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Consolidated Statements of Income - USD ($)
shares in Millions, $ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2016
Sep. 30, 2016
Jun. 30, 2016
Mar. 31, 2016
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Income Statement [Abstract]                      
Net sales $ 2,774 $ 2,707 $ 2,605 $ 2,475 $ 2,645 $ 2,558 $ 2,585 $ 2,375 $ 10,561 $ 10,163 $ 9,968
Cost of sales                 6,091 6,047 5,777
Gross margin 1,164 [1] 1,130 [1] 1,132 [1] 1,044 [1] 1,104 [2] 1,073 [2] 973 [2] 966 [2] 4,470 [1] 4,116 [2] 4,191
Marketing and administrative expenses                 2,566 2,725 3,031
Research and development expenses                 613 646 587
Operating income                 1,291 745 573
Net interest expense                 55 66 126
Other (income) expense, net                 19 (4,275) 19
Income from continuing operations before income taxes                 1,217 4,954 428
Income tax (benefit) expense                 493 (12) 35
Income from continuing operations (61) [1] 248 [1] 264 [1] 273 [1] 240 [2] 127 [2] 1,212 [2] 3,387 [2] 724 [1] 4,966 [2] 393
(Loss) income from discontinued operations, net of tax (10) 3 1 (1) 3 3   (7) (7) (1) 575
Net income $ (71) $ 251 $ 265 $ 272 $ 243 [2] $ 130 [2] $ 1,212 [2] $ 3,380 [2] $ 717 $ 4,965 [2] $ 968
Income from continuing operations per common share                      
Basic $ (0.11) [1] $ 0.46 [1] $ 0.49 [1] $ 0.50 [1] $ 0.44 [2] $ 0.23 [2] $ 2.21 [2] $ 6.17 [2] $ 1.33 [1] $ 9.10 [2] $ 0.72
Diluted (0.11) [1] 0.45 [1] 0.48 [1] 0.50 [1] 0.44 [2] 0.23 [2] 2.19 [2] 6.13 [2] 1.30 [1] 9.01 [2] 0.72
(Loss) income from discontinued operations per common share                      
Basic (0.02) 0.00 0.00 0.00 0.01 0.01 0.00 (0.01) (0.01) (0.01) 1.06
Diluted (0.02) 0.00 0.00 (0.01) 0.00 0.01 0.00 (0.01) (0.01) 0.00 1.04
Net income per common share                      
Basic (0.13) [1] 0.46 [1] 0.49 [1] 0.50 [1] 0.45 [2] 0.24 [2] 2.21 [2] 6.16 [2] 1.32 [1] 9.09 [2] 1.78
Diluted $ (0.13) [1] $ 0.45 [1] $ 0.48 [1] $ 0.49 [1] $ 0.44 [2] $ 0.24 [2] $ 2.19 [2] $ 6.12 [2] $ 1.29 [1] $ 9.01 [2] $ 1.76
Weighted-average number of common shares outstanding                      
Basic                 543 546 545
Diluted                 555 551 549
[1] The first quarter of 2017 included charges of $17 million related to business optimization, separation-related costs and historical rebate and discount adjustments. The second quarter of 2017 included charges of $57 million related to business optimization, separation-related costs, Venezuela deconsolidation costs, Claris acquisition and integration expenses and adjustments to historical product reserves. The third quarter of 2017 included charges of $82 million related to business optimization, separation-related costs, Hurricane Maria costs, Claris acquisition and integration expenses and SIGMA SPECTRUM infusion pump inspection and remediation activities. The fourth quarter of 2017 included charges of $388 million related to business optimization, separation-related costs, Claris acquisition and integration expenses, Hurricane Maria costs, litigation and contractual disputes for business arrangements in which the company is no longer engaged or a party thereto and the impact of tax reform in the United States.
[2] The first quarter of 2016 included benefits of $3.1 billion related to business optimization, separation-related costs, Retained Shares transactions, a loss on debt extinguishment, and product-related items. The second quarter of 2016 included benefits of $1.0 billion related to business optimization, separation-related costs, Retained Shares transactions, and asset impairment. The third quarter of 2016 included charges of $155 million related to business optimization, separation-related costs, a loss on debt extinguishment, and a tax matter. The fourth quarter of 2016 included charges of $47 million related to business optimization, Gambro integration costs, product-related items, separation-related costs, and reserve items and adjustments.