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Restructuring Charges and Other Costs Associated with Acquisitions and Cost-Reduction/Productivity Initiatives - Schedule of Acquisitions and Cost-Reduction/Productivity Initiatives (Detail) - USD ($)
$ in Millions
3 Months Ended 6 Months Ended 21 Months Ended
Jun. 29, 2025
Jun. 30, 2024
Jun. 29, 2025
Jun. 30, 2024
Jun. 29, 2025
Restructuring charges/(credits):          
Employee terminations $ (148) $ 1,014 $ 236 $ 984  
Asset impairments 44 41 217 66  
Exit costs 30 49 94 63  
Restructuring charges/(credits) [1] (74) 1,104 547 1,114  
Transaction costs [2] 0 0 0 5  
Integration costs and other [3] 56 150 113 237  
Restructuring charges and certain acquisition-related costs (18) 1,254 660 1,356  
Additional depreciation––asset restructuring [4] 4 4 7 8  
Implementation costs [5] 78 105 128 163  
Total costs associated with acquisitions and cost-reduction/productivity initiatives 54 1,364 727 1,532  
Biopharma [Member]          
Restructuring charges/(credits):          
Restructuring charges/(credits) (406) 1,100 211 1,100  
Biopharma [Member] | Manufacturing Optimization Program [Member]          
Restructuring charges/(credits):          
Restructuring charges/(credits) (408) 1,300 (412) 1,300  
Biopharma [Member] | Realigning Our Cost Base Program [Member]          
Restructuring charges/(credits):          
Restructuring charges/(credits) (25) (113) 562 (199) $ 2,500
Other (income)/deductions––net [Member]          
Restructuring charges/(credits):          
Net periodic benefit costs/(credits) recorded in Other (income)/deductions––net (9) 2 (68) 5  
Cost of sales [Member]          
Restructuring charges/(credits):          
Additional depreciation––asset restructuring [4] 3 1 7 5  
Implementation costs [5] 26 49 46 65  
Selling, informational and administrative expenses [Member]          
Restructuring charges/(credits):          
Additional depreciation––asset restructuring [4] 0 3 0 3  
Implementation costs [5] 14 36 20 65  
Research and development expense [Member]          
Restructuring charges/(credits):          
Implementation costs [5] $ 39 $ 20 $ 62 $ 33  
[1] Primarily represents cost-reduction initiatives. Amounts associated with our Biopharma segment: (i) credits of $406 million for the three months ended June 29, 2025 (including credits of $408 million for our Manufacturing Optimization Program and $25 million for our Realigning our Cost Base Program), (ii) charges of $211 million for the six months ended June 29, 2025 (including charges of $562 million for our Realigning our Cost Base Program and credits of $412 million for our Manufacturing Optimization Program) and (iii) charges of $1.1 billion for both the three and six months ended June 30, 2024 (including charges of $1.3 billion for our Manufacturing Optimization Program for both periods presented and credits of $113 million for the three months and $199 million for the six months ended June 30, 2024 for our Realigning our Cost Base Program). For all periods presented, Employee terminations include revisions of estimates of previously recorded accruals for severance benefits, driven in large part by higher-than-expected voluntary attrition.
[2] Represents external costs for banking, legal, accounting and other similar services.
[3] Represents external, incremental costs directly related to integrating acquired businesses, such as expenditures for consulting and the integration of systems and processes, and certain other qualifying costs.
[4] Represents the impact of changes in the estimated useful lives of assets involved in restructuring actions.
[5] Represents incremental costs directly related to implementing our non-acquisition-related cost-reduction/productivity initiatives.