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Segments of Business and Geographic Areas (Tables)
9 Months Ended
Sep. 27, 2020
Segment Reporting [Abstract]  
Sales By Segment Of Business
SALES BY SEGMENT OF BUSINESS
 Fiscal Third Quarter EndedFiscal Nine Months Ended
(Dollars in Millions)September 27,
2020
September 29,
2019
Percent
Change
September 27,
2020
September 29,
2019
Percent Change
Consumer Health*   
OTC
     U.S.$601 477 26.0 %$1,917 1,468 30.6 %
     International541 621 (12.9)1,722 1,781 (3.3)
     Worldwide 1,142 1,098 4.0 3,639 3,249 12.0 
Skin Health/Beauty
     U.S.572 559 2.4 1,767 1,810 (2.4)
     International577 592 (2.7)1,506 1,633 (7.8)
     Worldwide 1,149 1,151 (0.2)3,273 3,443 (5.0)
Oral Care
     U.S.164 156 5.5 510 462 10.4 
     International248 223 10.7 694 673 3.0 
     Worldwide 412 379 8.5 1,204 1,135 6.0 
Baby Care
     U.S.91 91 (1.0)279 277 0.5 
     International302 326 (7.2)831 977 (14.9)
     Worldwide 393 417 (5.9)1,110 1,254 (11.5)
Women's Health
     U.S.(6.9)10 7.3 
     International227 252 (9.6)654 724 (9.6)
     Worldwide 230 255 (9.6)664 733 (9.4)
Wound Care/Other
     U.S.125 109 15.2 370 343 8.0 
     International64 59 7.4 175 173 1.3 
     Worldwide 189 168 12.5 545 516 5.8 
TOTAL Consumer Health
     U.S.1,556 1,394 11.6 4,853 4,369 11.1 
     International1,958 2,075 (5.6)5,582 5,962 (6.4)
     Worldwide 3,514 3,469 1.3 10,435 10,331 1.0 
* Previously referred to as Consumer
PHARMACEUTICAL
Immunology
     U.S.2,558 2,582 (0.9)7,330 7,124 2.9 
     International1,230 1,129 9.0 3,619 3,304 9.5 
     Worldwide 3,789 3,711 2.1 10,950 10,428 5.0 
     REMICADE®
     U.S.634 749 (15.4)1,852 2,324 (20.3)
     U.S. Exports78 88 (11.3)321 226 42.1 
     International209 299 (30.1)673 795 (15.3)
     Worldwide 921 1,136 (18.9)2,846 3,345 (14.9)
     SIMPONI / SIMPONI ARIA®
     U.S.312 313 (0.4)840 857 (2.0)
     International280 273 2.4 827 816 1.3 
     Worldwide 592 586 0.9 1,667 1,673 (0.4)
     STELARA®
     U.S.1,313 1,212 8.4 3,668 3,152 16.4 
     International634 487 30.3 1,795 1,509 19.0 
     Worldwide 1,947 1,698 14.7 5,463 4,661 17.2 
     TREMFYA®
     U.S.222 221 0.4650 565 15.0%
     International105 69 54.4316 177 78.7
     Worldwide 327 290 13.1965 742 30.2%
     OTHER IMMUNOLOGY
     U.S.— — — — 
     International35.612.4
     Worldwide 35.612.4
Infectious Diseases
     U.S.413 418 (1.1)1,265 1,162 8.9 
     International451 421 7.0 1,397 1,385 0.9 
     Worldwide 864 839 3.0 2,662 2,547 4.5 
     EDURANT® / rilpivirine
     U.S.11 12 (12.0)33 36 (8.6)
     International226 206 9.3 684 603 13.3 
     Worldwide 236 218 8.1 716 639 12.1 
     PREZISTA® / PREZCOBIX® / REZOLSTA® / SYMTUZA®
     U.S.379 373 1.5 1,154 1,032 11.8 
     International147 135 9.1 461 534 (13.7)
     Worldwide 526 508 3.5 1,615 1,566 3.1 
     OTHER INFECTIOUS DISEASES
     U.S.24 33 (26.6)79 94 (16.6)
     International78 80 (2.3)252 248 1.8 
     Worldwide 102 113 (9.4)331 342 (3.2)
Neuroscience
     U.S.759 785 (3.5)2,285 2,172 5.2 
     International846 810 4.5 2,565 2,590 (1.0)
     Worldwide 1,605 1,595 0.6 4,850 4,762 1.8 
     CONCERTA® / methylphenidate
     U.S.43 84 (49.2)150 196 (23.6)
     International107 109 (2.0)319 348 (8.2)
     Worldwide 149 193 (22.6)469 544 (13.8)
     INVEGA SUSTENNA® / XEPLION® / INVEGA TRINZA® / TREVICTA®
     U.S.585 554 5.6 1,704 1,543 10.5 
     International341 297 14.9 983 916 7.3 
     Worldwide 926 851 8.8 2,688 2,459 9.3 
     RISPERDAL CONSTA®
     U.S.70 79 (11.0)220 237 (6.9)
     International81 89 (7.8)254 292 (12.7)
     Worldwide 152 167 (9.3)475 528 (10.1)
     OTHER NEUROSCIENCE
     U.S.60 68 (11.3)210 196 7.1 
     International317 316 0.3 1,008 1,035 (2.6)
     Worldwide 377 384 (1.8)1,218 1,231 (1.1)
Oncology
     U.S.1,267 1,171 8.2 3,623 3,146 15.2 
     International1,862 1,590 17.1 5,310 4,830 9.9 
     Worldwide 3,129 2,761 13.3 8,933 7,976 12.0 
     DARZALEX®
     U.S.585 402 46.0 1,540 1,123 37.2 
     International514 363 41.5 1,397 1,045 33.7 
     Worldwide 1,099 765 43.8 2,937 2,168 35.5 
     ERLEADA®
     U.S.152 74  * 407194 *
     International55 12  * 11222 *
     Worldwide 206 86  * 519216 *
     IMBRUVICA®
     U.S.450 447 0.7 1,329 1,163 14.2 
     International581 475 22.5 1,682 1,373 22.5 
     Worldwide 1,031 921 11.9 3,011 2,536 18.7 
     VELCADE®
     U.S.— — — — 
     International105 149 (30.1)311 636 (51.2)
     Worldwide 105 149 (30.1)311 636 (51.2)
     ZYTIGA® / abiraterone acetate
     U.S.58 233 (75.2)284 616 (53.9)
     International532 508 4.8 1,564 1,502 4.1 
     Worldwide 590 741 (20.4)1,848 2,118 (12.7)
     OTHER ONCOLOGY
     U.S.21 17 35.363 51 25.8 
     International76 83 (8.8)244 252 (3.1)
     Worldwide 98 100 (1.7)308 303 1.7 
Pulmonary Hypertension
     U.S.510 427 19.41,541 1,296 18.9 
     International239 227 5.2742 704 5.3 
     Worldwide 749 654 14.52,283 2,000 14.1 
     OPSUMIT®
     U.S.244 206 18.1729 581 25.3 
     International148 140 5.5458 419 9.3 
     Worldwide 392 347 13.01,187 1,001 18.6 
     UPTRAVI®
     U.S.226 185 22.4692 536 29.1 
     International34 25 32.3100 75 33.1 
     Worldwide 260 210 23.6792 611 29.6 
     OTHER PULMONARY HYPERTENSION
     U.S.40 36 11.5121 179 (32.3)
     International57 61 (6.7)183 210 (12.7)
     Worldwide 97 96 0.1304 388 (21.7)
Cardiovascular / Metabolism / Other
     U.S.931 955 (2.6)2,574 2,804 (8.2)
     International351 360 (2.7)1,052 1,131 (7.1)
     Worldwide 1,281 1,316 (2.6)3,625 3,936 (7.9)
     XARELTO®
     U.S.630 613 2.9 1,716 1,704 0.7 
     International— — — — 
     Worldwide 630 613 2.9 1,716 1,704 0.7 
     INVOKANA® / INVOKAMET®
     U.S.156 125 24.7 405 411 (1.6)
     International68 55 24.7 173 147 18.0 
     Worldwide 224 179 24.7 578 558 3.6 
     PROCRIT® / EPREX®
     U.S.69 126 (45.4)215 387 (44.5)
     International63 72 (12.2)208 220 (5.5)
     Worldwide 132 198 (33.3)423 607 (30.4)
     OTHER
     U.S.75 91 (17.9)238 302 (21.4)
     International219 234 (6.2)670 765 (12.3)
     Worldwide 294 325 (9.5)908 1,067 (14.9)
TOTAL PHARMACEUTICAL  
     U.S.6,438 6,340 1.5 18,619 17,705 5.2 
     International4,980 4,537 9.7 14,685 13,945 5.3 
     Worldwide 11,418 10,877 5.0 33,304 31,650 5.2 
MEDICAL DEVICES
Interventional Solutions
     U.S.399 357 11.8 1,019 1,066 (4.4)
     International437 382 14.0 1,134 1,156 (2.0)
     Worldwide 836 741 12.9 2,153 2,223 (3.1)
Orthopaedics
     U.S.1,308 1,301 0.6 3,427 3,950 (13.2)
     International774 837 (7.5)2,145 2,616 (18.0)
     Worldwide 2,083 2,138 (2.6)5,572 6,566 (15.1)
     HIPS
     U.S.221 204 8.7 564 633 (10.9)
     International124 133 (7.2)344 428 (19.8)
     Worldwide 345 336 2.4 908 1,061 (14.5)
     KNEES
     U.S.205 209 (1.9)527 650 (19.0)
     International102 136 (24.8)298 435 (31.5)
     Worldwide 308 344 (10.9)825 1,085 (24.0)
     TRAUMA
     U.S.433 415 4.2 1,194 1,239 (3.6)
     International253 262 (3.4)698 795 (12.2)
     Worldwide 685 677 1.3 1,892 2,034 (7.0)
     SPINE, SPORTS & OTHER
     U.S.449 472 (4.9)1,142 1,427 (20.0)
     International295 306 (3.4)805 957 (15.8)
     Worldwide 745 778 (4.3)1,947 2,384 (18.3)
Surgery
     U.S.913 940 (3.0)2,247 2,867 (21.7)
     International1,239 1,371 (9.6)3,556 4,192 (15.2)
     Worldwide 2,152 2,311 (6.9)5,803 7,059 (17.8)
     ADVANCED
     U.S.421 409 3.0 1,079 1,209 (10.7)
     International579 602 (3.9)1,644 1,811 (9.2)
     Worldwide 1,000 1,010 (1.1)2,723 3,019 (9.8)
     GENERAL
     U.S.492 531 (7.6)1,168 1,658 (29.6)
     International660 769 (14.1)1,912 2,381 (19.7)
     Worldwide 1,152 1,301 (11.4)3,080 4,040 (23.8)
Vision
     U.S.473 459 3.1 1,160 1,366 (15.1)
     International608 734 (17.2)1,683 2,117 (20.5)
     Worldwide 1,081 1,193 (9.4)2,843 3,483 (18.4)
     CONTACT LENSES / OTHER
     U.S.375 339 10.9 924 993 (6.9)
     International455 555 (18.1)1,274 1,566 (18.7)
     Worldwide 830 893 (7.1)2,198 2,559 (14.1)
     SURGICAL
     U.S.98 120 (18.9)236 373 (36.8)
     International153 180 (14.6)409 551 (25.7)
     Worldwide 251 299 (16.3)645 923 (30.2)
TOTAL MEDICAL DEVICES    
     U.S.3,092 3,057 1.2 7,852 9,249 (15.1)
     International3,058 3,326 (8.1)8,518 10,082 (15.5)
     Worldwide 6,150 6,383 (3.6)16,370 19,331 (15.3)
WORLDWIDE      
     U.S.11,086 10,791 2.7 31,324 31,323 0.0 
     International9,996 9,938 0.6 28,785 29,989 (4.0)
     Worldwide $21,082 20,729 1.7 %$60,109 61,312 (2.0)%
*Percentage greater than 100% or not meaningful
Operating Profit by Segment of Business
EARNINGS BEFORE PROVISION FOR TAXES BY SEGMENT
 Fiscal Third Quarter EndedFiscal Nine Months Ended
(Dollars in Millions)September 27,
2020
September 29,
2019
Percent
Change
September 27,
2020
September 29,
2019
Percent Change
Consumer Health (1)
$191 653 (70.8)%$993 1,800 (44.8)%
Pharmaceutical(2)
3,439 (222)*11,787 5,786 *
Medical Devices(3)
1,010 1,392 (27.4)2,681 6,078 (55.9)
Segment earnings before provision for taxes4,640 1,823 *15,461 13,664 13.2 
Less: Expense not allocated to segments (4)
239 176  611 554  
Worldwide income before tax$4,401 1,647 *$14,850 13,110 13.3 %
*Percentage greater than 100% or not meaningful

(1) Consumer Health
Includes a gain of $0.3 billion related to the Company's previously held equity investment in Ci:z Holdings Co., Ltd. (DR. CI: LABO) in the fiscal nine months of 2019.
Includes litigation expense of $0.5 billion in the fiscal third quarter of 2020, primarily talc related costs, including certain settlements. Includes litigation expense of $1.2 billion and $0.2 billion in both the fiscal nine months of 2020 and 2019, primarily talc related costs, including certain settlements.
Includes amortization expense of $0.1 billion in both the fiscal third quarters of 2020 and 2019, respectively and $0.3 billion in both the fiscal nine months of 2020 and 2019, respectively.
Includes a restructuring related charge of $0.1 billion in both the fiscal nine months of 2020 and 2019, respectively.
(2) Pharmaceutical
Includes an in-process research and development expense of $0.9 billion related to the Alios asset in the fiscal nine months of 2019.
Includes litigation expense of $1.0 billion and $4.0 billion in the fiscal third quarters of 2020 and 2019 and $1.0 billion and $4.3 billion in the fiscal nine months of 2020 and 2019, respectively. Litigation expense in all periods is primarily related to the agreement in principle to settle opioid litigation.
Includes an unrealized loss on securities of $0.1 billion in the fiscal third quarter of 2019. Includes an unrealized gain on securities of $0.2 billion in both the fiscal nine months of 2020 and 2019, respectively.
Includes a research and development expense of $0.3 billion in the fiscal nine months of 2019, for an upfront payment related to argenx.
Includes amortization expense of $0.8 billion in both the fiscal third quarters of 2020 and 2019. Includes amortization expense of $2.4 billion in both the fiscal nine months of 2020 and 2019.
Includes a restructuring related charge of $0.1 billion in both the fiscal nine months of 2020 and 2019, respectively.
Includes Actelion acquisition related costs of $0.1 billion in the fiscal nine months of 2019.
In the fiscal second and third quarters of 2020, the Company entered into a series of contract manufacturing arrangements for vaccine production with third party contract manufacturing organizations. These arrangements provide the Company with future supplemental commercial capacity for vaccine production and potentially transferable rights to such production if capacity is not required. Amounts paid and contractually obligated to be paid to these contract manufacturing organizations of approximately $0.8 billion are reflected in the prepaid expenses and other, other assets, accrued liabilities and other liabilities accounts in the Company's consolidated balance sheet upon execution of each agreement. Additionally, the Company has entered into certain vaccine development cost sharing arrangements with government related organizations.
(3) Medical Devices
Includes a contingent consideration reversal of $0.2 billion in the fiscal third quarter of 2020 and $1.1 billion in the fiscal nine months of 2020 related to the timing of certain developmental milestones associated with the Auris Health acquisition.
Includes a gain of $2.0 billion from the divestiture of the ASP business in the fiscal nine months of 2019.
Includes litigation expense of $0.3 billion in the fiscal nine months of 2019.
Includes a restructuring related charge of $0.1 billion and amortization expense of $0.2 billion in both the fiscal third quarters of 2020 and 2019.
Includes a restructuring related charge of $0.2 billion and amortization expense of $0.7 billion in both the fiscal nine months of 2020 and 2019.
Includes an in-process research and development expense of $0.1 billion in the fiscal third quarter of 2020 and fiscal nine months of 2020.
(4) Amounts not allocated to segments include interest income/expense and general corporate income/expense.
Schedule of Revenue from External Customers and Long-Lived Assets, by Geographical Areas
SALES BY GEOGRAPHIC AREA
 Fiscal Third Quarter EndedFiscal Nine Months Ended
(Dollars in Millions)September 27, 2020September 29, 2019Percent
Change
September 27, 2020September 29, 2019Percent Change
United States$11,086 10,791 2.7 %$31,324 31,323 0.0 %
Europe4,819 4,461 8.0 13,709 13,803 (0.7)
Western Hemisphere, excluding U.S.1,296 1,488 (12.9)3,931 4,446 (11.6)
Asia-Pacific, Africa3,881 3,989 (2.7)11,145 11,740 (5.1)
Total$21,082 20,729 1.7 %$60,109 61,312 (2.0)%