Cover
Cover - USD ($) | 12 Months Ended | ||
Dec. 31, 2022 | Jan. 31, 2023 | Jun. 30, 2022 | |
Document Information [Line Items] | |||
Document Type | 10-K | ||
Document Annual Report | true | ||
Document Transition Report | false | ||
Document Period End Date | Dec. 31, 2022 | ||
Current Fiscal Year End Date | --12-31 | ||
Entity File Number | 1-2189 | ||
Entity Registrant Name | Abbott Laboratories | ||
Entity Incorporation, State or Country Code | IL | ||
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 | ||
Entity Tax Identification Number | 36-0698440 | ||
City Area Code | 224 | ||
Local Phone Number | 667-6100 | ||
Entity Well-known Seasoned Issuer | Yes | ||
Entity Voluntary Filers | No | ||
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 | ||
ICFR Auditor Attestation Flag | true | ||
Entity Shell Company | false | ||
Entity Public Float | $ 186,105,046,190 | ||
Entity Common Stock, Shares Outstanding | 1,737,946,233 | ||
Documents Incorporated by Reference | Portions of the 2023 Abbott Laboratories Proxy Statement are incorporated by reference into Part III. The Proxy Statement will be filed on or about March 17, 2023. | ||
Entity Central Index Key | 0000001800 | ||
Document Fiscal Year Focus | 2022 | ||
Document Fiscal Period Focus | FY | ||
Amendment Flag | false | ||
New York Stock Exchange | |||
Document Information [Line Items] | |||
Title of 12(b) Security | Common Shares, Without Par Value | ||
Trading Symbol | ABT | ||
Security Exchange Name | NYSE | ||
Chicago Stock Exchange, Inc. | |||
Document Information [Line Items] | |||
Title of 12(b) Security | Common Shares, Without Par Value | ||
Trading Symbol | ABT | ||
Security Exchange Name | CHX |
Audit Information
Audit Information | 12 Months Ended |
Dec. 31, 2022 | |
Audit Information [Abstract] | |
Auditor Firm ID | 42 |
Auditor Name | Ernst & Young LLP |
Auditor Location | Chicago, Illinois |
Consolidated Statement of Earni
Consolidated Statement of Earnings - USD ($) shares in Millions, $ in Millions | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Income Statement [Abstract] | |||
Net Sales | $ 43,653 | $ 43,075 | $ 34,608 |
Cost of products sold, excluding amortization of intangible assets | 19,142 | 18,537 | 15,003 |
Amortization of intangible assets | 2,013 | 2,047 | 2,132 |
Research and development | 2,888 | 2,742 | 2,420 |
Selling, general and administrative | 11,248 | 11,324 | 9,696 |
Total Operating Cost and Expenses | 35,291 | 34,650 | 29,251 |
Operating Earnings | 8,362 | 8,425 | 5,357 |
Interest expense | 558 | 533 | 546 |
Interest income | (183) | (43) | (46) |
Net foreign exchange (gain) loss | 2 | 1 | (8) |
Other (income) expense, net | (321) | (277) | (103) |
Earnings from Continuing Operations Before Taxes | 8,306 | 8,211 | 4,968 |
Taxes on Earnings from Continuing Operations | 1,373 | 1,140 | 497 |
Earnings from Continuing Operations | 6,933 | 7,071 | 4,471 |
Net Earnings from Discontinued Operations, net of taxes | 0 | 0 | 24 |
Net Earnings | $ 6,933 | $ 7,071 | $ 4,495 |
Basic Earnings Per Common Share -- | |||
Continuing Operations (in dollars per share) | $ 3.94 | $ 3.97 | $ 2.51 |
Discontinued Operations (in dollars per share) | 0 | 0 | 0.01 |
Net Earnings (in dollars per share) | 3.94 | 3.97 | 2.52 |
Diluted Earnings Per Common Share -- | |||
Continuing Operations (in dollars per share) | 3.91 | 3.94 | 2.49 |
Discontinued Operations (in dollars per share) | 0 | 0 | 0.01 |
Net Earnings (in dollars per share) | $ 3.91 | $ 3.94 | $ 2.50 |
Average Number of Common Shares Outstanding Used for Basic Earnings Per Common Share (in shares) | 1,753 | 1,775 | 1,773 |
Dilutive Common Stock Options (in shares) | 11 | 14 | 13 |
Average Number of Common Shares Outstanding Plus Dilutive Common Stock Options (in shares) | 1,764 | 1,789 | 1,786 |
Outstanding Common Stock Options Having No Dilutive Effect (in shares) | 3 | 0 | 9 |
Consolidated Statement of Compr
Consolidated Statement of Comprehensive Income - USD ($) $ in Millions | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Statement of Comprehensive Income [Abstract] | |||
Net Earnings | $ 6,933 | $ 7,071 | $ 4,495 |
Foreign currency translation gain (loss) adjustments | (894) | (980) | 65 |
Net actuarial gains (losses) and prior service cost and credits and amortization of net actuarial losses and prior service cost and credits, net of taxes of $330 in 2022, $340 in 2021 and $(79) in 2020 | 1,177 | 1,201 | (331) |
Net gains (losses) on derivative instruments designated as cash flow hedges, net of taxes of $11 in 2022, $63 in 2021 and $(87) in 2020 | 40 | 351 | (215) |
Other Comprehensive Income (Loss) | 323 | 572 | (481) |
Comprehensive Income | 7,256 | 7,643 | 4,014 |
Supplemental Accumulated Other Comprehensive Income (Loss) Information, net of tax as of December 31: | |||
Cumulative foreign currency translation (loss) adjustments | (6,733) | (5,839) | (4,859) |
Net actuarial (losses) and prior service (cost) and credits | (1,493) | (2,670) | (3,871) |
Cumulative gains (losses) on derivative instruments designated as cash flow hedges | 175 | 135 | (216) |
Accumulated other comprehensive income (loss) | $ (8,051) | $ (8,374) | $ (8,946) |
Consolidated Statement of Com_2
Consolidated Statement of Comprehensive Income (Parenthetical) - USD ($) $ in Millions | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Statement of Comprehensive Income [Abstract] | |||
Net actuarial gains (losses) and prior service cost and credits and amortization of net actuarial losses and prior service cost and credits taxes | $ 330 | $ 340 | $ (79) |
Net (losses) gains on derivative instruments designated as cash flow hedges taxes | $ 11 | $ 63 | $ (87) |
Consolidated Statement of Cash
Consolidated Statement of Cash Flows - USD ($) $ in Millions | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Cash Flow From (Used in) Operating Activities: | |||
Net earnings | $ 6,933 | $ 7,071 | $ 4,495 |
Adjustments to reconcile earnings to net cash from operating activities — | |||
Depreciation | 1,254 | 1,491 | 1,195 |
Amortization of intangible assets | 2,013 | 2,047 | 2,132 |
Investing and financing losses, net | 215 | 55 | 425 |
Share-based compensation | 685 | 640 | 546 |
Trade receivables | (68) | (383) | (924) |
Inventories | (1,413) | (456) | (493) |
Prepaid expenses and other assets | (75) | (312) | (627) |
Trade accounts payable and other liabilities | 420 | 1,288 | 1,766 |
Income taxes | (383) | (908) | (614) |
Net Cash From Operating Activities | 9,581 | 10,533 | 7,901 |
Cash Flow From (Used in) Investing Activities: | |||
Acquisitions of property and equipment | (1,777) | (1,885) | (2,177) |
Acquisitions of businesses and technologies, net of cash acquired | 0 | (187) | (42) |
Proceeds from business dispositions | 48 | 134 | 58 |
Purchases of investment securities | (185) | (173) | (83) |
Proceeds from sales of investment securities | 152 | 77 | 10 |
Other | 22 | 26 | 19 |
Net Cash From (Used in) Investing Activities | (1,740) | (2,008) | (2,215) |
Cash Flow From (Used in) Financing Activities: | |||
Proceeds from issuance of (repayments of) short-term debt, net and other | 47 | (204) | 2 |
Proceeds from issuance of long-term debt and debt with maturities over 3 months | 7 | 4 | 1,281 |
Repayments of long-term debt and debt with maturities over 3 months | (753) | (48) | (1,333) |
Purchases of common shares | (3,795) | (2,299) | (403) |
Proceeds from stock options exercised | 167 | 255 | 245 |
Dividends paid | (3,309) | (3,202) | (2,560) |
Other | 0 | 0 | (11) |
Net Cash From (Used in) Financing Activities | (7,636) | (5,494) | (2,779) |
Effect of exchange rate changes on cash and cash equivalents | (122) | (70) | 71 |
Net Increase (Decrease) in Cash and Cash Equivalents | 83 | 2,961 | 2,978 |
Cash and Cash Equivalents, Beginning of Year | 9,799 | 6,838 | 3,860 |
Cash and Cash Equivalents, End of Year | 9,882 | 9,799 | 6,838 |
Supplemental Cash Flow Information: | |||
Income taxes paid | 1,864 | 1,941 | 970 |
Interest paid | $ 563 | $ 544 | $ 549 |
Consolidated Balance Sheet
Consolidated Balance Sheet - USD ($) $ in Millions | Dec. 31, 2022 | Dec. 31, 2021 |
Current assets: | ||
Cash and cash equivalents | $ 9,882 | $ 9,799 |
Investments, primarily bank time deposits and U.S. treasury bills | 288 | 450 |
Trade receivables, less allowances of — 2022: $500; 2021: $519 | 6,218 | 6,487 |
Inventories: | ||
Finished products | 3,805 | 3,081 |
Work in process | 680 | 694 |
Materials | 1,688 | 1,382 |
Total inventories | 6,173 | 5,157 |
Other prepaid expenses and receivables | 2,663 | 2,346 |
Total current assets | 25,224 | 24,239 |
Investments | 766 | 816 |
Property and equipment, at cost: | ||
Land | 511 | 525 |
Buildings | 4,053 | 4,007 |
Equipment | 14,164 | 13,528 |
Construction in progress | 1,484 | 1,304 |
Property and equipment, at cost | 20,212 | 19,364 |
Less: accumulated depreciation and amortization | 11,050 | 10,405 |
Net property and equipment | 9,162 | 8,959 |
Intangible assets, net of amortization | 10,454 | 12,739 |
Goodwill | 22,799 | 23,231 |
Deferred income taxes and other assets | 6,033 | 5,212 |
Total Assets | 74,438 | 75,196 |
Current liabilities: | ||
Trade accounts payable | 4,607 | 4,408 |
Salaries, wages and commissions | 1,556 | 1,625 |
Other accrued liabilities | 5,845 | 5,181 |
Dividends payable | 887 | 831 |
Income taxes payable | 343 | 306 |
Current portion of long-term debt | 2,251 | 754 |
Total current liabilities | 15,489 | 13,105 |
Long-term debt | 14,522 | 17,296 |
Post-employment obligations and other long-term liabilities | 7,522 | 8,771 |
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: 2022: 1,986,519,278; 2021: 1,985,273,421 | 24,709 | 24,470 |
Common shares held in treasury, at cost — Shares: 2022: 248,724,257; 2021: 221,191,228 | (15,229) | (11,822) |
Earnings employed in the business | 35,257 | 31,528 |
Accumulated other comprehensive income (loss) | (8,051) | (8,374) |
Total Abbott Shareholders’ Investment | 36,686 | 35,802 |
Noncontrolling interests in subsidiaries | 219 | 222 |
Total Shareholders’ Investment | 36,905 | 36,024 |
Total Liabilities and Shareholders' Investment | $ 74,438 | $ 75,196 |
Consolidated Balance Sheet (Par
Consolidated Balance Sheet (Parenthetical) - USD ($) $ in Millions | Dec. 31, 2022 | Dec. 31, 2021 |
Statement of Financial Position [Abstract] | ||
Trade receivables, allowances | $ 500 | $ 519 |
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) | 1,986,519,278 | 1,985,273,421 |
Common shares held in treasury (in shares) | 248,724,257 | 221,191,228 |
Consolidated Statement of Share
Consolidated Statement of Shareholders Investment - USD ($) $ in Millions | 12 Months Ended | |||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | Dec. 31, 2019 | |
Increase (Decrease) in Shareholders' Investment | ||||
Beginning of Year | $ 36,024 | |||
Net earnings | 6,933 | $ 7,071 | $ 4,495 | |
Other comprehensive income (loss) | 323 | 572 | (481) | |
End of Year | 36,905 | 36,024 | ||
Accounting Standards Update [Extensible Enumeration] | Accounting Standards Update 2019-12 [Member] | |||
Common Shares | ||||
Increase (Decrease) in Shareholders' Investment | ||||
Beginning of Year | 24,470 | 24,145 | 23,853 | |
Issued under incentive stock programs | 72 | 173 | 181 | |
Share-based compensation | 687 | 642 | 548 | |
Issuance of restricted stock awards | (520) | (490) | (437) | |
End of Year | 24,709 | 24,470 | 24,145 | $ 23,853 |
Common Shares Held in Treasury | ||||
Increase (Decrease) in Shareholders' Investment | ||||
Beginning of Year | (11,822) | (10,042) | (10,147) | |
Issued under incentive stock programs | 269 | 271 | 298 | |
Purchased | (3,676) | (2,051) | (193) | |
End of Year | (15,229) | (11,822) | (10,042) | (10,147) |
Earnings Employed in the Business | ||||
Increase (Decrease) in Shareholders' Investment | ||||
Beginning of Year | 31,528 | 27,627 | 25,847 | |
Net earnings | 6,933 | 7,071 | 4,495 | |
Cash dividends declared on common shares | (3,365) | (3,235) | (2,722) | |
Effect of common and treasury share transactions | 161 | 65 | 12 | |
End of Year | 35,257 | 31,528 | 27,627 | 25,847 |
Earnings Employed in the Business | Cumulative Effect, Period of Adoption, Adjustment | ||||
Increase (Decrease) in Shareholders' Investment | ||||
Beginning of Year | (5) | |||
End of Year | (5) | |||
Accumulated Other Comprehensive Income (Loss) | ||||
Increase (Decrease) in Shareholders' Investment | ||||
Beginning of Year | (8,374) | (8,946) | (8,465) | |
Other comprehensive income (loss) | 323 | 572 | (481) | |
End of Year | (8,051) | (8,374) | (8,946) | (8,465) |
Noncontrolling Interests in Subsidiaries | ||||
Increase (Decrease) in Shareholders' Investment | ||||
Beginning of Year | 222 | 219 | 213 | |
Noncontrolling Interests’ share of income, business combinations, net of distributions and share repurchases | (3) | 3 | 6 | |
End of Year | $ 219 | $ 222 | $ 219 | $ 213 |
Consolidated Statement of Sha_2
Consolidated Statement of Shareholders Investment (Parenthetical) - $ / shares | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Increase (Decrease) in Shareholders' Investment | |||
Beginning of Year, Treasury (in shares) | 221,191,228 | ||
End of Year, Treasury (in shares) | 248,724,257 | 221,191,228 | |
Common Shares | |||
Increase (Decrease) in Shareholders' Investment | |||
Beginning of Year, Common (in shares) | 1,985,273,421 | 1,981,156,896 | 1,976,855,085 |
Issued under incentive stock programs (in shares) | 1,245,857 | 4,116,525 | 4,301,811 |
End of Year, Common (in shares) | 1,986,519,278 | 1,985,273,421 | 1,981,156,896 |
Common Shares Held in Treasury | |||
Increase (Decrease) in Shareholders' Investment | |||
Beginning of Year, Treasury (in shares) | 221,191,228 | 209,926,622 | 214,351,838 |
Issued under incentive stock programs (in shares) | 4,980,202 | 5,650,168 | 6,290,757 |
Purchased (in shares) | 32,513,231 | 16,914,774 | 1,865,541 |
End of Year, Treasury (in shares) | 248,724,257 | 221,191,228 | 209,926,622 |
Earnings Employed in the Business | |||
Increase (Decrease) in Shareholders' Investment | |||
Cash dividends declared per common share (in dollars per share) | $ 1.92 | $ 1.82 | $ 1.53 |
Summary of Significant Accounti
Summary of Significant Accounting Policies | 12 Months Ended |
Dec. 31, 2022 | |
Accounting Policies [Abstract] | |
Summary of Significant Accounting Policies | Summary of Significant Accounting Policies NATURE OF BUSINESS — Abbott’s principal business is the discovery, development, manufacture and sale of a broad line of health care products. BASIS OF CONSOLIDATION — The consolidated financial statements include the accounts of the parent company and subsidiaries, after elimination of intercompany transactions. USE OF ESTIMATES — The consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States and necessarily include amounts based on estimates and assumptions by management. Actual results could differ from those amounts. Significant estimates include amounts for sales rebates, income taxes, pension and other post-employment benefits, valuation of intangible assets, litigation, derivative financial instruments, and inventory and accounts receivable exposures. FOREIGN CURRENCY TRANSLATION — The statements of earnings of foreign subsidiaries whose functional currencies are other than the U.S. dollar are translated into U.S. dollars using average exchange rates for the period. The net assets of foreign subsidiaries whose functional currencies are other than the U.S. dollar are translated into U.S. dollars using exchange rates as of the balance sheet date. The U.S. dollar effects that arise from translating the net assets of these subsidiaries at changing rates are recorded in the foreign currency translation adjustment account, which is included in equity as a component of Accumulated other comprehensive income (loss). Transaction gains and losses are recorded on the Net foreign exchange (gain) loss line of the Consolidated Statement of Earnings. REVENUE RECOGNITION — Revenue from product sales is recognized upon the transfer of control, which is generally upon shipment or delivery, depending on the delivery terms set forth in the customer contract. Provisions for discounts, rebates and sales incentives to customers, and returns and other adjustments are provided for in the period the related sales are recorded. Sales incentives to customers are not material. Historical data is readily available and reliable, and is used for estimating the amount of the reduction in gross sales. Revenue from the launch of a new product, from an improved version of an existing product, or for shipments in excess of a customer’s normal requirements are recorded when the conditions noted above are met. In those situations, management records a returns reserve for such revenue, if necessary. In certain of Abbott’s businesses, primarily within diagnostics, Abbott participates in selling arrangements that include multiple performance obligations (e.g., instruments, reagents, procedures, and service agreements). The total transaction price of the contract is allocated to each performance obligation in an amount based on the estimated relative standalone selling prices of the promised goods or services underlying each performance obligation. Sales of product rights for marketable products are recorded as revenue upon disposition of the rights. INCOME TAXES — Deferred income taxes are provided for the tax effect of differences between the tax bases of assets and liabilities and their reported amounts in the financial statements at the enacted statutory rate to be in effect when the taxes are paid. No additional income taxes have been provided for any remaining undistributed foreign earnings not subject to the transition tax related to the U.S. Tax Cuts and Jobs Act (TCJA), or any additional outside basis differences that exist, as these amounts continue to be indefinitely reinvested in foreign operations. Effective for fiscal years beginning after December 31, 2017, the TCJA subjects taxpayers to tax on global intangible low-taxed income (GILTI) earned by certain foreign subsidiaries. Abbott treats the GILTI tax as a period expense and provides for the tax in the year that the tax is incurred. Interest and penalties on income tax obligations are included in taxes on earnings. EARNINGS PER SHARE — Unvested restricted stock units and awards 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. Earnings from Continuing Operations allocated to common shares in 2022, 2021 and 2020 were $6.905 billion, $7.042 billion and $4.449 billion, respectively. Net earnings allocated to common shares in 2022, 2021 and 2020 were $6.905 billion, $7.042 billion and $4.473 billion, respectively. PENSION AND POST-EMPLOYMENT BENEFITS — Abbott accrues for the actuarially determined cost of pension and post-employment benefits over the service attribution periods of the employees. Abbott must develop long-term assumptions, the most significant of which are the health care cost trend rates, discount rates and the expected return on plan assets. Differences between the expected long-term return on plan assets and the actual return are amortized over a five-year period. Actuarial losses and gains are amortized over the remaining service attribution periods of the employees under the corridor method. FAIR VALUE MEASUREMENTS — For assets and liabilities that are measured using quoted prices in active markets, total fair value is the published market price per unit multiplied by the number of units held without consideration of transaction costs. Assets and liabilities that are measured using significant other observable inputs are valued by reference to similar assets or liabilities, adjusted for contract restrictions and other terms specific to that asset or liability. For these items, a significant portion of fair value is derived by reference to quoted prices of similar assets or liabilities in active markets. For all remaining assets and liabilities, fair value is derived using a fair value model, such as a discounted cash flow model or Black-Scholes model. Purchased intangible assets are recorded at fair value. The fair value of significant purchased intangible assets is based on independent appraisals. Abbott uses a discounted cash flow model to value intangible assets. The discounted cash flow model requires assumptions about the timing and amount of future net cash flows, risk, the cost of capital, terminal values and market participants. Intangible assets are reviewed for impairment on a quarterly basis. Goodwill and indefinite-lived intangible assets are tested for impairment at least annually. SHARE-BASED COMPENSATION — The fair value of stock options and restricted stock awards and units are amortized over their requisite service period, which could be shorter than the vesting period if an employee is retirement eligible, with a charge to compensation expense. LITIGATION — Abbott accounts for litigation losses in accordance with Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) No. 450, “Contingencies.” Under ASC No. 450, loss contingency provisions are recorded for probable losses at management’s best estimate of a loss, or when a best estimate cannot be made, a minimum loss contingency amount is recorded. Legal fees are recorded as incurred. CASH, CASH EQUIVALENTS AND INVESTMENTS — Cash equivalents consist of bank time deposits, U.S. government securities, money market funds and U.S. treasury bills with original maturities of three months or less. Abbott holds certain investments with a carrying value of $169 million that are accounted for under the equity method of accounting. Investments held in a rabbi trust and investments in publicly traded equity securities are recorded at fair value and changes in fair value are recorded in earnings. Investments in equity securities that are not traded on public stock exchanges are recorded at cost minus impairment, if any, plus or minus changes resulting from observable price changes in orderly transactions for identical or similar investments of the same issuer. TRADE RECEIVABLE VALUATIONS — Accounts receivable are stated at the net amount expected to be collected. 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. Accounts receivable are charged off after all reasonable means to collect the full amount (including litigation, where appropriate) have been exhausted. INVENTORIES — Inventories are stated at the lower of cost (first-in, first-out basis) or net realizable value. Cost includes material and conversion costs. PROPERTY AND EQUIPMENT — Depreciation and amortization are provided on a straight-line basis over the estimated useful lives of the assets. The following table shows estimated useful lives of property and equipment: Classification Estimated Useful Lives Buildings 10 to 50 years Equipment 2 to 20 years PRODUCT LIABILITY — Abbott accrues for product liability claims when it is probable that a liability has been incurred and the amount of the liability can be reasonably estimated based on existing information. The liabilities are adjusted quarterly as additional information becomes available. Product liability losses are self-insured. RESEARCH AND DEVELOPMENT COSTS — Internal research and development costs are expensed as incurred. Clinical trial costs incurred by third parties are expensed as the contracted work is performed. Where contingent milestone payments are due to third parties under research and development arrangements, the milestone payment obligations are expensed when the milestone results are achieved. ACQUIRED IN-PROCESS AND COLLABORATIONS RESEARCH AND DEVELOPMENT (IPR&D) — The initial costs of rights to IPR&D projects obtained in an asset acquisition are expensed as IPR&D unless the project has an alternative future use. These costs include initial payments incurred prior to regulatory approval in connection with research and development collaboration agreements that provide rights to develop, manufacture, market and/or sell pharmaceutical or medical device products. The fair value of IPR&D projects acquired in a business combination are capitalized and accounted for as indefinite-lived intangible assets until completed and are then amortized over the remaining useful life. Collaborations are not significant. CONCENTRATION OF RISK AND GUARANTEES — Due to the nature of its operations, Abbott is not subject to significant concentration risks relating to customers, products or geographic locations. Product warranties are not significant. Abbott has no material exposures to off-balance sheet arrangements; no special purpose entities; nor activities that include non-exchange-traded contracts accounted for at fair value. Abbott periodically acquires a business or product rights in which Abbott agrees to pay contingent consideration based on attaining certain thresholds or based on the occurrence of certain events. |
New Accounting Standards
New Accounting Standards | 12 Months Ended |
Dec. 31, 2022 | |
Accounting Standards Update and Change in Accounting Principle [Abstract] | |
New Accounting Standards | New Accounting Standards Recently Adopted Accounting Standards In December 2020, the FASB issued ASU 2019-12, Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes , which among other things, eliminates certain exceptions in the current rules regarding the approach for intraperiod tax allocations and the methodology for calculating income taxes in an interim period, and clarifies the accounting for transactions that result in a step-up in the tax basis of goodwill. Abbott adopted the standard on January 1, 2021. The new standard did not have an impact on its consolidated financial statements. Recent Accounting Standards Not Yet Adopted In September 2022, the FASB issued ASU 2022-04, Disclosure of Supplier Finance Program Obligations , which requires an entity to report information about its supplier finance program. The standard becomes effective for Abbott in the first quarter of 2023. Abbott does not expect adoption of this new standard to have a material impact on its consolidated financial statements. |
Revenue
Revenue | 12 Months Ended |
Dec. 31, 2022 | |
Revenue from Contract with Customer [Abstract] | |
Revenue | RevenueAbbott’s revenues are derived primarily from the sale of a broad line of health care products under short-term receivable arrangements. Patent protection and licenses, technological and performance features, and inclusion of Abbott’s products under a contract most impact which products are sold; price controls, competition and rebates most impact the net selling prices of products; and foreign currency translation impacts the measurement of net sales and costs. Abbott’s products are generally sold directly to retailers, wholesalers, distributors, hospitals, health care facilities, laboratories, physicians’ offices and government agencies throughout the world. Abbott has four reportable segments: Established Pharmaceutical Products, Diagnostic Products, Nutritional Products, and Medical Devices. The following tables provide detail by sales category: 2022 2021 2020 (in millions) U.S. Int’l Total U.S. Int’l Total U.S. Int’l Total Established Pharmaceutical Products — Key Emerging Markets $ — $ 3,728 $ 3,728 $ — $ 3,539 $ 3,539 $ — $ 3,209 $ 3,209 Other — 1,184 1,184 — 1,179 1,179 — 1,094 1,094 Total — 4,912 4,912 — 4,718 4,718 — 4,303 4,303 Nutritionals — Pediatric Nutritionals 1,562 1,919 3,481 2,192 2,106 4,298 1,987 2,140 4,127 Adult Nutritionals 1,357 2,621 3,978 1,364 2,632 3,996 1,292 2,228 3,520 Total 2,919 4,540 7,459 3,556 4,738 8,294 3,279 4,368 7,647 Diagnostics — Core Laboratory 1,137 3,751 4,888 1,145 3,983 5,128 1,166 3,309 4,475 Molecular 370 625 995 566 861 1,427 621 817 1,438 Point of Care 372 153 525 384 152 536 369 147 516 Rapid Diagnostics 6,767 3,409 10,176 5,034 3,519 8,553 2,618 1,758 4,376 Total 8,646 7,938 16,584 7,129 8,515 15,644 4,774 6,031 10,805 Medical Devices — Rhythm Management 1,029 1,090 2,119 1,018 1,180 2,198 903 1,011 1,914 Electrophysiology 909 1,018 1,927 778 1,129 1,907 660 918 1,578 Heart Failure 694 226 920 654 235 889 547 193 740 Vascular 864 1,619 2,483 915 1,739 2,654 853 1,486 2,339 Structural Heart 818 894 1,712 730 880 1,610 540 707 1,247 Neuromodulation 619 151 770 616 165 781 564 138 702 Diabetes Care 1,633 3,123 4,756 1,212 3,116 4,328 864 2,403 3,267 Total 6,566 8,121 14,687 5,923 8,444 14,367 4,931 6,856 11,787 Other 11 — 11 34 18 52 38 28 66 Total $ 18,142 $ 25,511 $ 43,653 $ 16,642 $ 26,433 $ 43,075 $ 13,022 $ 21,586 $ 34,608 Products sold by the Diagnostics segment include various types of diagnostic tests to detect the COVID-19 coronavirus. Abbott’s COVID-19 testing-related sales totaled approximately $8.4 billion in 2022, $7.7 billion in 2021, and $3.9 billion in 2020. Abbott recognizes revenue from product sales upon the transfer of control, which is generally upon shipment or delivery, depending on the delivery terms set forth in the customer contract. For maintenance agreements that provide service beyond Abbott’s standard warranty and other service agreements, revenue is recognized ratably over the contract term. A time-based measure of progress appropriately reflects the transfer of services to the customer. Payment terms between Abbott and its customers vary by the type of customer, country of sale, and the products or services offered. The term between invoicing and the payment due date is not significant. Management exercises judgment in estimating variable consideration. Provisions for discounts, rebates and sales incentives to customers, and returns and other adjustments are provided for in the period the related sales are recorded. Sales incentives to customers are not material. Historical data is readily available and reliable, and is used for estimating the amount of the reduction in gross sales. Abbott provides rebates to government agencies, wholesalers, group purchasing organizations and other private entities. Rebate amounts are usually based upon the volume of purchases using contractual or statutory prices for a product. Factors used in the rebate calculations include the identification of which products have been sold subject to a rebate, which customer or government agency price terms apply, and the estimated lag time between sale and payment of a rebate. Using historical trends, adjusted for current changes, Abbott estimates the amount of the rebate that will be paid, and records the liability as a reduction of gross sales when Abbott records its sale of the product. Settlement of the rebate generally occurs from one Other allowances charged against gross sales include cash discounts and returns, which are not significant. Cash discounts are known within 15 to 30 days of sale, and therefore can be reliably estimated. Returns can be reliably estimated because Abbott’s historical returns are low, and because sales return terms and other sales terms have remained relatively unchanged for several periods. Product warranties are also not significant. Abbott also applies judgment in determining the timing of revenue recognition related to contracts that include multiple performance obligations. The total transaction price of the contract is allocated to each performance obligation in an amount based on the estimated relative standalone selling prices of the promised goods or services underlying each performance obligation. For goods or services for which observable standalone selling prices are not available, Abbott uses an expected cost plus a margin approach to estimate the standalone selling price of each performance obligation. Remaining Performance Obligations As of December 31, 2022, the estimated revenue expected to be recognized in the future related to performance obligations that are unsatisfied (or partially unsatisfied) was approximately $4 billion in the Diagnostic Products segment and approximately $432 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 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. Assets Recognized for Costs to Obtain a Contract with a Customer Abbott has applied the practical expedient in ASC 340-40-25-4 and records as an expense the incremental costs of obtaining contracts with customers in the period of occurrence when the amortization period of the asset that Abbott otherwise would have recognized is one year or less. Upfront commission fees paid to sales personnel as a result of obtaining or renewing contracts with customers are incremental to obtaining the contract. Abbott capitalizes these amounts as contract costs. Capitalized commission fees are amortized based on the contract duration to which the assets relate which ranges from two Additionally, the cost of transmitters provided to customers that use Abbott’s remote monitoring service with respect to certain medical devices are capitalized as contract costs. Capitalized transmitter costs are amortized based on the timing of the transfer of services to which the assets relate, which typically ranges from eight Other Contract Assets and Liabilities Abbott discloses Trade receivables separately in the 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, 2020 $ 405 Unearned revenue from cash received during the period 615 Revenue recognized related to contract liability balance (500) Balance at December 31, 2021 520 Unearned revenue from cash received during the period 578 Revenue recognized related to contract liability balance (598) Balance at December 31, 2022 $ 500 |
Supplemental Financial Informat
Supplemental Financial Information | 12 Months Ended |
Dec. 31, 2022 | |
Disclosure Text Block Supplement [Abstract] | |
Supplemental Financial Information | Supplemental Financial Information Other (income) expense, net s approximately $406 million, $270 million and $205 million of income, respectively, related to the non-service cost components of the net periodic benefit costs ass ociated with the pension and post-retirement medical plans. The following summarizes the activity related to the allowance for doubtful accounts: (in millions) Allowance for Doubtful Accounts: Balance at December 31, 2020 $ 288 Provisions/charges to income 51 Amounts charged off and other deductions (26) Balance at December 31, 2021 313 Provisions/charges to income 6 Amounts charged off and other deductions (57) Balance at December 31, 2022 $ 262 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 detail of various balance sheet components is as follows: (in millions) December 31, December 31, Long-term Investments: Equity securities $ 558 $ 748 Other 208 68 Total $ 766 $ 816 The decrease in Abbott’s long-term investments as of December 31, 2022 versus the balance as of December 31, 2021 primarily relates to a decrease in the fair value of investments held in a rabbi trust, the impact of asset impairments and a distribution from an investment held in a joint venture, partially offset by increased investment in long-term time deposits. Abbott’s equity securities as of December 31, 2022 and December 31, 2021, include $298 million and $391 million, respectively, of investments in mutual funds that are held in a rabbi trust 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 December 31, 2022 with a carrying value of $169 million that are accounted for under the equity method of accounting and other equity investments with a carrying value of $83 million that do not have a readily determinable fair va lue. In September 2021, Abbott acquired 100 percent of Walk Vascular, LLC (Walk Vascular), a commercial-stage medical device company with a minimally invasive thrombectomy system designed to remove peripheral blood clots. Walk Vascular’s peripheral thrombectomy system has been incorporated into Abbott’s existing endovascular portfolio. The purchase price, the allocation of acquired assets and liabilities, and the revenue and net income contributed by Walk Vascular since the date of acquisition are not material to Abbott’s consolidated financial statements. (in millions) December 31, December 31, Other Accrued Liabilities: Accrued rebates payable to government agencies $ 638 $ 364 Accrued other rebates (a) 1,087 1,082 All other 4,120 3,735 Total $ 5,845 $ 5,181 ________________________________________________________ (a) Accrued wholesaler chargeback rebates of $234 million and $211 million at December 31, 2022 and 2021, respectively, are netted in trade receivables because Abbott’s customers are invoiced at a higher catalog price but only remit to Abbott their contract price for the products. (in millions) December 31, December 31, Post-employment Obligations and Other Long-term Liabilities: Defined benefit pension plans and post-employment medical and dental plans for significant plans $ 1,784 $ 2,738 Deferred income taxes 991 1,392 Operating lease liabilities 943 956 All other (b) 3,804 3,685 Total $ 7,522 $ 8,771 ________________________________________________________ (b) Includes approximately $850 million and $680 million of net unrecognized tax benefits in 2022 and 2021, respectively. |
Accumulated Other Comprehensive
Accumulated Other Comprehensive Income (Loss) | 12 Months Ended |
Dec. 31, 2022 | |
Accumulated Other Comprehensive Income (Loss), Net of Tax [Abstract] | |
Accumulated Other Comprehensive Income (Loss) | Accumulated Other Comprehensive Income (Loss) The components of the changes in accumulated other comprehensive income (loss) from continuing operations, net of income taxes, are as follows: (in millions) Cumulative Net Actuarial Gains (Losses) and Prior Service Cumulative Total Balance at December 31, 2020 $ (4,859) $ (3,871) $ (216) $ (8,946) Other comprehensive income (loss) before reclassifications (980) 954 137 111 (Income) loss amounts reclassified from accumulated other comprehensive income (a) — 247 214 461 Net current period other comprehensive income (loss) (980) 1,201 351 572 Balance at December 31, 2021 (5,839) (2,670) 135 (8,374) Other comprehensive income (loss) before reclassifications (894) 1,007 199 312 (Income) loss amounts reclassified from accumulated other comprehensive income (a) — 170 (159) 11 Net current period other comprehensive income (loss) (894) 1,177 40 323 Balance at December 31, 2022 $ (6,733) $ (1,493) $ 175 $ (8,051) ________________________________________________________ (a) (Income) loss amounts reclassified from accumulated other comprehensive income related to cash flow hedges are recorded as Cost of products sold. Net actuarial losses and prior service cost is included as a component of net periodic benefit cost – see Note 13 for additional information. |
Goodwill and Intangible Assets
Goodwill and Intangible Assets | 12 Months Ended |
Dec. 31, 2022 | |
Goodwill and Intangible Assets Disclosure [Abstract] | |
Goodwill and Intangible Assets | Goodwill and Intangible Assets The total amount of goodwill reported was $22.8 billion at December 31, 2022 and $23.2 billion at December 31, 2021. Foreign currency translation adjustments decreased goodwill by $431 million in 2022 and b y $532 million in 2021. The amount of goodwill related to reportable segments at December 31, 2022 was $2.7 billion for the Estab lished Pharmaceutical Products segment, $286 million for the Nutritional Products segment, $3.6 billion for the Diagnostic Products segment, and $16.2 billion for the Medical Devices segment. There were no reductions of goodwill relating to impairments in 2022 and 2021. Indefinite-lived intangible assets, which relate to IPR&D acquired in a business combination, were approximately $807 million and $919 million at December 31, 2022 and 2021, respectively. In 2022, $111 million of impairment charges were recorded on the Research and development The gross amount of amortizable intangible assets, primarily product rights and technology, was $27.2 billion and $27.7 billion as of December 31, 2022 and 2021, respectively, an d accumulated amortization was $17.6 billion and $15.9 billion as of December 31, 2022 and 2021, respectively. F oreign currency translation adjustments decreased intangible assets by $150 million in 2022 and by $197 million in 2021. The estimated annual amortization expense for intangible assets recorded at December 31, 2022 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. Amortizable intangible assets are amortized over 2 to 20 years. |
Restructuring Plans
Restructuring Plans | 12 Months Ended |
Dec. 31, 2022 | |
Restructuring and Related Activities [Abstract] | |
Restructuring Plans | Restructuring Plans In 2022, Abbott management approved plans to streamline operations in order to reduce costs and improve efficiencies in its medical devices, nutritional, diagnostic, and established pharmaceutical businesses. Abbott recorded employee related severance and other charges of approximately $234 million of which approximately $59 million was recorded in Cost of products sold, approximately $36 million was recorded in Research and development and approximately $139 million was recorded in Selling, general and administrative expenses. In addition, Abbott recognized inventory related charges of approximately $23 million and fixed assets impairment charges of approximately $4 million related to these restructuring plans. The following summarizes the activity related to these restructuring actions and the status of the related accruals as of December 31, 2022: (in millions) Restructuring charges in 2022 $ 234 Payments and other adjustments (6) Accrued balance at December 31, 2022 $ 228 On May 27, 2021, Abbott management approved a restructuring plan related to its Diagnostic Products segment to align its manufacturing network for COVID-19 diagnostic tests with changes in the second quarter of 2021 in projected testing demand driven by several factors, including significant reductions in cases in the U.S. and other major developed countries, the accelerated rollout of COVID-19 vaccines globally and the U.S. health authority’s updated guidance on testing for fully vaccinated individuals. In the second quarter of 2021, Abbott recorded charges of $499 million under this plan in Cost of products sold. The charge recognized in the second quarter included fixed asset write-downs of $80 million, inventory-related charges of $248 million, and other exit costs, which included contract cancellations and employee-related costs of $171 million. In the second half of 2021, as the Delta and Omicron variants of COVID-19 spread and the number of new COVID-19 cases increased significantly, particularly in the U.S., demand for rapid COVID-19 tests increased significantly. As a result, in the second half of 2021, Abbott sold approximately $181 million of inventory that was previously estimated to have no net realizable value under the second quarter restructuring action. In addition, the estimate of other exit costs was reduced by a net $58 million as Abbott fulfilled its purchase obligations under certain contracts for which a liability was recorded in the second quarter or Abbott settled with the counterparty in the second half of 2021. The following summarizes the activity related to this restructuring action and the status of the related accruals as of December 31, 2022: (in millions) Inventory- Fixed Asset Other Exit Total Restructuring charges recorded in 2021 $ 248 $ 80 $ 113 $ 441 Payments — — (90) (90) Other non-cash (248) (80) — (328) Accrued balance at December 31, 2021 — — 23 23 Payments and other adjustments — — (10) (10) Accrued balance at December 31, 2022 $ — $ — $ 13 $ 13 In 2021, Abbott management approved plans to streamline operations in order to reduce costs and improve efficiencies in Abbott's diagnostic, established pharmaceutical, nutritional, and medical device businesses. Abbott recorded employee related severance and other charges of approximately $68 million of which approximately $16 million was recorded in Cost of products sold, approximately $4 million was recorded in Research and development and approximately $48 million was recorded in Selling, general and administrative expenses. The following summarizes the activity for these restructuring actions and the status of the related accruals as of December 31, 2022: (in millions) Restructuring charges recorded in 2021 $ 68 Payments and other adjustments (7) Accrued balance at December 31, 2021 61 Payments and other adjustments (46) Accrued balance at December 31, 2022 $ 15 |
Incentive Stock Programs
Incentive Stock Programs | 12 Months Ended |
Dec. 31, 2022 | |
Share-Based Payment Arrangement [Abstract] | |
Incentive Stock Programs | Incentive Stock Program The 2017 Incentive Stock Program authorizes the granting of nonqualified stock options, restricted stock awards, restricted stock units, performance awards, foreign benefits and other share-based awards. Stock options and restricted stock awards and units comprise the majority of benefits that have been granted and are currently outstanding under this program and a prior program. In 2022, Abbott granted 2,634,647 stock options, 514,205 restricted stock awards and 5,487,715 restricted stock units under this program. Under Abbott’s stock incentive programs, the purchase price of shares under option must be at least equal to the fair market value of the common stock on the date of grant, and the maximum term of an option is 10 years. Options generally vest equally over three years. Restricted stock awards generally vest over three years, with no more than one-third of the award vesting in any one year upon Abbott reaching a minimum return on equity target. Restricted stock units vest over three years and upon vesting, the recipient receives one share of Abbott stock for each vested restricted stock unit. The aggregate fair market value of options and restricted stock awards and units is recognized as expense over the requisite service period, which may be shorter than the vesting period if an employee is retirement eligible. Forfeitures are estimated at the time of grant. Restricted stock awards and settlement of vested restricted stock units are issued out of treasury shares. Abbott generally issues new shares for exercises of stock options. As a policy, Abbott does not purchase its shares relating to its share-based programs. In April 2017, Abbott’s shareholders authorized the 2017 Incentive Stock Program under which a maximum of 170 million shares were available for issuance. At December 31, 2022, approximately 87 million shares remained available for future issuance. The following table summarizes stock option activity for the year ended December 31, 2022 and the outstanding stock options as of December 31, 2022. (intrinsic values in millions) Options Weighted Weighted Aggregate Outstanding at December 31, 2021 27,199,851 $ 65.16 5.7 $ 2,056 Granted 2,634,647 117.54 Exercised (1,520,074) 53.06 Lapsed (26,378) 110.72 Outstanding at December 31, 2022 28,288,046 $ 70.64 5.3 $ 1,167 Exercisable at December 31, 2022 22,553,089 $ 59.87 4.5 $ 1,139 The following table summarizes restricted stock awards and units activity for the year ended December 31, 2022. Share Units Weighted Outstanding at December 31, 2021 10,558,525 $ 102.40 Granted 6,001,920 117.34 Vested (5,456,368) 94.20 Forfeited (703,749) 113.18 Outstanding at December 31, 2022 10,400,328 $ 114.59 The fair market value of restricted stock awards and units vested in 2022, 2021 and 2020 was $639 million, $809 million and $631 million, respectively. The total intrinsic value of options exercised in 2022, 2021 and 2020 was $85 million, $393 million and $279 million, respectively. The total unrecognized compensation cost related to all share-based compensation plans at December 31, 2022 amounted to approximately $494 million, which is expected to be recognized over the next three years. Total non-cash stock compensation expense charged against income from continuing operations in 2022, 2021 and 2020 for share-based plans totaled approximately $685 million, $640 million and $546 million, respectively, and the tax benefit recognized was approximately $170 million, $267 million and $200 million, respectively. Stock compensation cost capitalized as part of inventory is not significant. The table below summarizes the fair value of an option granted in 2022, 2021 and 2020 and the assumptions included in the Black-Scholes option-pricing model used to estimate the fair value: 2022 2021 2020 Fair value $ 25.26 $ 24.17 $ 14.39 Risk-free interest rate 1.9 % 0.8 % 1.3 % Average life of options (years) 6.0 6.0 6.0 Volatility 23.8 % 23.8 % 19.4 % Dividend yield 1.6 % 1.5 % 1.6 % The risk-free interest rate is based on the rates available at the time of the grant for zero-coupon U.S. government issues with a remaining term equal to the option’s expected life. The average life of an option is based on both historical and projected exercise and lapsing data. Expected volatility is based on implied volatilities from traded options on Abbott’s stock and historical volatility of Abbott’s stock over the expected life of the option. Dividend yield is based on the option’s exercise price and annual dividend rate at the time of grant. |
Debt and Lines of Credit
Debt and Lines of Credit | 12 Months Ended |
Dec. 31, 2022 | |
Debt Disclosure [Abstract] | |
Debt and Lines of Credit | Debt and Lines of Credit The following is a summary of long-term debt at December 31: (in millions) 2022 2021 2.55% Notes, due 2022 $ — $ 750 0.875% Notes, due 2023 1,215 1,294 3.40% Notes, due 2023 1,050 1,050 5-year term loan due 2024 446 521 0.10% Notes, due 2024 629 670 3.875% Notes, due 2025 500 500 2.95% Notes, due 2025 1,000 1,000 1.50% Notes, due 2026 1,215 1,294 3.75% Notes, due 2026 1,700 1,700 0.375% Notes, due 2027 629 670 1.15% Notes, due 2028 650 650 1.40% Notes, due 2030 650 650 4.75% Notes, due 2036 1,650 1,650 6.15% Notes, due 2037 547 547 6.00% Notes, due 2039 515 515 5.30% Notes, due 2040 694 694 4.75% Notes, due 2043 700 700 4.90% Notes, due 2046 3,250 3,250 Unamortized debt issuance costs (71) (78) Other, including fair value adjustments relating to interest rate hedge contracts designated as fair value hedges (196) 23 Total carrying amount of long-term debt 16,773 18,050 Less: Current portion 2,251 754 Total long-term portion $ 14,522 $ 17,296 On March 15, 2022, Abbott repaid the $750 million outstanding principal amount of its 2.55% Notes upon maturity. On June 24, 2020, Abbott completed the issuance of $1.3 billion aggregate principal amount of senior notes, consisting of $650 million of its 1.15% Notes due 2028 and $650 million of its 1.40% Notes due 2030. On September 28, 2020, Abbott repaid the €1.140 billion outstanding principal amount of its 0.00% Notes due 2021 upon maturity. The repayment equated to approximately $1.3 billion. Abbott has readily available financial resources, including unused lines of credit that support commercial paper borrowing arrangements and provide Abbott with the ability to borrow up to $5 billion on an unsecured basis. The lines of credit are part of a Five Year Credit Agreement (Revolving Credit Agreement) that Abbott entered into on November 12, 2020. Any borrowings under the Revolving Credit Agreement will mature and be payable on November 12, 2025, and will bear interest, at Abbott’s option, based on either a base rate or Eurodollar rate, plus an applicable margin based on Abbott’s credit ratings. In September 2019, the board of directors approved a bond redemption authorization for the early redemption of up to $5 billion of outstanding long-term debt. Of the $5 billion authorization, $2.15 billion remains available as of December 31, 2022. Principal payments required on long-term debt outstanding at December 31, 2022 are $2.3 billion in 2023, $1.1 billion in 2024, $1.5 billion in 2025, $2.9 billion in 2026, $0.6 billion in 2027 and $8.7 billion in 2028 and thereafter. |
Leases
Leases | 12 Months Ended |
Dec. 31, 2022 | |
Leases [Abstract] | |
Leases | Leases Leases where Abbott is the Lessee Abbott has entered into operating leases as the lessee for office space, manufacturing facilities, R&D laboratories, warehouses, vehicles and equipment. Finance leases are not significant. Abbott’s operating leases generally have remaining lease terms of 1 to 10 years. Some leases include options to extend beyond the original lease term, generally up to 10 years and some include options to terminate early. These options have been included in the determination of the lease liability when it is reasonably certain that the option will be exercised. For all of its asset classes, Abbott elected the practical expedient allowed under FASB ASC No. 842, “Leases” to account for each lease component (e.g., the right to use office space) and the associated non-lease components (e.g., maintenance services) as a single lease component. Abbott also elected the short-term lease accounting policy for all asset classes; therefore, Abbott is not recognizing a lease liability or right of use (ROU) asset for any lease that, at the commencement date, has a lease term of 12 months or less and does not include an option to purchase the underlying asset that Abbott is reasonably certain to exercise. As Abbott’s leases typically do not provide an implicit rate, the interest rate used to determine the present value of the payments under each lease typically reflects Abbott’s incremental borrowing rate based on information available at the lease commencement date. The following table provides information related to Abbott’s operating leases: (in millions, except weighted averages) 2022 2021 2020 Operating lease cost (a) $ 355 $ 359 $ 329 Cash paid for amounts included in the measurement of operating lease liabilities 274 287 264 ROU assets arising from entering into new operating lease obligations 263 343 396 Weighted average remaining lease term at December 31 (in years) 8 8 8 Weighted average discount rate at December 31 2.9 % 2.7 % 3.2 % ________________________________________________________ (a) Includes short-term lease expense and variable lease costs, which were immaterial in the years ended December 31, 2022, 2021 and 2020. Future minimum lease payments under non-cancellable operating leases as of December 31, 2022 were as follows: (in millions) 2023 $ 258 2024 218 2025 182 2026 151 2027 110 Thereafter 422 Total future minimum lease payments – undiscounted 1,341 Less: imputed interest (168) Present value of lease liabilities $ 1,173 The following table summarizes the amounts and location of operating lease ROU assets and lease liabilities: (in millions) December 31, 2022 December 31, 2021 Balance Sheet Caption Operating Lease - ROU Asset $ 1,116 $ 1,153 Deferred income taxes and other assets Operating Lease Liability: Current $ 230 $ 245 Other accrued liabilities Non-current 943 956 Post-employment obligations and other long-term liabilities Total Liability $ 1,173 $ 1,201 Leases where Abbott is the Lessor Certain assets, primarily diagnostics instruments, are leased to customers under contractual arrangements that typically include an operating or sales-type lease as well as performance obligations for reagents and other consumables. Sales-type leases are not significant. Contract terms vary by customer and may include options to terminate the contract or options to extend the contract. Where instruments are provided under operating lease arrangements, some portion or the entire lease revenue may be variable and subject to subsequent non-lease component (e.g., reagent) sales. The allocation of revenue between the lease and non-lease components is based on standalone selling prices. Operating lease revenue represented less than 3 percent of Abbott’s total net sales in the years ended December 31, 2022, 2021 and 2020. Assets related to operating leases are reported within Net property and equipment on the Consolidated Balance Sheet. The original cost and the net book value of such assets were $3.6 billion and $1.6 billion, respectively, as of December 31, 2022 and $3.5 billion and $1.6 billion, respectively, as of December 31, 2021. |
Leases | Leases Leases where Abbott is the Lessee Abbott has entered into operating leases as the lessee for office space, manufacturing facilities, R&D laboratories, warehouses, vehicles and equipment. Finance leases are not significant. Abbott’s operating leases generally have remaining lease terms of 1 to 10 years. Some leases include options to extend beyond the original lease term, generally up to 10 years and some include options to terminate early. These options have been included in the determination of the lease liability when it is reasonably certain that the option will be exercised. For all of its asset classes, Abbott elected the practical expedient allowed under FASB ASC No. 842, “Leases” to account for each lease component (e.g., the right to use office space) and the associated non-lease components (e.g., maintenance services) as a single lease component. Abbott also elected the short-term lease accounting policy for all asset classes; therefore, Abbott is not recognizing a lease liability or right of use (ROU) asset for any lease that, at the commencement date, has a lease term of 12 months or less and does not include an option to purchase the underlying asset that Abbott is reasonably certain to exercise. As Abbott’s leases typically do not provide an implicit rate, the interest rate used to determine the present value of the payments under each lease typically reflects Abbott’s incremental borrowing rate based on information available at the lease commencement date. The following table provides information related to Abbott’s operating leases: (in millions, except weighted averages) 2022 2021 2020 Operating lease cost (a) $ 355 $ 359 $ 329 Cash paid for amounts included in the measurement of operating lease liabilities 274 287 264 ROU assets arising from entering into new operating lease obligations 263 343 396 Weighted average remaining lease term at December 31 (in years) 8 8 8 Weighted average discount rate at December 31 2.9 % 2.7 % 3.2 % ________________________________________________________ (a) Includes short-term lease expense and variable lease costs, which were immaterial in the years ended December 31, 2022, 2021 and 2020. Future minimum lease payments under non-cancellable operating leases as of December 31, 2022 were as follows: (in millions) 2023 $ 258 2024 218 2025 182 2026 151 2027 110 Thereafter 422 Total future minimum lease payments – undiscounted 1,341 Less: imputed interest (168) Present value of lease liabilities $ 1,173 The following table summarizes the amounts and location of operating lease ROU assets and lease liabilities: (in millions) December 31, 2022 December 31, 2021 Balance Sheet Caption Operating Lease - ROU Asset $ 1,116 $ 1,153 Deferred income taxes and other assets Operating Lease Liability: Current $ 230 $ 245 Other accrued liabilities Non-current 943 956 Post-employment obligations and other long-term liabilities Total Liability $ 1,173 $ 1,201 Leases where Abbott is the Lessor Certain assets, primarily diagnostics instruments, are leased to customers under contractual arrangements that typically include an operating or sales-type lease as well as performance obligations for reagents and other consumables. Sales-type leases are not significant. Contract terms vary by customer and may include options to terminate the contract or options to extend the contract. Where instruments are provided under operating lease arrangements, some portion or the entire lease revenue may be variable and subject to subsequent non-lease component (e.g., reagent) sales. The allocation of revenue between the lease and non-lease components is based on standalone selling prices. Operating lease revenue represented less than 3 percent of Abbott’s total net sales in the years ended December 31, 2022, 2021 and 2020. Assets related to operating leases are reported within Net property and equipment on the Consolidated Balance Sheet. The original cost and the net book value of such assets were $3.6 billion and $1.6 billion, respectively, as of December 31, 2022 and $3.5 billion and $1.6 billion, respectively, as of December 31, 2021. |
Financial Instruments, Derivati
Financial Instruments, Derivatives and Fair Value Measures | 12 Months Ended |
Dec. 31, 2022 | |
Derivative Instruments and Hedging Activities Disclosure [Abstract] | |
Financial Instruments, Derivatives and Fair Value Measures | 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 $7.7 billion at December 31, 2022, and $8.6 billion at December 31, 2021, 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 December 31, 2022 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 European currencies. For intercompany and trade payables and receivables, the currency exposures are primarily the U.S. dollar and European currencies. At December 31, 2022 and 2021, Abbott held gross notional amounts of $12.0 billion and $12.2 billion, respectively, of such foreign currency forward exchange contracts. Abbott has designated a yen-denominated, 5-year term loan of approximately $446 million and $521 million as of December 31, 2022 and December 31, 2021, 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 totaling approximately $2.9 billion at December 31, 2022 and 2021, 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 December 31: Fair Value — Assets Fair Value — Liabilities (in millions) 2022 2021 Balance Sheet Caption 2022 2021 Balance Sheet Caption Interest rate swaps designated as fair value hedges: Non-current $ — $ 87 Deferred income taxes and other assets $ 136 $ — Post-employment obligations and other long-term liabilities Current — — 20 — Other accrued liabilities Foreign currency forward exchange contracts: Hedging instruments 304 222 Other prepaid expenses and receivables 96 65 Other accrued liabilities Others not designated as hedges 108 70 Other prepaid expenses and receivables 130 32 Other accrued liabilities Debt designated as a hedge of net investment in a foreign subsidiary — — n/a 446 521 Long-term debt $ 412 $ 379 $ 828 $ 618 The following table summarizes the activity for foreign currency forward exchange contracts designated as cash flow hedges, debt designated as a hedge of net investment in a foreign subsidiary and certain other derivative financial instruments, as well as the amounts and location of income (expense) and gain (loss) reclassified into income. Gain (loss) Recognized in Other Comprehensive Income (loss) Income (expense) and Gain (loss) Reclassified into Income (in millions) 2022 2021 2020 2022 2021 2020 Income Statement Caption Foreign currency forward exchange contracts designated as cash flow hedges $ 281 $ 164 $ (207) $ 234 $ (252) $ 102 Cost of products sold Debt designated as a hedge of net investment in a foreign subsidiary 75 56 (31) n/a n/a n/a n/a Interest rate swaps designated as fair value hedges n/a n/a n/a (243) (123) 162 Interest expense A gain of $70 million, a gain of $19 million and a loss of $171 million were recognized in 2022, 2021 and 2020, respectively, related to foreign currency forward exchange contracts not designated as hedges. These amounts are reported in the Consolidated Statement of Earnings on the Net foreign exchange (gain) loss line. The interest rate swaps 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 hedged debt is marked to market, offsetting the effect of marking the interest rate swaps to market. The carrying values and fair values of certain financial instruments as of December 31 are shown in the table below. 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 nonperformance by these counterparties. 2022 2021 (in millions) Carrying Value Fair Value Carrying Value Fair Value Long-term Investment Securities: Equity securities $ 558 $ 558 $ 748 $ 748 Other 208 208 68 68 Total long-term debt (16,773) (16,313) (18,050) (21,152) Foreign Currency Forward Exchange Contracts: Receivable position 412 412 292 292 (Payable) position (226) (226) (97) (97) Interest Rate Hedge Contracts: Receivable position — — 87 87 (Payable) position (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 Balances Quoted Prices in Active Markets Significant Other Observable Inputs Significant Unobservable Inputs 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 December 31, 2021: Equity securities $ 402 $ 402 $ — $ — Interest rate swap derivative financial instruments 87 — 87 — Foreign currency forward exchange contracts 292 — 292 — Total Assets $ 781 $ 402 $ 379 $ — Fair value of hedged long-term debt $ 2,926 $ — $ 2,926 $ — Foreign currency forward exchange contracts 97 — 97 — Contingent consideration related to business combinations 130 — — 130 Total Liabilities $ 3,153 $ — $ 3,023 $ 130 Contingent consideration relates to businesses acquired by Abbott. The fair value of the contingent consideration was determined based on independent appraisals at the time of acquisition, adjusted for the time value of money and other changes in fair value. The maximum amount for certain contingent consideration is not determinable as it is based on a percent of certain sales. Excluding such contingent consideration, the maximum amount that may be due under the other contingent consideration arrangements was estimated at December 31, 2022 to be approxima tely $235 million, w |
Litigation and Environmental Ma
Litigation and Environmental Matters | 12 Months Ended |
Dec. 31, 2022 | |
Commitments and Contingencies Disclosure [Abstract] | |
Litigation and Environmental Matters | 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. Abbott is involved in various claims and legal proceedings, and Abbott estimates the range of possible loss for its legal proceedings and environmental exposures to be from approximately $40 million to $50 million. The recorded accrual balance at December 31, 2022 for these proceedings and exposures was approximately $45 million. This accrual represents management’s best estimate of probable loss, as defined by FASB ASC No. 450, “Contingencies.” Within the next year, legal proceedings may occur that may result in a change in the estimated loss accrued by Abbott. While it is not feasible to predict the outcome of all such proceedings and exposures with certainty, management believes that their ultimate disposition should not have a material adverse effect on Abbott’s financial position, cash flows, or results of operations. |
Post-Employment Benefits
Post-Employment Benefits | 12 Months Ended |
Dec. 31, 2022 | |
Postemployment Benefits [Abstract] | |
Post-Employment Benefits | Post-Employment Benefits Retirement plans consist of defined benefit, defined contribution and medical and dental plans. Information for Abbott’s major defined benefit plans and post-employment medical and dental benefit plans is as follows: Defined Benefit Plans Medical and Dental (in millions) 2022 2021 2022 2021 Projected benefit obligations, January 1 $ 12,773 $ 13,129 $ 1,566 $ 1,567 Service cost — benefits earned during the year 374 391 50 56 Interest cost on projected benefit obligations 300 248 36 33 (Gains) losses, primarily changes in discount rates, plan design changes, law changes and differences between actual and estimated health care costs (3,645) (463) (437) (16) Benefits paid (368) (340) (70) (74) Other, including foreign currency translation (267) (192) (19) — Projected benefit obligations, December 31 $ 9,167 $ 12,773 $ 1,126 $ 1,566 Plan assets at fair value, January 1 $ 13,468 $ 12,018 $ 370 $ 353 Actual return (loss) on plan assets (1,856) 1,521 (33) 56 Company contributions 413 418 35 35 Benefits paid (368) (340) (70) (74) Other, including foreign currency translation (284) (149) — — Plan assets at fair value, December 31 $ 11,373 $ 13,468 $ 302 $ 370 Projected benefit obligations less (greater) than plan assets, December 31 $ 2,206 $ 695 $ (824) $ (1,196) Long-term assets $ 3,200 $ 2,270 $ — $ — Short-term liabilities (32) (31) (2) (2) Long-term liabilities (962) (1,544) (822) (1,194) Net asset (liability) $ 2,206 $ 695 $ (824) $ (1,196) Amounts Recognized in Accumulated Other Comprehensive Income (loss): Actuarial losses, net $ 1,960 $ 3,062 $ 27 $ 412 Prior service cost (credits) (6) (5) (33) (39) Total $ 1,954 $ 3,057 $ (6) $ 373 The $3.6 billion and $463 million of defined benefit plan gains in 2022 and 2021, respectively, that decreased the projected benefit obligations primarily reflect the year-over-year increases in the discount rates used to measure the obligations. The $437 million of medical and dental plan gains in 2022 that decreased the projected benefit obligations primarily reflect the year-over-year increase in the discount rates used to measure the obligations. The projected benefit obligations for non-U.S. defined benefit plans were $2.2 billion and $3.7 billion at December 31, 2022 and 2021, respectively. The accumulated benefit obligations for all defined benefit plans were $8.4 billion and $11.5 billion at December 31, 2022 and 2021, respectively. For plans where the projected benefit obligations exceeded plan assets at December 31, 2022 and 2021, the projected benefit obligations and the aggregate plan assets were as follows: (in millions) 2022 2021 Projected benefit obligation $ 1,270 $ 2,632 Fair value of plan assets 276 1,057 For plans where the accumulated benefit obligations exceeded plan assets at December 31, 2022 and 2021, the aggregate accumulated benefit obligations, the projected benefit obligations and the aggregate plan assets were as follows: (in millions) 2022 2021 Accumulated benefit obligation $ 1,044 $ 1,406 Projected benefit obligation 1,134 1,554 Fair value of plan assets 141 136 The components of the net periodic benefit cost were as follows: Defined Benefit Plans Medical and (in millions) 2022 2021 2020 2022 2021 2020 Service cost — benefits earned during the year $ 374 $ 391 $ 336 $ 50 $ 56 $ 46 Interest cost on projected benefit obligations 300 248 300 36 33 42 Expected return on plans’ assets (931) (843) (770) (30) (27) (28) Amortization of actuarial losses 231 317 255 11 29 21 Amortization of prior service cost (credits) 1 1 1 (24) (28) (28) Total net cost $ (25) $ 114 $ 122 $ 43 $ 63 $ 53 Other comprehensive income (loss) for each respective year includes the amortization of actuarial losses and prior service costs (credits) as noted in the previous table. Other comprehensive income (loss) for each respective year also includes: net actuarial gains of $858 million for defined benefit plans and a gain of $374 million for medical and dental plans in 2022; net actuarial gains of $1.141 billion for defined benefit plans and a gain o f $45 million for medical and dental plans in 2021 , and net actuarial losses of $611 million for defined benefit plans and a gain of $23 million for medical and dental plans in 2020. The net actuarial gains in 2022 are primarily due to the year-over-year increase in discount rates partially offset by the impact of 2022 actual asset returns being less than expected returns. The net actuarial gains in 2021 are primarily due to the favorable impact of actual 2021 asset returns in excess of expected returns and the year-over-year increase in discount rates. The net actuarial losses in 2020 are primarily due to the year-over-year decline in discount rates, partially offset by the impact of actual asset returns in excess of expected returns. The weighted average assumptions used to determine benefit obligations for defined benefit plans and medical and dental plans are as follows: 2022 2021 2020 Discount rate 5.0 % 2.7 % 2.3 % Expected aggregate average long-term change in compensation 4.5 % 4.3 % 4.3 % The weighted average assumptions used to determine the net cost for defined benefit plans and medical and dental plans are as follows: 2022 2021 2020 Discount rate 2.7 % 2.3 % 3.0 % Expected return on plan assets 7.5 % 7.5 % 7.5 % Expected aggregate average long-term change in compensation 4.4 % 4.3 % 4.3 % The assumed health care cost trend rates for medical and dental plans at December 31 were as follows: 2022 2021 2020 Health care cost trend rate assumed for the next year 7 % 7 % 8 % Rate that the cost trend rate gradually declines to 5 % 5 % 5 % Year that rate reaches the assumed ultimate rate 2027 2026 2025 The discount rates used to measure liabilities were determined based on high-quality fixed income securities that match the duration of the expected retiree benefits. The health care cost trend rates represent Abbott’s expected annual rates of change in the cost of health care benefits and are forward projections of health care costs as of the measurement date. The following table summarizes the bases used to measure the defined benefit and medical and dental plan assets at fair value: Basis of Fair Value Measurement (in millions) Outstanding Balances Quoted Prices in Active Markets Significant Other Observable Inputs Significant Unobservable Inputs Measured at NAV (j) December 31, 2022 Equities: U.S. large cap (a) $ 2,866 $ 1,840 $ — $ — $ 1,026 U.S. mid and small cap (b) 693 684 — 1 8 International (c) 2,401 454 — — 1,947 Fixed income securities: U.S. government securities (d) 362 5 341 — 16 Corporate debt instruments (e) 1,318 123 890 — 305 Non-U.S. government securities (f) 419 16 — — 403 Other (g) 775 297 75 — 403 Absolute return funds (h) 1,678 304 — — 1,374 Cash and Cash Equivalents 154 20 — — 134 Other (i) 1,009 7 — — 1,002 $ 11,675 $ 3,750 $ 1,306 $ 1 $ 6,618 December 31, 2021 Equities: U.S. large cap (a) $ 3,664 $ 2,403 $ — $ — $ 1,261 U.S. mid and small cap (b) 936 876 — 4 56 International (c) 2,902 591 — — 2,311 Fixed income securities: U.S. government securities (d) 366 21 325 — 20 Corporate debt instruments (e) 1,709 434 1,260 — 15 Non-U.S. government securities (f) 626 33 1 — 592 Other (g) 510 87 111 — 312 Absolute return funds (h) 1,934 476 — — 1,458 Cash and Cash Equivalents 266 35 — — 231 Other (i) 925 2 — — 923 $ 13,838 $ 4,958 $ 1,697 $ 4 $ 7,179 ________________________________________________________ (a) A mix of index funds and actively managed equity accounts that are benchmarked to various large cap indices. (b) A mix of index funds and actively managed equity accounts that are benchmarked to various mid and small cap indices. (c) A mix of index funds and actively managed pooled investment funds that are benchmarked to various non-U.S. equity indices in both developed and emerging markets. (d) A mix of index funds and actively managed accounts that are benchmarked to various U.S. government bond indices. (e) A mix of index funds and actively managed accounts that are benchmarked to various corporate bond indices. (f) Primarily United Kingdom, Canada, Japan and Eurozone government bonds. (g) Primarily asset backed securities, bank loans, interest rate swap positions and diversified fixed income vehicles benchmarked to LIBOR, SOFR or EURIBOR. (h) Primarily hedge funds and funds invested by managers that have a global mandate with the flexibility to allocate capital broadly across a wide range of asset classes and strategies including, but not limited to equities, fixed income, commodities, interest rate futures, currencies and other securities to outperform an agreed upon benchmark with specific return and volatility targets. (i) Primarily investments in private funds, such as private equity, private credit, private real estate and private energy funds. (j) Investments measured at fair value using the net asset value (NAV) practical expedient have not been classified in the fair value hierarchy. The fair value amounts presented in this table are intended to permit reconciliation of the fair value hierarchy to the amounts presented in the consolidated balance sheet. Equities that are valued using quoted prices are valued at the published market prices. Equities in a common collective trust or a registered investment company are valued at the NAV provided by the fund administrator. The NAV is based on the value of the underlying assets owned by the fund minus its liabilities. For approximately half of these funds, investments may be redeemed once per week or month, with a required 2 to 30 day notice period. For the remaining funds, daily redemption of an investment is allowed. Fixed income securities that are valued using significant other observable inputs are valued at prices obtained from independent financial service industry recognized vendors. Abbott did not have any unfunded commitments related to fixed income funds at December 31, 2022 and 2021. Fixed income securities in a common collective trust or a registered investment company are valued at the NAV provided by the fund administrator. For the majority of these funds, investments may be redeemed either weekly or monthly, with a required 2 to 60 day notice period. For the remaining funds, investments may be generally redeemed daily. Absolute return funds are valued at the NAV provided by the fund administrator. All private funds are valued at the NAV provided by the fund on a one-quarter lag adjusted for known cash flows and significant events through the reporting date. Abbott did not have any unfunded commitments related to absolute return funds at December 31, 2022 and 2021. Investments in these funds may be generally redeemed monthly or quarterly with required notice periods ranging from 45 to 90 days. For approximately $270 million and $290 million of the absolute return funds, redemptions are subject to a 33 percent gate and a 25 percent gate, respectively, and $70 million is subject to a lock u ntil 2025. Investments in the private funds cannot be redeemed but the funds will make distributions through liquidation. The estimate of the liquidation period for each fund ranges from 2023 to 2032. Abbott’s unfunded commitment in these funds was $569 million and $585 million as of December 31, 2022 and 2021, respectively. The investment mix of equity securities, fixed income and other asset allocation strategies is based upon achieving a desired return, as well as balancing higher return, more volatile equity securities with lower return, less volatile fixed income securities. Investment allocations are made across a range of markets, industry sectors, capitalization sizes, and in the case of fixed income securities, maturities and credit quality. The plans do not directly hold any securities of Abbott. There are no known significant concentrations of risk in the plans’ assets. Abbott’s medical and dental plans’ assets are invested in a similar mix as the pension plan assets. The actual asset allocation percentages at year end are consistent with the company’s targeted asset allocation percentages. The plans’ expected return on assets, as shown above, is based on management’s expectations of long-term average rates of return to be achieved by the underlying investment portfolios. In establishing this assumption, management considers historical and expected returns for the asset classes in which the plans are invested, as well as current economic and capital market conditions. Abbott funds its domestic pension plans according to IRS funding limitations. International pension plans are funded according to similar regulations. Abbott funded $413 million in 2022 and $418 million in 2021 to defined pension plans. Abbott expects to contribute approximately $407 million to its pension plans in 2023. Total benefit payments expected to be paid to participants, which includes payments funded from company assets, as well as paid from the plans, are as follows: (in millions) Defined Medical and 2023 $ 368 $ 67 2024 387 68 2025 406 69 2026 427 71 2027 449 74 2028 to 2032 2,593 409 The Abbott Stock Retirement Plan is the principal defined contribution plan. Abbott’s contributions to this plan were $190 million in 2022, $181 million in 2021 and $164 million in 2020. |
Taxes on Earnings from Continui
Taxes on Earnings from Continuing Operations | 12 Months Ended |
Dec. 31, 2022 | |
Income Tax Disclosure [Abstract] | |
Taxes on Earnings from Continuing Operations | Taxes on Earnings from Continuing Operations Taxes on earnings from continuing operations reflect the annual effective rates, including charges for interest and penalties. Deferred income taxes reflect the tax consequences on future years of differences between the tax bases of assets and liabilities and their financial reporting amounts. In 2022, taxes on earnings from continuing operations include approximately $43 million in excess tax benefits associated with share-based compensation and approximately $20 million of net tax expense as a result of the resolution of various tax positions related to prior years. In 2021, taxes on earnings from continuing operations include approximately $145 million in excess tax benefits associated with share-based compensation and approximately $55 million of net tax benefits as a result of the resolution of various tax positions related to prior years. In 2020, taxes on earnings from continuing operations include the recognition of approximately $170 million of tax benefits associated with the impairment of certain assets, approximately $140 million of net tax benefits as a result of the resolution of various tax positions related to prior years, and approximately $100 million in excess tax benefits associated with share-based compensation. In 2020, taxes on earnings from continuing operations also include a $26 million increase to the transition tax liability associated with the 2017 TCJA. The $26 million increase to the transition tax liability was the result of the resolution of various tax positions related to prior years. This adjustment increased the cumulative net tax expense related to the TCJA to $1.53 billion. The one-time transition tax is based on Abbott’s total post-1986 earnings and profits (E&P) that were previously deferred from U.S. income taxes. The tax computation also requires the determination of the amount of post-1986 E&P considered held in cash and other specified assets. As of December 31, 2022, the remaining balance of Abbott’s transition tax obligation is approximately $739 million, which will be paid over the next 4 years as allowed by the TCJA. Earnings from discontinued operations, net of tax, in 2020 reflect the recognition of $24 million of net tax benefits primarily as a result of the resolution of various tax positions related to prior years. Undistributed foreign earnings remain indefinitely reinvested in foreign operations. Determining the amount of unrecognized deferred tax liability related to any remaining undistributed foreign earnings not subject to the transition tax and additional outside basis difference in its foreign entities is not practicable. In the U.S., Abbott’s federal income tax returns through 2016 are settled. There are numerous other income tax jurisdictions for which tax returns are not yet settled, none of which are individually significant. Reserves for interest and penalties are not significant. Earnings from continuing operations before taxes, and the related provisions for taxes on earnings from continuing operations, were as follows: (in millions) 2022 2021 2020 Earnings From Continuing Operations Before Taxes: Domestic $ 3,732 $ 3,264 $ 1,588 Foreign 4,574 4,947 3,380 Total $ 8,306 $ 8,211 $ 4,968 (in millions) 2022 2021 2020 Taxes on Earnings From Continuing Operations: Current: Domestic $ 1,309 $ 859 $ 39 Foreign 723 790 566 Total current 2,032 1,649 605 Deferred: Domestic (610) (355) (18) Foreign (49) (154) (90) Total deferred (659) (509) (108) Total $ 1,373 $ 1,140 $ 497 Differences between the effective income tax rate and the U.S. statutory tax rate were as follows: 2022 2021 2020 Statutory tax rate on earnings from continuing operations 21.0 % 21.0 % 21.0 % Impact of foreign operations (2.5) (3.9) (3.3) Impact of TCJA and other related items — — 0.5 Foreign-derived intangible income benefit (2.0) (1.1) (1.0) Domestic impairment loss — (0.1) (2.7) Excess tax benefits related to stock compensation (0.5) (1.7) (1.9) Research tax credit (0.9) (0.6) (1.0) Resolution of certain tax positions pertaining to prior years 0.2 (0.7) (2.8) Intercompany restructurings and integration — 0.1 0.5 State taxes, net of federal benefit 0.7 0.4 0.5 All other, net 0.5 0.5 0.2 Effective tax rate on earnings from continuing operations 16.5 % 13.9 % 10.0 % Impact of foreign operations is primarily derived from operations in Puerto Rico, Switzerland, Ireland, the Netherlands, Costa Rica, Singapore, and Malta. The tax effect of the differences that give rise to deferred tax assets and liabilities were as follows: (in millions) 2022 2021 Deferred tax assets: Compensation and employee benefits $ 230 $ 618 Other, primarily reserves not currently deductible, and NOL’s and credit carryforwards 2,402 2,444 Trade receivable reserves 227 206 Research and development costs 319 — Inventory reserves 187 169 Lease liabilities 263 273 Deferred intercompany profit 260 261 Total deferred tax assets before valuation allowance 3,888 3,971 Valuation allowance (1,169) (1,199) Total deferred tax assets 2,719 2,772 Deferred tax liabilities: Depreciation (376) (330) Right of Use lease assets (252) (264) Other, primarily the excess of book basis over tax basis of intangible assets (2,038) (2,364) Total deferred tax liabilities (2,666) (2,958) Total net deferred tax assets (liabilities) $ 53 $ (186) Abbott has incurred losses in a foreign jurisdiction where realization of the future economic benefit is so remote that the benefit is not reflected as a deferred tax asset. The following table summarizes the gross amounts of unrecognized tax benefits without regard to reduction in tax liabilities or additions to deferred tax assets and liabilities if such unrecognized tax benefits were settled: (in millions) 2022 2021 January 1 $ 1,908 $ 1,210 Increase due to current year tax positions 154 143 Increase due to prior year tax positions 108 748 Decrease due to prior year tax positions (115) (119) Settlements 3 (35) Lapse of statute (22) (39) December 31 $ 2,036 $ 1,908 The 2021 increase due to prior year tax positions includes approximately $714 million of international tax positions for which a deferred tax asset has not been recorded because recognition of the future benefit is not expected. The total amount of unrecognized tax benefits that, if recognized, would impact the effective tax rate is approximately $1.28 billion. Abbott believes that it is reasonably possible that the recorded amount of gross unrecognized tax benefits may decrease by approximately $315 million, including cash adjustments, within the next twelve months as a result of concluding various domestic and international tax matters. |
Segment and Geographic Area Inf
Segment and Geographic Area Information | 12 Months Ended |
Dec. 31, 2022 | |
Segment Reporting [Abstract] | |
Segment and Geographic Area Information | Segment and Geographic Area 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. 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 are not presented in accordance with generally accepted accounting principles applied to the consolidated financial statements. Net Sales to External Customers (a) Operating Earnings (a) (in millions) 2022 2021 2020 2022 2021 2020 Established Pharmaceutical Products $ 4,912 $ 4,718 $ 4,303 $ 1,049 $ 889 $ 794 Nutritional Products 7,459 8,294 7,647 706 1,763 1,751 Diagnostic Products 16,584 15,644 10,805 6,667 6,256 3,725 Medical Devices 14,687 14,367 11,787 4,409 4,514 3,038 Total Reportable Segments 43,642 43,023 34,542 $ 12,831 $ 13,422 $ 9,308 Other 11 52 66 Total $ 43,653 $ 43,075 $ 34,608 ________________________________________________________ (a) In 2022 and 2020, the impact of foreign exchange unfavorably impacted net sales and operating earnings. In 2021, the impact of foreign exchange favorably impacted net sales and unfavorably impacted operating earnings. (in millions) 2022 2021 2020 Total Reportable Segment Operating Earnings $ 12,831 $ 13,422 $ 9,308 Corporate functions and benefit plan costs (509) (801) (518) Net interest expense (375) (490) (500) Share-based compensation (685) (640) (546) Amortization of intangible assets (2,013) (2,047) (2,132) Other, net (b) (943) (1,233) (644) Earnings from Continuing Operations Before Taxes $ 8,306 $ 8,211 $ 4,968 ________________________________________________________ (b) Other, net in 2022 includes $176 million of charges related to a voluntary recall within the Nutritional Products segment and $111 million of charges related to the impairment of IPR&D intangible assets. Other, net also includes integration costs associated with the acquisitions of Alere Inc. and St. Jude Medical and restructuring charges in 2022, 2021 and 2020. Charges for restructuring actions and other cost reduction initiatives were approximately $265 million in 2022, $375 million in 2021 and $125 million in 2020. Other, net in 2021 also includes costs related to certain litigation. Other, net in 2020 also includes costs related to asset impairments partially offset by income from the settlement of litigation. Depreciation Additions to Total Assets (in millions) 2022 2021 2020 2022 2021 2020 2022 2021 2020 Established Pharmaceuticals $ 97 $ 94 $ 88 $ 175 $ 169 $ 109 $ 2,883 $ 2,789 $ 2,888 Nutritionals 155 151 143 251 174 201 3,625 3,425 3,478 Diagnostics 494 760 488 832 980 1,263 7,985 7,699 7,696 Medical Devices 311 285 281 335 348 402 7,844 7,261 6,893 Total Reportable Segments 1,057 1,290 1,000 1,593 1,671 1,975 $ 22,337 $ 21,174 $ 20,955 Other 197 201 195 182 201 218 Total $ 1,254 $ 1,491 $ 1,195 $ 1,775 $ 1,872 $ 2,193 (in millions) 2022 2021 Total Reportable Segment Assets $ 22,337 $ 21,174 Cash and investments 10,936 11,065 Goodwill and intangible assets 33,253 35,970 All other (c) 7,912 6,987 Total Assets $ 74,438 $ 75,196 ________________________________________________________ (c) All other includes the long-term assets associated with the defined benefit plans of $3.20 billion in 2022 and $2.27 billion in 2021. Net Sales to External (in millions) 2022 2021 2020 United States $ 18,142 $ 16,642 $ 13,022 Germany 2,340 2,572 2,108 China 2,133 2,392 1,965 Japan 1,932 1,695 1,386 India 1,649 1,561 1,323 Switzerland 1,336 1,313 1,140 Canada 1,280 1,385 841 All Other Countries 14,841 15,515 12,823 Consolidated $ 43,653 $ 43,075 $ 34,608 ________________________________________________________ (d) Sales by country are based on the country that sold the product. |
Subsequent Event
Subsequent Event | 12 Months Ended |
Dec. 31, 2022 | |
Subsequent Events [Abstract] | |
Subsequent Event | Subsequent EventOn February 8, 2023, Abbott entered into a definitive agreement to acquire Cardiovascular Systems, Inc. (CSI). CSI sells an atherectomy system used in treating peripheral and coronary artery disease. The acquisition, which is expected to add complementary technologies to Abbott’s portfolio of vascular device offerings, is subject to the approval of CSI shareholders and the satisfaction of customary closing conditions, including applicable regulatory approvals. Under the terms of the agreement, Abbott will pay $20 per common share at a total expected equity value of approximately $890 million. The acquisition is expected to be funded with cash on hand. |
Schedule II Valuation and Quali
Schedule II Valuation and Qualifying Accounts | 12 Months Ended |
Dec. 31, 2022 | |
SEC Schedule, 12-09, Valuation and Qualifying Accounts [Abstract] | |
Schedule II Valuation and Qualifying Accounts | ABBOTT LABORATORIES AND SUBSIDIARIES SCHEDULE II VALUATION AND QUALIFYING ACCOUNTS FOR THE YEARS ENDED DECEMBER 31, 2022, 2021 AND 2020 (in millions) Allowances for Doubtful Balance Provisions/ Amounts Balance at 2022 $ 519 $ 122 $ (141) $ 500 2021 460 145 (86) 519 2020 384 187 (111) 460 |
Summary of Significant Accoun_2
Summary of Significant Accounting Policies (Policies) | 12 Months Ended |
Dec. 31, 2022 | |
Accounting Policies [Abstract] | |
NATURE OF BUSINESS | NATURE OF BUSINESS — Abbott’s principal business is the discovery, development, manufacture and sale of a broad line of health care products. |
BASIS OF CONSOLIDATION | BASIS OF CONSOLIDATION — The consolidated financial statements include the accounts of the parent company and subsidiaries, after elimination of intercompany transactions. |
USE OF ESTIMATES | USE OF ESTIMATES — The consolidated financial statements have been prepared in accordance with generally accepted accounting principles in the United States and necessarily include amounts based on estimates and assumptions by management. Actual results could differ from those amounts. Significant estimates include amounts for sales rebates, income taxes, pension and other post-employment benefits, valuation of intangible assets, litigation, derivative financial instruments, and inventory and accounts receivable exposures. |
FOREIGN CURRENCY TRANSLATION | FOREIGN CURRENCY TRANSLATION — The statements of earnings of foreign subsidiaries whose functional currencies are other than the U.S. dollar are translated into U.S. dollars using average exchange rates for the period. The net assets of foreign subsidiaries whose functional currencies are other than the U.S. dollar are translated into U.S. dollars using exchange rates as of the balance sheet date. The U.S. dollar effects that arise from translating the net assets of these subsidiaries at changing rates are recorded in the foreign currency translation adjustment account, which is included in equity as a component of Accumulated other comprehensive income (loss). Transaction gains and losses are recorded on the Net foreign exchange (gain) loss line of the Consolidated Statement of Earnings. |
REVENUE RECOGNITION | REVENUE RECOGNITION — Revenue from product sales is recognized upon the transfer of control, which is generally upon shipment or delivery, depending on the delivery terms set forth in the customer contract. Provisions for discounts, rebates and sales incentives to customers, and returns and other adjustments are provided for in the period the related sales are recorded. Sales incentives to customers are not material. Historical data is readily available and reliable, and is used for estimating the amount of the reduction in gross sales. Revenue from the launch of a new product, from an improved version of an existing product, or for shipments in excess of a customer’s normal requirements are recorded when the conditions noted above are met. In those situations, management records a returns reserve for such revenue, if necessary. In certain of Abbott’s businesses, primarily within diagnostics, Abbott participates in selling arrangements that include multiple performance obligations (e.g., instruments, reagents, procedures, and service agreements). The total transaction price of the contract is allocated to each performance obligation in an amount based on the estimated relative standalone selling prices of the promised goods or services underlying each performance obligation. Sales of product rights for marketable products are recorded as revenue upon disposition of the rights. |
INCOME TAXES | INCOME TAXES — Deferred income taxes are provided for the tax effect of differences between the tax bases of assets and liabilities and their reported amounts in the financial statements at the enacted statutory rate to be in effect when the taxes are paid. No additional income taxes have been provided for any remaining undistributed foreign earnings not subject to the transition tax related to the U.S. Tax Cuts and Jobs Act (TCJA), or any additional outside basis differences that exist, as these amounts continue to be indefinitely reinvested in foreign operations. Effective for fiscal years beginning after December 31, 2017, the TCJA subjects taxpayers to tax on global intangible low-taxed income (GILTI) earned by certain foreign subsidiaries. Abbott treats the GILTI tax as a period expense and provides for the tax in the year that the tax is incurred. Interest and penalties on income tax obligations are included in taxes on earnings. |
EARNINGS PER SHARE | EARNINGS PER SHARE — Unvested restricted stock units and awards 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. Earnings from Continuing Operations allocated to common shares in 2022, 2021 and 2020 were $6.905 billion, $7.042 billion and $4.449 billion, respectively. Net earnings allocated to common shares in 2022, 2021 and 2020 were $6.905 billion, $7.042 billion and $4.473 billion, respectively. |
PENSION AND POST-EMPLOYMENT BENEFITS | PENSION AND POST-EMPLOYMENT BENEFITS — Abbott accrues for the actuarially determined cost of pension and post-employment benefits over the service attribution periods of the employees. Abbott must develop long-term assumptions, the most significant of which are the health care cost trend rates, discount rates and the expected return on plan assets. Differences between the expected long-term return on plan assets and the actual return are amortized over a five-year period. Actuarial losses and gains are amortized over the remaining service attribution periods of the employees under the corridor method. |
FAIR VALUE MEASUREMENTS | FAIR VALUE MEASUREMENTS — For assets and liabilities that are measured using quoted prices in active markets, total fair value is the published market price per unit multiplied by the number of units held without consideration of transaction costs. Assets and liabilities that are measured using significant other observable inputs are valued by reference to similar assets or liabilities, adjusted for contract restrictions and other terms specific to that asset or liability. For these items, a significant portion of fair value is derived by reference to quoted prices of similar assets or liabilities in active markets. For all remaining assets and liabilities, fair value is derived using a fair value model, such as a discounted cash flow model or Black-Scholes model. Purchased intangible assets are recorded at fair value. The fair value of significant purchased intangible assets is based on independent appraisals. Abbott uses a discounted cash flow model to value intangible assets. The discounted cash flow model requires assumptions about the timing and amount of future net cash flows, risk, the cost of capital, terminal values and market participants. Intangible assets are reviewed for impairment on a quarterly basis. Goodwill and indefinite-lived intangible assets are tested for impairment at least annually. |
SHARE-BASED COMPENSATION | SHARE-BASED COMPENSATION — The fair value of stock options and restricted stock awards and units are amortized over their requisite service period, which could be shorter than the vesting period if an employee is retirement eligible, with a charge to compensation expense. |
LITIGATION | LITIGATION — Abbott accounts for litigation losses in accordance with Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) No. 450, “Contingencies.” Under ASC No. 450, loss contingency provisions are recorded for probable losses at management’s best estimate of a loss, or when a best estimate cannot be made, a minimum loss contingency amount is recorded. Legal fees are recorded as incurred. |
CASH, CASH EQUIVALENTS AND INVESTMENTS | CASH, CASH EQUIVALENTS AND INVESTMENTS — Cash equivalents consist of bank time deposits, U.S. government securities, money market funds and U.S. treasury bills with original maturities of three months or less. Abbott holds certain investments with a carrying value of $169 million that are accounted for under the equity method of accounting. Investments held in a rabbi trust and investments in publicly traded equity securities are recorded at fair value and changes in fair value are recorded in earnings. Investments in equity securities that are not traded on public stock exchanges are recorded at cost minus impairment, if any, plus or minus changes resulting from observable price changes in orderly transactions for identical or similar investments of the same issuer. |
TRADE RECEIVABLE VALUATIONS | TRADE RECEIVABLE VALUATIONS — Accounts receivable are stated at the net amount expected to be collected. 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. Accounts receivable are charged off after all reasonable means to collect the full amount (including litigation, where appropriate) have been exhausted. |
INVENTORIES | INVENTORIES — Inventories are stated at the lower of cost (first-in, first-out basis) or net realizable value. Cost includes material and conversion costs. |
PROPERTY AND EQUIPMENT | PROPERTY AND EQUIPMENT — Depreciation and amortization are provided on a straight-line basis over the estimated useful lives of the assets. The following table shows estimated useful lives of property and equipment: Classification Estimated Useful Lives Buildings 10 to 50 years Equipment 2 to 20 years |
PRODUCT LIABILITY | PRODUCT LIABILITY — Abbott accrues for product liability claims when it is probable that a liability has been incurred and the amount of the liability can be reasonably estimated based on existing information. The liabilities are adjusted quarterly as additional information becomes available. Product liability losses are self-insured. |
RESEARCH AND DEVELOPMENT COSTS | RESEARCH AND DEVELOPMENT COSTS — Internal research and development costs are expensed as incurred. Clinical trial costs incurred by third parties are expensed as the contracted work is performed. Where contingent milestone payments are due to third parties under research and development arrangements, the milestone payment obligations are expensed when the milestone results are achieved. |
ACQUIRED IN-PROCESS AND COLLABORATIONS RESEARCH AND DEVELOPMENT (IPR&D) | ACQUIRED IN-PROCESS AND COLLABORATIONS RESEARCH AND DEVELOPMENT (IPR&D) — The initial costs of rights to IPR&D projects obtained in an asset acquisition are expensed as IPR&D unless the project has an alternative future use. These costs include initial payments incurred prior to regulatory approval in connection with research and development collaboration agreements that provide rights to develop, manufacture, market and/or sell pharmaceutical or medical device products. The fair value of IPR&D projects acquired in a business combination are capitalized and accounted for as indefinite-lived intangible assets until completed and are then amortized over the remaining useful life. Collaborations are not significant. |
CONCENTRATION OF RISK AND GUARANTEES | CONCENTRATION OF RISK AND GUARANTEES — Due to the nature of its operations, Abbott is not subject to significant concentration risks relating to customers, products or geographic locations. Product warranties are not significant. Abbott has no material exposures to off-balance sheet arrangements; no special purpose entities; nor activities that include non-exchange-traded contracts accounted for at fair value. Abbott periodically acquires a business or product rights in which Abbott agrees to pay contingent consideration based on attaining certain thresholds or based on the occurrence of certain events. |
Recently Adopted Accounting Standards and Recent Accounting Standards Not Yet Adopted | Recently Adopted Accounting Standards In December 2020, the FASB issued ASU 2019-12, Income Taxes (Topic 740): Simplifying the Accounting for Income Taxes , which among other things, eliminates certain exceptions in the current rules regarding the approach for intraperiod tax allocations and the methodology for calculating income taxes in an interim period, and clarifies the accounting for transactions that result in a step-up in the tax basis of goodwill. Abbott adopted the standard on January 1, 2021. The new standard did not have an impact on its consolidated financial statements. Recent Accounting Standards Not Yet Adopted In September 2022, the FASB issued ASU 2022-04, Disclosure of Supplier Finance Program Obligations , which requires an entity to report information about its supplier finance program. The standard becomes effective for Abbott in the first quarter of 2023. Abbott does not expect adoption of this new standard to have a material impact on its consolidated financial statements. |
Summary of Significant Accoun_3
Summary of Significant Accounting Policies (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Accounting Policies [Abstract] | |
Schedule of Estimated Useful Lives of Property and Equipment | The following table shows estimated useful lives of property and equipment: Classification Estimated Useful Lives Buildings 10 to 50 years Equipment 2 to 20 years |
Revenue (Tables)
Revenue (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Revenue from Contract with Customer [Abstract] | |
Summary of Revenue by Sales Category | The following tables provide detail by sales category: 2022 2021 2020 (in millions) U.S. Int’l Total U.S. Int’l Total U.S. Int’l Total Established Pharmaceutical Products — Key Emerging Markets $ — $ 3,728 $ 3,728 $ — $ 3,539 $ 3,539 $ — $ 3,209 $ 3,209 Other — 1,184 1,184 — 1,179 1,179 — 1,094 1,094 Total — 4,912 4,912 — 4,718 4,718 — 4,303 4,303 Nutritionals — Pediatric Nutritionals 1,562 1,919 3,481 2,192 2,106 4,298 1,987 2,140 4,127 Adult Nutritionals 1,357 2,621 3,978 1,364 2,632 3,996 1,292 2,228 3,520 Total 2,919 4,540 7,459 3,556 4,738 8,294 3,279 4,368 7,647 Diagnostics — Core Laboratory 1,137 3,751 4,888 1,145 3,983 5,128 1,166 3,309 4,475 Molecular 370 625 995 566 861 1,427 621 817 1,438 Point of Care 372 153 525 384 152 536 369 147 516 Rapid Diagnostics 6,767 3,409 10,176 5,034 3,519 8,553 2,618 1,758 4,376 Total 8,646 7,938 16,584 7,129 8,515 15,644 4,774 6,031 10,805 Medical Devices — Rhythm Management 1,029 1,090 2,119 1,018 1,180 2,198 903 1,011 1,914 Electrophysiology 909 1,018 1,927 778 1,129 1,907 660 918 1,578 Heart Failure 694 226 920 654 235 889 547 193 740 Vascular 864 1,619 2,483 915 1,739 2,654 853 1,486 2,339 Structural Heart 818 894 1,712 730 880 1,610 540 707 1,247 Neuromodulation 619 151 770 616 165 781 564 138 702 Diabetes Care 1,633 3,123 4,756 1,212 3,116 4,328 864 2,403 3,267 Total 6,566 8,121 14,687 5,923 8,444 14,367 4,931 6,856 11,787 Other 11 — 11 34 18 52 38 28 66 Total $ 18,142 $ 25,511 $ 43,653 $ 16,642 $ 26,433 $ 43,075 $ 13,022 $ 21,586 $ 34,608 |
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, 2020 $ 405 Unearned revenue from cash received during the period 615 Revenue recognized related to contract liability balance (500) Balance at December 31, 2021 520 Unearned revenue from cash received during the period 578 Revenue recognized related to contract liability balance (598) Balance at December 31, 2022 $ 500 |
Supplemental Financial Inform_2
Supplemental Financial Information (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Disclosure Text Block Supplement [Abstract] | |
Summary of Allowance for Doubtful Accounts Activity | The following summarizes the activity related to the allowance for doubtful accounts: (in millions) Allowance for Doubtful Accounts: Balance at December 31, 2020 $ 288 Provisions/charges to income 51 Amounts charged off and other deductions (26) Balance at December 31, 2021 313 Provisions/charges to income 6 Amounts charged off and other deductions (57) Balance at December 31, 2022 $ 262 |
Schedule of Long-term Investments | The detail of various balance sheet components is as follows: (in millions) December 31, December 31, Long-term Investments: Equity securities $ 558 $ 748 Other 208 68 Total $ 766 $ 816 |
Schedule of Other Accrued Liabilities | (in millions) December 31, December 31, Other Accrued Liabilities: Accrued rebates payable to government agencies $ 638 $ 364 Accrued other rebates (a) 1,087 1,082 All other 4,120 3,735 Total $ 5,845 $ 5,181 ________________________________________________________ (a) Accrued wholesaler chargeback rebates of $234 million and $211 million at December 31, 2022 and 2021, respectively, are netted in trade receivables because Abbott’s customers are invoiced at a higher catalog price but only remit to Abbott their contract price for the products. |
Schedule of Post-employment Obligations and Other Long-term Liabilities | (in millions) December 31, December 31, Post-employment Obligations and Other Long-term Liabilities: Defined benefit pension plans and post-employment medical and dental plans for significant plans $ 1,784 $ 2,738 Deferred income taxes 991 1,392 Operating lease liabilities 943 956 All other (b) 3,804 3,685 Total $ 7,522 $ 8,771 ________________________________________________________ (b) Includes approximately $850 million and $680 million of net unrecognized tax benefits in 2022 and 2021, respectively. |
Accumulated Other Comprehensi_2
Accumulated Other Comprehensive Income (Loss) (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Accumulated Other Comprehensive Income (Loss), Net of Tax [Abstract] | |
Schedule of Accumulated Other Comprehensive Income (Loss), Net of Taxes | The components of the changes in accumulated other comprehensive income (loss) from continuing operations, net of income taxes, are as follows: (in millions) Cumulative Net Actuarial Gains (Losses) and Prior Service Cumulative Total Balance at December 31, 2020 $ (4,859) $ (3,871) $ (216) $ (8,946) Other comprehensive income (loss) before reclassifications (980) 954 137 111 (Income) loss amounts reclassified from accumulated other comprehensive income (a) — 247 214 461 Net current period other comprehensive income (loss) (980) 1,201 351 572 Balance at December 31, 2021 (5,839) (2,670) 135 (8,374) Other comprehensive income (loss) before reclassifications (894) 1,007 199 312 (Income) loss amounts reclassified from accumulated other comprehensive income (a) — 170 (159) 11 Net current period other comprehensive income (loss) (894) 1,177 40 323 Balance at December 31, 2022 $ (6,733) $ (1,493) $ 175 $ (8,051) ________________________________________________________ (a) (Income) loss amounts reclassified from accumulated other comprehensive income related to cash flow hedges are recorded as Cost of products sold. Net actuarial losses and prior service cost is included as a component of net periodic benefit cost – see Note 13 for additional information. |
Restructuring Plans (Tables)
Restructuring Plans (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Restructuring and Related Activities [Abstract] | |
Schedule of Restructuring Reserve and Related Cost | The following summarizes the activity related to this restructuring action and the status of the related accruals as of December 31, 2022: (in millions) Inventory- Fixed Asset Other Exit Total Restructuring charges recorded in 2021 $ 248 $ 80 $ 113 $ 441 Payments — — (90) (90) Other non-cash (248) (80) — (328) Accrued balance at December 31, 2021 — — 23 23 Payments and other adjustments — — (10) (10) Accrued balance at December 31, 2022 $ — $ — $ 13 $ 13 |
Summary of Restructuring Activity | The following summarizes the activity related to these restructuring actions and the status of the related accruals as of December 31, 2022: (in millions) Restructuring charges in 2022 $ 234 Payments and other adjustments (6) Accrued balance at December 31, 2022 $ 228 The following summarizes the activity for these restructuring actions and the status of the related accruals as of December 31, 2022: (in millions) Restructuring charges recorded in 2021 $ 68 Payments and other adjustments (7) Accrued balance at December 31, 2021 61 Payments and other adjustments (46) Accrued balance at December 31, 2022 $ 15 |
Incentive Stock Programs (Table
Incentive Stock Programs (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Share-Based Payment Arrangement [Abstract] | |
Schedule of Stock Option Activity | The following table summarizes stock option activity for the year ended December 31, 2022 and the outstanding stock options as of December 31, 2022. (intrinsic values in millions) Options Weighted Weighted Aggregate Outstanding at December 31, 2021 27,199,851 $ 65.16 5.7 $ 2,056 Granted 2,634,647 117.54 Exercised (1,520,074) 53.06 Lapsed (26,378) 110.72 Outstanding at December 31, 2022 28,288,046 $ 70.64 5.3 $ 1,167 Exercisable at December 31, 2022 22,553,089 $ 59.87 4.5 $ 1,139 |
Schedule of Restricted Stock | The following table summarizes restricted stock awards and units activity for the year ended December 31, 2022. Share Units Weighted Outstanding at December 31, 2021 10,558,525 $ 102.40 Granted 6,001,920 117.34 Vested (5,456,368) 94.20 Forfeited (703,749) 113.18 Outstanding at December 31, 2022 10,400,328 $ 114.59 |
Schedule of Fair Value Assumptions | The table below summarizes the fair value of an option granted in 2022, 2021 and 2020 and the assumptions included in the Black-Scholes option-pricing model used to estimate the fair value: 2022 2021 2020 Fair value $ 25.26 $ 24.17 $ 14.39 Risk-free interest rate 1.9 % 0.8 % 1.3 % Average life of options (years) 6.0 6.0 6.0 Volatility 23.8 % 23.8 % 19.4 % Dividend yield 1.6 % 1.5 % 1.6 % |
Debt and Lines of Credit (Table
Debt and Lines of Credit (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Debt Disclosure [Abstract] | |
Schedule of Long-term Debt | The following is a summary of long-term debt at December 31: (in millions) 2022 2021 2.55% Notes, due 2022 $ — $ 750 0.875% Notes, due 2023 1,215 1,294 3.40% Notes, due 2023 1,050 1,050 5-year term loan due 2024 446 521 0.10% Notes, due 2024 629 670 3.875% Notes, due 2025 500 500 2.95% Notes, due 2025 1,000 1,000 1.50% Notes, due 2026 1,215 1,294 3.75% Notes, due 2026 1,700 1,700 0.375% Notes, due 2027 629 670 1.15% Notes, due 2028 650 650 1.40% Notes, due 2030 650 650 4.75% Notes, due 2036 1,650 1,650 6.15% Notes, due 2037 547 547 6.00% Notes, due 2039 515 515 5.30% Notes, due 2040 694 694 4.75% Notes, due 2043 700 700 4.90% Notes, due 2046 3,250 3,250 Unamortized debt issuance costs (71) (78) Other, including fair value adjustments relating to interest rate hedge contracts designated as fair value hedges (196) 23 Total carrying amount of long-term debt 16,773 18,050 Less: Current portion 2,251 754 Total long-term portion $ 14,522 $ 17,296 |
Leases (Tables)
Leases (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Leases [Abstract] | |
Summary of Operating Leases | The following table provides information related to Abbott’s operating leases: (in millions, except weighted averages) 2022 2021 2020 Operating lease cost (a) $ 355 $ 359 $ 329 Cash paid for amounts included in the measurement of operating lease liabilities 274 287 264 ROU assets arising from entering into new operating lease obligations 263 343 396 Weighted average remaining lease term at December 31 (in years) 8 8 8 Weighted average discount rate at December 31 2.9 % 2.7 % 3.2 % ________________________________________________________ (a) Includes short-term lease expense and variable lease costs, which were immaterial in the years ended December 31, 2022, 2021 and 2020. The following table summarizes the amounts and location of operating lease ROU assets and lease liabilities: (in millions) December 31, 2022 December 31, 2021 Balance Sheet Caption Operating Lease - ROU Asset $ 1,116 $ 1,153 Deferred income taxes and other assets Operating Lease Liability: Current $ 230 $ 245 Other accrued liabilities Non-current 943 956 Post-employment obligations and other long-term liabilities Total Liability $ 1,173 $ 1,201 |
Schedule of Future Minimum Lease Payments | Future minimum lease payments under non-cancellable operating leases as of December 31, 2022 were as follows: (in millions) 2023 $ 258 2024 218 2025 182 2026 151 2027 110 Thereafter 422 Total future minimum lease payments – undiscounted 1,341 Less: imputed interest (168) Present value of lease liabilities $ 1,173 |
Financial Instruments, Deriva_2
Financial Instruments, Derivatives and Fair Value Measures (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
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 December 31: Fair Value — Assets Fair Value — Liabilities (in millions) 2022 2021 Balance Sheet Caption 2022 2021 Balance Sheet Caption Interest rate swaps designated as fair value hedges: Non-current $ — $ 87 Deferred income taxes and other assets $ 136 $ — Post-employment obligations and other long-term liabilities Current — — 20 — Other accrued liabilities Foreign currency forward exchange contracts: Hedging instruments 304 222 Other prepaid expenses and receivables 96 65 Other accrued liabilities Others not designated as hedges 108 70 Other prepaid expenses and receivables 130 32 Other accrued liabilities Debt designated as a hedge of net investment in a foreign subsidiary — — n/a 446 521 Long-term debt $ 412 $ 379 $ 828 $ 618 |
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, debt designated as a hedge of net investment in a foreign subsidiary and certain other derivative financial instruments, as well as the amounts and location of income (expense) and gain (loss) reclassified into income. Gain (loss) Recognized in Other Comprehensive Income (loss) Income (expense) and Gain (loss) Reclassified into Income (in millions) 2022 2021 2020 2022 2021 2020 Income Statement Caption Foreign currency forward exchange contracts designated as cash flow hedges $ 281 $ 164 $ (207) $ 234 $ (252) $ 102 Cost of products sold Debt designated as a hedge of net investment in a foreign subsidiary 75 56 (31) n/a n/a n/a n/a Interest rate swaps designated as fair value hedges n/a n/a n/a (243) (123) 162 Interest expense |
Schedule of Carrying Values and Fair Values of Financial Instruments | The carrying values and fair values of certain financial instruments as of December 31 are shown in the table below. 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 nonperformance by these counterparties. 2022 2021 (in millions) Carrying Value Fair Value Carrying Value Fair Value Long-term Investment Securities: Equity securities $ 558 $ 558 $ 748 $ 748 Other 208 208 68 68 Total long-term debt (16,773) (16,313) (18,050) (21,152) Foreign Currency Forward Exchange Contracts: Receivable position 412 412 292 292 (Payable) position (226) (226) (97) (97) Interest Rate Hedge Contracts: Receivable position — — 87 87 (Payable) position (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 Balances Quoted Prices in Active Markets Significant Other Observable Inputs Significant Unobservable Inputs 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 December 31, 2021: Equity securities $ 402 $ 402 $ — $ — Interest rate swap derivative financial instruments 87 — 87 — Foreign currency forward exchange contracts 292 — 292 — Total Assets $ 781 $ 402 $ 379 $ — Fair value of hedged long-term debt $ 2,926 $ — $ 2,926 $ — Foreign currency forward exchange contracts 97 — 97 — Contingent consideration related to business combinations 130 — — 130 Total Liabilities $ 3,153 $ — $ 3,023 $ 130 |
Post-Employment Benefits (Table
Post-Employment Benefits (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Postemployment Benefits [Abstract] | |
Summary of Benefit Plans | Information for Abbott’s major defined benefit plans and post-employment medical and dental benefit plans is as follows: Defined Benefit Plans Medical and Dental (in millions) 2022 2021 2022 2021 Projected benefit obligations, January 1 $ 12,773 $ 13,129 $ 1,566 $ 1,567 Service cost — benefits earned during the year 374 391 50 56 Interest cost on projected benefit obligations 300 248 36 33 (Gains) losses, primarily changes in discount rates, plan design changes, law changes and differences between actual and estimated health care costs (3,645) (463) (437) (16) Benefits paid (368) (340) (70) (74) Other, including foreign currency translation (267) (192) (19) — Projected benefit obligations, December 31 $ 9,167 $ 12,773 $ 1,126 $ 1,566 Plan assets at fair value, January 1 $ 13,468 $ 12,018 $ 370 $ 353 Actual return (loss) on plan assets (1,856) 1,521 (33) 56 Company contributions 413 418 35 35 Benefits paid (368) (340) (70) (74) Other, including foreign currency translation (284) (149) — — Plan assets at fair value, December 31 $ 11,373 $ 13,468 $ 302 $ 370 Projected benefit obligations less (greater) than plan assets, December 31 $ 2,206 $ 695 $ (824) $ (1,196) Long-term assets $ 3,200 $ 2,270 $ — $ — Short-term liabilities (32) (31) (2) (2) Long-term liabilities (962) (1,544) (822) (1,194) Net asset (liability) $ 2,206 $ 695 $ (824) $ (1,196) Amounts Recognized in Accumulated Other Comprehensive Income (loss): Actuarial losses, net $ 1,960 $ 3,062 $ 27 $ 412 Prior service cost (credits) (6) (5) (33) (39) Total $ 1,954 $ 3,057 $ (6) $ 373 |
Summary of Projected Benefit Obligations and Aggregate Plan Assets for Plans Where Projected Benefit Obligations Exceed Plans Assets | For plans where the projected benefit obligations exceeded plan assets at December 31, 2022 and 2021, the projected benefit obligations and the aggregate plan assets were as follows: (in millions) 2022 2021 Projected benefit obligation $ 1,270 $ 2,632 Fair value of plan assets 276 1,057 |
Summary of Accumulated Benefit Obligations, Projected Benefit Obligations, and Plan Assets Where Accumulated Benefit Obligations Exceed Plan Assets | For plans where the accumulated benefit obligations exceeded plan assets at December 31, 2022 and 2021, the aggregate accumulated benefit obligations, the projected benefit obligations and the aggregate plan assets were as follows: (in millions) 2022 2021 Accumulated benefit obligation $ 1,044 $ 1,406 Projected benefit obligation 1,134 1,554 Fair value of plan assets 141 136 |
Schedule of Net Periodic Benefit Costs | The components of the net periodic benefit cost were as follows: Defined Benefit Plans Medical and (in millions) 2022 2021 2020 2022 2021 2020 Service cost — benefits earned during the year $ 374 $ 391 $ 336 $ 50 $ 56 $ 46 Interest cost on projected benefit obligations 300 248 300 36 33 42 Expected return on plans’ assets (931) (843) (770) (30) (27) (28) Amortization of actuarial losses 231 317 255 11 29 21 Amortization of prior service cost (credits) 1 1 1 (24) (28) (28) Total net cost $ (25) $ 114 $ 122 $ 43 $ 63 $ 53 |
Weighted Average Assumptions Used to Calculate Benefit Obligations | The weighted average assumptions used to determine benefit obligations for defined benefit plans and medical and dental plans are as follows: 2022 2021 2020 Discount rate 5.0 % 2.7 % 2.3 % Expected aggregate average long-term change in compensation 4.5 % 4.3 % 4.3 % The weighted average assumptions used to determine the net cost for defined benefit plans and medical and dental plans are as follows: 2022 2021 2020 Discount rate 2.7 % 2.3 % 3.0 % Expected return on plan assets 7.5 % 7.5 % 7.5 % Expected aggregate average long-term change in compensation 4.4 % 4.3 % 4.3 % |
Schedule of Assumed Health Care Cost Trend Rates | The assumed health care cost trend rates for medical and dental plans at December 31 were as follows: 2022 2021 2020 Health care cost trend rate assumed for the next year 7 % 7 % 8 % Rate that the cost trend rate gradually declines to 5 % 5 % 5 % Year that rate reaches the assumed ultimate rate 2027 2026 2025 |
Summary of Measurement Bases | The following table summarizes the bases used to measure the defined benefit and medical and dental plan assets at fair value: Basis of Fair Value Measurement (in millions) Outstanding Balances Quoted Prices in Active Markets Significant Other Observable Inputs Significant Unobservable Inputs Measured at NAV (j) December 31, 2022 Equities: U.S. large cap (a) $ 2,866 $ 1,840 $ — $ — $ 1,026 U.S. mid and small cap (b) 693 684 — 1 8 International (c) 2,401 454 — — 1,947 Fixed income securities: U.S. government securities (d) 362 5 341 — 16 Corporate debt instruments (e) 1,318 123 890 — 305 Non-U.S. government securities (f) 419 16 — — 403 Other (g) 775 297 75 — 403 Absolute return funds (h) 1,678 304 — — 1,374 Cash and Cash Equivalents 154 20 — — 134 Other (i) 1,009 7 — — 1,002 $ 11,675 $ 3,750 $ 1,306 $ 1 $ 6,618 December 31, 2021 Equities: U.S. large cap (a) $ 3,664 $ 2,403 $ — $ — $ 1,261 U.S. mid and small cap (b) 936 876 — 4 56 International (c) 2,902 591 — — 2,311 Fixed income securities: U.S. government securities (d) 366 21 325 — 20 Corporate debt instruments (e) 1,709 434 1,260 — 15 Non-U.S. government securities (f) 626 33 1 — 592 Other (g) 510 87 111 — 312 Absolute return funds (h) 1,934 476 — — 1,458 Cash and Cash Equivalents 266 35 — — 231 Other (i) 925 2 — — 923 $ 13,838 $ 4,958 $ 1,697 $ 4 $ 7,179 ________________________________________________________ (a) A mix of index funds and actively managed equity accounts that are benchmarked to various large cap indices. (b) A mix of index funds and actively managed equity accounts that are benchmarked to various mid and small cap indices. (c) A mix of index funds and actively managed pooled investment funds that are benchmarked to various non-U.S. equity indices in both developed and emerging markets. (d) A mix of index funds and actively managed accounts that are benchmarked to various U.S. government bond indices. (e) A mix of index funds and actively managed accounts that are benchmarked to various corporate bond indices. (f) Primarily United Kingdom, Canada, Japan and Eurozone government bonds. (g) Primarily asset backed securities, bank loans, interest rate swap positions and diversified fixed income vehicles benchmarked to LIBOR, SOFR or EURIBOR. (h) Primarily hedge funds and funds invested by managers that have a global mandate with the flexibility to allocate capital broadly across a wide range of asset classes and strategies including, but not limited to equities, fixed income, commodities, interest rate futures, currencies and other securities to outperform an agreed upon benchmark with specific return and volatility targets. (i) Primarily investments in private funds, such as private equity, private credit, private real estate and private energy funds. (j) Investments measured at fair value using the net asset value (NAV) practical expedient have not been classified in the fair value hierarchy. The fair value amounts presented in this table are intended to permit reconciliation of the fair value hierarchy to the amounts presented in the consolidated balance sheet. |
Schedule of Total Expected Benefit Payments | Total benefit payments expected to be paid to participants, which includes payments funded from company assets, as well as paid from the plans, are as follows: (in millions) Defined Medical and 2023 $ 368 $ 67 2024 387 68 2025 406 69 2026 427 71 2027 449 74 2028 to 2032 2,593 409 |
Taxes on Earnings from Contin_2
Taxes on Earnings from Continuing Operations (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Income Tax Disclosure [Abstract] | |
Schedule of Earnings from Continuing Operations Before Taxes | Earnings from continuing operations before taxes, and the related provisions for taxes on earnings from continuing operations, were as follows: (in millions) 2022 2021 2020 Earnings From Continuing Operations Before Taxes: Domestic $ 3,732 $ 3,264 $ 1,588 Foreign 4,574 4,947 3,380 Total $ 8,306 $ 8,211 $ 4,968 |
Schedule of Provisions for Taxes on Earnings from Continuing Operations | (in millions) 2022 2021 2020 Taxes on Earnings From Continuing Operations: Current: Domestic $ 1,309 $ 859 $ 39 Foreign 723 790 566 Total current 2,032 1,649 605 Deferred: Domestic (610) (355) (18) Foreign (49) (154) (90) Total deferred (659) (509) (108) Total $ 1,373 $ 1,140 $ 497 |
Schedule of Reconciliation of Income Tax Rate and U.S. Statutory Tax Rate to Income Tax Expense (Benefit) | Differences between the effective income tax rate and the U.S. statutory tax rate were as follows: 2022 2021 2020 Statutory tax rate on earnings from continuing operations 21.0 % 21.0 % 21.0 % Impact of foreign operations (2.5) (3.9) (3.3) Impact of TCJA and other related items — — 0.5 Foreign-derived intangible income benefit (2.0) (1.1) (1.0) Domestic impairment loss — (0.1) (2.7) Excess tax benefits related to stock compensation (0.5) (1.7) (1.9) Research tax credit (0.9) (0.6) (1.0) Resolution of certain tax positions pertaining to prior years 0.2 (0.7) (2.8) Intercompany restructurings and integration — 0.1 0.5 State taxes, net of federal benefit 0.7 0.4 0.5 All other, net 0.5 0.5 0.2 Effective tax rate on earnings from continuing operations 16.5 % 13.9 % 10.0 % |
Schedule of Components of Net Deferred Tax Assets and Liabilities | The tax effect of the differences that give rise to deferred tax assets and liabilities were as follows: (in millions) 2022 2021 Deferred tax assets: Compensation and employee benefits $ 230 $ 618 Other, primarily reserves not currently deductible, and NOL’s and credit carryforwards 2,402 2,444 Trade receivable reserves 227 206 Research and development costs 319 — Inventory reserves 187 169 Lease liabilities 263 273 Deferred intercompany profit 260 261 Total deferred tax assets before valuation allowance 3,888 3,971 Valuation allowance (1,169) (1,199) Total deferred tax assets 2,719 2,772 Deferred tax liabilities: Depreciation (376) (330) Right of Use lease assets (252) (264) Other, primarily the excess of book basis over tax basis of intangible assets (2,038) (2,364) Total deferred tax liabilities (2,666) (2,958) Total net deferred tax assets (liabilities) $ 53 $ (186) |
Schedule of Reconciliation of Unrecognized Tax Benefits for the Period | The following table summarizes the gross amounts of unrecognized tax benefits without regard to reduction in tax liabilities or additions to deferred tax assets and liabilities if such unrecognized tax benefits were settled: (in millions) 2022 2021 January 1 $ 1,908 $ 1,210 Increase due to current year tax positions 154 143 Increase due to prior year tax positions 108 748 Decrease due to prior year tax positions (115) (119) Settlements 3 (35) Lapse of statute (22) (39) December 31 $ 2,036 $ 1,908 |
Segment and Geographic Area I_2
Segment and Geographic Area Information (Tables) | 12 Months Ended |
Dec. 31, 2022 | |
Segment Reporting [Abstract] | |
Schedule of Net Sales and Operating Earnings by Segment | The following segment information has been prepared in accordance with the internal accounting policies of Abbott, as described above, and are not presented in accordance with generally accepted accounting principles applied to the consolidated financial statements. Net Sales to External Customers (a) Operating Earnings (a) (in millions) 2022 2021 2020 2022 2021 2020 Established Pharmaceutical Products $ 4,912 $ 4,718 $ 4,303 $ 1,049 $ 889 $ 794 Nutritional Products 7,459 8,294 7,647 706 1,763 1,751 Diagnostic Products 16,584 15,644 10,805 6,667 6,256 3,725 Medical Devices 14,687 14,367 11,787 4,409 4,514 3,038 Total Reportable Segments 43,642 43,023 34,542 $ 12,831 $ 13,422 $ 9,308 Other 11 52 66 Total $ 43,653 $ 43,075 $ 34,608 ________________________________________________________ (a) In 2022 and 2020, the impact of foreign exchange unfavorably impacted net sales and operating earnings. In 2021, the impact of foreign exchange favorably impacted net sales and unfavorably impacted operating earnings. |
Schedule of Reconciliation of Operating Earnings to Earnings From Continuing Operations | (in millions) 2022 2021 2020 Total Reportable Segment Operating Earnings $ 12,831 $ 13,422 $ 9,308 Corporate functions and benefit plan costs (509) (801) (518) Net interest expense (375) (490) (500) Share-based compensation (685) (640) (546) Amortization of intangible assets (2,013) (2,047) (2,132) Other, net (b) (943) (1,233) (644) Earnings from Continuing Operations Before Taxes $ 8,306 $ 8,211 $ 4,968 ________________________________________________________ (b) Other, net in 2022 includes $176 million of charges related to a voluntary recall within the Nutritional Products segment and $111 million of charges related to the impairment of IPR&D intangible assets. Other, net also includes integration costs associated with the acquisitions of Alere Inc. and St. Jude Medical and restructuring charges in 2022, 2021 and 2020. Charges for restructuring actions and other cost reduction initiatives were approximately $265 million in 2022, $375 million in 2021 and $125 million in 2020. Other, net in 2021 also includes costs related to certain litigation. Other, net in 2020 also includes costs related to asset impairments partially offset by income from the settlement of litigation. |
Schedule of Depreciation, Additions to Property and Equipment, and Total Assets by Segment | Depreciation Additions to Total Assets (in millions) 2022 2021 2020 2022 2021 2020 2022 2021 2020 Established Pharmaceuticals $ 97 $ 94 $ 88 $ 175 $ 169 $ 109 $ 2,883 $ 2,789 $ 2,888 Nutritionals 155 151 143 251 174 201 3,625 3,425 3,478 Diagnostics 494 760 488 832 980 1,263 7,985 7,699 7,696 Medical Devices 311 285 281 335 348 402 7,844 7,261 6,893 Total Reportable Segments 1,057 1,290 1,000 1,593 1,671 1,975 $ 22,337 $ 21,174 $ 20,955 Other 197 201 195 182 201 218 Total $ 1,254 $ 1,491 $ 1,195 $ 1,775 $ 1,872 $ 2,193 |
Schedule of Reconciliation of Segment Assets to Total Assets | (in millions) 2022 2021 Total Reportable Segment Assets $ 22,337 $ 21,174 Cash and investments 10,936 11,065 Goodwill and intangible assets 33,253 35,970 All other (c) 7,912 6,987 Total Assets $ 74,438 $ 75,196 ________________________________________________________ (c) All other includes the long-term assets associated with the defined benefit plans of $3.20 billion in 2022 and $2.27 billion in 2021. |
Schedule of Net Sales to External Customer by Geographic Areas | Net Sales to External (in millions) 2022 2021 2020 United States $ 18,142 $ 16,642 $ 13,022 Germany 2,340 2,572 2,108 China 2,133 2,392 1,965 Japan 1,932 1,695 1,386 India 1,649 1,561 1,323 Switzerland 1,336 1,313 1,140 Canada 1,280 1,385 841 All Other Countries 14,841 15,515 12,823 Consolidated $ 43,653 $ 43,075 $ 34,608 ________________________________________________________ (d) Sales by country are based on the country that sold the product. |
Summary of Significant Accoun_4
Summary of Significant Accounting Policies - Narrative (Details) - USD ($) $ in Millions | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Accounting Policies [Abstract] | |||
Earnings from continuing operations allocated to common shares | $ 6,905 | $ 7,042 | $ 4,449 |
Net earnings allocated to common shares | $ 6,905 | $ 7,042 | $ 4,473 |
Amortization period of differences between the expected long-term return on plan assets and the actual return | 5 years | ||
Equity method investments carrying value | $ 169 |
Summary of Significant Accoun_5
Summary of Significant Accounting Policies - Property and Equipment (Details) | 12 Months Ended |
Dec. 31, 2022 | |
Buildings | Minimum | |
Property, Plant and Equipment [Line Items] | |
Estimated Useful Lives | 10 years |
Buildings | Maximum | |
Property, Plant and Equipment [Line Items] | |
Estimated Useful Lives | 50 years |
Equipment | Minimum | |
Property, Plant and Equipment [Line Items] | |
Estimated Useful Lives | 2 years |
Equipment | Maximum | |
Property, Plant and Equipment [Line Items] | |
Estimated Useful Lives | 20 years |
Revenue - Narrative (Details)
Revenue - Narrative (Details) $ in Millions | 12 Months Ended | ||
Dec. 31, 2022 USD ($) segment | Dec. 31, 2021 USD ($) segment | Dec. 31, 2020 USD ($) segment | |
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items] | |||
Number of reportable segments | segment | 4 | 4 | 4 |
Sales | $ 43,653 | $ 43,075 | $ 34,608 |
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]: 2023-01-01 | |||
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]: 2025-01-01 | |||
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 | ||
Diagnostic Products | |||
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items] | |||
Remaining performance obligations | $ 4,000 | ||
Diagnostic Products | COVID-19 Testing | |||
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items] | |||
Sales | 8,400 | $ 7,700 | $ 3,900 |
Medical Devices | |||
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items] | |||
Remaining performance obligations | $ 432 | ||
Minimum | |||
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items] | |||
Settlement of rebate after sale | 1 month | ||
Period cash discounts are known after sale | 15 days | ||
Minimum | Capitalized Commission Fees | |||
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items] | |||
Amortization period | 2 years | ||
Minimum | Capitalized Transmitter Costs | |||
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items] | |||
Amortization period | 8 years | ||
Maximum | |||
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items] | |||
Settlement of rebate after sale | 6 months | ||
Period cash discounts are known after sale | 30 days | ||
Maximum | Capitalized Commission Fees | |||
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items] | |||
Amortization period | 10 years | ||
Maximum | Capitalized Transmitter Costs | |||
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items] | |||
Amortization period | 10 years |
Revenue - Revenue by Sales Cate
Revenue - Revenue by Sales Category (Details) - USD ($) $ in Millions | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Segment Reporting Information [Line Items] | |||
Net Sales | $ 43,653 | $ 43,075 | $ 34,608 |
Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 43,642 | 43,023 | 34,542 |
Corporate, Non-Segment | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 11 | 52 | 66 |
United States | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 18,142 | 16,642 | 13,022 |
United States | Corporate, Non-Segment | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 11 | 34 | 38 |
International | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 25,511 | 26,433 | 21,586 |
International | Corporate, Non-Segment | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 0 | 18 | 28 |
Established Pharmaceutical Products | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 4,912 | 4,718 | 4,303 |
Established Pharmaceutical Products | United States | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 0 | 0 | 0 |
Established Pharmaceutical Products | International | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 4,912 | 4,718 | 4,303 |
Nutritionals | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 7,459 | 8,294 | 7,647 |
Nutritionals | United States | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 2,919 | 3,556 | 3,279 |
Nutritionals | International | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 4,540 | 4,738 | 4,368 |
Diagnostics | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 16,584 | 15,644 | 10,805 |
Diagnostics | United States | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 8,646 | 7,129 | 4,774 |
Diagnostics | International | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 7,938 | 8,515 | 6,031 |
Medical Devices | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 14,687 | 14,367 | 11,787 |
Medical Devices | United States | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 6,566 | 5,923 | 4,931 |
Medical Devices | International | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 8,121 | 8,444 | 6,856 |
Key Emerging Markets | Established Pharmaceutical Products | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 3,728 | 3,539 | 3,209 |
Key Emerging Markets | Established Pharmaceutical Products | United States | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 0 | 0 | 0 |
Key Emerging Markets | Established Pharmaceutical Products | International | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 3,728 | 3,539 | 3,209 |
Other | Established Pharmaceutical Products | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 1,184 | 1,179 | 1,094 |
Other | Established Pharmaceutical Products | United States | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 0 | 0 | 0 |
Other | Established Pharmaceutical Products | International | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 1,184 | 1,179 | 1,094 |
Pediatric Nutritionals | Nutritionals | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 3,481 | 4,298 | 4,127 |
Pediatric Nutritionals | Nutritionals | United States | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 1,562 | 2,192 | 1,987 |
Pediatric Nutritionals | Nutritionals | International | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 1,919 | 2,106 | 2,140 |
Adult Nutritionals | Nutritionals | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 3,978 | 3,996 | 3,520 |
Adult Nutritionals | Nutritionals | United States | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 1,357 | 1,364 | 1,292 |
Adult Nutritionals | Nutritionals | International | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 2,621 | 2,632 | 2,228 |
Core Laboratory | Diagnostics | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 4,888 | 5,128 | 4,475 |
Core Laboratory | Diagnostics | United States | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 1,137 | 1,145 | 1,166 |
Core Laboratory | Diagnostics | International | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 3,751 | 3,983 | 3,309 |
Molecular | Diagnostics | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 995 | 1,427 | 1,438 |
Molecular | Diagnostics | United States | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 370 | 566 | 621 |
Molecular | Diagnostics | International | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 625 | 861 | 817 |
Point of Care | Diagnostics | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 525 | 536 | 516 |
Point of Care | Diagnostics | United States | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 372 | 384 | 369 |
Point of Care | Diagnostics | International | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 153 | 152 | 147 |
Rapid Diagnostics | Diagnostics | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 10,176 | 8,553 | 4,376 |
Rapid Diagnostics | Diagnostics | United States | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 6,767 | 5,034 | 2,618 |
Rapid Diagnostics | Diagnostics | International | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 3,409 | 3,519 | 1,758 |
Rhythm Management | Medical Devices | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 2,119 | 2,198 | 1,914 |
Rhythm Management | Medical Devices | United States | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 1,029 | 1,018 | 903 |
Rhythm Management | Medical Devices | International | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 1,090 | 1,180 | 1,011 |
Electrophysiology | Medical Devices | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 1,927 | 1,907 | 1,578 |
Electrophysiology | Medical Devices | United States | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 909 | 778 | 660 |
Electrophysiology | Medical Devices | International | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 1,018 | 1,129 | 918 |
Heart Failure | Medical Devices | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 920 | 889 | 740 |
Heart Failure | Medical Devices | United States | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 694 | 654 | 547 |
Heart Failure | Medical Devices | International | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 226 | 235 | 193 |
Vascular | Medical Devices | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 2,483 | 2,654 | 2,339 |
Vascular | Medical Devices | United States | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 864 | 915 | 853 |
Vascular | Medical Devices | International | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 1,619 | 1,739 | 1,486 |
Structural Heart | Medical Devices | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 1,712 | 1,610 | 1,247 |
Structural Heart | Medical Devices | United States | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 818 | 730 | 540 |
Structural Heart | Medical Devices | International | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 894 | 880 | 707 |
Neuromodulation | Medical Devices | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 770 | 781 | 702 |
Neuromodulation | Medical Devices | United States | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 619 | 616 | 564 |
Neuromodulation | Medical Devices | International | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 151 | 165 | 138 |
Diabetes Care | Medical Devices | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 4,756 | 4,328 | 3,267 |
Diabetes Care | Medical Devices | United States | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | 1,633 | 1,212 | 864 |
Diabetes Care | Medical Devices | International | Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales | $ 3,123 | $ 3,116 | $ 2,403 |
Revenue - Changes in Contract L
Revenue - Changes in Contract Liabilities (Details) - USD ($) $ in Millions | 12 Months Ended | |
Dec. 31, 2022 | Dec. 31, 2021 | |
Contract Liabilities: | ||
Balance at beginning of period | $ 520 | $ 405 |
Unearned revenue from cash received during the period | 578 | 615 |
Revenue recognized related to contract liability balance | (598) | (500) |
Balance at end of period | $ 500 | $ 520 |
Supplemental Financial Inform_3
Supplemental Financial Information - Narrative (Details) - USD ($) $ in Millions | 12 Months Ended | |||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | Sep. 30, 2021 | |
Supplemental Financial Information [Line Items] | ||||
Defined Benefit Plan, Net Periodic Benefit Cost (Credit) Excluding Service Cost, Statement of Income or Comprehensive Income [Extensible Enumeration] | Other Nonoperating Income (Expense) | Other Nonoperating Income (Expense) | Other Nonoperating Income (Expense) | |
Net periodic defined benefits expense (reversal), non-service cost | $ 406 | $ 270 | $ 205 | |
Equity method investments carrying value | 169 | |||
Other Investments | ||||
Supplemental Financial Information [Line Items] | ||||
Equity investment without readily determinable fair value | 83 | |||
St. Jude Medical | Equity securities | ||||
Supplemental Financial Information [Line Items] | ||||
Securities in mutual funds held in a rabbi trust | $ 298 | $ 391 | ||
Walk Vascular | ||||
Supplemental Financial Information [Line Items] | ||||
Percentage of voting interests acquired | 100% |
Supplemental Financial Inform_4
Supplemental Financial Information - Allowance for Doubtful Accounts (Details) - USD ($) $ in Millions | 12 Months Ended | |
Dec. 31, 2022 | Dec. 31, 2021 | |
Allowance for Doubtful Accounts: | ||
Beginning balance | $ 313 | $ 288 |
Provisions/charges to income | 6 | 51 |
Amounts charged off and other deductions | (57) | (26) |
Ending balance | $ 262 | $ 313 |
Supplemental Financial Inform_5
Supplemental Financial Information - Investments (Details) - USD ($) $ in Millions | Dec. 31, 2022 | Dec. 31, 2021 |
Summary of Investment Holdings [Line Items] | ||
Long-term Investment Securities: | $ 766 | $ 816 |
Equity securities | ||
Summary of Investment Holdings [Line Items] | ||
Long-term Investment Securities: | 558 | 748 |
Other | ||
Summary of Investment Holdings [Line Items] | ||
Long-term Investment Securities: | $ 208 | $ 68 |
Supplemental Financial Inform_6
Supplemental Financial Information - Other Accrued Liabilities (Details) - USD ($) $ in Millions | Dec. 31, 2022 | Dec. 31, 2021 |
Disclosure Text Block Supplement [Abstract] | ||
Accrued rebates payable to government agencies | $ 638 | $ 364 |
Accrued other rebates | 1,087 | 1,082 |
All other | 4,120 | 3,735 |
Total | 5,845 | 5,181 |
Accrued wholesaler chargeback rebates | $ 234 | $ 211 |
Supplemental Financial Inform_7
Supplemental Financial Information - Post-employment Obligations and Other Long-term Liabilities (Details) - USD ($) $ in Millions | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 |
Post-employment Obligations and Other Long-term Liabilities [Line Items] | |||
Defined benefit pension plans and post-employment medical and dental plans for significant plans | $ 1,784 | $ 2,738 | |
Deferred income taxes | 991 | 1,392 | |
Operating lease liabilities | 943 | 956 | |
All other | 3,804 | 3,685 | |
Total | 7,522 | 8,771 | |
Net unrecognized tax benefits | 2,036 | 1,908 | $ 1,210 |
Post-employment obligations and other long-term liabilities | |||
Post-employment Obligations and Other Long-term Liabilities [Line Items] | |||
Net unrecognized tax benefits | $ 850 | $ 680 |
Accumulated Other Comprehensi_3
Accumulated Other Comprehensive Income (Loss) (Details) - USD ($) $ in Millions | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
AOCI Attributable to Parent, Net of Tax [Roll Forward] | |||
Beginning of the period | $ 35,802 | ||
Other Comprehensive Income (Loss) | 323 | $ 572 | $ (481) |
End of the period | 36,686 | 35,802 | |
Total | |||
AOCI Attributable to Parent, Net of Tax [Roll Forward] | |||
Beginning of the period | (8,374) | (8,946) | |
Other comprehensive income (loss) before reclassifications | 312 | 111 | |
(Income) loss amounts reclassified from accumulated other comprehensive income | 11 | 461 | |
Other Comprehensive Income (Loss) | 323 | 572 | (481) |
End of the period | (8,051) | (8,374) | (8,946) |
Cumulative Foreign Currency Translation Adjustments | |||
AOCI Attributable to Parent, Net of Tax [Roll Forward] | |||
Beginning of the period | (5,839) | (4,859) | |
Other comprehensive income (loss) before reclassifications | (894) | (980) | |
(Income) loss amounts reclassified from accumulated other comprehensive income | 0 | 0 | |
Other Comprehensive Income (Loss) | (894) | (980) | |
End of the period | (6,733) | (5,839) | (4,859) |
Net Actuarial Gains (Losses) and Prior Service (Costs) and Credits | |||
AOCI Attributable to Parent, Net of Tax [Roll Forward] | |||
Beginning of the period | (2,670) | (3,871) | |
Other comprehensive income (loss) before reclassifications | 1,007 | 954 | |
(Income) loss amounts reclassified from accumulated other comprehensive income | 170 | 247 | |
Other Comprehensive Income (Loss) | 1,177 | 1,201 | |
End of the period | (1,493) | (2,670) | (3,871) |
Cumulative Gains (Losses) on Derivative Instruments Designated as Cash Flow Hedges | |||
AOCI Attributable to Parent, Net of Tax [Roll Forward] | |||
Beginning of the period | 135 | (216) | |
Other comprehensive income (loss) before reclassifications | 199 | 137 | |
(Income) loss amounts reclassified from accumulated other comprehensive income | (159) | 214 | |
Other Comprehensive Income (Loss) | 40 | 351 | |
End of the period | $ 175 | $ 135 | $ (216) |
Goodwill and Intangible Assets
Goodwill and Intangible Assets (Details) - USD ($) $ in Millions | 12 Months Ended | |
Dec. 31, 2022 | Dec. 31, 2021 | |
Goodwill and Intangible Assets [Line Items] | ||
Goodwill | $ 22,799 | $ 23,231 |
Decrease in goodwill due to foreign currency translation adjustments | 431 | 532 |
Amount of reductions of goodwill relating to impairments | 0 | 0 |
Indefinite-lived intangible assets related to in-process R&D acquired in a business combination | 807 | 919 |
Impairment of indefinite-lived intangible assets in-process research and development project | $ 111 | |
Impairment, Intangible Asset, Indefinite-Lived (Excluding Goodwill), Statement of Income or Comprehensive Income [Extensible Enumeration] | Research and development | |
Gross amount of amortizable intangible assets | $ 27,200 | 27,700 |
Accumulated amortization of intangible assets | 17,600 | 15,900 |
Decrease in intangible assets due to foreign currency translation adjustments | 150 | $ 197 |
Estimated annual amortization expense, intangible assets, year one | 2,000 | |
Estimated annual amortization expense, intangible assets, year two | 1,900 | |
Estimated annual amortization expense, intangible assets, year three | 1,700 | |
Estimated annual amortization expense, intangible assets, year four | 1,500 | |
Estimated annual amortization expense, intangible assets, year five | $ 1,200 | |
Minimum | ||
Goodwill and Intangible Assets [Line Items] | ||
Amortization period of intangible assets | 2 years | |
Maximum | ||
Goodwill and Intangible Assets [Line Items] | ||
Amortization period of intangible assets | 20 years | |
Established Pharmaceutical Products | ||
Goodwill and Intangible Assets [Line Items] | ||
Goodwill | $ 2,700 | |
Nutritional Products | ||
Goodwill and Intangible Assets [Line Items] | ||
Goodwill | 286 | |
Diagnostic Products | ||
Goodwill and Intangible Assets [Line Items] | ||
Goodwill | 3,600 | |
Medical Devices | ||
Goodwill and Intangible Assets [Line Items] | ||
Goodwill | $ 16,200 |
Restructuring Plans - Narrative
Restructuring Plans - Narrative (Details) - USD ($) $ in Millions | 3 Months Ended | 6 Months Ended | 12 Months Ended | |
Jun. 30, 2021 | Dec. 31, 2021 | Dec. 31, 2022 | Dec. 31, 2021 | |
COVID-19 Test Manufacturing Network Restructuring Plan | ||||
Restructuring Cost and Reserve [Line Items] | ||||
Restructuring charges | $ 499 | $ 441 | ||
Inventory sold that was previously estimated to have no net realizable value | $ 181 | |||
COVID-19 Test Manufacturing Network Restructuring Plan | Inventory- Related Charges | ||||
Restructuring Cost and Reserve [Line Items] | ||||
Restructuring charges | 248 | 248 | ||
COVID-19 Test Manufacturing Network Restructuring Plan | Fixed Asset Write-Downs | ||||
Restructuring Cost and Reserve [Line Items] | ||||
Restructuring charges | 80 | 80 | ||
COVID-19 Test Manufacturing Network Restructuring Plan | Other Exit Costs | ||||
Restructuring Cost and Reserve [Line Items] | ||||
Restructuring charges | $ 171 | 113 | ||
Reduction of restructuring estimate | $ 58 | |||
Restructuring Plan 2022, Streamline of Operations and Improve Efficiencies for Four Businesses | ||||
Restructuring Cost and Reserve [Line Items] | ||||
Employee related severance and other charges | $ 234 | |||
Inventory charges | 23 | |||
Fixed asset impairment charges | 4 | |||
Restructuring Plan 2022, Streamline of Operations and Improve Efficiencies for Four Businesses | Cost of products sold | ||||
Restructuring Cost and Reserve [Line Items] | ||||
Employee related severance and other charges | 59 | |||
Restructuring Plan 2022, Streamline of Operations and Improve Efficiencies for Four Businesses | Research and Development | ||||
Restructuring Cost and Reserve [Line Items] | ||||
Employee related severance and other charges | 36 | |||
Restructuring Plan 2022, Streamline of Operations and Improve Efficiencies for Four Businesses | Selling, General and Administrative Expense | ||||
Restructuring Cost and Reserve [Line Items] | ||||
Employee related severance and other charges | $ 139 | |||
Restructuring Plan 2021, Streamline of Operations and Improve Efficiencies | ||||
Restructuring Cost and Reserve [Line Items] | ||||
Employee related severance and other charges | 68 | |||
Restructuring charges | 68 | |||
Restructuring Plan 2021, Streamline of Operations and Improve Efficiencies | Cost of products sold | ||||
Restructuring Cost and Reserve [Line Items] | ||||
Employee related severance and other charges | 16 | |||
Restructuring Plan 2021, Streamline of Operations and Improve Efficiencies | Research and Development | ||||
Restructuring Cost and Reserve [Line Items] | ||||
Employee related severance and other charges | 4 | |||
Restructuring Plan 2021, Streamline of Operations and Improve Efficiencies | Selling, General and Administrative Expense | ||||
Restructuring Cost and Reserve [Line Items] | ||||
Employee related severance and other charges | $ 48 |
Restructuring Plans - Summary o
Restructuring Plans - Summary of Other Restructuring Activity (Details) - USD ($) $ in Millions | 12 Months Ended | |
Dec. 31, 2022 | Dec. 31, 2021 | |
Restructuring Plan 2022, Streamline of Operations and Improve Efficiencies for Four Businesses | ||
Restructuring Cost and Reserve [Line Items] | ||
Restructuring charges in 2022 | $ 234 | |
Payments and other adjustments | (6) | |
Accrued balance | 228 | |
Restructuring Plan 2021, Streamline of Operations and Improve Efficiencies | ||
Restructuring Cost and Reserve [Line Items] | ||
Restructuring charges in 2022 | $ 68 | |
Payments and other adjustments | (46) | (7) |
Accrued balance | $ 15 | $ 61 |
Restructuring Plans - Summary_2
Restructuring Plans - Summary of Restructuring Activity Related to COVID-19 (Details) - COVID-19 Test Manufacturing Network Restructuring Plan - USD ($) $ in Millions | 3 Months Ended | 12 Months Ended | |
Jun. 30, 2021 | Dec. 31, 2022 | Dec. 31, 2021 | |
Restructuring Cost and Reserve [Line Items] | |||
Restructuring charges | $ 499 | $ 441 | |
Payments | (90) | ||
Other non-cash | (328) | ||
Payments and other adjustments | $ (10) | ||
Accrued balance | 13 | 23 | |
Inventory- Related Charges | |||
Restructuring Cost and Reserve [Line Items] | |||
Restructuring charges | 248 | 248 | |
Payments | 0 | ||
Other non-cash | (248) | ||
Payments and other adjustments | 0 | ||
Accrued balance | 0 | 0 | |
Fixed Asset Write-Downs | |||
Restructuring Cost and Reserve [Line Items] | |||
Restructuring charges | 80 | 80 | |
Payments | 0 | ||
Other non-cash | (80) | ||
Payments and other adjustments | 0 | ||
Accrued balance | 0 | 0 | |
Other Exit Costs | |||
Restructuring Cost and Reserve [Line Items] | |||
Restructuring charges | $ 171 | 113 | |
Payments | (90) | ||
Other non-cash | 0 | ||
Payments and other adjustments | (10) | ||
Accrued balance | $ 13 | $ 23 |
Incentive Stock Programs - Narr
Incentive Stock Programs - Narrative (Details) - USD ($) $ in Millions | 12 Months Ended | |||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | Apr. 30, 2017 | |
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items] | ||||
Total unrecognized compensation cost | $ 494 | |||
Total unrecognized compensation cost, recognition period | 3 years | |||
Total non-cash compensation expense charged against income | $ 685 | $ 640 | $ 546 | |
Tax benefit recognized in total non-cash compensation expense | $ 170 | 267 | 200 | |
Stock Options | ||||
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items] | ||||
Stock options granted (in shares) | 2,634,647 | |||
Award vesting period | 3 years | |||
Total intrinsic value of options exercised | $ 85 | 393 | 279 | |
Stock Options | Maximum | ||||
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items] | ||||
Maximum term of option | 10 years | |||
Restricted stock awards | ||||
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items] | ||||
Award vesting period | 3 years | |||
Portion of awards vesting in any one year for awards that vest over three years (as a percent) | 33.33% | |||
For awards with a term of over three years, number of years in which no more than one-third of the award vests | 1 year | |||
Restricted Stock Units (RSUs) | ||||
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items] | ||||
Award vesting period | 3 years | |||
Number of shares of common stock received for each vested restricted stock unit (in shares) | 1 | |||
Restricted Stock Awards and Restricted Stock Units | ||||
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items] | ||||
Restricted stock units granted (in shares) | 6,001,920 | |||
Fair value of awards and units vested | $ 639 | $ 809 | $ 631 | |
2017 Incentive Stock Program | ||||
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items] | ||||
Incentive stock programs, shares authorized for issuance | 170,000,000 | |||
Incentive stock programs, shares reserved for future issuance | 87,000,000 | |||
2017 Incentive Stock Program | Stock Options | ||||
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items] | ||||
Stock options granted (in shares) | 2,634,647 | |||
2017 Incentive Stock Program | Restricted stock awards | ||||
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items] | ||||
Restricted stock awards granted (in shares) | 514,205 | |||
2017 Incentive Stock Program | Restricted Stock Units (RSUs) | ||||
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items] | ||||
Restricted stock units granted (in shares) | 5,487,715 |
Incentive Stock Programs - Stoc
Incentive Stock Programs - Stock Option Activity (Details) - Stock Options - USD ($) $ / shares in Units, $ in Millions | 12 Months Ended | |
Dec. 31, 2022 | Dec. 31, 2021 | |
Options | ||
Outstanding at beginning of period (in shares) | 27,199,851 | |
Granted (in shares) | 2,634,647 | |
Exercised (in shares) | (1,520,074) | |
Lapsed (in shares) | (26,378) | |
Outstanding at end of period (in shares) | 28,288,046 | 27,199,851 |
Exercisable at end of period (in shares) | 22,553,089 | |
Weighted Average Exercise Price | ||
Outstanding at beginning of period (in dollars per share) | $ 65.16 | |
Granted (in dollars per share) | 117.54 | |
Exercised (in dollars per share) | 53.06 | |
Lapsed (in dollars per share) | 110.72 | |
Outstanding at end of period (in dollars per share) | 70.64 | $ 65.16 |
Exercisable at end of period (in dollars per share) | $ 59.87 | |
Weighted Average Remaining Life (Years) | ||
Weighted average remaining life of options outstanding | 5 years 3 months 18 days | 5 years 8 months 12 days |
Weighted-average remaining life of options exercisable | 4 years 6 months | |
Aggregate Intrinsic Value | ||
Aggregate intrinsic value of options outstanding | $ 1,167 | $ 2,056 |
Aggregate intrinsic value of options exercisable | $ 1,139 |
Incentive Stock Program - Restr
Incentive Stock Program - Restricted Awards and Units (Details) - Restricted Stock Awards and Restricted Stock Units | 12 Months Ended |
Dec. 31, 2022 $ / shares shares | |
Share Units | |
Outstanding at beginning of period (in shares) | shares | 10,558,525 |
Granted (in shares) | shares | 6,001,920 |
Vested (in shares) | shares | (5,456,368) |
Forfeited (in shares) | shares | (703,749) |
Outstanding at end of period (in shares) | shares | 10,400,328 |
Weighted Average Grant-Date Fair Value | |
Outstanding at beginning of period (in dollars per share) | $ / shares | $ 102.40 |
Granted (in dollars per share) | $ / shares | 117.34 |
Vested (in dollars per share) | $ / shares | 94.20 |
Forfeited (in dollars per share) | $ / shares | 113.18 |
Outstanding at end of period (in dollars per share) | $ / shares | $ 114.59 |
Incentive Stock Program - Fair
Incentive Stock Program - Fair Value Assumptions (Details) - Stock Options - $ / shares | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items] | |||
Fair value (in dollars per share) | $ 25.26 | $ 24.17 | $ 14.39 |
Risk-free interest rate (as a percent) | 1.90% | 0.80% | 1.30% |
Average life of options (years) | 6 years | 6 years | 6 years |
Volatility (as a percent) | 23.80% | 23.80% | 19.40% |
Dividend yield (as a percent) | 1.60% | 1.50% | 1.60% |
Debt and Lines of Credit - Summ
Debt and Lines of Credit - Summary of Long-term Debt (Details) - USD ($) $ in Millions | 12 Months Ended | |||
Dec. 31, 2022 | Dec. 31, 2021 | Mar. 15, 2022 | Jun. 24, 2020 | |
Debt Instrument [Line Items] | ||||
Unamortized debt issuance costs | $ (71) | $ (78) | ||
Other, including fair value adjustments relating to interest rate hedge contracts designated as fair value hedges | (196) | 23 | ||
Total carrying amount of long-term debt | 16,773 | 18,050 | ||
Less: Current portion | 2,251 | 754 | ||
Long-term debt | $ 14,522 | $ 17,296 | ||
2.55% Notes, due 2022 | ||||
Debt Instrument [Line Items] | ||||
Interest rate percentage | 2.55% | 2.55% | 2.55% | |
Long-term debt, gross | $ 0 | $ 750 | ||
0.875% Notes, due 2023 | ||||
Debt Instrument [Line Items] | ||||
Interest rate percentage | 0.875% | 0.875% | ||
Long-term debt, gross | $ 1,215 | $ 1,294 | ||
3.40% Notes, due 2023 | ||||
Debt Instrument [Line Items] | ||||
Interest rate percentage | 3.40% | 3.40% | ||
Long-term debt, gross | $ 1,050 | $ 1,050 | ||
5-year term loan due 2024 | ||||
Debt Instrument [Line Items] | ||||
Maturity period | 5 years | 5 years | ||
Long-term debt, gross | $ 446 | $ 521 | ||
0.10% Notes, due 2024 | ||||
Debt Instrument [Line Items] | ||||
Interest rate percentage | 0.10% | 0.10% | ||
Long-term debt, gross | $ 629 | $ 670 | ||
3.875% Notes, due 2025 | ||||
Debt Instrument [Line Items] | ||||
Interest rate percentage | 3.875% | 3.875% | ||
Long-term debt, gross | $ 500 | $ 500 | ||
2.95% Notes, due 2025 | ||||
Debt Instrument [Line Items] | ||||
Interest rate percentage | 2.95% | 2.95% | ||
Long-term debt, gross | $ 1,000 | $ 1,000 | ||
1.50% Notes, due 2026 | ||||
Debt Instrument [Line Items] | ||||
Interest rate percentage | 1.50% | 1.50% | ||
Long-term debt, gross | $ 1,215 | $ 1,294 | ||
3.75% Notes, due 2026 | ||||
Debt Instrument [Line Items] | ||||
Interest rate percentage | 3.75% | 3.75% | ||
Long-term debt, gross | $ 1,700 | $ 1,700 | ||
0.375% Notes, due 2027 | ||||
Debt Instrument [Line Items] | ||||
Interest rate percentage | 0.375% | 0.375% | ||
Long-term debt, gross | $ 629 | $ 670 | ||
1.15% Notes, due 2028 | ||||
Debt Instrument [Line Items] | ||||
Interest rate percentage | 1.15% | 1.15% | 1.15% | |
Long-term debt, gross | $ 650 | $ 650 | ||
1.40% Notes, due 2030 | ||||
Debt Instrument [Line Items] | ||||
Interest rate percentage | 1.40% | 1.40% | 1.40% | |
Long-term debt, gross | $ 650 | $ 650 | ||
4.75% Notes, due 2036 | ||||
Debt Instrument [Line Items] | ||||
Interest rate percentage | 4.75% | 4.75% | ||
Long-term debt, gross | $ 1,650 | $ 1,650 | ||
6.15% Notes, due 2037 | ||||
Debt Instrument [Line Items] | ||||
Interest rate percentage | 6.15% | 6.15% | ||
Long-term debt, gross | $ 547 | $ 547 | ||
6.00% Notes, due 2039 | ||||
Debt Instrument [Line Items] | ||||
Interest rate percentage | 6% | 6% | ||
Long-term debt, gross | $ 515 | $ 515 | ||
5.30% Notes, due 2040 | ||||
Debt Instrument [Line Items] | ||||
Interest rate percentage | 5.30% | 5.30% | ||
Long-term debt, gross | $ 694 | $ 694 | ||
4.75% Notes, due 2043 | ||||
Debt Instrument [Line Items] | ||||
Interest rate percentage | 4.75% | 4.75% | ||
Long-term debt, gross | $ 700 | $ 700 | ||
4.90% Notes, due 2046 | ||||
Debt Instrument [Line Items] | ||||
Interest rate percentage | 4.90% | 4.90% | ||
Long-term debt, gross | $ 3,250 | $ 3,250 |
Debt and Lines of Credit - Narr
Debt and Lines of Credit - Narrative (Details) € in Millions, $ in Millions | 1 Months Ended | |||||||
Mar. 15, 2022 USD ($) | Nov. 12, 2020 USD ($) | Sep. 28, 2020 USD ($) | Sep. 28, 2020 EUR (€) | Dec. 31, 2021 USD ($) | Sep. 30, 2019 USD ($) | Dec. 31, 2022 USD ($) | Jun. 24, 2020 USD ($) | |
Debt Instrument [Line Items] | ||||||||
Long-term notes authorized for redemption | $ 5,000 | |||||||
Amount remaining available for redemption under the redemption authorization | $ 2,150 | |||||||
Principal payments required, year one | 2,300 | |||||||
Principal payments required, year two | 1,100 | |||||||
Principal payments required, year three | 1,500 | |||||||
Principal payments required, year four | 2,900 | |||||||
Principal payments required, year five | 600 | |||||||
Principal payments required, after year five | $ 8,700 | |||||||
Repayment of short-term debt | $ 195 | |||||||
Short-term borrowings | $ 0 | |||||||
2020 Five Year Credit Agreement | ||||||||
Debt Instrument [Line Items] | ||||||||
Maximum borrowing capacity | $ 5,000 | |||||||
Maturity period | 5 years | |||||||
2.55% Notes, due 2022 | ||||||||
Debt Instrument [Line Items] | ||||||||
Repayments of debt | $ 750 | |||||||
Interest rate percentage | 2.55% | 2.55% | 2.55% | |||||
Senior Notes | ||||||||
Debt Instrument [Line Items] | ||||||||
Debt issued, principal amount | $ 1,300 | |||||||
1.15% Notes, due 2028 | ||||||||
Debt Instrument [Line Items] | ||||||||
Interest rate percentage | 1.15% | 1.15% | 1.15% | |||||
Debt issued, principal amount | $ 650 | |||||||
1.40% Notes, due 2030 | ||||||||
Debt Instrument [Line Items] | ||||||||
Interest rate percentage | 1.40% | 1.40% | 1.40% | |||||
Debt issued, principal amount | $ 650 | |||||||
0.00% Notes, due 2020 | ||||||||
Debt Instrument [Line Items] | ||||||||
Repayments of debt | $ 1,300 | € 1,140 | ||||||
Interest rate percentage | 0% | 0% |
Leases - Narrative (Details)
Leases - Narrative (Details) - USD ($) $ in Billions | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Lessee, Lease, Description [Line Items] | |||
Percentage of operating lease revenue to net sales | 3% | 3% | 3% |
Asset under operating lease, original cost | $ 3.6 | $ 3.5 | |
Asset under operating lease, net book value | $ 1.6 | $ 1.6 | |
Minimum | |||
Lessee, Lease, Description [Line Items] | |||
Operating lease contract term | 1 year | ||
Maximum | |||
Lessee, Lease, Description [Line Items] | |||
Operating lease contract term | 10 years | ||
Operating lease renewal term | 10 years |
Leases - Operating Leases as Le
Leases - Operating Leases as Lessee (Details) - USD ($) $ in Millions | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Leases [Abstract] | |||
Operating lease cost | $ 355 | $ 359 | $ 329 |
Cash paid for amounts included in the measurement of operating lease liabilities | 274 | 287 | 264 |
ROU assets arising from entering into new operating lease obligations | $ 263 | $ 343 | $ 396 |
Weighted average remaining lease term at December 31 (in years) | 8 years | 8 years | 8 years |
Weighted average discount rate at December 31 | 2.90% | 2.70% | 3.20% |
Leases - Future Minimum Lease P
Leases - Future Minimum Lease Payments (Details) - USD ($) $ in Millions | Dec. 31, 2022 | Dec. 31, 2021 |
Lessee, Operating Lease, Liability, Payment, Due [Abstract] | ||
2023 | $ 258 | |
2024 | 218 | |
2025 | 182 | |
2026 | 151 | |
2027 | 110 | |
Thereafter | 422 | |
Total future minimum lease payments – undiscounted | 1,341 | |
Less: imputed interest | (168) | |
Present value of lease liabilities | $ 1,173 | $ 1,201 |
Leases - ROU Assets and Lease L
Leases - ROU Assets and Lease Liabilities (Details) - USD ($) $ in Millions | Dec. 31, 2022 | Dec. 31, 2021 |
Leases [Abstract] | ||
Operating Lease - ROU Asset | $ 1,116 | $ 1,153 |
Operating Lease, Right-of-Use Asset, Statement of Financial Position [Extensible Enumeration] | Deferred income taxes and other assets | Deferred income taxes and other assets |
Operating Lease Liability: | ||
Current | $ 230 | $ 245 |
Operating Lease, Liability, Current, Statement of Financial Position [Extensible Enumeration] | Other accrued liabilities | Other accrued liabilities |
Non-current | $ 943 | $ 956 |
Operating Lease, Liability, Noncurrent, Statement of Financial Position [Extensible Enumeration] | Post-employment Obligations, Deferred Income Taxes and Other Long-term Liabilities | Post-employment Obligations, Deferred Income Taxes and Other Long-term Liabilities |
Present value of lease liabilities | $ 1,173 | $ 1,201 |
Financial Instruments, Deriva_3
Financial Instruments, Derivatives and Fair Value Measures - Narrative (Details) - USD ($) $ in Millions | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Derivative [Line Items] | |||
Fair value of long-term debt | $ 828 | $ 618 | |
Gain (loss) from foreign currency forward exchange contracts not designated as hedges | 70 | $ 19 | $ (171) |
Business Acquisitions | |||
Derivative [Line Items] | |||
Maximum amount of contingent consideration | $ 235 | ||
5-year term loan due 2024 | |||
Derivative [Line Items] | |||
Maturity period | 5 years | 5 years | |
Net Investment Hedging | Designated as Hedging Instrument | 5-year term loan due 2024 | |||
Derivative [Line Items] | |||
Maturity period | 5 years | 5 years | |
Fair value of long-term debt | $ 446 | $ 521 | |
Foreign Exchange Forward | Not Designated as Hedging Instrument | |||
Derivative [Line Items] | |||
Derivative, notional amount | 12,000 | 12,200 | |
Foreign Exchange Forward | Cash Flow Hedging | Designated as Hedging Instrument | |||
Derivative [Line Items] | |||
Derivative, notional amount | $ 7,700 | 8,600 | |
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 | Dec. 31, 2022 | Dec. 31, 2021 |
Derivatives, Fair Value [Line Items] | ||
Fair Value — Assets | $ 412 | $ 379 |
Fair Value — Liabilities | 828 | 618 |
Designated as Hedging Instrument | Interest Rate Swap | Deferred income taxes and other assets | Fair Value Hedging | ||
Derivatives, Fair Value [Line Items] | ||
Fair Value — Assets | 0 | 87 |
Designated as Hedging Instrument | Interest Rate Swap | Post-employment obligations and other long-term liabilities | Fair Value Hedging | ||
Derivatives, Fair Value [Line Items] | ||
Fair Value — Liabilities | 136 | 0 |
Designated as Hedging Instrument | Interest Rate Swap | Other accrued liabilities | Fair Value Hedging | ||
Derivatives, Fair Value [Line Items] | ||
Fair Value — Liabilities | 20 | 0 |
Designated as Hedging Instrument | Foreign Exchange Forward | Other prepaid expenses and receivables | ||
Derivatives, Fair Value [Line Items] | ||
Fair Value — Assets | 304 | 222 |
Designated as Hedging Instrument | Foreign Exchange Forward | Other accrued liabilities | ||
Derivatives, Fair Value [Line Items] | ||
Fair Value — Liabilities | 96 | 65 |
Designated as Hedging Instrument | Debt | Long-term debt | Net Investment Hedging | ||
Derivatives, Fair Value [Line Items] | ||
Fair Value — Liabilities | 446 | 521 |
Not Designated as Hedging Instrument | Foreign Exchange Forward | Other prepaid expenses and receivables | ||
Derivatives, Fair Value [Line Items] | ||
Fair Value — Assets | 108 | 70 |
Not Designated as Hedging Instrument | Foreign Exchange Forward | Other accrued liabilities | ||
Derivatives, Fair Value [Line Items] | ||
Fair Value — Liabilities | $ 130 | $ 32 |
Financial Instruments, Deriva_5
Financial Instruments, Derivatives and Fair Value Measures - Summary of Cash Flow Hedges (Details) - USD ($) $ in Millions | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Foreign Exchange Forward | Cost of products sold | |||
Derivative Instruments, Gain (Loss) [Line Items] | |||
Gain (loss) recognized in other comprehensive income (loss), foreign currency forward exchange contracts designated as cash flow hedges | $ 281 | $ 164 | $ (207) |
Income (expense) and gain (loss) reclassified into income, foreign currency forward exchange contracts designated as cash flow hedges | 234 | (252) | 102 |
Debt | |||
Derivative Instruments, Gain (Loss) [Line Items] | |||
Gain (loss) recognized in other comprehensive income (loss), debt designated as a hedge of net investment in a foreign subisidary | 75 | 56 | (31) |
Interest Rate Swap | Interest expense | |||
Derivative Instruments, Gain (Loss) [Line Items] | |||
Income (expense) and gain (loss) reclassified into income, interest rate swaps designated as fair value hedges | $ (243) | $ (123) | $ 162 |
Financial Instruments, Deriva_6
Financial Instruments, Derivatives and Fair Value Measures - Carrying Value and Fair Value (Details) - USD ($) $ in Millions | Dec. 31, 2022 | Dec. 31, 2021 |
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Long-term Investment Securities: | $ 766 | $ 816 |
Total long-term debt | (16,773) | (18,050) |
Receivable position | 412 | 379 |
(Payable) position | (828) | (618) |
Equity securities | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Long-term Investment Securities: | 558 | 748 |
Carrying Value | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Total long-term debt | (16,773) | (18,050) |
Carrying Value | Foreign Exchange Forward | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Receivable position | 412 | 292 |
(Payable) position | (226) | (97) |
Carrying Value | Interest Rate Swap | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Receivable position | 0 | 87 |
(Payable) position | 156 | 0 |
Carrying Value | Equity securities | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Long-term Investment Securities: | 558 | 748 |
Carrying Value | Other | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Long-term Investment Securities: | 208 | 68 |
Fair Value | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Total long-term debt | (16,313) | (21,152) |
Fair Value | Foreign Exchange Forward | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Receivable position | 412 | 292 |
(Payable) position | (226) | (97) |
Fair Value | Interest Rate Swap | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Receivable position | 0 | 87 |
(Payable) position | 156 | 0 |
Fair Value | Equity securities | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Long-term Investment Securities: | 558 | 748 |
Fair Value | Other | ||
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] | ||
Long-term Investment Securities: | $ 208 | $ 68 |
Financial Instruments, Deriva_7
Financial Instruments, Derivatives and Fair Value Measures - Bases of Measurement (Details) - USD ($) $ in Millions | Dec. 31, 2022 | Dec. 31, 2021 |
Quoted Prices in Active Markets | ||
Assets, at Fair Value | ||
Equity securities | $ 307 | $ 402 |
Interest rate swap derivative financial instruments | 0 | |
Foreign currency forward exchange contracts | 0 | 0 |
Total Assets | 307 | 402 |
Liabilities, at Fair Value | ||
Fair value of hedged long-term debt | 0 | 0 |
Interest rate swap derivative financial instruments | 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 |
Interest rate swap derivative financial instruments | 87 | |
Foreign currency forward exchange contracts | 412 | 292 |
Total Assets | 412 | 379 |
Liabilities, at Fair Value | ||
Fair value of hedged long-term debt | 2,691 | 2,926 |
Interest rate swap derivative financial instruments | 156 | |
Foreign currency forward exchange contracts | 226 | 97 |
Contingent consideration related to business combinations | 0 | 0 |
Total Liabilities | 3,073 | 3,023 |
Significant Unobservable Inputs | ||
Assets, at Fair Value | ||
Equity securities | 0 | 0 |
Interest rate swap derivative financial instruments | 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 | |
Foreign currency forward exchange contracts | 0 | 0 |
Contingent consideration related to business combinations | 130 | 130 |
Total Liabilities | 130 | 130 |
Outstanding Balances | ||
Assets, at Fair Value | ||
Equity securities | 307 | 402 |
Interest rate swap derivative financial instruments | 87 | |
Foreign currency forward exchange contracts | 412 | 292 |
Total Assets | 719 | 781 |
Liabilities, at Fair Value | ||
Fair value of hedged long-term debt | 2,691 | 2,926 |
Interest rate swap derivative financial instruments | 156 | |
Foreign currency forward exchange contracts | 226 | 97 |
Contingent consideration related to business combinations | 130 | 130 |
Total Liabilities | $ 3,203 | $ 3,153 |
Litigation and Environmental _2
Litigation and Environmental Matters (Details) $ in Millions | Dec. 31, 2022 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 | 45 |
Legal proceedings and environmental exposures | Minimum | |
Loss Contingencies [Line Items] | |
Estimation of possible loss | 40 |
Legal proceedings and environmental exposures | Maximum | |
Loss Contingencies [Line Items] | |
Estimation of possible loss | $ 50 |
Post-Employment Benefits - Summ
Post-Employment Benefits - Summary of Benefit Plans (Details) - USD ($) $ in Millions | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Plan Assets at Fair Value | |||
Plan assets at fair value, January 1 | $ 13,838 | ||
Plan assets at fair value, December 31 | 11,675 | $ 13,838 | |
Long-term liabilities | (1,784) | (2,738) | |
Defined Benefit Plans | |||
Projected Benefit Obligations | |||
Projected benefit obligations, January 1 | 12,773 | 13,129 | |
Service cost — benefits earned during the year | 374 | 391 | $ 336 |
Interest cost on projected benefit obligations | 300 | 248 | 300 |
(Gains) losses, primarily changes in discount rates, plan design changes, law changes and differences between actual and estimated health care costs | (3,645) | (463) | |
Benefits paid | (368) | (340) | |
Other, including foreign currency translation | (267) | (192) | |
Projected benefit obligations, December 31 | 9,167 | 12,773 | 13,129 |
Plan Assets at Fair Value | |||
Plan assets at fair value, January 1 | 13,468 | 12,018 | |
Actual return (loss) on plan assets | (1,856) | 1,521 | |
Company contributions | 413 | 418 | |
Benefits paid | (368) | (340) | |
Other, including foreign currency translation | (284) | (149) | |
Plan assets at fair value, December 31 | 11,373 | 13,468 | 12,018 |
Projected benefit obligations less (greater) than plan assets, December 31 | 2,206 | 695 | |
Long-term assets | 3,200 | 2,270 | |
Short-term liabilities | (32) | (31) | |
Long-term liabilities | (962) | (1,544) | |
Net asset (liability) | 2,206 | 695 | |
Amounts Recognized in Accumulated Other Comprehensive Income (loss): | |||
Actuarial losses, net | 1,960 | 3,062 | |
Prior service cost (credits) | (6) | (5) | |
Total | 1,954 | 3,057 | |
Medical and Dental Plans | |||
Projected Benefit Obligations | |||
Projected benefit obligations, January 1 | 1,566 | 1,567 | |
Service cost — benefits earned during the year | 50 | 56 | 46 |
Interest cost on projected benefit obligations | 36 | 33 | 42 |
(Gains) losses, primarily changes in discount rates, plan design changes, law changes and differences between actual and estimated health care costs | (437) | (16) | |
Benefits paid | (70) | (74) | |
Other, including foreign currency translation | (19) | 0 | |
Projected benefit obligations, December 31 | 1,126 | 1,566 | 1,567 |
Plan Assets at Fair Value | |||
Plan assets at fair value, January 1 | 370 | 353 | |
Actual return (loss) on plan assets | (33) | 56 | |
Company contributions | 35 | 35 | |
Benefits paid | (70) | (74) | |
Other, including foreign currency translation | 0 | 0 | |
Plan assets at fair value, December 31 | 302 | 370 | $ 353 |
Projected benefit obligations less (greater) than plan assets, December 31 | (824) | (1,196) | |
Long-term assets | 0 | 0 | |
Short-term liabilities | (2) | (2) | |
Long-term liabilities | (822) | (1,194) | |
Net asset (liability) | (824) | (1,196) | |
Amounts Recognized in Accumulated Other Comprehensive Income (loss): | |||
Actuarial losses, net | 27 | 412 | |
Prior service cost (credits) | (33) | (39) | |
Total | $ (6) | $ 373 |
Post-Employment Benefits - Narr
Post-Employment Benefits - Narrative (Details) - USD ($) $ in Millions | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Abbott Stock Retirement Plan | |||
Defined Benefit Plan Disclosure [Line Items] | |||
Plan contributions | $ 190 | $ 181 | $ 164 |
Fixed Income Securities | |||
Defined Benefit Plan Disclosure [Line Items] | |||
Unfunded commitments to investments in the private funds | 0 | 0 | |
Maximum amount of fund with redemption limit to 33% | 270 | ||
Maximum amount of fund with redemption limit to 25% | $ 290 | ||
Maximum redemption fund percentage of 35% | 33% | ||
Maximum redemption fund percentage of 25% | 25% | ||
Investments subject to a lock | $ 70 | ||
Absolute Return Fund | |||
Defined Benefit Plan Disclosure [Line Items] | |||
Unfunded commitments to investments in the private funds | 0 | 0 | |
Private Funds | |||
Defined Benefit Plan Disclosure [Line Items] | |||
Unfunded commitments to investments in the private funds | $ 569 | 585 | |
Minimum | Equity Funds | |||
Defined Benefit Plan Disclosure [Line Items] | |||
Redemption notice period | 2 days | ||
Minimum | Fixed Income Securities | |||
Defined Benefit Plan Disclosure [Line Items] | |||
Redemption notice period | 2 days | ||
Minimum | Absolute Return Fund | |||
Defined Benefit Plan Disclosure [Line Items] | |||
Redemption notice period | 45 days | ||
Maximum | Equity Funds | |||
Defined Benefit Plan Disclosure [Line Items] | |||
Redemption notice period | 30 days | ||
Maximum | Fixed Income Securities | |||
Defined Benefit Plan Disclosure [Line Items] | |||
Redemption notice period | 60 days | ||
Maximum | Absolute Return Fund | |||
Defined Benefit Plan Disclosure [Line Items] | |||
Redemption notice period | 90 days | ||
Defined Benefit Plans | |||
Defined Benefit Plan Disclosure [Line Items] | |||
Defined benefit plan gains that decreased the projected benefit obligations | $ 3,645 | 463 | |
Accumulated benefit obligations | 8,400 | 11,500 | |
Net actuarial (gains) losses, net of any prior service credits | (858) | (1,141) | 611 |
Company contributions | 413 | 418 | |
Defined benefit plan, expected contributions in 2023 | 407 | ||
Defined Benefit Plans | Foreign Plan | |||
Defined Benefit Plan Disclosure [Line Items] | |||
Projected benefit obligations | 2,200 | 3,700 | |
Medical and Dental Plans | |||
Defined Benefit Plan Disclosure [Line Items] | |||
Defined benefit plan gains that decreased the projected benefit obligations | 437 | 16 | |
Net actuarial (gains) losses, net of any prior service credits | (374) | (45) | $ (23) |
Company contributions | $ 35 | $ 35 |
Post-Employment Benefits - Su_2
Post-Employment Benefits - Summary of Projected Benefit Obligations and Aggregate Plan Assets for Plans Where Projected Benefit Obligations Exceed Plans Assets (Details) - USD ($) $ in Millions | Dec. 31, 2022 | Dec. 31, 2021 |
Postemployment Benefits [Abstract] | ||
Projected benefit obligation | $ 1,270 | $ 2,632 |
Fair value of plan assets | $ 276 | $ 1,057 |
Post-Employment Benefits - Su_3
Post-Employment Benefits - Summary of Accumulated Benefit Obligations, Projected Benefit Obligations, and Plan Assets Where Accumulated Benefit Obligations Exceed Plan Assets (Details) - USD ($) $ in Millions | Dec. 31, 2022 | Dec. 31, 2021 |
Postemployment Benefits [Abstract] | ||
Accumulated benefit obligation | $ 1,044 | $ 1,406 |
Projected benefit obligation | 1,134 | 1,554 |
Fair value of plan assets | $ 141 | $ 136 |
Post-Employment Benefits - Net
Post-Employment Benefits - Net Periodic Benefit Cost (Details) - USD ($) $ in Millions | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Defined Benefit Plans | |||
Defined Benefit Plan Disclosure [Line Items] | |||
Service cost — benefits earned during the year | $ 374 | $ 391 | $ 336 |
Interest cost on projected benefit obligations | 300 | 248 | 300 |
Expected return on plans’ assets | (931) | (843) | (770) |
Amortization of actuarial losses | 231 | 317 | 255 |
Amortization of prior service cost (credits) | 1 | 1 | 1 |
Total net cost | (25) | 114 | 122 |
Medical and Dental Plans | |||
Defined Benefit Plan Disclosure [Line Items] | |||
Service cost — benefits earned during the year | 50 | 56 | 46 |
Interest cost on projected benefit obligations | 36 | 33 | 42 |
Expected return on plans’ assets | (30) | (27) | (28) |
Amortization of actuarial losses | 11 | 29 | 21 |
Amortization of prior service cost (credits) | (24) | (28) | (28) |
Total net cost | $ 43 | $ 63 | $ 53 |
Post-Employment Benefits - Assu
Post-Employment Benefits - Assumptions (Details) | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Defined Benefit Plans and Medical and Dental Plans | |||
Weighted average assumptions used to determine benefit obligations | |||
Discount rate | 5% | 2.70% | 2.30% |
Expected aggregate average long-term change in compensation | 4.50% | 4.30% | 4.30% |
Weighted average assumptions used to determine the net cost | |||
Discount rate | 2.70% | 2.30% | 3% |
Expected return on plan assets | 7.50% | 7.50% | 7.50% |
Expected aggregate average long-term change in compensation | 4.40% | 4.30% | 4.30% |
Medical and Dental Plans | |||
Assumed health care cost trend rates | |||
Health care cost trend rate assumed for the next year | 7% | 7% | 8% |
Rate that the cost trend rate gradually declines to | 5% | 5% | 5% |
Year that rate reaches the assumed ultimate rate | 2027 | 2026 | 2025 |
Post-Employment Benefits - Plan
Post-Employment Benefits - Plan Assets Measured at Fair Value (Details) - USD ($) $ in Millions | Dec. 31, 2022 | Dec. 31, 2021 |
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | $ 11,675 | $ 13,838 |
U.S. large cap | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 2,866 | 3,664 |
U.S. mid and small cap | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 693 | 936 |
International | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 2,401 | 2,902 |
U.S. government securities | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 362 | 366 |
Corporate debt instruments | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 1,318 | 1,709 |
Non-U.S. government securities | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 419 | 626 |
Other, asset backed securities, bank loans, interest rate swap positions and diversified fixed income vehicles | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 775 | 510 |
Absolute return funds | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 1,678 | 1,934 |
Cash and Cash Equivalents | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 154 | 266 |
Other, private funds | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 1,009 | 925 |
Quoted Prices in Active Markets | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 3,750 | 4,958 |
Quoted Prices in Active Markets | U.S. large cap | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 1,840 | 2,403 |
Quoted Prices in Active Markets | U.S. mid and small cap | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 684 | 876 |
Quoted Prices in Active Markets | International | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 454 | 591 |
Quoted Prices in Active Markets | U.S. government securities | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 5 | 21 |
Quoted Prices in Active Markets | Corporate debt instruments | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 123 | 434 |
Quoted Prices in Active Markets | Non-U.S. government securities | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 16 | 33 |
Quoted Prices in Active Markets | Other, asset backed securities, bank loans, interest rate swap positions and diversified fixed income vehicles | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 297 | 87 |
Quoted Prices in Active Markets | Absolute return funds | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 304 | 476 |
Quoted Prices in Active Markets | Cash and Cash Equivalents | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 20 | 35 |
Quoted Prices in Active Markets | Other, private funds | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 7 | 2 |
Significant Other Observable Inputs | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 1,306 | 1,697 |
Significant Other Observable Inputs | U.S. large cap | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 0 | 0 |
Significant Other Observable Inputs | U.S. mid and small cap | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 0 | 0 |
Significant Other Observable Inputs | International | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 0 | 0 |
Significant Other Observable Inputs | U.S. government securities | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 341 | 325 |
Significant Other Observable Inputs | Corporate debt instruments | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 890 | 1,260 |
Significant Other Observable Inputs | Non-U.S. government securities | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 0 | 1 |
Significant Other Observable Inputs | Other, asset backed securities, bank loans, interest rate swap positions and diversified fixed income vehicles | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 75 | 111 |
Significant Other Observable Inputs | Absolute return funds | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 0 | 0 |
Significant Other Observable Inputs | Cash and Cash Equivalents | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 0 | 0 |
Significant Other Observable Inputs | Other, private funds | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 0 | 0 |
Significant Unobservable Inputs | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 1 | 4 |
Significant Unobservable Inputs | U.S. large cap | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 0 | 0 |
Significant Unobservable Inputs | U.S. mid and small cap | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 1 | 4 |
Significant Unobservable Inputs | International | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 0 | 0 |
Significant Unobservable Inputs | U.S. government securities | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 0 | 0 |
Significant Unobservable Inputs | Corporate debt instruments | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 0 | 0 |
Significant Unobservable Inputs | Non-U.S. government securities | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 0 | 0 |
Significant Unobservable Inputs | Other, asset backed securities, bank loans, interest rate swap positions and diversified fixed income vehicles | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 0 | 0 |
Significant Unobservable Inputs | Absolute return funds | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 0 | 0 |
Significant Unobservable Inputs | Cash and Cash Equivalents | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 0 | 0 |
Significant Unobservable Inputs | Other, private funds | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 0 | 0 |
Measured at NAV | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 6,618 | 7,179 |
Measured at NAV | U.S. large cap | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 1,026 | 1,261 |
Measured at NAV | U.S. mid and small cap | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 8 | 56 |
Measured at NAV | International | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 1,947 | 2,311 |
Measured at NAV | U.S. government securities | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 16 | 20 |
Measured at NAV | Corporate debt instruments | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 305 | 15 |
Measured at NAV | Non-U.S. government securities | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 403 | 592 |
Measured at NAV | Other, asset backed securities, bank loans, interest rate swap positions and diversified fixed income vehicles | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 403 | 312 |
Measured at NAV | Absolute return funds | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 1,374 | 1,458 |
Measured at NAV | Cash and Cash Equivalents | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | 134 | 231 |
Measured at NAV | Other, private funds | ||
Defined Benefit Plan Disclosure [Line Items] | ||
Defined benefit plan, plan assets measured at fair value | $ 1,002 | $ 923 |
Post-Employment Benefits - Fund
Post-Employment Benefits - Funding and Payments (Details) $ in Millions | Dec. 31, 2022 USD ($) |
Defined Benefit Plans | |
Defined Benefit Plan Disclosure [Line Items] | |
2023 | $ 368 |
2024 | 387 |
2025 | 406 |
2026 | 427 |
2027 | 449 |
2028 to 2032 | 2,593 |
Medical and Dental Plans | |
Defined Benefit Plan Disclosure [Line Items] | |
2023 | 67 |
2024 | 68 |
2025 | 69 |
2026 | 71 |
2027 | 74 |
2028 to 2032 | $ 409 |
Taxes on Earnings from Contin_3
Taxes on Earnings from Continuing Operations - Narrative (Details) - USD ($) $ in Millions | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Income Tax Disclosure [Line Items] | |||
Excess tax benefits associated with share-based compensation | $ 43 | $ 145 | $ 100 |
Net tax expense (benefit) primarily as a result of the resolution of various tax positions related to prior years | 20 | (55) | (140) |
Tax benefits associated with impairment of certain assets | 170 | ||
Increase (reduction) of provisional transition tax liability | 26 | ||
Net tax expense for the impact of Tax cuts and jobs act | 26 | ||
Cumulative net tax expense for the impact of Tax cuts and jobs act | 1,530 | ||
Transition tax obligation | $ 739 | ||
Transition tax obligation payment period | 4 years | ||
Net tax benefits primarily as a result of the resolution of various tax positions related to prior years related to discontinued operation | $ 24 | ||
Increase due to prior year tax positions | $ 108 | 748 | |
Unrecognized tax benefits that would impact effective tax rate | 1,280 | ||
Decrease reasonably possible in gross unrecognized tax benefits | $ 315 | ||
International | |||
Income Tax Disclosure [Line Items] | |||
Increase due to prior year tax positions | $ 714 |
Taxes on Earnings from Contin_4
Taxes on Earnings from Continuing Operations - Earnings and Taxes (Details) - USD ($) $ in Millions | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Earnings From Continuing Operations Before Taxes: | |||
Domestic | $ 3,732 | $ 3,264 | $ 1,588 |
Foreign | 4,574 | 4,947 | 3,380 |
Earnings from Continuing Operations Before Taxes | 8,306 | 8,211 | 4,968 |
Current: | |||
Domestic | 1,309 | 859 | 39 |
Foreign | 723 | 790 | 566 |
Total current | 2,032 | 1,649 | 605 |
Deferred: | |||
Domestic | (610) | (355) | (18) |
Foreign | (49) | (154) | (90) |
Total deferred | (659) | (509) | (108) |
Total | $ 1,373 | $ 1,140 | $ 497 |
Taxes on Earnings from Contin_5
Taxes on Earnings from Continuing Operations - Tax Rate Reconciliation (Details) | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Income Tax Disclosure [Abstract] | |||
Statutory tax rate on earnings from continuing operations | 21% | 21% | 21% |
Impact of foreign operations | (2.50%) | (3.90%) | (3.30%) |
Impact of TCJA and other related items | 0% | 0% | 0.50% |
Foreign-derived intangible income benefit | (2.00%) | (1.10%) | (1.00%) |
Domestic impairment loss | 0% | (0.10%) | (2.70%) |
Excess tax benefits related to stock compensation | (0.50%) | (1.70%) | (1.90%) |
Research tax credit | (0.90%) | (0.60%) | (1.00%) |
Resolution of certain tax positions pertaining to prior years | 0.20% | (0.70%) | (2.80%) |
Intercompany restructurings and integration | 0% | 0.10% | 0.50% |
State taxes, net of federal benefit | 0.70% | 0.40% | 0.50% |
All other, net | 0.50% | 0.50% | 0.20% |
Effective tax rate on earnings from continuing operations | 16.50% | 13.90% | 10% |
Taxes on Earnings from Contin_6
Taxes on Earnings from Continuing Operations - Deferred Tax Assets and Liabilities (Details) - USD ($) $ in Millions | Dec. 31, 2022 | Dec. 31, 2021 |
Deferred tax assets: | ||
Compensation and employee benefits | $ 230 | $ 618 |
Other, primarily reserves not currently deductible, and NOL’s and credit carryforwards | 2,402 | 2,444 |
Trade receivable reserves | 227 | 206 |
Research and development costs | 319 | 0 |
Inventory reserves | 187 | 169 |
Lease liabilities | 263 | 273 |
Deferred intercompany profit | 260 | 261 |
Total deferred tax assets before valuation allowance | 3,888 | 3,971 |
Valuation allowance | (1,169) | (1,199) |
Total deferred tax assets | 2,719 | 2,772 |
Deferred tax liabilities: | ||
Depreciation | (376) | (330) |
Right of Use lease assets | (252) | (264) |
Other, primarily the excess of book basis over tax basis of intangible assets | (2,038) | (2,364) |
Total deferred tax liabilities | (2,666) | (2,958) |
Total net deferred tax assets | $ 53 | |
Total net deferred tax liabilities | $ (186) |
Taxes on Earnings from Contin_7
Taxes on Earnings from Continuing Operations - Unrecognized Tax Benefits (Details) - USD ($) $ in Millions | 12 Months Ended | |
Dec. 31, 2022 | Dec. 31, 2021 | |
Reconciliation of Unrecognized Tax Benefits, Excluding Amounts Pertaining to Examined Tax Returns [Roll Forward] | ||
January 1 | $ 1,908 | $ 1,210 |
Increase due to current year tax positions | 154 | 143 |
Increase due to prior year tax positions | 108 | 748 |
Decrease due to prior year tax positions | (115) | (119) |
Settlements | 3 | |
Settlements | (35) | |
Lapse of statute | (22) | (39) |
December 31 | $ 2,036 | $ 1,908 |
Segment and Geographic Area I_3
Segment and Geographic Area Information - Sales and Earnings (Details) - USD ($) $ in Millions | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Segment Reporting Information [Line Items] | |||
Net Sales to External Customers | $ 43,653 | $ 43,075 | $ 34,608 |
Operating Earnings | 8,362 | 8,425 | 5,357 |
Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Net Sales to External Customers | 43,642 | 43,023 | 34,542 |
Operating Earnings | 12,831 | 13,422 | 9,308 |
Operating Segments | Established Pharmaceutical Products | |||
Segment Reporting Information [Line Items] | |||
Net Sales to External Customers | 4,912 | 4,718 | 4,303 |
Operating Earnings | 1,049 | 889 | 794 |
Operating Segments | Nutritional Products | |||
Segment Reporting Information [Line Items] | |||
Net Sales to External Customers | 7,459 | 8,294 | 7,647 |
Operating Earnings | 706 | 1,763 | 1,751 |
Operating Segments | Diagnostic Products | |||
Segment Reporting Information [Line Items] | |||
Net Sales to External Customers | 16,584 | 15,644 | 10,805 |
Operating Earnings | 6,667 | 6,256 | 3,725 |
Operating Segments | Medical Devices | |||
Segment Reporting Information [Line Items] | |||
Net Sales to External Customers | 14,687 | 14,367 | 11,787 |
Operating Earnings | 4,409 | 4,514 | 3,038 |
Corporate, Non-Segment | |||
Segment Reporting Information [Line Items] | |||
Net Sales to External Customers | $ 11 | $ 52 | $ 66 |
Segment and Geographic Area I_4
Segment and Geographic Area Information - Reconciliation of Earnings (Details) - USD ($) $ in Millions | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Segment Reporting Information [Line Items] | |||
Total Reportable Segment Operating Earnings | $ 8,362 | $ 8,425 | $ 5,357 |
Share-based compensation | (685) | (640) | (546) |
Amortization of intangible assets | (2,013) | (2,047) | (2,132) |
Earnings from Continuing Operations Before Taxes | 8,306 | 8,211 | 4,968 |
Impairment of indefinite-lived intangible assets in-process research and development project | 111 | ||
Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Total Reportable Segment Operating Earnings | 12,831 | 13,422 | 9,308 |
Operating Segments | Nutritional Products | |||
Segment Reporting Information [Line Items] | |||
Total Reportable Segment Operating Earnings | 706 | 1,763 | 1,751 |
Segment Reconciling Items | |||
Segment Reporting Information [Line Items] | |||
Corporate functions and benefit plan costs | (509) | (801) | (518) |
Net interest expense | (375) | (490) | (500) |
Share-based compensation | (685) | (640) | (546) |
Amortization of intangible assets | (2,013) | (2,047) | (2,132) |
Other, net | (943) | (1,233) | (644) |
Impairment of indefinite-lived intangible assets in-process research and development project | 111 | ||
Charges for restructuring actions and other cost reduction initiatives | 265 | $ 375 | $ 125 |
Segment Reconciling Items | Nutritional Products | |||
Segment Reporting Information [Line Items] | |||
Recall charges | $ 176 |
Segment and Geographic Area I_5
Segment and Geographic Area Information - Depreciation and Assets (Details) - USD ($) $ in Millions | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Segment Reporting Information [Line Items] | |||
Depreciation | $ 1,254 | $ 1,491 | $ 1,195 |
Additions to Property and Equipment | 1,775 | 1,872 | 2,193 |
Total Assets | 74,438 | 75,196 | |
Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Depreciation | 1,057 | 1,290 | 1,000 |
Additions to Property and Equipment | 1,593 | 1,671 | 1,975 |
Total Assets | 22,337 | 21,174 | 20,955 |
Operating Segments | Established Pharmaceuticals | |||
Segment Reporting Information [Line Items] | |||
Depreciation | 97 | 94 | 88 |
Additions to Property and Equipment | 175 | 169 | 109 |
Total Assets | 2,883 | 2,789 | 2,888 |
Operating Segments | Nutritionals | |||
Segment Reporting Information [Line Items] | |||
Depreciation | 155 | 151 | 143 |
Additions to Property and Equipment | 251 | 174 | 201 |
Total Assets | 3,625 | 3,425 | 3,478 |
Operating Segments | Diagnostics | |||
Segment Reporting Information [Line Items] | |||
Depreciation | 494 | 760 | 488 |
Additions to Property and Equipment | 832 | 980 | 1,263 |
Total Assets | 7,985 | 7,699 | 7,696 |
Operating Segments | Medical Devices | |||
Segment Reporting Information [Line Items] | |||
Depreciation | 311 | 285 | 281 |
Additions to Property and Equipment | 335 | 348 | 402 |
Total Assets | 7,844 | 7,261 | 6,893 |
Corporate, Non-Segment | |||
Segment Reporting Information [Line Items] | |||
Depreciation | 197 | 201 | 195 |
Additions to Property and Equipment | $ 182 | $ 201 | $ 218 |
Segment and Geographic Area I_6
Segment and Geographic Area Information - Reconciliation of Assets (Details) - USD ($) $ in Millions | Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 |
Segment Reporting Information [Line Items] | |||
Total Assets | $ 74,438 | $ 75,196 | |
Operating Segments | |||
Segment Reporting Information [Line Items] | |||
Total Assets | 22,337 | 21,174 | $ 20,955 |
Segment Reconciling Items | |||
Segment Reporting Information [Line Items] | |||
Cash and investments | 10,936 | 11,065 | |
Goodwill and intangible assets | 33,253 | 35,970 | |
All other | 7,912 | 6,987 | |
Segment Reconciling Items | Defined Benefit Plans | |||
Segment Reporting Information [Line Items] | |||
All other | $ 3,200 | $ 2,270 |
Segment and Geographic Area I_7
Segment and Geographic Area Information - Geographic Information (Details) - USD ($) $ in Millions | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Segment Reporting Information [Line Items] | |||
Net Sales to External Customers | $ 43,653 | $ 43,075 | $ 34,608 |
United States | |||
Segment Reporting Information [Line Items] | |||
Net Sales to External Customers | 18,142 | 16,642 | 13,022 |
Germany | |||
Segment Reporting Information [Line Items] | |||
Net Sales to External Customers | 2,340 | 2,572 | 2,108 |
China | |||
Segment Reporting Information [Line Items] | |||
Net Sales to External Customers | 2,133 | 2,392 | 1,965 |
Japan | |||
Segment Reporting Information [Line Items] | |||
Net Sales to External Customers | 1,932 | 1,695 | 1,386 |
India | |||
Segment Reporting Information [Line Items] | |||
Net Sales to External Customers | 1,649 | 1,561 | 1,323 |
Switzerland | |||
Segment Reporting Information [Line Items] | |||
Net Sales to External Customers | 1,336 | 1,313 | 1,140 |
Canada | |||
Segment Reporting Information [Line Items] | |||
Net Sales to External Customers | 1,280 | 1,385 | 841 |
All Other Countries | |||
Segment Reporting Information [Line Items] | |||
Net Sales to External Customers | $ 14,841 | $ 15,515 | $ 12,823 |
Segment and Geographic Area I_8
Segment and Geographic Area Information - Narrative (Details) - USD ($) $ in Billions | Dec. 31, 2022 | Dec. 31, 2021 |
Segment Reporting Information [Line Items] | ||
Long-lived assets | $ 14.2 | $ 13.1 |
United States | ||
Segment Reporting Information [Line Items] | ||
Long-lived assets | $ 7.7 | $ 6.8 |
Subsequent Event (Details)
Subsequent Event (Details) - CSI - Subsequent Event $ / shares in Units, $ in Millions | Feb. 08, 2023 USD ($) $ / shares |
Subsequent Event [Line Items] | |
Share price (in dollars per share) | $ / shares | $ 20 |
Equity consideration | $ | $ 890 |
Schedule II Valuation and Qua_2
Schedule II Valuation and Qualifying Accounts (Details) - SEC Schedule, 12-09, Allowance, Credit Loss - USD ($) $ in Millions | 12 Months Ended | ||
Dec. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Allowances for Doubtful Accounts and Product Returns | |||
Balance at Beginning of Year | $ 519 | $ 460 | $ 384 |
Provisions/ Charges to Income | 122 | 145 | 187 |
Amounts Charged Off and Other Deductions | (141) | (86) | (111) |
Balance at End of Year | $ 500 | $ 519 | $ 460 |