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Pay vs Performance Disclosure
12 Months Ended
Dec. 31, 2022
USD ($)
$ / shares
Dec. 31, 2021
USD ($)
$ / shares
Dec. 31, 2020
USD ($)
$ / shares
Pay vs Performance Disclosure [Table]      
Pay vs Performance [Table Text Block]

Pay Versus PerformanceTable. In accordance with Item 402(v), we provide below the tabular disclosure for the Company’s President and Chief Executive Officer (“CEO”) (our Principal Executive Officer) and the average of our NEOs other than the CEO for 2022, 2021 and 2020.

 

                            Value of Initial Fixed
$100 Investment Based
On:
       
Fiscal
Year(1)
(a)
   Summary
Compensation
Table Total for
First PEO
(b1)
   Compensation
Actually Paid
to First PEO(2)
(c1)
   Summary
Compensation
Table Total for
Second PEO
(b2)
   Compensation
Actually Paid
to Second
PEO(2)
(c2)
   Average
Summary
Compensation
Table Total for
Non-PEO NEOs
(d)
   Average
Compensation
Actually Paid
to Non-PEO
NEOs(2)
(e)
   Total
Share-
holder
Return(3)
(f)
   Peer Group
Total
Share-
holder
Return(3)
(g)
   Net
Income(4)
(h)
   Adjusted
EPS(5)
(i)
2022   $20,196,027   $190,304   $0   $0   $6,641,306   $(930,613)   $175   $140   $7,209   $10.97
2021   $17,152,267   $59,455,992   $0   $0   $6,225,036   $26,481,836   $216   $143   $6,433   $10.00
2020   $10,396,761   $32,944,487   $16,763,956   $83,394,550   $6,786,580   $20,676,667   $145   $113   $3,646   $5.11

 

 

(1) For 2020, 2021 and 2022, the First PEO is Rainer Blair. In 2020, the Second PEO is Thomas Joyce. The other NEOs in 2020 were Joakim Weidemanis, Angela Lalor, Matthew McGrew and Brian Ellis; in 2021, the other NEOs were Messrs. Weidemanis and McGrew and Mss. Lalor and Jennifer Honeycutt; and in 2022, the other NEOs were Messrs. Weidemanis and McGrew, Dr. Jose-Carlos Gutierrez-Ramos and Ms. Honeycutt.
(2) To calculate CAP (columns (c1), (c2), and (e)), the following amounts were deducted from and added to the applicable SCT total compensation:

 

      PEO 1
Prior FYE
Current FYE
Fiscal Year
  12/31/2019
12/31/2020
2020
  12/31/2020
12/31/2021
2021
  12/31/2021
12/31/2022
2022
SCT Total   $10,396,761   $17,152,267   $20,196,027
  Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year   $(6,585,590)   $(11,384,877)   $(14,268,274)
+   Fair Value at Fiscal Year-End of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year   $12,507,143   $22,940,973   $14,744,612
+   Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Year   $15,738,917   $30,678,296   $(14,993,297)
+   Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year   $0   $0   $0
+   Change in Fair Value as of Vesting Date of Option Awards and Stock Awards Granted in Prior Fiscal Years For Which Applicable Vesting Conditions Were Satisfied During Fiscal Year   $887,256   $69,332   $(5,488,764)
  Fair Value as of Prior Fiscal Year-End of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting Conditions During Fiscal Year   $0   $0   $0
COMPENSATION ACTUALLY PAID   $32,944,487   $59,455,992   $190,304
                 
      PEO 2
Prior FYE
Current FYE
Fiscal Year
  12/31/2019
12/31/2020
2020
  12/31/2020
12/31/2021
2021
  12/31/2021
12/31/2022
2022
SCT Total   $16,763,956   $0   $0
  Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year   $(11,748,524)   $0   $0
+   Fair Value at Fiscal Year-End of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year   $24,040,706   $0   $0
+   Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Year   $53,508,940   $0   $0
+   Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year   $0   $0   $0
+   Change in Fair Value as of Vesting Date of Option Awards and Stock Awards Granted in Prior Fiscal Years For Which Applicable Vesting Conditions Were Satisfied During Fiscal Year   $829,471   $0   $0
  Fair Value as of Prior Fiscal Year-End of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting Conditions During Fiscal Year   $0   $0   $0
COMPENSATION ACTUALLY PAID   $83,394,550   $0   $0

 

 

 

      Non-PEO NEOs
Prior FYE
Current FYE
Fiscal Year
  12/31/2019
12/31/2020
2020
  12/31/2020
12/31/2021
2021
  12/31/2021
12/31/2022
2022
SCT Total   $6,786,580   $6,225,036   $6,641,306
  Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year   $(4,178,109)   $(3,370,721)   $(3,945,270)
+   Fair Value at Fiscal Year-End of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year   $7,853,538   $6,792,180   $4,069,305
+   Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Year   $9,403,554   $16,443,088   $(5,970,277)
+   Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year   $0   $0   $0
+   Change in Fair Value as of Vesting Date of Option Awards and Stock Awards Granted in Prior Fiscal Years For Which Applicable Vesting Conditions Were Satisfied During Fiscal Year   $811,104   $392,253   $(1,725,677)
  Fair Value as of Prior Fiscal Year-End of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting Conditions During Fiscal Year   $0   $0   $0
COMPENSATION ACTUALLY PAID   $20,676,667   $26,481,836   $(930,613)

 

 

  The fair value of performance stock units (PSUs) used in the calculation of CAP (columns (c1), (c2), and (e)) was determined using a Monte Carlo simulation valuation model, in accordance with ASC 718. The fair value of option awards used in the calculation of CAP was determined using the Black-Scholes option pricing model, in accordance with ASC 718. In both cases, the assumptions used in these calculations are not materially different than those used for purposes of the Summary Compensation Table.
(3) Reflects TSR indexed to $100 for each of the Company and the S&P 500 Health Care Index, which is an industry line peer group reported in the performance graph included in the Company’s 2022 Annual Report on Form 10-K.
(4) Values shown are in millions.
(5) Please see page 43 for a definition of Adjusted EPS. Values shown reflect Adjusted EPS as calculated for purposes of our executive compensation program for the applicable reporting year.
   
Company Selected Measure Name Adjusted EPS    
Named Executive Officers, Footnote [Text Block] For 2020, 2021 and 2022, the First PEO is Rainer Blair. In 2020, the Second PEO is Thomas Joyce. The other NEOs in 2020 were Joakim Weidemanis, Angela Lalor, Matthew McGrew and Brian Ellis; in 2021, the other NEOs were Messrs. Weidemanis and McGrew and Mss. Lalor and Jennifer Honeycutt; and in 2022, the other NEOs were Messrs. Weidemanis and McGrew, Dr. Jose-Carlos Gutierrez-Ramos and Ms. Honeycutt.    
Peer Group Issuers, Footnote [Text Block] Reflects TSR indexed to $100 for each of the Company and the S&P 500 Health Care Index, which is an industry line peer group reported in the performance graph included in the Company’s 2022 Annual Report on Form 10-K.    
Adjustment To PEO Compensation, Footnote [Text Block]

 

      PEO 1
Prior FYE
Current FYE
Fiscal Year
  12/31/2019
12/31/2020
2020
  12/31/2020
12/31/2021
2021
  12/31/2021
12/31/2022
2022
SCT Total   $10,396,761   $17,152,267   $20,196,027
  Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year   $(6,585,590)   $(11,384,877)   $(14,268,274)
+   Fair Value at Fiscal Year-End of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year   $12,507,143   $22,940,973   $14,744,612
+   Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Year   $15,738,917   $30,678,296   $(14,993,297)
+   Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year   $0   $0   $0
+   Change in Fair Value as of Vesting Date of Option Awards and Stock Awards Granted in Prior Fiscal Years For Which Applicable Vesting Conditions Were Satisfied During Fiscal Year   $887,256   $69,332   $(5,488,764)
  Fair Value as of Prior Fiscal Year-End of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting Conditions During Fiscal Year   $0   $0   $0
COMPENSATION ACTUALLY PAID   $32,944,487   $59,455,992   $190,304
                 
      PEO 2
Prior FYE
Current FYE
Fiscal Year
  12/31/2019
12/31/2020
2020
  12/31/2020
12/31/2021
2021
  12/31/2021
12/31/2022
2022
SCT Total   $16,763,956   $0   $0
  Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year   $(11,748,524)   $0   $0
+   Fair Value at Fiscal Year-End of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year   $24,040,706   $0   $0
+   Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Year   $53,508,940   $0   $0
+   Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year   $0   $0   $0
+   Change in Fair Value as of Vesting Date of Option Awards and Stock Awards Granted in Prior Fiscal Years For Which Applicable Vesting Conditions Were Satisfied During Fiscal Year   $829,471   $0   $0
  Fair Value as of Prior Fiscal Year-End of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting Conditions During Fiscal Year   $0   $0   $0
COMPENSATION ACTUALLY PAID   $83,394,550   $0   $0
   
Non-PEO NEO Average Total Compensation Amount $ 6,641,306 $ 6,225,036 $ 6,786,580
Non-PEO NEO Average Compensation Actually Paid Amount $ (930,613) 26,481,836 20,676,667
Adjustment to Non-PEO NEO Compensation Footnote [Text Block]

 

      Non-PEO NEOs
Prior FYE
Current FYE
Fiscal Year
  12/31/2019
12/31/2020
2020
  12/31/2020
12/31/2021
2021
  12/31/2021
12/31/2022
2022
SCT Total   $6,786,580   $6,225,036   $6,641,306
  Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year   $(4,178,109)   $(3,370,721)   $(3,945,270)
+   Fair Value at Fiscal Year-End of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year   $7,853,538   $6,792,180   $4,069,305
+   Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Year   $9,403,554   $16,443,088   $(5,970,277)
+   Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year   $0   $0   $0
+   Change in Fair Value as of Vesting Date of Option Awards and Stock Awards Granted in Prior Fiscal Years For Which Applicable Vesting Conditions Were Satisfied During Fiscal Year   $811,104   $392,253   $(1,725,677)
  Fair Value as of Prior Fiscal Year-End of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting Conditions During Fiscal Year   $0   $0   $0
COMPENSATION ACTUALLY PAID   $20,676,667   $26,481,836   $(930,613)
   
Compensation Actually Paid vs. Total Shareholder Return [Text Block]

Relationship between CAP and TSR. The chart below reflects the relationship between the PEO1, PEO2 and Average NEO CAP versus our TSR and the Peer Group TSR. As reflected in the graph below, the Company’s 3-year cumulative TSR exceeds the Peer Group TSR.

 

   
Compensation Actually Paid vs. Net Income [Text Block]

Relationship between CAP and GAAP Net Income. The chart below reflects the relationship between the PEO and Average NEO CAP and our GAAP Net Income.

 

   
Compensation Actually Paid vs. Company Selected Measure [Text Block]

Relationship between CAP and Adjusted EPS (our Company-Selected Measure). The chart below reflects the relationship between the PEO CAP and Average NEO CAP and our Adjusted EPS.

 

   
Tabular List [Table Text Block]

Our Most Important Metrics Used for Linking Pay and Performance. As required by Item 402(v), below are the most important metrics our Committee used to link executive pay to performance for 2022. Our stock price performance, as reflected by our absolute TSR, directly impacts the value of the equity compensation awards we grant to executive officers. Each of the other metrics below are used for purposes of determining payouts under either our executive annual cash incentive compensation program or our executive PSU program.

 

Absolute TSR
Relative TSR compared to S&P 500 TSR
Adjusted EPS (non-GAAP)
Adjusted Free Cash Flow to Adjusted Net Income Ratio (non-GAAP)
Core Revenue Growth (non-GAAP)

 

Adjusted EPS is the most heavily weighted metric used to determine Company performance under our executive annual cash incentive compensation program. The Committee weights Adjusted EPS most heavily in the Company performance formula because it believes Adjusted EPS correlates strongly with shareholder returns, particularly since Adjusted EPS is calculated in a manner that focuses on gains and charges the Committee believes are most directly related to Company operating performance during the period. Accordingly, Adjusted EPS is the Company-selected measure included in the table and graphs that follow.

 

 
   
Total Shareholder Return Amount $ 175 216 145
Peer Group Total Shareholder Return Amount 140 143 113
Net Income (Loss) $ 7,209,000,000 $ 6,433,000,000 $ 3,646,000,000
Company Selected Measure Amount | $ / shares 10.97 10.00 5.11
Non-PEO NEO [Member] | Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount $ (3,945,270) $ (3,370,721) $ (4,178,109)
Non-PEO NEO [Member] | Fair Value at Fiscal Year-End of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 4,069,305 6,792,180 7,853,538
Non-PEO NEO [Member] | Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Year      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount (5,970,277) 16,443,088 9,403,554
Non-PEO NEO [Member] | Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 0 0 0
Non-PEO NEO [Member] | Fair Value as of Prior Fiscal Year-End of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 0 0 0
Non-PEO NEO [Member] | Change F V Vesting Date Option Awards [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount (1,725,677) 392,253 811,104
Rainer Blair | Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount (14,268,274) (11,384,877) (6,585,590)
Rainer Blair | Fair Value at Fiscal Year-End of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 14,744,612 22,940,973 12,507,143
Rainer Blair | Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Year      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount (14,993,297) 30,678,296 15,738,917
Rainer Blair | Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 0 0 0
Rainer Blair | Change in Fair Value as of Vesting Date of Option Awards and Stock Awards Granted in Prior Fiscal Years For Which Applicable Vesting Conditions Were Satisfied During Fiscal Year      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount (5,488,764) 69,332 887,256
Rainer Blair | Fair Value as of Prior Fiscal Year-End of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 0 0 0
Thomas Joyce | Grant Date Fair Value of Option Awards and Stock Awards Granted in Fiscal Year      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 0 0 (11,748,524)
Thomas Joyce | Fair Value at Fiscal Year-End of Outstanding and Unvested Option Awards and Stock Awards Granted in Fiscal Year      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 0 0 24,040,706
Thomas Joyce | Change in Fair Value of Outstanding and Unvested Option Awards and Stock Awards Granted in Prior Fiscal Year      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 0 0 53,508,940
Thomas Joyce | Fair Value at Vesting of Option Awards and Stock Awards Granted in Fiscal Year That Vested During Fiscal Year      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 0 0 0
Thomas Joyce | Change in Fair Value as of Vesting Date of Option Awards and Stock Awards Granted in Prior Fiscal Years For Which Applicable Vesting Conditions Were Satisfied During Fiscal Year      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 0 0 829,471
Thomas Joyce | Fair Value as of Prior Fiscal Year-End of Option Awards and Stock Awards Granted in Prior Fiscal Years That Failed to Meet Applicable Vesting      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 0 0 0
Rainer Blair      
Pay vs Performance Disclosure [Table]      
PEO Total Compensation Amount 20,196,027 17,152,267 10,396,761
PEO Actually Paid Compensation Amount $ 190,304 $ 59,455,992 $ 32,944,487
PEO Name Rainer Blair Rainer Blair Rainer Blair
Thomas Joyce      
Pay vs Performance Disclosure [Table]      
PEO Total Compensation Amount $ 0 $ 0 $ 16,763,956
PEO Actually Paid Compensation Amount $ 0 $ 0 $ 83,394,550
PEO Name     Thomas Joyce
Joakim Weidemanis | Non-PEO NEO [Member]      
Pay vs Performance Disclosure [Table]      
PEO Name Messrs. Weidemanis Messrs. Weidemanis Joakim Weidemanis
Angela Lalor | Non-PEO NEO [Member]      
Pay vs Performance Disclosure [Table]      
PEO Name   Mss. Lalor Angela Lalor
Matthew McGrew | Non-PEO NEO [Member]      
Pay vs Performance Disclosure [Table]      
PEO Name McGrew McGrew Matthew McGrew
Brian Ellis [Member] | Non-PEO NEO [Member]      
Pay vs Performance Disclosure [Table]      
PEO Name     Brian Ellis
Jennifer Honeycutt | Non-PEO NEO [Member]      
Pay vs Performance Disclosure [Table]      
PEO Name Ms. Honeycutt Jennifer Honeycutt  
Jose Carlos Gutierrez Ramos [Member] | Non-PEO NEO [Member]      
Pay vs Performance Disclosure [Table]      
PEO Name Jose-Carlos Gutierrez-Ramos    
Measure [Axis]: 1      
Pay vs Performance Disclosure [Table]      
Measure Name Absolute TSR    
Measure [Axis]: 2      
Pay vs Performance Disclosure [Table]      
Measure Name Relative TSR compared to S&P 500 TSR    
Measure [Axis]: 3      
Pay vs Performance Disclosure [Table]      
Measure Name Adjusted EPS (non-GAAP)    
Measure [Axis]: 4      
Pay vs Performance Disclosure [Table]      
Measure Name Adjusted Free Cash Flow to Adjusted Net Income Ratio (non-GAAP)    
Measure [Axis]: 5      
Pay vs Performance Disclosure [Table]      
Measure Name Core Revenue Growth (non-GAAP)