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Post-Employment Benefits
12 Months Ended
Dec. 31, 2020
Post-Employment Benefits  
Post-Employment Benefits

Note 14 — 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:

Medical and Dental

Defined Benefit Plans

Plans

(in millions)

    

2020

    

2019

    

2020

    

2019

Projected benefit obligations, January 1

$

11,238

$

9,093

$

1,556

$

1,292

Service cost — benefits earned during the year

 

336

 

250

 

46

 

23

Interest cost on projected benefit obligations

 

300

 

337

 

42

 

52

(Gains) losses, primarily changes in discount rates, plan design changes, law changes and differences between actual and estimated health care costs

 

1,305

 

1,856

 

(5)

 

228

Benefits paid

 

(327)

 

(302)

 

(73)

 

(76)

Other, including foreign currency translation

 

277

 

4

 

1

 

37

Projected benefit obligations, December 31

$

13,129

$

11,238

$

1,567

$

1,556

Plan assets at fair value, January 1

$

10,277

$

8,553

$

360

$

351

Actual return (loss) on plan assets

 

1,463

 

1,622

 

46

 

65

Company contributions

 

400

 

382

 

12

 

12

Benefits paid

 

(327)

 

(302)

 

(65)

 

(68)

Other, including foreign currency translation

 

205

 

22

 

 

Plan assets at fair value, December 31

$

12,018

$

10,277

$

353

$

360

Projected benefit obligations greater than plan assets, December 31

$

(1,111)

$

(961)

$

(1,214)

$

(1,196)

Long-term assets

$

824

$

687

$

$

Short-term liabilities

 

(29)

 

(26)

 

(1)

 

(1)

Long-term liabilities

 

(1,906)

 

(1,622)

 

(1,213)

 

(1,195)

Net liability

$

(1,111)

$

(961)

$

(1,214)

$

(1,196)

Amounts Recognized in Accumulated Other Comprehensive Income (loss):

Actuarial losses, net

$

4,559

$

4,131

$

486

$

529

Prior service cost (credits)

 

(5)

 

(2)

 

(67)

 

(95)

Total

$

4,554

$

4,129

$

419

$

434

Note 14 — Post-Employment Benefits (Continued)

The $1.3 billion and $1.9 billion of defined benefit plan losses in 2020 and 2019, respectively, that increased the projected benefit obligations in those years, primarily reflect the year-over-year decline in the discount rates used to measure the obligations. The projected benefit obligations for non-U.S. defined benefit plans were $4.1 billion and $3.3 billion at December 31, 2020 and 2019, respectively. The accumulated benefit obligations for all defined benefit plans were $11.9 billion and $10.2 billion at December 31, 2020 and 2019, respectively.

For plans where the projected benefit obligations exceeded plan assets at December 31, 2020 and 2019, the projected benefit obligations and the aggregate plan assets were as follows:

(in millions)

    

2020

    

2019

Projected benefit obligation

$

8,946

$

7,585

Fair value of plan assets

 

7,010

 

5,936

For plans where the accumulated benefit obligations exceeded plan assets at December 31, 2020 and 2019, the aggregate accumulated benefit obligations, the projected benefit obligations and the aggregate plan assets were as follows:

(in millions)

    

2020

    

2019

Accumulated benefit obligation

$

2,459

$

1,985

Projected benefit obligation

 

2,773

 

2,266

Fair value of plan assets

 

965

 

821

The components of the net periodic benefit cost were as follows:

Medical and

Defined Benefit Plans

Dental Plans

(in millions)

    

    

2020

    

2019

    

2018

    

2020

    

2019

    

2018

Service cost — benefits earned during the year

$

336

$

250

$

293

$

46

$

23

$

26

Interest cost on projected benefit obligations

 

300

 

337

 

308

 

42

 

52

 

48

Expected return on plans' assets

 

(770)

 

(710)

 

(680)

 

(28)

 

(27)

 

(33)

Amortization of actuarial losses

 

255

 

132

205

21

22

33

Amortization of prior service cost (credits)

1

1

1

(28)

(32)

(45)

Total net cost

$

122

$

10

$

127

$

53

$

38

$

29

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 losses of $611 million for defined benefit plans and a gain of $23 million for medical and dental plans in 2020, net actuarial losses of $944 million for defined benefit plans and a loss of $190 million for medical and dental plans in 2019; net actuarial losses of $86 million for defined benefit plans and a gain of $53 million for medical and dental plans in 2018. The net actuarial losses in 2020 and 2019 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 in each of the period.

Note 14 — Post-Employment Benefits (Continued)

The weighted average assumptions used to determine benefit obligations for defined benefit plans and medical and dental plans are as follows:

    

2020

    

2019

    

2018

 

Discount rate

 

2.3

%  

3.0

%  

4.0

%

Expected aggregate average long-term change in compensation

 

4.3

%  

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:

    

2020

    

2019

    

2018

 

Discount rate

 

3.0

%  

4.0

%  

3.4

%

Expected return on plan assets

 

7.5

%  

7.5

%  

7.7

%

Expected aggregate average long-term change in compensation

 

4.3

%  

4.3

%  

4.4

%

The assumed health care cost trend rates for medical and dental plans at December 31 were as follows:

    

2020

    

2019

    

2018

 

Health care cost trend rate assumed for the next year

 

8

%  

9

%  

9

%

Rate that the cost trend rate gradually declines to

 

5

%  

5

%  

5

%

Year that rate reaches the assumed ultimate rate

 

2025

2025

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.

Note 14 — Post-Employment Benefits (Continued)

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

Quoted

Significant

Prices in

Other

Significant

Outstanding

Active

Observable

Unobservable

Measured at

(in millions)

    

Balances

    

 Markets

    

Inputs

    

Inputs

    

NAV (j)

December 31, 2020:

Equities:

U.S. large cap (a)

$

3,410

$

2,202

$

$

$

1,208

U.S. mid and small cap (b)

775

721

3

51

International (c)

2,654

542

2,112

Fixed income securities:

U.S. government securities (d)

475

23

289

163

Corporate debt instruments (e)

1,408

425

908

75

Non-U.S. government securities (f)

523

16

507

Other (g)

503

159

72

272

Absolute return funds (h)

1,618

462

1,156

Cash and Cash Equivalents

281

77

204

Other (i)

724

9

715

$

12,371

$

4,636

$

1,269

$

3

$

6,463

December 31, 2019:

Equities:

U.S. large cap (a)

$

2,873

$

1,647

$

$

$

1,226

U.S. mid and small cap (b)

 

648

548

4

2

94

International (c)

 

2,202

464

1,738

Fixed income securities:

U.S. government securities (d)

 

562

52

357

153

Corporate debt instruments (e)

 

1,266

362

724

180

Non-U.S. government securities (f)

 

445

3

2

440

Other (g)

 

320

69

27

224

Absolute return funds (h)

 

1,557

424

1,133

Cash and Cash Equivalents

182

84

98

Other (i)

 

582

8

1

573

$

10,637

$

3,661

$

1,114

$

3

$

5,859

(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, Japan and Eurozone government bonds.
(g)Primarily asset backed securities and an actively managed, diversified fixed income vehicle benchmarked to the one-month Libor / Euribor.
(h)Primarily 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.

Note 14 — Post-Employment Benefits (Continued)

(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 month, with a required 7 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, 2020 and 2019. 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 14 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, 2020 and 2019. Investments in these funds may be generally redeemed monthly or quarterly with required notice periods ranging from 5 to 90 days. For approximately $245 million and $110 million of the absolute return funds, redemptions are subject to a 33 percent gate and a 25 percent gate, respectively, and $60 million is subject to a lock until 2022.  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 2021 to 2030. Abbott’s unfunded commitment in these funds was $523 million and $579 million as of December 31, 2020 and 2019, 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 $400 million in 2020 and $382 million in 2019 to defined pension plans. Abbott expects to contribute approximately $410 million to its pension plans in 2021.

Note 14 — Post-Employment Benefits (Continued)

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:

Defined

Medical and

(in millions)

    

Benefit Plans

    

Dental Plans

2021

$

340

$

72

2022

355

73

2023

373

74

2024

395

75

2025

415

76

2026 to 2030

2,410

394

The Abbott Stock Retirement Plan is the principal defined contribution plan. Abbott’s contributions to this plan were $164 million in 2020, $158 million in 2019 and $146 million in 2018. The 2018 contributions include amounts related to participants of the St. Jude Medical Retirement Plan which was terminated in January 2018.