023 2022
Established Pharmaceutical ProductsEstablished Pharmaceutical Products$1,326 $1,265 $3,696 $3,515 $331 $293 $831 $682 Established Pharmaceutical Products$1,368 $1,326 $3,844 $3,696 $345 $331 $952 $831 
Nutritional ProductsNutritional Products1,795 2,108 5,642 6,252 69 431 550 1,388 Nutritional Products2,073 1,795 6,116 5,642 284 69 972 550 
Diagnostic ProductsDiagnostic Products3,671 3,912 13,279 11,173 1,352 1,652 5,631 4,429 Diagnostic Products2,449 3,641 7,454 13,192 632 1,346 1,720 5,615 
Medical DevicesMedical Devices3,615 3,632 10,937 10,618 1,039 1,160 3,272 3,375 Medical Devices4,249 3,645 12,444 11,024 1,342 1,045 3,805 3,288 
Total Reportable SegmentsTotal Reportable Segments10,407 10,917 33,554 31,558 2,791 3,536 10,284 9,874 Total Reportable Segments10,139 10,407 29,858 33,554 2,603 2,791 7,449 10,284 
OtherOther11 49 Other10 
Net salesNet sales$10,410 $10,928 $33,562 $31,607 Net sales$10,143 $10,410 $29,868 $33,562 
Corporate functions and benefit plan costsCorporate functions and benefit plan costs(115)(204)(352)(450)Corporate functions and benefit plan costs(50)(115)(198)(352)
Net interest expenseNet interest expense(86)(123)(309)(370)Net interest expense(69)(86)(182)(309)
Share-based compensation (a)Share-based compensation (a)(123)(114)(570)(534)Share-based compensation (a)(117)(123)(530)(570)
Amortization of intangible assetsAmortization of intangible assets(498)(520)(1,517)(1,533)Amortization of intangible assets(496)(498)(1,485)(1,517)
Other, net (b)Other, net (b)(211)(82)(550)(1,103)Other, net (b)(200)(211)(185)(550)
Earnings before taxesEarnings before taxes$1,758 $2,493 $6,986 $5,884 Earnings before taxes$1,671 $1,758 $4,869 $6,986 

Notes:Three and nine months ended September 30, 2022 Sales and Operating Earnings for the Diagnostic Products and Medical Devices reportable segments have been updated to reflect the internal transfer of the Acelis Connected Health business from Diagnostic Products to Medical Devices on January 1, 2023.
(a)Approximately 45 percent of the annual net cost of share-based awards will typically be recognized in the first quarter due to the timing of the granting of share-based awards.
(b)Other, net for the three months and nine months ended September 30, 2023 includes costs associated with the acquisition of CSI and charges related to restructuring actions and intangible asset and investment impairments. Other, net for the nine months ended September 30, 2023 also includes income arising from fair value changes in contingent consideration related to previous business combinations. Other, net for the three and nine months ended September 30, 2022 includes $10 million and $172 million, respectively, of charges related to a voluntary recall within the Nutritional Products segment, and $111 million of charges related to the impairment of IPR&D intangible assets. Other, net for the three and nine months ended September 30, 2022 and 2021 also includesassets as well as integration costs associated withrelated to the acquisition of Alere Inc. and restructuring charges. Restructuring charges in 2021 include Abbott’s restructuring plan for its COVID-19 test manufacturing network. Other, net for the nine months ended September 30, 2021 also includes costs related to certain litigation.
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Item 2.    Management’s Discussion and Analysis of Financial Condition and Results of Operations

Financial Review — Results of Operations

Abbott’s revenues are derived primarily from the sale of a broad line of health care products under short-term receivable arrangements. Patent protection and licenses, technological and performance features, and inclusion of Abbott’s products under a contract most impact which products are sold; price controls, competition and rebates most impact the net selling prices of products; and foreign currency translation impacts the measurement of net sales and costs. Abbott’s primary products are medical devices, diagnostic testing products, nutritional products and branded generic pharmaceuticals.

The following tables detail sales by reportable segment for the three and nine months ended September 30. Percent changes are versus the prior year and are based on unrounded numbers.

Net Sales to External Customers
(in millions)Three Months Ended
September 30, 2023
Three Months Ended
September 30, 2022
Total
Change
Impact of
Foreign
Exchange
Total Change
Excl. Foreign
Exchange
Established Pharmaceutical Products$1,368 $1,326 3.2 %(7.9)%11.1 %
Nutritional Products2,073 1,795 15.5 (1.4)16.9 
Diagnostic Products2,449 3,641 (32.7)(0.8)(31.9)
Medical Devices4,249 3,645 16.6 0.6 16.0 
Total Reportable Segments10,139 10,407 (2.6)(1.4)(1.2)
Othern/mn/mn/m
Net Sales$10,143 $10,410 (2.6)(1.4)(1.2)
Total U.S.$3,817 $4,094 (6.8)— (6.8)
Total International$6,326 $6,316 0.2 (2.2)2.4 
Net Sales to External CustomersNet Sales to External Customers
(in millions)(in millions)Three Months Ended
September 30, 2022
Three Months Ended
September 30, 2021
Total
Change
Impact of
Foreign
Exchange
Total Change
Excl. Foreign
Exchange
(in millions)Nine Months Ended
September 30, 2023
Nine Months Ended
September 30, 2022
Total
Change
Impact of
Foreign
Exchange
Total Change
Excl. Foreign
Exchange
Established Pharmaceutical ProductsEstablished Pharmaceutical Products$1,326 $1,265 4.9 %(7.3)%12.2 %Established Pharmaceutical Products$3,844 $3,696 4.0 %(7.6)%11.6 %
Nutritional ProductsNutritional Products1,795 2,108 (14.9)(4.6)(10.3)Nutritional Products6,116 5,642 8.4 (2.8)11.2 
Diagnostic ProductsDiagnostic Products3,671 3,912 (6.2)(5.6)(0.6)Diagnostic Products7,454 13,192 (43.5)(1.4)(42.1)
Medical DevicesMedical Devices3,615 3,632 (0.5)(6.9)6.4 Medical Devices12,444 11,024 12.9 (1.7)14.6 
Total Reportable SegmentsTotal Reportable Segments10,407 10,917 (4.7)(6.0)1.3 Total Reportable Segments29,858 33,554 (11.0)(2.4)(8.6)
OtherOther11 n/mn/mn/mOther10 n/mn/mn/m
Net SalesNet Sales$10,410 $10,928 (4.7)(6.0)1.3 Net Sales$29,868 $33,562 (11.0)(2.4)(8.6)
Total U.S.Total U.S.$4,094 $4,368 (6.3)— (6.3)Total U.S.$11,503 $13,923 (17.4)— (17.4)
Total InternationalTotal International$6,316 $6,560 (3.7)(10.0)6.3 Total International$18,365 $19,639 (6.5)(4.1)(2.4)

Notes:The Acelis Connected Health business was internally transferred from Diagnostic Products to Medical Devices on January 1, 2023. As a result, $30 million of sales in the third quarter of 2022 and $87 million in the first nine months of 2022 were moved from Diagnostic Products to Medical Devices.
In order to compute results excluding the impact of exchange rates, current year U.S. dollar sales are multiplied or divided, as appropriate, by the current year average foreign exchange rates and then those amounts are multiplied or divided, as appropriate, by the prior year average foreign exchange rates.

Net Sales to External Customers
(in millions)Nine Months Ended
September 30, 2022
Nine Months Ended
September 30, 2021
Total
Change
Impact of
Foreign
Exchange
Total Change
Excl. Foreign
Exchange
Established Pharmaceutical Products$3,696 $3,515 5.2 %(6.4)%11.6 %
Nutritional Products5,642 6,252 (9.8)(3.4)(6.4)
Diagnostic Products13,279 11,173 18.9 (4.2)23.1 
Medical Devices10,937 10,618 3.0 (5.4)8.4 
Total Reportable Segments33,554 31,558 6.3 (4.7)11.0 
Other49 n/mn/mn/m
Net Sales$33,562 $31,607 6.2 (4.7)10.9 
Total U.S.$13,923 $11,787 18.1 — 18.1 
Total International$19,639 $19,820 (0.9)(7.4)6.5 

Notes:
In order to compute results excluding the impact of exchange rates, current year U.S. dollar sales are multiplied or divided, as appropriate, by the current year average foreign exchange rates and then those amounts are multiplied or divided, as appropriate, by the prior year average foreign exchange rates.

n/m = Percent change is not meaningful
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The 1.31.2 percent increasedecrease in total net sales during the third quarter of 2022,2023, excluding the impact of foreign exchange, reflected growththe decrease in the Medical Devices and Established Pharmaceutical Products segmentsdemand for Abbott’s rapid diagnostic tests to detect COVID-19, partially offset by lower Nutritional Products sales as well as a year-over-year decline in COVID-19 testing-related revenues.higher growth across other businesses. Abbott’s COVID-19 testing-related sales totaled approximately $305 million during the third quarter of 2023 and approximately $1.7 billion during the third quarter of 2022 and approximately $1.9 billion during the third quarter of 2021.2022. Excluding the impact of COVID-19 testing-related sales, Abbott’s total net sales decreased 3.1increased 12.6 percent. Excluding the impacts of COVID-19 testing-related sales and foreign exchange, Abbott’s total net sales increased 3.214.1 percent. Abbott’s net sales were unfavorably impacted by changes in foreign exchange rates in the third quarter as the relatively stronger U.S. dollar decreased total international sales by 10.02.2 percent and total sales by 6.01.4 percent.

The 10.98.6 percent increasedecrease in total net sales during the first nine months of 2022,2023, excluding the impact of foreign exchange, reflected lower demand for Abbott’s rapid diagnosticCOVID-19 tests, to detect COVID-19 as well as growth in the Medical Devices and Established Pharmaceutical Products segments partially offset by lower Nutritional Products sales.higher growth across other businesses. Abbott’s COVID-19 testing-related sales totaled approximately $1.3 billion during the first nine months of 2023 and approximately $7.3 billion during the first nine months of 2022 and approximately $5.4 billion during the first nine months of 2021.2022. Excluding the impact of COVID-19 testing-related sales, Abbott’s total net sales increased 0.18.8 percent. Excluding the impacts of COVID-19 testing-related sales and foreign exchange, Abbott’s total net sales increased 4.911.8 percent. Abbott’s net sales were unfavorably impacted by changes in foreign exchange rates in the first nine months as the relatively stronger U.S. dollar decreased total international sales by 7.44.1 percent and total sales by 4.72.4 percent.

Due to the unpredictability of the duration and impact of the currentdemand for COVID-19 pandemic,tests, the future extent to which the COVID-19 pandemic will have a material effect on Abbott’s business, financial condition or results of operations is uncertain.

The table below provides detail by sales category for the nine months ended September 30.30, 2023. Percent changes are versus the prior year and are based on unrounded numbers.

(in millions)(in millions)Sept. 30,
2022
Sept. 30,
2021
Total
Change
Impact of
Foreign
Exchange
Total Change
Excl. Foreign
Exchange
(in millions)September 30,
2023
September 30,
2022
Total
Change
Impact of
Foreign
Exchange
Total Change
Excl. Foreign
Exchange
Established Pharmaceutical Products —Established Pharmaceutical Products —Established Pharmaceutical Products —
Key Emerging MarketsKey Emerging Markets$2,826 $2,672 5.8 %(6.4)%12.2 %Key Emerging Markets$2,889 $2,853 1.3 %(8.7)%10.0 %
Other Emerging MarketsOther Emerging Markets870 843 3.2 (6.3)9.5 Other Emerging Markets955 843 13.2 (3.9)17.1 
Nutritionals —Nutritionals —Nutritionals —
International Pediatric NutritionalsInternational Pediatric Nutritionals1,491 1,637 (8.9)(4.3)(4.6)International Pediatric Nutritionals1,477 1,491 (0.9)(3.8)2.9 
U.S. Pediatric NutritionalsU.S. Pediatric Nutritionals1,108 1,622 (31.7)— (31.7)U.S. Pediatric Nutritionals1,472 1,108 32.8 — 32.8 
International Adult NutritionalsInternational Adult Nutritionals2,027 1,987 2.0 (7.0)9.0 International Adult Nutritionals2,086 2,027 2.9 (5.0)7.9 
U.S. Adult NutritionalsU.S. Adult Nutritionals1,016 1,006 1.0 — 1.0 U.S. Adult Nutritionals1,081 1,016 6.4 — 6.4 
Diagnostics —Diagnostics —Diagnostics —
Core LaboratoryCore Laboratory3,624 3,780 (4.1)(5.7)1.6 Core Laboratory3,789 3,624 4.6 (3.5)8.1 
MolecularMolecular815 1,082 (24.7)(2.8)(21.9)Molecular421 815 (48.4)(0.9)(47.5)
Point of CarePoint of Care394 401 (1.6)(1.2)(0.4)Point of Care416 394 5.5 (0.4)5.9 
Rapid DiagnosticsRapid Diagnostics8,446 5,910 42.9 (3.8)46.7 Rapid Diagnostics2,828 8,359 (66.2)(0.6)(65.6)
Medical Devices —Medical Devices —Medical Devices —
Rhythm ManagementRhythm Management1,605 1,657 (3.2)(4.5)1.3 Rhythm Management1,673 1,605 4.3 (1.7)6.0 
ElectrophysiologyElectrophysiology1,440 1,403 2.6 (5.6)8.2 Electrophysiology1,602 1,440 11.3 (2.8)14.1 
Heart FailureHeart Failure690 650 6.2 (2.4)8.6 Heart Failure860 777 10.7 (0.2)10.9 
VascularVascular1,878 1,976 (5.0)(4.9)(0.1)Vascular2,004 1,878 6.7 (2.1)8.8 
Structural HeartStructural Heart1,271 1,191 6.7 (6.1)12.8 Structural Heart1,446 1,271 13.8 (1.5)15.3 
NeuromodulationNeuromodulation568 584 (2.7)(2.1)(0.6)Neuromodulation650 568 14.4 (1.1)15.5 
Diabetes CareDiabetes Care3,485 3,157 10.4 (7.0)17.4 Diabetes Care4,209 3,485 20.8 (1.5)22.3 
Note: The Acelis Connected Health business was internally transferred from Rapid Diagnostics to Heart Failure on January 1, 2023. As a result, $87 million of sales for the first nine months of 2022 were moved from Rapid Diagnostics to Heart Failure.
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Excluding the unfavorable effect of foreign exchange, sales in the Key Emerging Markets for Established Pharmaceutical Products increased 12.210.0 percent in the first nine months of 2022,2023, led by double-digit growth in several countries including India and China, andacross several therapeutic areas,including gastroenterology,cardiometabolic, women's health,and central nervous system/pain management, and respiratory products.management. Other Emerging Markets, excluding the effect of foreign exchange, increased by 9.517.1 percent in the first nine months of 2022.2023.

International Pediatric Nutritional sales, excludingExcluding the effectimpact of foreign exchange, decreased 4.6 percenttotal Nutritional Products sales in the first nine months of 2022 versus the comparable 2021 period.2023 increased 11.2 percent. The decrease reflects the impact of challenging market dynamics in the infant category in Greater China partially offset by higher sales volumes in various countries in Southeast Asia and Latin America. International Adult Nutritional sales, excluding the effect of foreign exchange, increased 9.032.8 percent reflecting double digit growth of the Ensure® and Glucerna® brands in several countries in Southeast Asia and China. In the first nine months of 2022, U.S. Adult Nutritional sales increased 1.0 percent.

In U.S. Pediatric Nutritionals, Abbott initiated a voluntary recall in February 2022 of certain infant powder formula products manufactured at its facility in Sturgis, Michigan and stopped production at the facility. On May 16, 2022, Abbott entered into a consent decree with the U.S. Food and Drug Administration (FDA) on the steps necessary to resume production and maintain the Sturgis facility and operations. On July 1, Abbott restarted partial production at the facility starting with its specialty formula EleCare® and metabolic formulas. Subsequently, Abbott restarted Similac® production. The consent decree does not affect any other Abbott plant or operation.

During the first three quarters of 2022, Abbott took various actions to mitigate the impact of the recall on the supply of formula in the U.S. These actions included the shipment of infant formula powder into the U.S. from Abbott's FDA-registered facility in Ireland; prioritization of infant formula production at its Columbus, Ohio facility; conversion of other liquid manufacturing lines into manufacturing Similac liquid ready-to-feed product; increased production of powder infant formula at its Casa Grande, Arizona manufacturing site; and importation of product from its facility in Spain as permitted by the FDA.

The 31.7 percent decreaseincrease in U.S. Pediatric Nutritional sales in the first nine months of 2023 reflects progress in recovering market share in 2023 following the voluntary recall of certain infant formula products in the first quarter of 2022, reflectsas well as the unfavorable 2022 impact of the recall, and the Sturgis production stoppage partially offset by increased demand for Abbott’sa decrease in 2023 Pedialyte® products. U.S.sales. Excluding the effect of foreign exchange, the 2.9 percent increase in International Pediatric Nutritional sales of infant powder formula brands associated with the recall were $277 million and $900 million in the first nine months of 20222023 primarily reflects growth in various markets, partially offset by the impact of exiting the pediatric nutrition business in China. The increases of 6.4 percent in U.S. Adult Nutritionals and 2021, respectively.7.9 percent, excluding the effect of foreign exchange, in International Adult Nutritionals in the first nine months of 2023 were led by growth of Ensure® and Glucerna® products.

The 23.142.1 percent increasedecrease in Diagnostic Products sales in the first nine months of 2022,2023, excluding the impact of foreign exchange, was driven by lower demand for Abbott’s portfolio of COVID-19 tests intests. In Rapid Diagnostics, and growth in routine diagnostic testing in Molecular Diagnostics. In Core Laboratory Diagnostics, sales increased 1.6decreased 65.6 percent in the first nine months of 2023, excluding the effect of foreign exchange, due to lower demand for COVID-19 tests. In the first nine months of 2023 and 2022, Rapid Diagnostics COVID-19 testing-related sales were $1.2 billion and $6.9 billion, respectively. In the first nine months of 2023, Rapid Diagnostics sales increased 6.5 percent, excluding COVID-19 testing-related sales, and increased 8.2 percent, excluding the impact of foreign exchange and COVID-19 testing-related sales.

In Core Laboratory Diagnostics, sales increased 8.1 percent in the first nine months of 2023, excluding the effect of foreign exchange, due to the higher volume of routine diagnostic testing from the continued roll-out of the Alinity® platformperformed in hospitals and an expanded menu of tests. These increases wereother laboratories, partially offset by lower test sales of Abbott’s laboratory-based tests for the detection of COVID-19 IgG and IgM antibodies, which determine if someone was previously infected with the COVID-19 virus, as well as market disruptions in China due to COVID-19 quarantine restrictions in various cities primarily during the second quarter of 2022.antibodies. In the first nine months of 20222023 and 2021,2022, Core Laboratory Diagnostics IgG and IgM antibodyCOVID-19 testing-related sales on Abbott’s ARCHITECT and Alinity i platforms were $51$16 million and $159$51 million, respectively. In the first nine months of 2022,2023, Core Laboratory Diagnostics sales decreased 1.3increased 5.6 percent, excluding COVID-19 testing-related sales, and increased 4.69.2 percent, excluding the impact of foreign exchange and COVID-19 testing-related sales. In the third quarter of 2023, Core Laboratory Diagnostics received U.S. Food and Drug Administration (FDA) clearance for its Alinity® h-series hematology system, which integrates hematology workflow from high-throughput Complete Blood Count analysis to automated slide making and staining.

The 21.947.5 percent decrease in Molecular Diagnostics sales in the first nine months of 2022,2023, excluding the effect of foreign exchange, was driven by lower demand for Abbott’s laboratory-based molecular tests for COVID-19, partially offset by growthas well as lower demand for respiratory testing compared to significantly higher-than-usual demand in the base business from increased routine molecular testing.first nine months of 2022. In the first nine months of 20222023 and 2021,2022, Molecular Diagnostics COVID-19 testing-related sales were $375$36 million and $699$375 million, respectively. In the first nine months of 2022,2023, Molecular Diagnostics sales increased 14.9decreased 12.8 percent, excluding COVID-19 testing-related sales, and increased 19.4decreased 11.3 percent, excluding the impact of foreign exchange and COVID-19 testing-related sales.

In Rapid Diagnostics, sales increased 46.7 percent in the first nine months of 2022, excluding the effect of foreign exchange, due to the demand for Abbott’s COVID-19 tests on its rapid testing platforms, including the Panbio® system, the ID NOW® platform, and the BinaxNOW® COVID-19 Ag Card test. In the first nine months of 2022 and 2021, Rapid Diagnostics COVID-19 testing-related sales were $6.9 billion and $4.5 billion, respectively. In the first nine months of 2022, Rapid Diagnostics sales increased 11.8 percent, excluding COVID-19 testing-related sales, and increased 14.6 percent, excluding the impact of foreign exchange and COVID-19 testing-related sales.These increases reflect higher sales
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of ID NOW tests for flu, strep, and respiratory syncytial virus (RSV) as well as growth in various other Rapid Diagnostics products.

Excluding the effect of foreign exchange, total Medical Devices sales grew 8.414.6 percent in the first nine months of 2022, driven2023, led by double-digit growth in Diabetes Care, Electrophysiology, Structural Heart, Heart Failure, Neuromodulation and Heart Failure. Growth inElectrophysiology. Higher Diabetes Care sales waswere driven by continued growth of FreeStyle Libre®, Abbott’s continuous glucose monitoring system, in the U.S. and internationally. FreeStyle Libre sales totaled $3.1$3.9 billion in the first nine months of 2022,2023, which reflected a 22.826.2 percent increase, excluding the effect of foreign exchange, over the first nine months of 20212022 when FreeStyle Libre sales totaled $2.7$3.1 billion. During the third quarter of 2022, Abbott launched its FreeStyle Libre 3 system in the U.S., which automatically delivers up-to-the-minute glucose readings and 14-day accuracy in a wearable sensor.

During the first nine months of 2022,2023, procedure volumes increased across Abbott’sthe cardiovascular and neuromodulation businesses were negatively impacted by new surges of COVID-19businesses. In Structural Heart, the 15.3 percent increase in various geographies as well as intermittent COVID-19 lockdown restrictions in China and healthcare staffing challenges throughout the nine months. Despite such challenges, overall volume trends improved in several businesses versus the first nine months of 2021. In Electrophysiology, the 8.2 percent growth,sales, excluding the effect of foreign exchange, reflects continued growth of the increase in procedure volumes and the continued roll‑out of Abbott’s EnSiteMitraClip® X EP Systemproductalong with Ensite Omnipolar Technology (OT), a new cardiac mapping platform available in the U.S., Japan and across Europe. In January 2022, Abbott announced FDA clearance for the EnSitecontributions from various products, including Amulet® X EP System with EnSite OT. The system leverages the Advisor, Navitor® HD Grid Catheter to provide a 360‑degree view, and TriClip®. In Vascular, the 8.8 percent increase in sales, excluding the impact of the heart without regard to the orientation of the catheter in the heart.

Growth in Structural Heartforeign exchange, during the first nine months of 2022,2023 reflects the acquisition of Cardiovascular Systems, Inc. (CSI) on April 27, 2023, as well as double-digit growth in endovascular sales.

In Electrophysiology, the 14.1 percent increase in sales, excluding the effect of foreign exchange, primarily reflects higher procedure volumes inthe U.S., China, and various European countries. In Neuromodulation, the 15.5 percent increase in sales, excluding the effect of foreign exchange, was 12.8 percent, driven by growth across several areasthe recent launch of the business, including Amplatzer®_AmuletEterna® Left Atrial Appendage Occluder, which offers immediate closure of the left atrial appendage, an area in the heart where blood clots can form and MitraClip®, Abbott's market-leading devicerechargeable spinal cord stimulation system for the minimally invasive treatment of mitral regurgitation, a leaky heart valve. In Vascular, sales during the first nine months of 2022, excluding the impact of foreign exchange, were virtually unchanged as higher endovascular sales were offset by the negative effect of lower average pricing for drug-eluting stents (DES) in the U.S. and a lag in the recovery of percutaneous coronary intervention case rateschronic pain along with market growth compared to many other cardiovascular procedures.the prior year period.
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In the first nine months of 2022,2023, Medical Devices received various other product approvals. In February 2022,January 2023, Abbott announced that the U.S. FDA had approved Navitor, Abbott's second-generation transcatheter aortic valve implantation system to treat people with severe aortic stenosis who are at high or extreme risk for open-heart surgery. In March 2023, Abbott's Freestyle Libre continuous glucose monitoring system received U.S. FDA approvalclearance for an expanded indication for its CardioMEMSintegration with automated insulin delivery systems. In March 2023, the U.S. FDA approved Abbott's Epic® HF system, a small implantable sensor and remote monitoring system that can detect early warning signs of worsening heart failure.Max stented tissue valve to treat people with aortic regurgitation or stenosis. In April 2022,May 2023, Abbott announcedreceived U.S. FDA approval forof its AveirTactiFlex® single-chamberAblation Catheter, Sensor Enabled™, the world's first ablation catheter with a flexible electrode tip and contact force sensing technology to treat patients with atrial fibrillation. In June 2023, Abbott received U.S. FDA approval of its AVEIR™dual chamber leadless pacemaker forsystem, the treatment of patients in the U.S.world's first dual chamber leadless pacing system that treats people with abnormal or slow heart rhythms. In July 2023, Abbott obtained CE Mark for its AVEIR single-chamber leadless pacemaker.

The gross profit margin percentage was 49.7 percent for the third quarter of 2023 compared to 50.7 percent for the third quarter of 2022 compared to 54.8and 50.1 percent for the third quarterfirst nine months of 2021. The decrease reflects the continued impact of the voluntary product recall and Sturgis manufacturing stoppage in the Nutritional business during the first half of 2022 as well as the prioritization of infant formula sales related2023 compared to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). The decrease also reflects higher manufacturing and supply chain costs across Abbott's businesses, including inflation, commodities and distribution expenses as well as lower COVID-19 testing-related sales in 2022 and the nonrecurrence of a favorable change in estimate in the third quarter of 2021 related to a previously recognized restructuring plan.

The gross profit margin was 52.1 percent for the first nine months of 2022 compared to 51.6 percent for2022. The decrease in the third quarter and first nine months of 2021. The increase2023 reflects the nonrecurrenceunfavorable effects of 2021 restructuring charges and the impact of higherlower sales of COVID-19 rapid tests, during the first nine months of 2022. These favorable impacts wereforeign exchange, and higher costs for various manufacturing inputs, partially offset by the impact in 2022 of the voluntary product recall and Sturgis manufacturing stoppage in the Nutritional business as well as higher manufacturing and supply chain costs across Abbott's businesses, including inflation and higher commodity and distribution expenses. The future extent to which inflation, supply chain disruptions, and unfavorable foreign exchange rates will have a material effect on Abbott's operating results is uncertain.the impact in 2023 of gross margin improvement initiatives.

Research and development (R&D) expenses increaseddecreased $110 million, or 16.214.0 percent, in the third quarter of 20222023 and increased $183decreased $122 million, or 9.25.6 percent, in the first nine months of 20222023 compared to the prior year. The increasedecrease in R&D expense in the third quarter and first nine months of 2023 was primarily reflectsdriven by the non-recurrence of an impairment of certaincharge recognized in 2022 related to in-process R&D intangible assets acquired in the third quarter of 2022. The increase in the first nine months was also driven by higher spending on various projects to advance products in development partially offset by the favorable impact of foreign exchange.a previous business combination.

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Selling, general and administrative (SG&A) expenses decreased $36$8 million, or 1.30.3 percent, in the third quarter of 20222023, and decreased $50 million, or 0.6 percent, in the first nine months of 2023 compared to the prior year as higheryear. Higher selling and marketing spending to drive growth across various businesses was more than offset by the favorable impact of foreign exchange. SG&AThe decrease during the first nine months of 2023 also reflects the non-recurrence of 2022 expenses were virtually unchangedrelated to the voluntary product recall in the Nutritional segment.

Interest Expense, net

Interest expense, net decreased from $86 million in the third quarter of 2022 to $69 million in the third quarter of 2023 and decreased from $309 million in the first nine months of 2022 compared to $182 million in the prior year as higher selling and marketing spending was offset by the nonrecurrencefirst nine months of certain 2021 litigation costs and2023. The decreases were due to the favorable impact of foreign exchange.higher interest rates on interest income, partially offset by the negative impact of interest rate hedge contracts related to certain fixed-rate debt.

Other (Income) Expense, net

Other income, net increaseddecreased from $74 million of income in the third quarter of 2021 to $93 million of income in the third quarter of 2022 and from $214to $83 million of income in the first nine monthsthird quarter of 2021 to2023 and increased from $253 million of income in the first nine months of 2022. The increases2022 to $370 million of income in the first nine months of 2023. The third quarter and the first nine months of 2022 were primarily due to 2023 reflecthigher income in 20222023 related to the non-service cost components of net pension and post-retirement medical benefit costs. In the first nine months of 2022, the higher year-to-date income related to the non-service cost components was partially offset by the nonrecurrence of a gain on the sale of an equity method investment that occurred in the second quarter of 2021.

Interest Expense, net

Interest expense, net declined $37 million in the third quarter of 2022 and $61 million2023, the decline in the first nine months of 2022 versus 2021Other income, net is due to the impact of higher interest rates and cash and short-term investment balances on interest income and the repayment of debt in the first quarter of 2022 partially offset by the impact of interest rate hedge contractsimpairment charges related to certain fixed-rate debt.long term investments that more than offset the increase in income associated with the non-service component of pension and post-retirement medical plans.

Taxes on Earnings

Taxes on earnings reflect the estimated annual effective rates and include charges for interest and penalties. In the first nine months of 20222023 and 2021,2022, taxes on earnings include approximately $36$11 million and $97$36 million, respectively, in excess tax benefits associated with share-based compensation. In the first nine months of 2023 and 2022, taxes on earnings also include approximately $59 million and $20 million, respectively, of tax expense as the result of the resolution of various tax positions related to prior years.

Tax authorities in various jurisdictions regularly review Abbott’s income tax filings. Abbott believes that it is reasonably possible that the recorded amount of gross unrecognized tax benefits may decrease approximately $75 million to $100$55 million, including cash adjustments, within the next twelve months as a result of concluding various domestic and international tax matters.

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In September 2023, Abbott received a Statutory Notice of Deficiency (SNOD) from the U.S. Internal Revenue Service (IRS) for the 2019 Federal tax year in the amount of $417 million. The primary adjustments proposed in the SNOD relate to the reallocation of income between Abbott’s U.S. entities and its foreign affiliates. Abbott believes that the income reallocation adjustments proposed in the SNOD are without merit, in part because certain adjustments contradict methods that were agreed to with the IRS in prior audit periods. The SNOD also contains other proposed adjustments that Abbott believes are erroneous and unsupported. Abbott expects to file a petition with the U.S. Tax Court contesting the 2019 SNOD in December of 2023.

Abbott’s 2017 and 2018 Federal tax years are also currently under examination by the IRS with respect to income reallocation issues similar to those included in the 2019 Federal tax year. Abbott intends to vigorously defend its filing positions through ongoing discussions with the IRS, the IRS independent appeals process and/or through litigation as necessary.

Abbott reserves for uncertain tax positions related to unresolved matters with the IRS and other taxing authorities. Abbott continues to believe that its reserves for uncertain tax positions are appropriate.

The Organization for Economic Cooperation & Development (OECD) has proposed a two-pillared plan for a revised international tax system. Pillar 1 proposes to reallocate taxing rights among the jurisdictions in which in-scope multinational corporations operate. Abbott is continuing to analyze the Pillar 1 proposal. Pillar 2 proposes to assess a 15% minimum tax on the earnings of in-scope multinational corporations on a country-by-country basis. Numerous countries have indicated their intent to adopt the proposal and are drafting legislation to implement the Pillar 2 model rules with a subset of the rules becoming effective January 1, 2024, and the remaining rules becoming effective January 1, 2025, or in later periods. Abbott is also continuing to analyze the Pillar 2 model rules. Implementation of the OECD proposal may have a material impact on Abbott’s Condensed Consolidated Financial Statements in the future.

Liquidity and Capital Resources September 30, 20222023 Compared with December 31, 20212022

The decrease in cash and cash equivalents from $9.8$9.9 billion at December 31, 20212022 to $9.6$6.7 billion at September 30, 20222023 primarily reflects share repurchases, the payment of dividends, capital expenditures, and the repayment of debt, share repurchases, the cost of business acquisitions and capital expenditures, partially offset by the cash generated from operations in the first nine months of 2022.2023. Working capital was $11.5$9.6 billion at September 30, 20222023 and $11.1$9.7 billion at December 31, 2021.2022. The increasedecrease in working capital in 20222023 primarily reflects an increasea decrease in inventory partiallycash and cash equivalents, which was nearly offset by an increaseincreases in accounts receivables and inventory and decreases in the current portion of long-term debt, accounts payable and a decrease in cash and cash equivalents.other accrued liabilities.

In the Condensed Consolidated Statement of Cash Flows, Net cash from operating activities for the first nine months of 20222023 totaled approximately $7.3$4.2 billion, a decrease of $211 million$3.0 billion from the prior yearyear. The decrease is primarily due to the decline in operating earnings and an increased investmentincrease in working capital partially offset by higher operating earnings.cash taxes paid. Net cash from operating activities in 2023 includes $302 million of pension contributions and the payment of cash taxes of approximately $1.180 billion. Net cash from operating activities in 2022 includes $362 million of pension contributions and the payment of cash taxes of approximately $987 million in 2022. Net cash from operating activities includes $366 million of pension contributions and the payment of cash taxes of approximately $990 million in 2021.million.

On September 27, 2023, Abbott repaid the €1.14 billion outstanding principal amount of its 0.875% Notes upon maturity. The repayment equated to approximately $1.2 billion. In September 2023, Abbott repaid approximately $197 million of debt assumed as part of a recent business acquisition. On March 15, 2022, Abbott repaid the $750 million outstanding principal amount of its 2.55% Notes upon maturity.

In September 2019, the board of directors authorized the early redemption of up to $5 billion of outstanding long-term notes. As of September 30, 2022,2023, $2.15 billion of the $5 billion authorization remains available.

At September 30, 2022,2023, Abbott’s long-term debt rating was AA- by Standard & Poor’s CorporationS&P Global Ratings and A1Aa3 by Moody’s Investors Service. Abbott expects to maintain an investment grade rating. Abbott has readily available financial resources, including lines of credit of $5.0 billion which expire in 2025.

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In December 2021, the board of directors authorized the repurchase of up to $5 billion of Abbott’s common shares from time to time. The new authorization was in addition to the $1.081 billion portion of the share repurchase program authorized in 2019 that was unused as of December 31, 2021.In the first nine months of 2022,2023, Abbott repurchased 25.7approximately 7 million of its common shares for $2.965 billion which fully utilized the authorization remaining under the 2019 share repurchase program and a portion of the 2021 authorization.$725 million. As of September 30, 2022, $3.1162023, $1.709 billion remains available for repurchase under the 2021share repurchase program.program authorized by the board of directors in December 2021.

In each of the first three quarters of 2022,2023, Abbott declared a quarterly dividend of $0.47$0.51 per share on its common shares, which represents an increase of 4.48.5 percent over the $0.45$0.47 per share dividend declared in each of the first three quarters of 2021.2022.

Business Acquisitions

On September 22, 2023, Abbott completed the acquisition of Bigfoot Biomedical, Inc. (Bigfoot), which will further Abbott's efforts to develop connected solutions for making diabetes management even more personal and precise. The purchase price, the allocation of acquired assets and liabilities, and the revenue and net income contributed by Bigfoot since the date of acquisition are not material to Abbott's condensed consolidated financial statements.

On April 27, 2023, Abbott completed the acquisition of CSI for $20 per common share, which equated to a purchase price of $851 million. The transaction was funded with cash on hand and accounted for as a business combination. CSI's atherectomy system, which is used in treating peripheral and coronary artery disease, adds complementary technologies to Abbott's portfolio of vascular device offerings.

The preliminary allocation of the purchase price of the CSI acquisition resulted in the recording of two non-deductible developed technology intangible assets of $305 million; non-deductible in-process research and development of $15 million, which will be accounted for as an indefinite-lived intangible asset until regulatory approval or discontinuation; non-deductible goodwill of approximately $384 million; net deferred tax assets of approximately $31 million and other net assets of approximately $116 million. The goodwill is identifiable to the Medical Devices reportable segment and is attributable to expected synergies from combining operations, as well as intangible assets that do not qualify for separate recognition. Allocation of the purchase price of the acquisition will be finalized when the valuation of assets and liabilities is completed. Revenues and earnings of CSI included in Abbott's consolidated financial statements since the acquisition date are not material to Abbott's consolidated revenue and earnings. If the acquisition of CSI had taken place as of the beginning of 2022, consolidated net sales and earnings would not have been significantly different from reported amounts.


Legislative Issues

Abbott’s primary markets are highly competitive and subject to substantial government regulations throughout the world. Abbott expects debate to continue over the availability, method of delivery, and payment for health care products and services. It is not possible to predict the extent to which Abbott or the health care industry in general might be adversely affected by these factors in the future. A more complete discussion of these factors is contained in Item 1, Business, and Item 1A, Risk Factors, in the 20212022 Annual Report on Form 10-K.

Private Securities Litigation Reform Act of 1995 — A Caution Concerning Forward-Looking Statements

Under the safe harbor provisions of the Private Securities Litigation Reform Act of 1995, Abbott cautions that any forward-looking statements made by Abbott are subject to risks and uncertainties that may cause actual results to differ materially from those indicated in the forward-looking statements. Economic, competitive, governmental, technological and other factors that may affect Abbott's operations are discussed in Item 1A, "Risk Factors" in our Annual Report on Form 10-K for the year ended December 31, 2021,2022, and are incorporated herein by reference. Abbott undertakes no obligation to release publicly any revisions to forward-looking statements as a result of subsequent events or developments, except as required by law.

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PART I. FINANCIAL INFORMATION

Item 4.     Controls and Procedures

(a)Evaluation of disclosure controls and procedures. The Chief Executive Officer, Robert B. Ford, and Chief Financial Officer, Robert E. Funck, Jr.,Philip P. Boudreau, evaluated the effectiveness of Abbott Laboratories’ disclosure controls and procedures as of the end of the period covered by this report, and concluded that Abbott Laboratories’ disclosure controls and procedures were effective to ensure that information Abbott is required to disclose in the reports that it files or submits with the Securities and Exchange Commission (the “Commission”) under the Securities Exchange Act of 1934 (the “Exchange Act”) is recorded, processed, summarized and reported, within the time periods specified in the Commission’s rules and forms, and to ensure that information required to be disclosed by Abbott in the reports that it files or submits under the Exchange Act is accumulated and communicated to Abbott’s management, including its principal executive officer and principal financial officer, as appropriate to allow timely decisions regarding required disclosure.

(b)Changes in internal control over financial reporting. During the quarter ended September 30, 2022,2023, there were no changes in Abbott’s internal control over financial reporting (as defined in Rule 13a-15(f) under the Exchange Act) that have materially affected, or are reasonably likely to materially affect, Abbott’s internal control over financial reporting.

PART II. OTHER INFORMATION

Item 1.     Legal Proceedings

Abbott is involved in various claims, legal proceedings and investigations as described in our Annual Report on Form 10-K for the year ended December 31, 2021 and our Quarterly Report on Form 10-Q for the quarterly period ended March 31, 2022.

Item 2.     Unregistered Sales of Equity Securities and Use of Proceeds

(c)Issuer Purchases of Equity Securities

Period
(a) Total
Number of
Shares (or
Units)
Purchased(1)
(b) Average
Price Paid per
Share (or
Unit)
(c) Total Number
of Shares (or
Units) Purchased
as Part of
Publicly
Announced Plans
or Programs
(d) Maximum
Number (or
Approximate
Dollar Value) of
Shares (or Units)
that May Yet Be
Purchased Under
the Plans or
Programs(2)
July 1, 2022 - July 31, 2022— $— — $3,981,169,070 
August 1, 2022 - August 31, 20221,050,000 102.567 1,050,000 3,873,473,475 
September 1, 2022 - September 30, 20227,363,597 102.895 7,363,597 3,115,796,433 
Total8,413,597 $102.854 8,413,597 $3,115,796,433 
Period(a) Total
Number of
Shares (or
Units)
Purchased
(b) Average
Price Paid per
Share (or
Unit)
(c) Total Number
of Shares (or
Units) Purchased
as Part of
Publicly
Announced Plans
or Programs
(d) Maximum
Number (or
Approximate
Dollar Value) of
Shares (or Units)
that May Yet Be
Purchased Under
the Plans or
Programs
July 1, 2023 - July 31, 2023(1)$— $1,709,092,863 (2)
August 1, 2023 - August 31, 2023(1)1,709,092,863 (2)
September 1, 2023 - September 30, 2023(1)1,709,092,863 (2)
Total(1)$1,709,092,863 (2)

1.These shares do not include the shares surrendered to Abbott to satisfy tax withholding obligations in connection with the vesting of restricted stock or restricted stock units.

2.On December 10, 2021, the board of directors authorized the repurchase of up to $5 billion of Abbott common shares, from time to time.

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Item 6.     Exhibits
Exhibit No.Exhibit
3.1
31.1
31.2
Exhibits 32.1 and 32.2 are furnished herewith and should not be deemed to be “filed” under the Securities Exchange Act of 1934.
32.1
32.2
101The following financial statements and notes from the Abbott Laboratories Quarterly Report on Form 10-Q for the quarter and nine months ended September 30, 2022,2023, formatted in Inline XBRL: (i) Condensed Consolidated Statement of Earnings; (ii) Condensed Consolidated Statement of Comprehensive Income; (iii) Condensed Consolidated Balance Sheet; (iv) Condensed Consolidated Statement of Shareholders’ Investment; (v) Condensed Consolidated Statement of Cash Flows; and (vi) Notes to the Condensed Consolidated Financial Statements.
104Cover Page Interactive Data File (the cover page XBRL tags are embedded in the Inline XBRL document and included in Exhibit 101).
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SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
ABBOTT LABORATORIES
By:/s/ Robert E. Funck, Jr.PHILIP P. BOUDREAU
Robert E. Funck, Jr.Philip P. Boudreau
ExecutiveSenior Vice President, Finance
and Chief Financial Officer
Date: November 1, 20222023
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