Pay vs Performance Disclosure | 12 Months Ended |
Dec. 31, 2022 USD ($) $ / shares | Dec. 31, 2021 USD ($) $ / shares | Dec. 31, 2020 USD ($) $ / shares |
Pay vs Performance Disclosure [Table] | | | |
Pay vs Performance [Table Text Block] | Pay Versus PerformanceTable. Value of Initial Fixed $100 Investment Based On: Fiscal Year (1) (a) Summary Compensation Table Total for First PEO (b1) Compensation Actually Paid to First PEO (2) (c1) Summary Compensation Table Total for Second PEO (b2) Compensation Actually Paid to Second PEO (2) (c2) Average Summary Compensation Table Total for Non-PEO NEOs (d) Average Compensation Actually Paid to Non-PEO NEOs (2) (e) Total Share- holder Return (3) (f) Peer Group Total Share- holder Return (3) (g) Net Income (4) (h) Adjusted EPS (5) (i) 2022 $20,196,027 $190,304 $0 $0 $6,641,306 $(930,613) $175 $140 $7,209 $10.97 2021 $17,152,267 $59,455,992 $0 $0 $6,225,036 $26,481,836 $216 $143 $6,433 $10.00 2020 $10,396,761 $32,944,487 $16,763,956 $83,394,550 $6,786,580 $20,676,667 $145 $113 $3,646 $5.11 (1) For 2020, 2021 and 2022, the First PEO is Rainer Blair Thomas Joyce Joakim Weidemanis Angela Lalor Matthew McGrew Brian Ellis Messrs. Weidemanis McGrew Mss. Lalor Jennifer Honeycutt Messrs. Weidemanis McGrew Jose-Carlos Gutierrez-Ramos Ms. Honeycutt (2) To calculate CAP (columns (c1), (c2), and (e)), the following amounts were deducted from and added to the applicable SCT total compensation: PEO 1 Prior FYE Current FYE Fiscal Year 12/31/2019 12/31/2020 2020 12/31/2020 12/31/2021 2021 12/31/2021 12/31/2022 2022 SCT Total $10,396,761 $17,152,267 $20,196,027 — Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year $(6,585,590) $(11,384,877) $(14,268,274) + Fair Value at Fiscal Year-End of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year $12,507,143 $22,940,973 $14,744,612 + Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Year $15,738,917 $30,678,296 $(14,993,297) + Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year $0 $0 $0 + Change in Fair Value as of Vesting Date of Option Awards and Stock Awards Granted in Prior Fiscal Years For Which Applicable Vesting Conditions Were Satisfied During Fiscal Year $887,256 $69,332 $(5,488,764) — Fair Value as of Prior Fiscal Year-End of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting Conditions During Fiscal Year $0 $0 $0 COMPENSATION ACTUALLY PAID $32,944,487 $59,455,992 $190,304 PEO 2 Prior FYE Current FYE Fiscal Year 12/31/2019 12/31/2020 2020 12/31/2020 12/31/2021 2021 12/31/2021 12/31/2022 2022 SCT Total $16,763,956 $0 $0 — Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year $(11,748,524) $0 $0 + Fair Value at Fiscal Year-End of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year $24,040,706 $0 $0 + Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Year $53,508,940 $0 $0 + Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year $0 $0 $0 + Change in Fair Value as of Vesting Date of Option Awards and Stock Awards Granted in Prior Fiscal Years For Which Applicable Vesting Conditions Were Satisfied During Fiscal Year $829,471 $0 $0 — Fair Value as of Prior Fiscal Year-End of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting Conditions During Fiscal Year $0 $0 $0 COMPENSATION ACTUALLY PAID $83,394,550 $0 $0 Non-PEO NEOs Prior FYE Current FYE Fiscal Year 12/31/2019 12/31/2020 2020 12/31/2020 12/31/2021 2021 12/31/2021 12/31/2022 2022 SCT Total $6,786,580 $6,225,036 $6,641,306 — Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year $(4,178,109) $(3,370,721) $(3,945,270) + Fair Value at Fiscal Year-End of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year $7,853,538 $6,792,180 $4,069,305 + Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Year $9,403,554 $16,443,088 $(5,970,277) + Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year $0 $0 $0 + Change in Fair Value as of Vesting Date of Option Awards and Stock Awards Granted in Prior Fiscal Years For Which Applicable Vesting Conditions Were Satisfied During Fiscal Year $811,104 $392,253 $(1,725,677) — Fair Value as of Prior Fiscal Year-End of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting Conditions During Fiscal Year $0 $0 $0 COMPENSATION ACTUALLY PAID $20,676,667 $26,481,836 $(930,613) The fair value of performance stock units (PSUs) used in the calculation of CAP (columns (c1), (c2), and (e)) was determined using a Monte Carlo simulation valuation model, in accordance with ASC 718. The fair value of option awards used in the calculation of CAP was determined using the Black-Scholes option pricing model, in accordance with ASC 718. In both cases, the assumptions used in these calculations are not materially different than those used for purposes of the Summary Compensation Table. (3) Reflects TSR indexed to $100 for each of the Company and the S&P 500 Health Care Index, which is an industry line peer group reported in the performance graph included in the Company’s 2022 Annual Report on Form 10-K. (4) Values shown are in millions. (5) Please see page 43 for a definition of Adjusted EPS. Values shown reflect Adjusted EPS as calculated for purposes of our executive compensation program for the applicable reporting year. | | |
Company Selected Measure Name | Adjusted EPS | | |
Named Executive Officers, Footnote [Text Block] | For 2020, 2021 and 2022, the First PEO is Rainer Blair Thomas Joyce Joakim Weidemanis Angela Lalor Matthew McGrew Brian Ellis Messrs. Weidemanis McGrew Mss. Lalor Jennifer Honeycutt Messrs. Weidemanis McGrew Jose-Carlos Gutierrez-Ramos Ms. Honeycutt | | |
Peer Group Issuers, Footnote [Text Block] | Reflects TSR indexed to $100 for each of the Company and the S&P 500 Health Care Index, which is an industry line peer group reported in the performance graph included in the Company’s 2022 Annual Report on Form 10-K. | | |
Adjustment To PEO Compensation, Footnote [Text Block] | PEO 1 Prior FYE Current FYE Fiscal Year 12/31/2019 12/31/2020 2020 12/31/2020 12/31/2021 2021 12/31/2021 12/31/2022 2022 SCT Total $10,396,761 $17,152,267 $20,196,027 — Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year $(6,585,590) $(11,384,877) $(14,268,274) + Fair Value at Fiscal Year-End of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year $12,507,143 $22,940,973 $14,744,612 + Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Year $15,738,917 $30,678,296 $(14,993,297) + Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year $0 $0 $0 + Change in Fair Value as of Vesting Date of Option Awards and Stock Awards Granted in Prior Fiscal Years For Which Applicable Vesting Conditions Were Satisfied During Fiscal Year $887,256 $69,332 $(5,488,764) — Fair Value as of Prior Fiscal Year-End of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting Conditions During Fiscal Year $0 $0 $0 COMPENSATION ACTUALLY PAID $32,944,487 $59,455,992 $190,304 PEO 2 Prior FYE Current FYE Fiscal Year 12/31/2019 12/31/2020 2020 12/31/2020 12/31/2021 2021 12/31/2021 12/31/2022 2022 SCT Total $16,763,956 $0 $0 — Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year $(11,748,524) $0 $0 + Fair Value at Fiscal Year-End of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year $24,040,706 $0 $0 + Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Year $53,508,940 $0 $0 + Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year $0 $0 $0 + Change in Fair Value as of Vesting Date of Option Awards and Stock Awards Granted in Prior Fiscal Years For Which Applicable Vesting Conditions Were Satisfied During Fiscal Year $829,471 $0 $0 — Fair Value as of Prior Fiscal Year-End of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting Conditions During Fiscal Year $0 $0 $0 COMPENSATION ACTUALLY PAID $83,394,550 $0 $0 | | |
Non-PEO NEO Average Total Compensation Amount | $ 6,641,306 | $ 6,225,036 | $ 6,786,580 |
Non-PEO NEO Average Compensation Actually Paid Amount | $ (930,613) | 26,481,836 | 20,676,667 |
Adjustment to Non-PEO NEO Compensation Footnote [Text Block] | Non-PEO NEOs Prior FYE Current FYE Fiscal Year 12/31/2019 12/31/2020 2020 12/31/2020 12/31/2021 2021 12/31/2021 12/31/2022 2022 SCT Total $6,786,580 $6,225,036 $6,641,306 — Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year $(4,178,109) $(3,370,721) $(3,945,270) + Fair Value at Fiscal Year-End of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year $7,853,538 $6,792,180 $4,069,305 + Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Year $9,403,554 $16,443,088 $(5,970,277) + Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year $0 $0 $0 + Change in Fair Value as of Vesting Date of Option Awards and Stock Awards Granted in Prior Fiscal Years For Which Applicable Vesting Conditions Were Satisfied During Fiscal Year $811,104 $392,253 $(1,725,677) — Fair Value as of Prior Fiscal Year-End of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting Conditions During Fiscal Year $0 $0 $0 COMPENSATION ACTUALLY PAID $20,676,667 $26,481,836 $(930,613) | | |
Compensation Actually Paid vs. Total Shareholder Return [Text Block] | Relationship between CAP and TSR. | | |
Compensation Actually Paid vs. Net Income [Text Block] | Relationship between CAP and GAAP Net Income. | | |
Compensation Actually Paid vs. Company Selected Measure [Text Block] | Relationship between CAP and Adjusted EPS (our Company-Selected Measure). | | |
Tabular List [Table Text Block] | Our Most Important Metrics Used for Linking Pay and Performance. • Absolute TSR • Relative TSR compared to S&P 500 TSR • Adjusted EPS (non-GAAP) • Adjusted Free Cash Flow to Adjusted Net Income Ratio (non-GAAP) • Core Revenue Growth (non-GAAP) Adjusted EPS is the most heavily weighted metric used to determine Company performance under our executive annual cash incentive compensation program. The Committee weights Adjusted EPS most heavily in the Company performance formula because it believes Adjusted EPS correlates strongly with shareholder returns, particularly since Adjusted EPS is calculated in a manner that focuses on gains and charges the Committee believes are most directly related to Company operating performance during the period. Accordingly, Adjusted EPS is the Company-selected measure included in the table and graphs that follow. | | |
Total Shareholder Return Amount | $ 175 | 216 | 145 |
Peer Group Total Shareholder Return Amount | 140 | 143 | 113 |
Net Income (Loss) | $ 7,209,000,000 | $ 6,433,000,000 | $ 3,646,000,000 |
Company Selected Measure Amount | $ / shares | 10.97 | 10 | 5.11 |
Non-PEO NEO [Member] | Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year | | | |
Pay vs Performance Disclosure [Table] | | | |
Adjustment to Compensation Amount | $ (3,945,270) | $ (3,370,721) | $ (4,178,109) |
Non-PEO NEO [Member] | Fair Value at Fiscal Year-End of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year | | | |
Pay vs Performance Disclosure [Table] | | | |
Adjustment to Compensation Amount | 4,069,305 | 6,792,180 | 7,853,538 |
Non-PEO NEO [Member] | Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Year | | | |
Pay vs Performance Disclosure [Table] | | | |
Adjustment to Compensation Amount | (5,970,277) | 16,443,088 | 9,403,554 |
Non-PEO NEO [Member] | Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year | | | |
Pay vs Performance Disclosure [Table] | | | |
Adjustment to Compensation Amount | 0 | 0 | 0 |
Non-PEO NEO [Member] | Fair Value as of Prior Fiscal Year-End of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting | | | |
Pay vs Performance Disclosure [Table] | | | |
Adjustment to Compensation Amount | 0 | 0 | 0 |
Non-PEO NEO [Member] | Change F V Vesting Date Option Awards [Member] | | | |
Pay vs Performance Disclosure [Table] | | | |
Adjustment to Compensation Amount | (1,725,677) | 392,253 | 811,104 |
Rainer Blair | Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year | | | |
Pay vs Performance Disclosure [Table] | | | |
Adjustment to Compensation Amount | (14,268,274) | (11,384,877) | (6,585,590) |
Rainer Blair | Fair Value at Fiscal Year-End of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year | | | |
Pay vs Performance Disclosure [Table] | | | |
Adjustment to Compensation Amount | 14,744,612 | 22,940,973 | 12,507,143 |
Rainer Blair | Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Year | | | |
Pay vs Performance Disclosure [Table] | | | |
Adjustment to Compensation Amount | (14,993,297) | 30,678,296 | 15,738,917 |
Rainer Blair | Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year | | | |
Pay vs Performance Disclosure [Table] | | | |
Adjustment to Compensation Amount | 0 | 0 | 0 |
Rainer Blair | Change in Fair Value as of Vesting Date of Option Awards and Stock Awards Granted in Prior Fiscal Years For Which Applicable Vesting Conditions Were Satisfied During Fiscal Year | | | |
Pay vs Performance Disclosure [Table] | | | |
Adjustment to Compensation Amount | (5,488,764) | 69,332 | 887,256 |
Rainer Blair | Fair Value as of Prior Fiscal Year-End of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting | | | |
Pay vs Performance Disclosure [Table] | | | |
Adjustment to Compensation Amount | 0 | 0 | 0 |
Thomas Joyce | Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year | | | |
Pay vs Performance Disclosure [Table] | | | |
Adjustment to Compensation Amount | 0 | 0 | (11,748,524) |
Thomas Joyce | Fair Value at Fiscal Year-End of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year | | | |
Pay vs Performance Disclosure [Table] | | | |
Adjustment to Compensation Amount | 0 | 0 | 24,040,706 |
Thomas Joyce | Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Year | | | |
Pay vs Performance Disclosure [Table] | | | |
Adjustment to Compensation Amount | 0 | 0 | 53,508,940 |
Thomas Joyce | Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year | | | |
Pay vs Performance Disclosure [Table] | | | |
Adjustment to Compensation Amount | 0 | 0 | 0 |
Thomas Joyce | Change in Fair Value as of Vesting Date of Option Awards and Stock Awards Granted in Prior Fiscal Years For Which Applicable Vesting Conditions Were Satisfied During Fiscal Year | | | |
Pay vs Performance Disclosure [Table] | | | |
Adjustment to Compensation Amount | 0 | 0 | 829,471 |
Thomas Joyce | Fair Value as of Prior Fiscal Year-End of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting | | | |
Pay vs Performance Disclosure [Table] | | | |
Adjustment to Compensation Amount | 0 | 0 | 0 |
Rainer Blair | | | |
Pay vs Performance Disclosure [Table] | | | |
PEO Total Compensation Amount | 20,196,027 | 17,152,267 | 10,396,761 |
PEO Actually Paid Compensation Amount | $ 190,304 | $ 59,455,992 | $ 32,944,487 |
PEO Name | Rainer Blair | Rainer Blair | Rainer Blair |
Thomas Joyce | | | |
Pay vs Performance Disclosure [Table] | | | |
PEO Total Compensation Amount | $ 0 | $ 0 | $ 16,763,956 |
PEO Actually Paid Compensation Amount | $ 0 | $ 0 | $ 83,394,550 |
PEO Name | | | Thomas Joyce |
Joakim Weidemanis | Non-PEO NEO [Member] | | | |
Pay vs Performance Disclosure [Table] | | | |
PEO Name | Messrs. Weidemanis | Messrs. Weidemanis | Joakim Weidemanis |
Angela Lalor | Non-PEO NEO [Member] | | | |
Pay vs Performance Disclosure [Table] | | | |
PEO Name | | Mss. Lalor | Angela Lalor |
Matthew McGrew | Non-PEO NEO [Member] | | | |
Pay vs Performance Disclosure [Table] | | | |
PEO Name | McGrew | McGrew | Matthew McGrew |
Brian Ellis [Member] | Non-PEO NEO [Member] | | | |
Pay vs Performance Disclosure [Table] | | | |
PEO Name | | | Brian Ellis |
Jennifer Honeycutt | Non-PEO NEO [Member] | | | |
Pay vs Performance Disclosure [Table] | | | |
PEO Name | Ms. Honeycutt | Jennifer Honeycutt | |
Jose Carlos Gutierrez Ramos [Member] | Non-PEO NEO [Member] | | | |
Pay vs Performance Disclosure [Table] | | | |
PEO Name | Jose-Carlos Gutierrez-Ramos | | |
Measure [Axis]: 1 | | | |
Pay vs Performance Disclosure [Table] | | | |
Measure Name | Absolute TSR | | |
Measure [Axis]: 2 | | | |
Pay vs Performance Disclosure [Table] | | | |
Measure Name | Relative TSR compared to S&P 500 TSR | | |
Measure [Axis]: 3 | | | |
Pay vs Performance Disclosure [Table] | | | |
Measure Name | Adjusted EPS (non-GAAP) | | |
Measure [Axis]: 4 | | | |
Pay vs Performance Disclosure [Table] | | | |
Measure Name | Adjusted Free Cash Flow to Adjusted Net Income Ratio (non-GAAP) | | |
Measure [Axis]: 5 | | | |
Pay vs Performance Disclosure [Table] | | | |
Measure Name | Core Revenue Growth (non-GAAP) | | |