Cover
Cover | 3 Months Ended |
Mar. 31, 2023 shares | |
Document and Entity Information | |
Document Type | 10-Q |
Document Quarterly Report | true |
Document Period End Date | Mar. 31, 2023 |
Document Transition Report | false |
Entity File Number | 1-2189 |
Entity Registrant Name | ABBOTT LABORATORIES |
Entity Incorporation, State or Country Code | IL |
Entity Tax Identification Number | 36-0698440 |
Entity Address, Address Line One | 100 Abbott Park Road |
Entity Address, City or Town | Abbott Park |
Entity Address, State or Province | IL |
Entity Address, Postal Zip Code | 60064-6400 |
City Area Code | 224 |
Local Phone Number | 667-6100 |
Entity Current Reporting Status | Yes |
Entity Interactive Data Current | Yes |
Entity Filer Category | Large Accelerated Filer |
Entity Small Business | false |
Entity Emerging Growth Company | false |
Entity Shell Company | false |
Entity Common Stock, Shares Outstanding | 1,738,946,799 |
Entity Central Index Key | 0000001800 |
Current Fiscal Year End Date | --12-31 |
Document Fiscal Year Focus | 2023 |
Document Fiscal Period Focus | Q1 |
Amendment Flag | false |
NEW YORK STOCK EXCHANGE, INC. | |
Document and Entity Information | |
Title of 12(b) Security | Common Shares, Without Par Value |
Trading Symbol | ABT |
Security Exchange Name | NYSE |
CHICAGO STOCK EXCHANGE, INC | |
Document and Entity Information | |
Title of 12(b) Security | Common Shares, Without Par Value |
Trading Symbol | ABT |
Security Exchange Name | CHX |
Condensed Consolidated Statemen
Condensed Consolidated Statement of Earnings (Unaudited) - USD ($) shares in Thousands, $ in Millions | 3 Months Ended | |
Mar. 31, 2023 | Mar. 31, 2022 | |
Income Statement [Abstract] | ||
Net sales | $ 9,747 | $ 11,895 |
Cost of products sold, excluding amortization of intangible assets | 4,331 | 4,987 |
Amortization of intangible assets | 491 | 512 |
Research and development | 654 | 697 |
Selling, general and administrative | 2,762 | 2,787 |
Total operating cost and expenses | 8,238 | 8,983 |
Operating earnings | 1,509 | 2,912 |
Interest expense | 153 | 131 |
Interest (income) | (101) | (14) |
Net foreign exchange (gain) loss | 6 | (3) |
Other (income) expense, net | (111) | (78) |
Earnings before taxes | 1,562 | 2,876 |
Taxes on earnings | 244 | 429 |
Net Earnings | $ 1,318 | $ 2,447 |
Basic Earnings Per Common Share (in dollars per share) | $ 0.75 | $ 1.38 |
Diluted Earnings Per Common Share (in dollars per share) | $ 0.75 | $ 1.37 |
Average Number of Common Shares Outstanding Used for Basic Earnings Per Common Share (in shares) | 1,741,738 | 1,761,911 |
Dilutive Common Stock Options (in shares) | 9,977 | 12,631 |
Average Number of Common Shares Outstanding Plus Dilutive Common Stock Options (in shares) | 1,751,715 | 1,774,542 |
Outstanding Common Stock Options Having No Dilutive Effect (in shares) | 7,332 | 2,655 |
Condensed Consolidated Statem_2
Condensed Consolidated Statement of Comprehensive Income (Unaudited) - USD ($) $ in Millions | 3 Months Ended | ||
Mar. 31, 2023 | Mar. 31, 2022 | Dec. 31, 2022 | |
Statement of Comprehensive Income [Abstract] | |||
Net Earnings | $ 1,318 | $ 2,447 | |
Foreign currency translation gain (loss) adjustments | 139 | (106) | |
Net actuarial gains (losses) and amortization of net actuarial losses and prior service costs and credits, net of taxes of $— in 2023 and $13 in 2022 | 2 | 62 | |
Net gains (losses) for derivative instruments designated as cash flow hedges and other, net of taxes of $(58) in 2023 and $(15) in 2022 | (129) | (56) | |
Other comprehensive income (loss) | 12 | (100) | |
Comprehensive Income | 1,330 | $ 2,347 | |
Supplemental Accumulated Other Comprehensive Income (Loss) Information, net of tax: | |||
Cumulative foreign currency translation (loss) adjustments | (6,594) | $ (6,733) | |
Net actuarial (losses) and prior service (costs) and credits | (1,491) | (1,493) | |
Cumulative gains (losses) on derivative instruments designated as cash flow hedges | 46 | 175 | |
Accumulated Other Comprehensive Income (Loss) | $ (8,039) | $ (8,051) |
Condensed Consolidated Statem_3
Condensed Consolidated Statement of Comprehensive Income (Unaudited) (Parenthetical) - USD ($) $ in Millions | 3 Months Ended | |
Mar. 31, 2023 | Mar. 31, 2022 | |
Statement of Comprehensive Income [Abstract] | ||
Other comprehensive (income) loss, defined benefit plan, after reclassification adjustment, tax | $ 0 | $ 13 |
Other comprehensive income (loss), cash flow hedge, gain (loss), after reclassification, tax | $ (58) | $ (15) |
Condensed Consolidated Balance
Condensed Consolidated Balance Sheet (Unaudited) - USD ($) $ in Millions | Mar. 31, 2023 | Dec. 31, 2022 |
Current Assets: | ||
Cash and cash equivalents | $ 9,161 | $ 9,882 |
Short-term investments | 371 | 288 |
Trade receivables, less allowances of $503 in 2023 and $500 in 2022 | 6,020 | 6,218 |
Inventories: | ||
Finished products | 3,944 | 3,805 |
Work in process | 805 | 680 |
Materials | 1,924 | 1,688 |
Total inventories | 6,673 | 6,173 |
Prepaid expenses and other receivables | 2,152 | 2,663 |
Total Current Assets | 24,377 | 25,224 |
Investments | 776 | 766 |
Property and equipment, at cost | 20,605 | 20,212 |
Less: accumulated depreciation and amortization | 11,323 | 11,050 |
Net property and equipment | 9,282 | 9,162 |
Intangible assets, net of amortization | 10,006 | 10,454 |
Goodwill | 22,927 | 22,799 |
Deferred income taxes and other assets | 6,426 | 6,033 |
Total Assets | 73,794 | 74,438 |
Current Liabilities: | ||
Trade accounts payable | 4,167 | 4,607 |
Salaries, wages and commissions | 1,098 | 1,556 |
Other accrued liabilities | 5,758 | 5,845 |
Dividends payable | 888 | 887 |
Income taxes payable | 334 | 343 |
Current portion of long-term debt | 2,285 | 2,251 |
Total Current Liabilities | 14,530 | 15,489 |
Long-term debt | 14,615 | 14,522 |
Post-employment obligations, deferred income taxes and other long-term liabilities | 7,417 | 7,522 |
Commitments and Contingencies | ||
Shareholders’ Investment: | ||
Preferred shares, one dollar par value Authorized — 1,000,000 shares, none issued | 0 | 0 |
Common shares, without par value Authorized — 2,400,000,000 shares Issued at stated capital amount — Shares: 2023: 1,986,904,170; 2022: 1,986,519,278 | 24,488 | 24,709 |
Common shares held in treasury, at cost — Shares: 2023: 247,957,371; 2022: 248,724,257 | (15,307) | (15,229) |
Earnings employed in the business | 35,868 | 35,257 |
Accumulated other comprehensive income (loss) | (8,039) | (8,051) |
Total Abbott Shareholders’ Investment | 37,010 | 36,686 |
Noncontrolling Interests in Subsidiaries | 222 | 219 |
Total Shareholders’ Investment | 37,232 | 36,905 |
Total Liabilities and Shareholders' Investment | $ 73,794 | $ 74,438 |
Condensed Consolidated Balanc_2
Condensed Consolidated Balance Sheet (Unaudited) (Parenthetical) - USD ($) $ in Millions | Mar. 31, 2023 | Dec. 31, 2022 |
Statement of Financial Position [Abstract] | ||
Trade receivables, allowances | $ 503 | $ 500 |
Preferred shares, par value (in dollars per share) | $ 1 | $ 1 |
Preferred shares, authorized (in shares) | 1,000,000 | 1,000,000 |
Preferred shares, issued (in shares) | 0 | 0 |
Common shares, authorized (in shares) | 2,400,000,000 | 2,400,000,000 |
Common shares, issued (in shares) | 1,986,904,170 | 1,986,519,278 |
Common shares held in treasury (in shares) | 247,957,371 | 248,724,257 |
Condensed Consolidated Statem_4
Condensed Consolidated Statement of Shareholders' Investment (Unaudited) - USD ($) $ in Millions | 3 Months Ended | |
Mar. 31, 2023 | Mar. 31, 2022 | |
Increase (Decrease) in Shareholders' Investment | ||
Beginning balance | $ 36,905 | |
Net earnings | 1,318 | $ 2,447 |
Other comprehensive income (loss) | 12 | (100) |
Ending balance | 37,232 | |
Common Shares | ||
Increase (Decrease) in Shareholders' Investment | ||
Beginning balance | 24,709 | 24,470 |
Issued under incentive stock programs | 16 | 14 |
Share-based compensation | 296 | 324 |
Issuance of restricted stock awards | (533) | (504) |
Ending balance | 24,488 | 24,304 |
Common Shares Held in Treasury | ||
Increase (Decrease) in Shareholders' Investment | ||
Beginning balance | (15,229) | (11,822) |
Issued under incentive stock programs | 242 | 223 |
Purchased | (320) | (2,127) |
Ending balance | (15,307) | (13,726) |
Earnings Employed in the Business | ||
Increase (Decrease) in Shareholders' Investment | ||
Beginning balance | 35,257 | 31,528 |
Net earnings | 1,318 | 2,447 |
Cash dividends declared on common shares | (890) | (826) |
Effect of common and treasury share transactions | 183 | 146 |
Ending balance | 35,868 | 33,295 |
Accumulated Other Comprehensive Income (Loss) | ||
Increase (Decrease) in Shareholders' Investment | ||
Beginning balance | (8,051) | (8,374) |
Other comprehensive income (loss) | 12 | (100) |
Ending balance | (8,039) | (8,474) |
Noncontrolling Interests in Subsidiaries | ||
Increase (Decrease) in Shareholders' Investment | ||
Beginning balance | 219 | 222 |
Noncontrolling Interests’ share of income, business combinations, net of distributions and share repurchases | 3 | 8 |
Ending balance | $ 222 | $ 230 |
Condensed Consolidated Statem_5
Condensed Consolidated Statement of Shareholders' Investment (Unaudited) (Parenthetical) - $ / shares | 3 Months Ended | |
Mar. 31, 2023 | Mar. 31, 2022 | |
Increase (Decrease) in Shareholders' Investment | ||
Beginning balance, treasury stock, common (in shares) | 248,724,257 | |
Ending balance, treasury stock, common (in shares) | 247,957,371 | |
Common Shares | ||
Increase (Decrease) in Shareholders' Investment | ||
Beginning balance (in shares) | 1,986,519,278 | 1,985,273,421 |
Issued under incentive stock programs (in shares) | 384,892 | 251,632 |
Ending balance (in shares) | 1,986,904,170 | 1,985,525,053 |
Common Shares Held in Treasury | ||
Increase (Decrease) in Shareholders' Investment | ||
Beginning balance, treasury stock, common (in shares) | 248,724,257 | 221,191,228 |
Issued under incentive stock programs (in shares) | 3,933,165 | 4,144,476 |
Purchased (in shares) | 3,166,279 | 17,536,012 |
Ending balance, treasury stock, common (in shares) | 247,957,371 | 234,582,764 |
Earnings Employed in the Business | ||
Increase (Decrease) in Shareholders' Investment | ||
Cash dividends declared on common shares (in dollars per share) | $ 0.51 | $ 0.47 |
Condensed Consolidated Statem_6
Condensed Consolidated Statement of Cash Flows (Unaudited) - USD ($) $ in Millions | 3 Months Ended | |
Mar. 31, 2023 | Mar. 31, 2022 | |
Cash Flow From (Used in) Operating Activities: | ||
Net earnings | $ 1,318 | $ 2,447 |
Adjustments to reconcile net earnings to net cash from operating activities — | ||
Depreciation | 315 | 311 |
Amortization of intangible assets | 491 | 512 |
Share-based compensation | 281 | 305 |
Trade receivables | 233 | (751) |
Inventories | (419) | (554) |
Other, net | (1,076) | (205) |
Net Cash From Operating Activities | 1,143 | 2,065 |
Cash Flow From (Used in) Investing Activities: | ||
Acquisitions of property and equipment | (380) | (321) |
Sales (purchases) of other investment securities, net | (86) | (41) |
Other | 4 | 2 |
Net Cash From (Used in) Investing Activities | (462) | (360) |
Cash Flow From (Used in) Financing Activities: | ||
Net borrowings (repayments) of short-term debt and other | (42) | 8 |
Repayments of long-term debt | 0 | (751) |
Purchases of common shares | (540) | (2,307) |
Proceeds from stock options exercised | 62 | 59 |
Dividends paid | (890) | (832) |
Net Cash From (Used in) Financing Activities | (1,410) | (3,823) |
Effect of exchange rate changes on cash and cash equivalents | 8 | (6) |
Net Increase (Decrease) in Cash and Cash Equivalents | (721) | (2,124) |
Cash and Cash Equivalents, Beginning of Year | 9,882 | 9,799 |
Cash and Cash Equivalents, End of Period | $ 9,161 | $ 7,675 |
Basis of Presentation
Basis of Presentation | 3 Months Ended |
Mar. 31, 2023 | |
Organization, Consolidation and Presentation of Financial Statements [Abstract] | |
Basis of Presentation | 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, 2022. The condensed consolidated financial statements include the accounts of the parent company and subsidiaries, after elimination of intercompany transactions. |
New Accounting Standards
New Accounting Standards | 3 Months Ended |
Mar. 31, 2023 | |
Accounting Standards Update and Change in Accounting Principle [Abstract] | |
New Accounting Standards | Note 2 — New Accounting Standards Recent 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. |
Revenue
Revenue | 3 Months Ended |
Mar. 31, 2023 | |
Revenue from Contract with Customer [Abstract] | |
Revenue | 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 March 31, 2023 Three Months Ended March 31, 2022 (in millions) U.S. Int’l Total U.S. Int’l Total Established Pharmaceutical Products — Key Emerging Markets $ — $ 912 $ 912 $ — $ 906 $ 906 Other — 277 277 — 241 241 Total — 1,189 1,189 — 1,147 1,147 Nutritionals — Pediatric Nutritionals 459 465 924 338 509 847 Adult Nutritionals 353 690 1,043 339 708 1,047 Total 812 1,155 1,967 677 1,217 1,894 Diagnostics — Core Laboratory 289 893 1,182 268 916 1,184 Molecular 47 100 147 172 248 420 Point of Care 93 41 134 91 37 128 Rapid Diagnostics 906 319 1,225 2,181 1,344 3,525 Total 1,335 1,353 2,688 2,712 2,545 5,257 Medical Devices — Rhythm Management 260 267 527 248 276 524 Electrophysiology 238 267 505 216 269 485 Heart Failure 218 63 281 196 54 250 Vascular 218 399 617 209 410 619 Structural Heart 210 251 461 190 221 411 Neuromodulation 155 41 196 143 36 179 Diabetes Care 479 834 1,313 343 783 1,126 Total 1,778 2,122 3,900 1,545 2,049 3,594 Other 3 — 3 3 — 3 Total $ 3,928 $ 5,819 $ 9,747 $ 4,937 $ 6,958 $ 11,895 Remaining Performance Obligations As of March 31, 2023, the estimated revenue expected to be recognized in the future related to performance obligations that are unsatisfied (or partially unsatisfied) was approximately $4.1 billion in the Diagnostics segment and approximately $450 million in the Medical Devices segment. Abbott expects to recognize revenue on approximately 60 percent of these remaining performance obligations over the next 24 months, approximately 17 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 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. 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 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, 2022 $ 500 Unearned revenue from cash received during the period 122 Revenue recognized related to contract liability balance (93) Balance at March 31, 2023 $ 529 |
Supplemental Financial Informat
Supplemental Financial Information | 3 Months Ended |
Mar. 31, 2023 | |
Disclosure Text Block Supplement [Abstract] | |
Supplemental Financial Information | Note 4 — 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 March 31, 2023 and 2022 were $1.313 billion and $2.438 billion, respectively. Other, net in Net cash from operating activities in the Condensed Consolidated Statement of Cash Flows for the first three months of 2023 includes $282 million of pension contributions and the payment of cash taxes of approximately $122 million. The first three months of 2022 includes $334 million of pension contributions and the payment of cash taxes of approximately $195 million. The following summarizes the activity for the first three months of 2023 related to the allowance for doubtful accounts as of March 31, 2023: (in millions) Allowance for Doubtful Accounts: Balance at December 31, 2022 $ 262 Provisions/charges to income 8 Amounts charged off and other adjustments 2 Balance at March 31, 2023 $ 272 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. The components of long-term investments as of March 31, 2023 and December 31, 2022 are as follows: (in millions) March 31, December 31, Long-term Investments: Equity securities $ 565 $ 558 Other 211 208 Total $ 776 $ 766 The increase in Abbott’s long-term investments as of March 31, 2023 versus the balance as of December 31, 2022 primarily relates to an increase in the value of securities held in a rabbi trust and additional investments, partially offset by equity method investment losses. Abbott’s equity securities as of March 31, 2023, include $305 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 March 31, 2023 with a carrying value of $162 million that are accounted for under the equity method of accounting and other equity investments with a carrying value of approximately $88 million that do not have a readily determinable fair value. |
Changes in Accumulated Other Co
Changes in Accumulated Other Comprehensive Income (Loss) | 3 Months Ended |
Mar. 31, 2023 | |
Accumulated Other Comprehensive Income (Loss), Net of Tax [Abstract] | |
Changes in Accumulated Other Comprehensive Income (Loss) | Note 5 — 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 March 31 Cumulative Foreign Net Actuarial (Losses) and Cumulative Gains (Losses) (in millions) 2023 2022 2023 2022 2023 2022 Balance at January 1 $ (6,733) $ (5,839) $ (1,493) $ (2,670) $ 175 $ 135 Other comprehensive income (loss) before reclassifications 139 (106) 2 17 (42) (34) Amounts reclassified from accumulated other comprehensive income — — — 45 (87) (22) Net current period comprehensive income (loss) 139 (106) 2 62 (129) (56) Balance at March 31 $ (6,594) $ (5,945) $ (1,491) $ (2,608) $ 46 $ 79 |
Goodwill and Intangible Assets
Goodwill and Intangible Assets | 3 Months Ended |
Mar. 31, 2023 | |
Goodwill and Intangible Assets Disclosure [Abstract] | |
Goodwill and Intangible Assets | Note 6 — Goodwill and Intangible Assets The total amount of goodwill reported was $22.9 billion at March 31, 2023 and $22.8 billion at December 31, 2022. Foreign currency translation adjustments increased goodwill by approximately $128 million in the first three months of 2023. The amount of goodwill related to reportable segments at March 31, 2023 was $2.7 billion for the Established Pharmaceutical Products segment, $286 million for the Nutritional Products segment, $3.5 billion for the Diagnostic Products segment, and $16.4 billion for the Medical Devices segment. There was no reduction of goodwill relating to impairments in the first three months of 2023. The gross amount of amortizable intangible assets, primarily product rights and technology, was $27.4 billion and $27.2 billion as of March 31, 2023 and December 31, 2022, respectively. Accumulated amortization was $18.2 billion and $17.6 billion as of March 31, 2023 and December 31, 2022, respectively. Foreign currency translation adjustments increased intangible assets by $43 million in the first three 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, $1.5 billion in 2026 and $1.2 billion in 2027. Indefinite-lived intangible assets, which relate to in-process R&D (IPR&D) acquired in a business combination, were approximately $807 million as of March 31, 2023 and December 31, 2022. |
Restructuring Plans
Restructuring Plans | 3 Months Ended |
Mar. 31, 2023 | |
Restructuring and Related Activities [Abstract] | |
Restructuring Plans | Note 7 — 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 first three months of 2023, Abbott recorded employee related severance and other charges of approximately $17 million, of which approximately $6 million was recorded in Cost of products sold, and approximately $11 million was recorded in Selling, general and administrative expenses. The following summarizes the activity related to these restructuring actions and the status of the related accruals as of March 31, 2023: (in millions) Accrued balance at December 31, 2022 $ 228 Restructuring charges in 2023 17 Payments and other adjustments (61) Accrued balance at March 31, 2023 $ 184 |
Incentive Stock Programs
Incentive Stock Programs | 3 Months Ended |
Mar. 31, 2023 | |
Share-Based Payment Arrangement [Abstract] | |
Incentive Stock Programs | Note 8 — Incentive Stock Programs In the first three months of 2023, Abbott granted 1,887,093 stock options, 445,278 restricted stock awards and 4,761,433 restricted stock units under its incentive stock program. At March 31, 2023, approximately 74 million shares were reserved for future grants. Information regarding the number of options outstanding and exercisable at March 31, 2023 is as follows: Outstanding Exercisable Number of shares 29,760,644 25,107,006 Weighted average remaining life (years) 5.4 4.7 Weighted average exercise price $ 73.33 $ 65.76 Aggregate intrinsic value (in millions) $ 947 $ 946 The total unrecognized share-based compensation cost at March 31, 2023 amounted to approximately $760 million, which is expected to be recognized over the next three years. |
Debt and Lines of Credit
Debt and Lines of Credit | 3 Months Ended |
Mar. 31, 2023 | |
Debt Disclosure [Abstract] | |
Debt and Lines of Credit | Note 9 — Debt and Lines of Credit On March 15, 2022, Abbott repaid the $750 million outstanding principal amount of its 2.55% Notes upon maturity. |
Financial Instruments, Derivati
Financial Instruments, Derivatives and Fair Value Measures | 3 Months Ended |
Mar. 31, 2023 | |
Derivative Instruments and Hedging Activities Disclosure [Abstract] | |
Financial Instruments, Derivatives and Fair Value Measures | Note 10 — 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 $7.1 billion at March 31, 2023 and $7.7 billion at December 31, 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 March 31, 2023 will be included in Cost of products sold at the time the products are sold, generally through the next twelve 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 March 31, 2023 and December 31, 2022, Abbott held the gross notional amounts of $11.4 billion and $12.0 billion, respectively, of such foreign currency forward exchange contracts. Abbott has designated a yen-denominated, 5-year term loan of approximately $451 million and $446 million as of March 31, 2023 and December 31, 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 amount totaling approximately $2.9 billion at March 31, 2023 and December 31, 2022 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. The following table summarizes the amounts and location of certain derivative financial instruments as of March 31, 2023 and December 31, 2022: Fair Value - Assets Fair Value - Liabilities (in millions) March 31, December 31, Balance Sheet Caption March 31, December 31, Balance Sheet Caption Interest rate swaps designated as fair value hedges: Non-current $ — $ — Deferred income taxes and other assets $ 126 $ 136 Post-employment obligations, deferred income taxes and other long-term liabilities Current — — Prepaid expenses and other receivables 21 20 Other accrued liabilities Foreign currency forward exchange contracts: Hedging instruments 76 304 Prepaid expenses and other receivables 139 96 Other accrued liabilities Others not designated as hedges 78 108 Prepaid expenses and other receivables 96 130 Other accrued liabilities Debt designated as a hedge of net investment in a foreign subsidiary — — n/a 451 446 Long-term debt $ 154 $ 412 $ 833 $ 828 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 months ended March 31, 2023 and 2022. Gain (loss) Recognized in Other Comprehensive Income (loss) Income (expense) and Three Months Three Months (in millions) 2023 2022 2023 2022 Income Statement Caption Foreign currency forward exchange contracts designated as cash flow hedges $ (63) $ (49) $ 126 $ 27 Cost of products sold Debt designated as a hedge of net investment in a foreign subsidiary (5) 30 — — n/a Interest rate swaps designated as fair value hedges n/a n/a 9 (121) Interest expense Losses of $103 million and $51 million were recognized in the three months ended March 31, 2023 and 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 March 31, 2023 and December 31, 2022 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. March 31, 2023 December 31, 2022 (in millions) Carrying Fair Carrying Fair Long-term Investment Securities: Equity securities $ 565 $ 565 $ 558 $ 558 Other 211 211 208 208 Total Long-term Debt (16,900) (16,927) (16,773) (16,313) Foreign Currency Forward Exchange Contracts: Receivable position 154 154 412 412 (Payable) position (235) (235) (226) (226) Interest Rate Hedge Contracts: (Payable) position (147) (147) (156) (156) The fair value of the debt was determined based on significant other observable inputs, including current interest rates. 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 Measurement (in millions) Outstanding Quoted Significant Significant March 31, 2023: Equity securities $ 315 $ 315 $ — $ — Foreign currency forward exchange contracts 154 — 154 — Total Assets $ 469 $ 315 $ 154 $ — Fair value of hedged long-term debt $ 2,720 $ — $ 2,720 $ — Interest rate swap derivative financial instruments 147 — 147 — Foreign currency forward exchange contracts 235 — 235 — Contingent consideration related to business combinations 133 — — 133 Total Liabilities $ 3,235 $ — $ 3,102 $ 133 December 31, 2022: Equity securities $ 307 $ 307 $ — $ — Foreign currency forward exchange contracts 412 — 412 — Total Assets $ 719 $ 307 $ 412 $ — Fair value of hedged long-term debt $ 2,691 $ — $ 2,691 $ — Interest rate swap derivative financial instruments 156 — 156 — Foreign currency forward exchange contracts 226 — 226 — Contingent consideration related to business combinations 130 — — 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. |
Litigation and Environmental Ma
Litigation and Environmental Matters | 3 Months Ended |
Mar. 31, 2023 | |
Commitments and Contingencies Disclosure [Abstract] | |
Litigation and Environmental Matters | Note 11 — 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. |
Post-Employment Benefits
Post-Employment Benefits | 3 Months Ended |
Mar. 31, 2023 | |
Postemployment Benefits [Abstract] | |
Post-Employment Benefits | Note 12 — 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 months ended March 31 for Abbott’s major defined benefit plans and post-employment medical and dental benefit plans is as follows: Defined Benefit Plans Medical and Dental Plans Three Months Three Months (in millions) 2023 2022 2023 2022 Service cost - benefits earned during the period $ 60 $ 96 $ 9 $ 13 Interest cost on projected benefit obligations 114 76 14 10 Expected return on plan assets (242) (236) (6) (7) Net amortization of: Actuarial loss, net 3 59 — 5 Prior service cost (credit) — — (3) (6) Net cost (credit) $ (65) $ (5) $ 14 $ 15 |
Taxes on Earnings
Taxes on Earnings | 3 Months Ended |
Mar. 31, 2023 | |
Income Tax Disclosure [Abstract] | |
Taxes on Earnings | Note 13 — Taxes on Earnings Taxes on earnings reflect the estimated annual effective rates and include charges for interest and penalties. In the first three months of 2023 and 2022, taxes on earnings include approximately $3 million and $30 million, respectively, in excess tax benefits associated with share-based compensation. In the first three months of 2023 and 2022, taxes on earnings also include approximately $22 million and $30 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 $80 million, including cash adjustments, within the next twelve months as a result of concluding various domestic and international tax matters. |
Segment Information
Segment Information | 3 Months Ended |
Mar. 31, 2023 | |
Segment Reporting [Abstract] | |
Segment Information | Note 14 — 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 and alternate-care testing sites. For segment reporting purposes, the Core Laboratories 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. 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 Customers Operating Earnings Three Months Three Months (in millions) 2023 2022 2023 2022 Established Pharmaceutical Products $ 1,189 $ 1,147 $ 300 $ 242 Nutritional Products 1,967 1,894 380 251 Diagnostic Products 2,688 5,257 651 2,564 Medical Devices 3,900 3,594 1,078 1,083 Total Reportable Segments 9,744 11,892 2,409 4,140 Other 3 3 Net sales $ 9,747 $ 11,895 Corporate functions and benefit plan costs (77) (114) Net interest expense (52) (117) Share-based compensation (a) (281) (305) Amortization of intangible assets (491) (512) Other, net (b) 54 (216) Earnings before taxes $ 1,562 $ 2,876 ______________________________________ Notes: 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 ended March 31, 2022 includes $120 million of charges related to a voluntary recall within the Nutritional Products segment. |
Subsequent Event
Subsequent Event | 3 Months Ended |
Mar. 31, 2023 | |
Subsequent Events [Abstract] | |
Subsequent Event | Note 15 — Subsequent Event 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 approximately $850 million. The acquisition was funded with cash on hand. CSI sells an atherectomy system used in treating peripheral and coronary artery disease. The acquisition adds complementary technologies to Abbott’s portfolio of vascular device offerings. The transaction will be accounted for as a business combination. Abbott has begun the process of measuring, as of the acquisition date, the acquired assets and assumed liabilities. Preliminary purchase price allocation estimates will be disclosed in Abbott’s Form 10-Q for the period ending June 30, 2023. |
New Accounting Standards (Polic
New Accounting Standards (Policies) | 3 Months Ended |
Mar. 31, 2023 | |
Accounting Standards Update and Change in Accounting Principle [Abstract] | |
Recently Adopted Accounting Standards | Recent 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. |
Revenue (Tables)
Revenue (Tables) | 3 Months Ended |
Mar. 31, 2023 | |
Revenue from Contract with Customer [Abstract] | |
Summary of Revenue by Sales Category | The following tables provide detail by sales category: Three Months Ended March 31, 2023 Three Months Ended March 31, 2022 (in millions) U.S. Int’l Total U.S. Int’l Total Established Pharmaceutical Products — Key Emerging Markets $ — $ 912 $ 912 $ — $ 906 $ 906 Other — 277 277 — 241 241 Total — 1,189 1,189 — 1,147 1,147 Nutritionals — Pediatric Nutritionals 459 465 924 338 509 847 Adult Nutritionals 353 690 1,043 339 708 1,047 Total 812 1,155 1,967 677 1,217 1,894 Diagnostics — Core Laboratory 289 893 1,182 268 916 1,184 Molecular 47 100 147 172 248 420 Point of Care 93 41 134 91 37 128 Rapid Diagnostics 906 319 1,225 2,181 1,344 3,525 Total 1,335 1,353 2,688 2,712 2,545 5,257 Medical Devices — Rhythm Management 260 267 527 248 276 524 Electrophysiology 238 267 505 216 269 485 Heart Failure 218 63 281 196 54 250 Vascular 218 399 617 209 410 619 Structural Heart 210 251 461 190 221 411 Neuromodulation 155 41 196 143 36 179 Diabetes Care 479 834 1,313 343 783 1,126 Total 1,778 2,122 3,900 1,545 2,049 3,594 Other 3 — 3 3 — 3 Total $ 3,928 $ 5,819 $ 9,747 $ 4,937 $ 6,958 $ 11,895 |
Schedule of Changes in Contract Liabilities | Changes in the contract liabilities during the period are as follows: (in millions) Contract Liabilities: Balance at December 31, 2022 $ 500 Unearned revenue from cash received during the period 122 Revenue recognized related to contract liability balance (93) Balance at March 31, 2023 $ 529 |
Supplemental Financial Inform_2
Supplemental Financial Information (Tables) | 3 Months Ended |
Mar. 31, 2023 | |
Disclosure Text Block Supplement [Abstract] | |
Summary of Allowance for Doubtful Accounts Activity | The following summarizes the activity for the first three months of 2023 related to the allowance for doubtful accounts as of March 31, 2023: (in millions) Allowance for Doubtful Accounts: Balance at December 31, 2022 $ 262 Provisions/charges to income 8 Amounts charged off and other adjustments 2 Balance at March 31, 2023 $ 272 |
Schedule of Long-term Investments | The components of long-term investments as of March 31, 2023 and December 31, 2022 are as follows: (in millions) March 31, December 31, Long-term Investments: Equity securities $ 565 $ 558 Other 211 208 Total $ 776 $ 766 |
Changes in Accumulated Other _2
Changes in Accumulated Other Comprehensive Income (Loss) (Tables) | 3 Months Ended |
Mar. 31, 2023 | |
Accumulated Other Comprehensive Income (Loss), Net of Tax [Abstract] | |
Schedule of Accumulated Other Comprehensive Income (Loss), Net of Taxes | The changes in accumulated other comprehensive income (loss), net of income taxes, are as follows: Three Months Ended March 31 Cumulative Foreign Net Actuarial (Losses) and Cumulative Gains (Losses) (in millions) 2023 2022 2023 2022 2023 2022 Balance at January 1 $ (6,733) $ (5,839) $ (1,493) $ (2,670) $ 175 $ 135 Other comprehensive income (loss) before reclassifications 139 (106) 2 17 (42) (34) Amounts reclassified from accumulated other comprehensive income — — — 45 (87) (22) Net current period comprehensive income (loss) 139 (106) 2 62 (129) (56) Balance at March 31 $ (6,594) $ (5,945) $ (1,491) $ (2,608) $ 46 $ 79 |
Restructuring Plans (Tables)
Restructuring Plans (Tables) | 3 Months Ended |
Mar. 31, 2023 | |
Restructuring and Related Activities [Abstract] | |
Summary of Restructuring Activity | The following summarizes the activity related to these restructuring actions and the status of the related accruals as of March 31, 2023: (in millions) Accrued balance at December 31, 2022 $ 228 Restructuring charges in 2023 17 Payments and other adjustments (61) Accrued balance at March 31, 2023 $ 184 |
Incentive Stock Programs (Table
Incentive Stock Programs (Tables) | 3 Months Ended |
Mar. 31, 2023 | |
Share-Based Payment Arrangement [Abstract] | |
Summary of Options Outstanding and Exercisable | Information regarding the number of options outstanding and exercisable at March 31, 2023 is as follows: Outstanding Exercisable Number of shares 29,760,644 25,107,006 Weighted average remaining life (years) 5.4 4.7 Weighted average exercise price $ 73.33 $ 65.76 Aggregate intrinsic value (in millions) $ 947 $ 946 |
Financial Instruments, Deriva_2
Financial Instruments, Derivatives and Fair Value Measures (Tables) | 3 Months Ended |
Mar. 31, 2023 | |
Derivative Instruments and Hedging Activities Disclosure [Abstract] | |
Summary of Amounts and Location of Derivative Financial Instruments | The following table summarizes the amounts and location of certain derivative financial instruments as of March 31, 2023 and December 31, 2022: Fair Value - Assets Fair Value - Liabilities (in millions) March 31, December 31, Balance Sheet Caption March 31, December 31, Balance Sheet Caption Interest rate swaps designated as fair value hedges: Non-current $ — $ — Deferred income taxes and other assets $ 126 $ 136 Post-employment obligations, deferred income taxes and other long-term liabilities Current — — Prepaid expenses and other receivables 21 20 Other accrued liabilities Foreign currency forward exchange contracts: Hedging instruments 76 304 Prepaid expenses and other receivables 139 96 Other accrued liabilities Others not designated as hedges 78 108 Prepaid expenses and other receivables 96 130 Other accrued liabilities Debt designated as a hedge of net investment in a foreign subsidiary — — n/a 451 446 Long-term debt $ 154 $ 412 $ 833 $ 828 |
Schedule of Derivatives Gain (Loss) in OCI and Income (Expense) | 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 months ended March 31, 2023 and 2022. Gain (loss) Recognized in Other Comprehensive Income (loss) Income (expense) and Three Months Three Months (in millions) 2023 2022 2023 2022 Income Statement Caption Foreign currency forward exchange contracts designated as cash flow hedges $ (63) $ (49) $ 126 $ 27 Cost of products sold Debt designated as a hedge of net investment in a foreign subsidiary (5) 30 — — n/a Interest rate swaps designated as fair value hedges n/a n/a 9 (121) Interest expense |
Schedule of Carrying Values and Fair Values of Financial Instruments | The carrying values and fair values of certain financial instruments as of March 31, 2023 and December 31, 2022 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. March 31, 2023 December 31, 2022 (in millions) Carrying Fair Carrying Fair Long-term Investment Securities: Equity securities $ 565 $ 565 $ 558 $ 558 Other 211 211 208 208 Total Long-term Debt (16,900) (16,927) (16,773) (16,313) Foreign Currency Forward Exchange Contracts: Receivable position 154 154 412 412 (Payable) position (235) (235) (226) (226) Interest Rate Hedge Contracts: (Payable) position (147) (147) (156) (156) |
Summary of Bases Used to Measure Assets and Liabilities at Fair Value on a Recurring Basis | 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 Measurement (in millions) Outstanding Quoted Significant Significant March 31, 2023: Equity securities $ 315 $ 315 $ — $ — Foreign currency forward exchange contracts 154 — 154 — Total Assets $ 469 $ 315 $ 154 $ — Fair value of hedged long-term debt $ 2,720 $ — $ 2,720 $ — Interest rate swap derivative financial instruments 147 — 147 — Foreign currency forward exchange contracts 235 — 235 — Contingent consideration related to business combinations 133 — — 133 Total Liabilities $ 3,235 $ — $ 3,102 $ 133 December 31, 2022: Equity securities $ 307 $ 307 $ — $ — Foreign currency forward exchange contracts 412 — 412 — Total Assets $ 719 $ 307 $ 412 $ — Fair value of hedged long-term debt $ 2,691 $ — $ 2,691 $ — Interest rate swap derivative financial instruments 156 — 156 — Foreign currency forward exchange contracts 226 — 226 — Contingent consideration related to business combinations 130 — — 130 Total Liabilities $ 3,203 $ — $ 3,073 $ 130 |
Post-Employment Benefits (Table
Post-Employment Benefits (Tables) | 3 Months Ended |
Mar. 31, 2023 | |
Postemployment Benefits [Abstract] | |
Schedule of Net Periodic Benefit Costs | Net cost recognized for the three months ended March 31 for Abbott’s major defined benefit plans and post-employment medical and dental benefit plans is as follows: Defined Benefit Plans Medical and Dental Plans Three Months Three Months (in millions) 2023 2022 2023 2022 Service cost - benefits earned during the period $ 60 $ 96 $ 9 $ 13 Interest cost on projected benefit obligations 114 76 14 10 Expected return on plan assets (242) (236) (6) (7) Net amortization of: Actuarial loss, net 3 59 — 5 Prior service cost (credit) — — (3) (6) Net cost (credit) $ (65) $ (5) $ 14 $ 15 |
Segment Information (Tables)
Segment Information (Tables) | 3 Months Ended |
Mar. 31, 2023 | |
Segment Reporting [Abstract] | |
Schedule of Segment Information | 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 Customers Operating Earnings Three Months Three Months (in millions) 2023 2022 2023 2022 Established Pharmaceutical Products $ 1,189 $ 1,147 $ 300 $ 242 Nutritional Products 1,967 1,894 380 251 Diagnostic Products 2,688 5,257 651 2,564 Medical Devices 3,900 3,594 1,078 1,083 Total Reportable Segments 9,744 11,892 2,409 4,140 Other 3 3 Net sales $ 9,747 $ 11,895 Corporate functions and benefit plan costs (77) (114) Net interest expense (52) (117) Share-based compensation (a) (281) (305) Amortization of intangible assets (491) (512) Other, net (b) 54 (216) Earnings before taxes $ 1,562 $ 2,876 ______________________________________ Notes: 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 ended March 31, 2022 includes $120 million of charges related to a voluntary recall within the Nutritional Products segment. |
Revenue - Narrative (Details)
Revenue - Narrative (Details) $ in Millions | 3 Months Ended | |
Mar. 31, 2023 USD ($) segment | Mar. 31, 2022 segment | |
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items] | ||
Number of reportable segments | segment | 4 | 4 |
Diagnostics | ||
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items] | ||
Remaining performance obligations | $ 4,100 | |
Medical Devices | ||
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items] | ||
Remaining performance obligations | $ 450 | |
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2023-04-01 | ||
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items] | ||
Percentage of remaining performance obligation expected to be recognized in period | 60% | |
Expected timing of satisfaction period (in months) | 24 months | |
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2025-04-01 | ||
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items] | ||
Percentage of remaining performance obligation expected to be recognized in period | 17% | |
Expected timing of satisfaction period (in months) | 12 months |
Revenue - Summary of Revenue by
Revenue - Summary of Revenue by Sales Category (Details) - USD ($) $ in Millions | 3 Months Ended | |
Mar. 31, 2023 | Mar. 31, 2022 | |
Segment Reporting Information [Line Items] | ||
Net sales | $ 9,747 | $ 11,895 |
Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 9,744 | 11,892 |
Other | ||
Segment Reporting Information [Line Items] | ||
Net sales | 3 | 3 |
United States | ||
Segment Reporting Information [Line Items] | ||
Net sales | 3,928 | 4,937 |
United States | Other | ||
Segment Reporting Information [Line Items] | ||
Net sales | 3 | 3 |
International | ||
Segment Reporting Information [Line Items] | ||
Net sales | 5,819 | 6,958 |
International | Other | ||
Segment Reporting Information [Line Items] | ||
Net sales | 0 | 0 |
Established Pharmaceutical Products | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 1,189 | 1,147 |
Established Pharmaceutical Products | United States | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 0 | 0 |
Established Pharmaceutical Products | International | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 1,189 | 1,147 |
Nutritionals | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 1,967 | 1,894 |
Nutritionals | United States | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 812 | 677 |
Nutritionals | International | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 1,155 | 1,217 |
Diagnostics | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 2,688 | 5,257 |
Diagnostics | United States | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 1,335 | 2,712 |
Diagnostics | International | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 1,353 | 2,545 |
Medical Devices | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 3,900 | 3,594 |
Medical Devices | United States | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 1,778 | 1,545 |
Medical Devices | International | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 2,122 | 2,049 |
Key Emerging Markets | Established Pharmaceutical Products | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 912 | 906 |
Key Emerging Markets | Established Pharmaceutical Products | United States | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 0 | 0 |
Key Emerging Markets | Established Pharmaceutical Products | International | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 912 | 906 |
Other | Established Pharmaceutical Products | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 277 | 241 |
Other | Established Pharmaceutical Products | United States | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 0 | 0 |
Other | Established Pharmaceutical Products | International | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 277 | 241 |
Pediatric Nutritionals | Nutritionals | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 924 | 847 |
Pediatric Nutritionals | Nutritionals | United States | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 459 | 338 |
Pediatric Nutritionals | Nutritionals | International | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 465 | 509 |
Adult Nutritionals | Nutritionals | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 1,043 | 1,047 |
Adult Nutritionals | Nutritionals | United States | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 353 | 339 |
Adult Nutritionals | Nutritionals | International | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 690 | 708 |
Core Laboratory | Diagnostics | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 1,182 | 1,184 |
Core Laboratory | Diagnostics | United States | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 289 | 268 |
Core Laboratory | Diagnostics | International | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 893 | 916 |
Molecular | Diagnostics | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 147 | 420 |
Molecular | Diagnostics | United States | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 47 | 172 |
Molecular | Diagnostics | International | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 100 | 248 |
Point of Care | Diagnostics | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 134 | 128 |
Point of Care | Diagnostics | United States | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 93 | 91 |
Point of Care | Diagnostics | International | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 41 | 37 |
Rapid Diagnostics | Diagnostics | Revision of Prior Period, Reclassification, Adjustment | ||
Segment Reporting Information [Line Items] | ||
Net sales | (29) | |
Rapid Diagnostics | Diagnostics | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 1,225 | 3,525 |
Rapid Diagnostics | Diagnostics | United States | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 906 | 2,181 |
Rapid Diagnostics | Diagnostics | International | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 319 | 1,344 |
Rhythm Management | Medical Devices | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 527 | 524 |
Rhythm Management | Medical Devices | United States | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 260 | 248 |
Rhythm Management | Medical Devices | International | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 267 | 276 |
Electrophysiology | Medical Devices | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 505 | 485 |
Electrophysiology | Medical Devices | United States | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 238 | 216 |
Electrophysiology | Medical Devices | International | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 267 | 269 |
Heart Failure | Medical Devices | Revision of Prior Period, Reclassification, Adjustment | ||
Segment Reporting Information [Line Items] | ||
Net sales | 29 | |
Heart Failure | Medical Devices | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 281 | 250 |
Heart Failure | Medical Devices | United States | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 218 | 196 |
Heart Failure | Medical Devices | International | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 63 | 54 |
Vascular | Medical Devices | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 617 | 619 |
Vascular | Medical Devices | United States | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 218 | 209 |
Vascular | Medical Devices | International | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 399 | 410 |
Structural Heart | Medical Devices | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 461 | 411 |
Structural Heart | Medical Devices | United States | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 210 | 190 |
Structural Heart | Medical Devices | International | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 251 | 221 |
Neuromodulation | Medical Devices | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 196 | 179 |
Neuromodulation | Medical Devices | United States | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 155 | 143 |
Neuromodulation | Medical Devices | International | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 41 | 36 |
Diabetes Care | Medical Devices | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 1,313 | 1,126 |
Diabetes Care | Medical Devices | United States | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | 479 | 343 |
Diabetes Care | Medical Devices | International | Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net sales | $ 834 | $ 783 |
Revenue - Schedule of Changes i
Revenue - Schedule of Changes in Contract Liabilities (Details) $ in Millions | 3 Months Ended |
Mar. 31, 2023 USD ($) | |
Contract Liabilities: | |
Beginning balance | $ 500 |
Unearned revenue from cash received during the period | 122 |
Revenue recognized related to contract liability balance | (93) |
Ending balance | $ 529 |
Supplemental Financial Inform_3
Supplemental Financial Information - Narrative (Details) - USD ($) $ in Millions | 3 Months Ended | |
Mar. 31, 2023 | Mar. 31, 2022 | |
Condensed Cash Flow Statements, Captions [Line Items] | ||
Net earnings allocated to common shares | $ 1,313 | $ 2,438 |
Payment of cash taxes | 122 | 195 |
Equity method investments carrying value | 162 | |
Equity investment without readily determinable fair value | 88 | |
St Jude Medical | Equity securities | ||
Condensed Cash Flow Statements, Captions [Line Items] | ||
Securities in mutual funds held in a rabbi trust | 305 | |
Defined Benefit Plans | ||
Condensed Cash Flow Statements, Captions [Line Items] | ||
Pension contributions | $ 282 | $ 334 |
Supplemental Financial Inform_4
Supplemental Financial Information - Summary of Allowance for Doubtful Accounts Activity (Details) $ in Millions | 3 Months Ended |
Mar. 31, 2023 USD ($) | |
Allowance for Doubtful Accounts: | |
Beginning balance | $ 262 |
Provisions/charges to income | 8 |
Amounts charged off and other adjustments | 2 |
Ending balance | $ 272 |
Supplemental Financial Inform_5
Supplemental Financial Information - Schedule of Long-term Investments (Details) - USD ($) $ in Millions | Mar. 31, 2023 | Dec. 31, 2022 |
Summary of Investment Holdings [Line Items] | ||
Investments | $ 776 | $ 766 |
Equity securities | ||
Summary of Investment Holdings [Line Items] | ||
Investments | 565 | 558 |
Other | ||
Summary of Investment Holdings [Line Items] | ||
Investments | $ 211 | $ 208 |
Changes in Accumulated Other _3
Changes in Accumulated Other Comprehensive Income (Loss) (Details) - USD ($) $ in Millions | 3 Months Ended | |
Mar. 31, 2023 | Mar. 31, 2022 | |
Changes in accumulated other comprehensive income (loss), net of income taxes | ||
Beginning of the period | $ 36,686 | |
Other comprehensive income (loss) | 12 | $ (100) |
End of the period | 37,010 | |
Cumulative Foreign Currency Translation (Loss) Adjustments | ||
Changes in accumulated other comprehensive income (loss), net of income taxes | ||
Beginning of the period | (6,733) | (5,839) |
Other comprehensive income (loss) before reclassifications | 139 | (106) |
Amounts reclassified from accumulated other comprehensive income | 0 | 0 |
Other comprehensive income (loss) | 139 | (106) |
End of the period | (6,594) | (5,945) |
Net Actuarial (Losses) and Prior Service (Costs) and Credits | ||
Changes in accumulated other comprehensive income (loss), net of income taxes | ||
Beginning of the period | (1,493) | (2,670) |
Other comprehensive income (loss) before reclassifications | 2 | 17 |
Amounts reclassified from accumulated other comprehensive income | 0 | 45 |
Other comprehensive income (loss) | 2 | 62 |
End of the period | (1,491) | (2,608) |
Cumulative Gains (Losses) on Derivative Instruments Designated as Cash Flow Hedges and Other | ||
Changes in accumulated other comprehensive income (loss), net of income taxes | ||
Beginning of the period | 175 | 135 |
Other comprehensive income (loss) before reclassifications | (42) | (34) |
Amounts reclassified from accumulated other comprehensive income | (87) | (22) |
Other comprehensive income (loss) | (129) | (56) |
End of the period | $ 46 | $ 79 |
Goodwill and Intangible Assets
Goodwill and Intangible Assets (Details) - USD ($) $ in Millions | 3 Months Ended | |
Mar. 31, 2023 | Dec. 31, 2022 | |
Goodwill and Intangible Assets [Line Items] | ||
Goodwill | $ 22,927 | $ 22,799 |
Increase in goodwill due to foreign currency translation adjustments | 128 | |
Amount of reductions of goodwill relating to impairments | 0 | |
Gross amount of amortizable intangible assets | 27,400 | 27,200 |
Accumulated amortization of intangible assets | 18,200 | 17,600 |
Increase in intangible assets due to foreign currency translation adjustments | 43 | |
Estimated annual amortization expense, intangible assets, 2023 | 2,000 | |
Estimated annual amortization expense, intangible assets, 2024 | 1,900 | |
Estimated annual amortization expense, intangible assets, 2025 | 1,700 | |
Estimated annual amortization expense, intangible assets, 2026 | 1,500 | |
Estimated annual amortization expense, intangible assets, 2027 | 1,200 | |
Indefinite-lived intangible assets related to in-process R&D acquired in a business combination | 807 | $ 807 |
Established Pharmaceutical Products | ||
Goodwill and Intangible Assets [Line Items] | ||
Goodwill | 2,700 | |
Nutritionals | ||
Goodwill and Intangible Assets [Line Items] | ||
Goodwill | 286 | |
Diagnostics | ||
Goodwill and Intangible Assets [Line Items] | ||
Goodwill | 3,500 | |
Medical Devices | ||
Goodwill and Intangible Assets [Line Items] | ||
Goodwill | $ 16,400 |
Restructuring Plans - Narrative
Restructuring Plans - Narrative (Details) - Restructuring Plan 2022, Streamline of Operations and Improve Efficiencies for Four Businesses $ in Millions | 3 Months Ended |
Mar. 31, 2023 USD ($) | |
Restructuring Cost and Reserve [Line Items] | |
Severance costs | $ 17 |
Cost of products sold | |
Restructuring Cost and Reserve [Line Items] | |
Severance costs | 6 |
Selling, General and Administrative Expenses | |
Restructuring Cost and Reserve [Line Items] | |
Severance costs | $ 11 |
Restructuring Plans - Summary o
Restructuring Plans - Summary of Other Restructuring Activity (Details) - Restructuring Plan 2022, Streamline of Operations and Improve Efficiencies for Four Businesses $ in Millions | 3 Months Ended |
Mar. 31, 2023 USD ($) | |
Restructuring Reserve [Roll Forward] | |
Accrued balance at beginning of the period | $ 228 |
Restructuring charges in 2023 | 17 |
Payments and other adjustments | (61) |
Accrued balance at end of the period | $ 184 |
Incentive Stock Programs - Narr
Incentive Stock Programs - Narrative (Details) $ in Millions | 3 Months Ended |
Mar. 31, 2023 USD ($) shares | |
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items] | |
Incentive stock program, shares reserved for future grants | 74,000,000 |
Total unrecognized compensation cost | $ | $ 760 |
Total unrecognized compensation cost, recognition period | 3 years |
Share-based Payment Arrangement, Option | |
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items] | |
Stock options granted during the period (in shares) | 1,887,093 |
Restricted Stock Awards | |
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items] | |
Restricted stock awards granted during the period (in shares) | 445,278 |
Restricted Stock Units (RSUs) | |
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items] | |
Restricted stock units granted during period (in shares) | 4,761,433 |
Incentive Stock Programs - Opti
Incentive Stock Programs - Options (Details) - Share-based Payment Arrangement, Option $ / shares in Units, $ in Millions | 3 Months Ended |
Mar. 31, 2023 USD ($) $ / shares shares | |
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items] | |
Stock options outstanding, number of shares | shares | 29,760,644 |
Exercisable options, number of shares | shares | 25,107,006 |
Stock options outstanding, weighted-average remaining life | 5 years 4 months 24 days |
Exercisable options, weighted-average remaining life | 4 years 8 months 12 days |
Stock options outstanding, weighted-average exercise price (in dollars per share) | $ / shares | $ 73.33 |
Exercisable options, weighted-average exercise price (in dollars per share) | $ / shares | $ 65.76 |
Aggregate intrinsic value of options outstanding | $ | $ 947 |
Aggregate intrinsic value of options exercisable | $ | $ 946 |
Debt and Lines of Credit (Detai
Debt and Lines of Credit (Details) - 2.55% Long-term Notes Due 2022 $ in Millions | Mar. 15, 2022 USD ($) |
Debt Instrument [Line Items] | |
Repayments of debt | $ 750 |
Interest rate percentage | 2.55% |
Financial Instruments, Deriva_3
Financial Instruments, Derivatives and Fair Value Measures - Narrative (Details) - USD ($) $ in Millions | 3 Months Ended | 12 Months Ended | |
Mar. 31, 2023 | Mar. 31, 2022 | Dec. 31, 2022 | |
Derivative [Line Items] | |||
Yen-denominated term loan | $ 833 | $ 828 | |
Loss from foreign currency forward exchange contracts not designated as hedges | $ 103 | $ 51 | |
Net Investment Hedging | Designated as Hedging Instrument | Five Year Term Loan due 2024 | |||
Derivative [Line Items] | |||
Debt instrument, term | 5 years | 5 years | |
Yen-denominated term loan | $ 451 | $ 446 | |
Foreign Exchange Forward | Not Designated as Hedging Instrument | |||
Derivative [Line Items] | |||
Derivative, notional amount | 11,400 | 12,000 | |
Foreign Exchange Forward | Cash Flow Hedging | Designated as Hedging Instrument | |||
Derivative [Line Items] | |||
Derivative, notional amount | $ 7,100 | 7,700 | |
Minimum length of time over which accumulated gains and losses will be recognized in Cost of products sold | 12 months | ||
Maximum length of time over which accumulated gains and losses will be recognized in Cost of products sold | 18 months | ||
Interest Rate Swap | Fair Value Hedging | Designated as Hedging Instrument | |||
Derivative [Line Items] | |||
Derivative, notional amount | $ 2,900 | $ 2,900 |
Financial Instruments, Deriva_4
Financial Instruments, Derivatives and Fair Value Measures - Amounts and Location of Derivative Instruments (Details) - USD ($) $ in Millions | Mar. 31, 2023 | Dec. 31, 2022 |
Derivative [Line Items] | ||
Fair Value - Assets | $ 154 | $ 412 |
Fair Value - Liabilities | 833 | 828 |
Deferred income taxes and other assets | Interest Rate Swap | Fair Value Hedging | Designated as Hedging Instrument | ||
Derivative [Line Items] | ||
Fair Value - Assets | 0 | 0 |
Prepaid expenses and other receivables, current | Interest Rate Swap | Fair Value Hedging | Designated as Hedging Instrument | ||
Derivative [Line Items] | ||
Fair Value - Assets | 0 | 0 |
Prepaid expenses and other receivables | Foreign Exchange Forward | Designated as Hedging Instrument | ||
Derivative [Line Items] | ||
Fair Value - Assets | 76 | 304 |
Prepaid expenses and other receivables | Foreign Exchange Forward | Not Designated as Hedging Instrument | ||
Derivative [Line Items] | ||
Fair Value - Assets | 78 | 108 |
Post-employment obligations, deferred income taxes and other long-term liabilities | Interest Rate Swap | Fair Value Hedging | Designated as Hedging Instrument | ||
Derivative [Line Items] | ||
Fair Value - Liabilities | 126 | 136 |
Other accrued liabilities | Interest Rate Swap | Fair Value Hedging | Designated as Hedging Instrument | ||
Derivative [Line Items] | ||
Fair Value - Liabilities | 21 | 20 |
Other accrued liabilities | Foreign Exchange Forward | Designated as Hedging Instrument | ||
Derivative [Line Items] | ||
Fair Value - Liabilities | 139 | 96 |
Other accrued liabilities | Foreign Exchange Forward | Not Designated as Hedging Instrument | ||
Derivative [Line Items] | ||
Fair Value - Liabilities | 96 | 130 |
Long-term debt | Debt | Net Investment Hedging | Designated as Hedging Instrument | ||
Derivative [Line Items] | ||
Fair Value - Liabilities | $ 451 | $ 446 |
Financial Instruments, Deriva_5
Financial Instruments, Derivatives and Fair Value Measures - Summary of Cash Flow Hedges (Details) - USD ($) $ in Millions | 3 Months Ended | |
Mar. 31, 2023 | Mar. 31, 2022 | |
Foreign Exchange Forward | Cost of products sold | ||
Derivative [Line Items] | ||
Gain (loss) recognized in other comprehensive income (loss), foreign currency forward exchange contracts designated as cash flow hedges | $ (63) | $ (49) |
Income (expense) and gain (loss) reclassified into income, foreign currency forward exchange contracts designated as cash flow hedges | 126 | 27 |
Debt | ||
Derivative [Line Items] | ||
Gain (loss) recognized in other comprehensive income (loss), debt designated as a hedge of net investment in a foreign subsidiary | (5) | 30 |
Interest Rate Swap | Interest expense | ||
Derivative [Line Items] | ||
Income (expense) and gain (loss) reclassified into income, interest rate swaps designated as fair value hedges | $ 9 | $ (121) |
Financial Instruments, Deriva_6
Financial Instruments, Derivatives and Fair Value Measures - Carrying Value and Fair Value (Details) - USD ($) $ in Millions | Mar. 31, 2023 | Dec. 31, 2022 |
Derivative [Line Items] | ||
Long-term Investment Securities: | $ 776 | $ 766 |
Receivable position | 154 | 412 |
(Payable) position | (833) | (828) |
Equity securities | ||
Derivative [Line Items] | ||
Long-term Investment Securities: | 565 | 558 |
Carrying Value | ||
Derivative [Line Items] | ||
Total Long-term Debt | (16,900) | (16,773) |
Carrying Value | Foreign Exchange Forward | ||
Derivative [Line Items] | ||
Receivable position | 154 | 412 |
(Payable) position | (235) | (226) |
Carrying Value | Interest Rate Swap | ||
Derivative [Line Items] | ||
(Payable) position | 147 | 156 |
Carrying Value | Equity securities | ||
Derivative [Line Items] | ||
Long-term Investment Securities: | 565 | 558 |
Carrying Value | Other | ||
Derivative [Line Items] | ||
Long-term Investment Securities: | 211 | 208 |
Fair Value | ||
Derivative [Line Items] | ||
Total Long-term Debt | (16,927) | (16,313) |
Fair Value | Foreign Exchange Forward | ||
Derivative [Line Items] | ||
Receivable position | 154 | 412 |
(Payable) position | (235) | (226) |
Fair Value | Interest Rate Swap | ||
Derivative [Line Items] | ||
(Payable) position | 147 | 156 |
Fair Value | Equity securities | ||
Derivative [Line Items] | ||
Long-term Investment Securities: | 565 | 558 |
Fair Value | Other | ||
Derivative [Line Items] | ||
Long-term Investment Securities: | $ 211 | $ 208 |
Financial Instruments, Deriva_7
Financial Instruments, Derivatives and Fair Value Measures - Bases of Measurement (Details) - USD ($) $ in Millions | Mar. 31, 2023 | Dec. 31, 2022 |
Quoted Prices in Active Markets | ||
Assets, at Fair Value | ||
Equity securities | $ 315 | $ 307 |
Foreign currency forward exchange contracts | 0 | 0 |
Total Assets | 315 | 307 |
Liabilities, at Fair Value | ||
Fair value of hedged long-term debt | 0 | 0 |
Interest rate swap derivative financial instruments | 0 | 0 |
Foreign currency forward exchange contracts | 0 | 0 |
Contingent consideration related to business combinations | 0 | 0 |
Total Liabilities | 0 | 0 |
Significant Other Observable Inputs | ||
Assets, at Fair Value | ||
Equity securities | 0 | 0 |
Foreign currency forward exchange contracts | 154 | 412 |
Total Assets | 154 | 412 |
Liabilities, at Fair Value | ||
Fair value of hedged long-term debt | 2,720 | 2,691 |
Interest rate swap derivative financial instruments | 147 | 156 |
Foreign currency forward exchange contracts | 235 | 226 |
Contingent consideration related to business combinations | 0 | 0 |
Total Liabilities | 3,102 | 3,073 |
Significant Unobservable Inputs | ||
Assets, at Fair Value | ||
Equity securities | 0 | 0 |
Foreign currency forward exchange contracts | 0 | 0 |
Total Assets | 0 | 0 |
Liabilities, at Fair Value | ||
Fair value of hedged long-term debt | 0 | 0 |
Interest rate swap derivative financial instruments | 0 | 0 |
Foreign currency forward exchange contracts | 0 | 0 |
Contingent consideration related to business combinations | 133 | 130 |
Total Liabilities | 133 | 130 |
Outstanding Balances | ||
Assets, at Fair Value | ||
Equity securities | 315 | 307 |
Foreign currency forward exchange contracts | 154 | 412 |
Total Assets | 469 | 719 |
Liabilities, at Fair Value | ||
Fair value of hedged long-term debt | 2,720 | 2,691 |
Interest rate swap derivative financial instruments | 147 | 156 |
Foreign currency forward exchange contracts | 235 | 226 |
Contingent consideration related to business combinations | 133 | 130 |
Total Liabilities | $ 3,235 | $ 3,203 |
Litigation and Environmental _2
Litigation and Environmental Matters (Details) $ in Millions | Mar. 31, 2023 USD ($) |
Loss Contingencies [Line Items] | |
Maximum expected cleanup exposure for individual site | $ 4 |
Maximum expected cleanup exposure in aggregate | 10 |
Legal proceedings and environmental exposures | |
Loss Contingencies [Line Items] | |
Recorded accrual balance for legal proceedings and exposures | 30 |
Legal proceedings and environmental exposures | Minimum | |
Loss Contingencies [Line Items] | |
Estimation of possible loss | 25 |
Legal proceedings and environmental exposures | Maximum | |
Loss Contingencies [Line Items] | |
Estimation of possible loss | $ 35 |
Post-Employment Benefits - Sche
Post-Employment Benefits - Schedule of Net Periodic Benefit Costs (Details) - USD ($) $ in Millions | 3 Months Ended | |
Mar. 31, 2023 | Mar. 31, 2022 | |
Defined Benefit Plans | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Service cost - benefits earned during the period | $ 60 | $ 96 |
Interest cost on projected benefit obligations | 114 | 76 |
Expected return on plan assets | (242) | (236) |
Net amortization of: | ||
Actuarial loss, net | 3 | 59 |
Prior service cost (credit) | 0 | 0 |
Net cost (credit) | (65) | (5) |
Medical and Dental Plans | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Service cost - benefits earned during the period | 9 | 13 |
Interest cost on projected benefit obligations | 14 | 10 |
Expected return on plan assets | (6) | (7) |
Net amortization of: | ||
Actuarial loss, net | 0 | 5 |
Prior service cost (credit) | (3) | (6) |
Net cost (credit) | $ 14 | $ 15 |
Post-Employment Benefits - Narr
Post-Employment Benefits - Narrative (Details) - USD ($) $ in Millions | 3 Months Ended | |
Mar. 31, 2023 | Mar. 31, 2022 | |
Defined Benefit Plans | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Company contributions | $ 282 | $ 334 |
Medical and Dental Plans | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Company contributions | $ 28 | $ 28 |
Taxes on Earnings (Details)
Taxes on Earnings (Details) - USD ($) $ in Millions | 3 Months Ended | |
Mar. 31, 2023 | Mar. 31, 2022 | |
Significant Change in Unrecognized Tax Benefits is Reasonably Possible [Line Items] | ||
Excess tax benefits associated with share-based compensation | $ 3 | $ 30 |
Tax expense from prior year tax positions | 22 | $ 30 |
Minimum | ||
Significant Change in Unrecognized Tax Benefits is Reasonably Possible [Line Items] | ||
Decrease reasonably possible in gross unrecognized tax benefits | 75 | |
Maximum | ||
Significant Change in Unrecognized Tax Benefits is Reasonably Possible [Line Items] | ||
Decrease reasonably possible in gross unrecognized tax benefits | $ 80 |
Segment Information (Details)
Segment Information (Details) - USD ($) $ in Millions | 3 Months Ended | |
Mar. 31, 2023 | Mar. 31, 2022 | |
Segment Reporting Information [Line Items] | ||
Net Sales to External Customers | $ 9,747 | $ 11,895 |
Operating Earnings | 1,509 | 2,912 |
Amortization of intangible assets | (491) | (512) |
Earnings before taxes | $ 1,562 | $ 2,876 |
Annual share-based awards recognized in first quarter (as a percent) | 45% | 45% |
Operating Segments | ||
Segment Reporting Information [Line Items] | ||
Net Sales to External Customers | $ 9,744 | $ 11,892 |
Operating Earnings | 2,409 | 4,140 |
Operating Segments | Established Pharmaceutical Products | ||
Segment Reporting Information [Line Items] | ||
Net Sales to External Customers | 1,189 | 1,147 |
Operating Earnings | 300 | 242 |
Operating Segments | Nutritional Products | ||
Segment Reporting Information [Line Items] | ||
Net Sales to External Customers | 1,967 | 1,894 |
Operating Earnings | 380 | 251 |
Operating Segments | Diagnostic Products | ||
Segment Reporting Information [Line Items] | ||
Net Sales to External Customers | 2,688 | 5,257 |
Operating Earnings | 651 | 2,564 |
Operating Segments | Medical Devices | ||
Segment Reporting Information [Line Items] | ||
Net Sales to External Customers | 3,900 | 3,594 |
Operating Earnings | 1,078 | 1,083 |
Other | ||
Segment Reporting Information [Line Items] | ||
Net Sales to External Customers | 3 | 3 |
Segment Reconciling Items | ||
Segment Reporting Information [Line Items] | ||
Corporate functions and benefit plan costs | (77) | (114) |
Net interest expense | (52) | (117) |
Share-based compensation | (281) | (305) |
Amortization of intangible assets | (491) | (512) |
Other, net | $ 54 | (216) |
Segment Reconciling Items | Nutritional Products | ||
Segment Reporting Information [Line Items] | ||
Inventory recall expense | $ 120 |
Subsequent Event (Details)
Subsequent Event (Details) - Subsequent Event - CSI $ / shares in Units, $ in Millions | Apr. 27, 2023 USD ($) $ / shares |
Subsequent Event [Line Items] | |
Acquisition share price (in dollars per share) | $ / shares | $ 20 |
Acquisition purchase price | $ | $ 850 |