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Hedging Activities and Fair Value Measurements (Details)
€ in Millions, $ in Millions
12 Months Ended
Dec. 31, 2023
USD ($)
units
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
Dec. 31, 2021
EUR (€)
Derivative Instruments, Gain (Loss) [Line Items]        
Derivative, Notional Amount $ 6,896 $ 8,321    
Cost of Goods and Services Sold 4,345 3,956 $ 3,711  
Interest Expense 265 470 341  
Other Operating Income (Expense), Net 93 38 (218)  
Derivative Asset, Fair Value, Gross Asset 266 381    
Derivative Liability, Fair Value, Gross Liability 1,050 1,005    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]        
Derivative assets 107 149    
Licensing arrangements $ 30 67    
Derivative Liability, Statement of Financial Position [Extensible Enumeration] Other Liabilities, Noncurrent      
Fair value of contingent consideration $ 404 149 486  
Licensing arrangements 41 80    
Cash 411 256    
Debt Instrument, Fair Value Disclosure 8,735 8,203    
November 2019 Aggregate Offering        
Derivative Instruments, Gain (Loss) [Line Items]        
Long-term Debt | €       € 900
December 2027 Notes        
Derivative Instruments, Gain (Loss) [Line Items]        
Long-term Debt $ 995 960    
Debt Instrument, Interest Rate, Stated Percentage 0.625%      
Financial Asset        
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]        
Risk-Adjusted Discount Rates used in Purchase Price Allocation 15.00%      
Level 3        
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]        
Licensing arrangements $ 77      
Licensing arrangements 90      
Fair Value, Measurements, Recurring [Member]        
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]        
Money Market Funds, at Carrying Value 454 673    
Equity Securities, FV-NI 18 2    
Derivative assets 266 381    
Licensing arrangements 77 127    
Assets, Fair Value Disclosure 816 1,182    
Foreign Currency Contracts, Liability, Fair Value Disclosure 1,050 1,005    
Fair value of contingent consideration 404 149    
Licensing arrangements 90 159    
Financial and Nonfinancial Liabilities, Fair Value Disclosure 1,545 1,313    
Fair Value, Measurements, Recurring [Member] | Level 1        
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]        
Money Market Funds, at Carrying Value 454 673    
Equity Securities, FV-NI 18 2    
Derivative assets 0 0    
Licensing arrangements 0 0    
Assets, Fair Value Disclosure 472 674    
Foreign Currency Contracts, Liability, Fair Value Disclosure 0 0    
Fair value of contingent consideration 0 0    
Licensing arrangements 0 0    
Financial and Nonfinancial Liabilities, Fair Value Disclosure 0 0    
Fair Value, Measurements, Recurring [Member] | Level 2        
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]        
Money Market Funds, at Carrying Value 0 0    
Equity Securities, FV-NI 0 0    
Derivative assets 266 381    
Licensing arrangements 0 0    
Assets, Fair Value Disclosure 266 381    
Foreign Currency Contracts, Liability, Fair Value Disclosure 1,050 1,005    
Fair value of contingent consideration 0 0    
Licensing arrangements 0 0    
Financial and Nonfinancial Liabilities, Fair Value Disclosure 1,050 1,005    
Fair Value, Measurements, Recurring [Member] | Level 3        
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]        
Money Market Funds, at Carrying Value 0 0    
Equity Securities, FV-NI 0 0    
Derivative assets 0 0    
Licensing arrangements 77 127    
Assets, Fair Value Disclosure 77 127    
Foreign Currency Contracts, Liability, Fair Value Disclosure 0 0    
Fair value of contingent consideration 404 149    
Licensing arrangements 90 159    
Financial and Nonfinancial Liabilities, Fair Value Disclosure 494 308    
Fair Value, Measurements, Recurring [Member] | Level 3 | Financial Asset        
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]        
Licensing arrangements 77 127 246  
Proceeds from Royalties Received (61) (141)    
Increase (Decrease) in Fair Value Adjustments on Other Assets (Liabilities) Carried at Fair Value under Fair Value Option 11 22    
Fair Value, Measurements, Recurring [Member] | Level 3 | Financial Liability        
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]        
Licensing arrangements 90 159 281  
Payments for Royalties (80) (145)    
Increase (Decrease) in Fair Value Adjustments on Other Assets (Liabilities) Carried at Fair Value under Fair Value Option 12 23    
Designated as Hedging Instrument [Member]        
Derivative Instruments, Gain (Loss) [Line Items]        
Derivative Instruments in Hedges, Assets, at Fair Value 246 345    
Derivative Instruments in Hedges, Liabilities, at Fair Value 1,012 953    
Designated as Hedging Instrument [Member] | Other long-term liabilities        
Derivative Instruments, Gain (Loss) [Line Items]        
Derivative Instruments in Hedges, Liabilities, at Fair Value $ 988 952    
Designated as Hedging Instrument [Member] | Forward currency contracts        
Derivative Instruments, Gain (Loss) [Line Items]        
Forward Currency Contracts, Time to Maturity | units 36      
Designated as Hedging Instrument [Member] | Forward currency contracts | Other long-term assets        
Derivative Instruments, Gain (Loss) [Line Items]        
Derivative Instruments in Hedges, Assets, at Fair Value $ 107 149    
Designated as Hedging Instrument [Member] | Forward currency contracts | Other current liabilities        
Derivative Instruments, Gain (Loss) [Line Items]        
Derivative Instruments in Hedges, Liabilities, at Fair Value 15 0    
Designated as Hedging Instrument [Member] | Forward currency contracts | Other long-term liabilities        
Derivative Instruments, Gain (Loss) [Line Items]        
Derivative Instruments in Hedges, Liabilities, at Fair Value 9 1    
Designated as Hedging Instrument [Member] | Forward currency contracts | Other current assets        
Derivative Instruments, Gain (Loss) [Line Items]        
Derivative Instruments in Hedges, Assets, at Fair Value 140 196    
Not Designated as Hedging Instrument [Member] | Other, net        
Derivative Instruments, Gain (Loss) [Line Items]        
Gain (Loss) on Foreign Currency Derivative Instruments Not Designated as Hedging Instruments 3 (53) (16)  
Foreign Currency Transaction Gain (Loss), before Tax (44) 21 (12)  
Net gain (loss) from foreign currency transaction exposures 44 (21) 12  
Net currency exchange gain (loss) (41) (31) (27)  
Not Designated as Hedging Instrument [Member] | Forward currency contracts        
Derivative Instruments, Gain (Loss) [Line Items]        
Derivative, Notional Amount 3,282 4,235    
Not Designated as Hedging Instrument [Member] | Forward currency contracts | Other current liabilities        
Derivative Instruments, Gain (Loss) [Line Items]        
Derivative Instruments Not Designated as Hedging Instruments, Liability, at Fair Value 38 52    
Not Designated as Hedging Instrument [Member] | Forward currency contracts | Other current assets        
Derivative Instruments, Gain (Loss) [Line Items]        
Derivative Instruments Not Designated as Hedging Instruments, Asset, at Fair Value $ 20 36    
Weighted Average | Financial Asset        
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]        
Risk-Adjusted Discount Rates used in Purchase Price Allocation 15.00%      
Weighted Average | Financial Liability        
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]        
Risk-Adjusted Discount Rates used in Purchase Price Allocation 13.00%      
Minimum | Financial Liability        
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]        
Risk-Adjusted Discount Rates used in Purchase Price Allocation 12.00%      
Maximum | Financial Liability        
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]        
Risk-Adjusted Discount Rates used in Purchase Price Allocation 15.00%      
Cash flow hedge | Forward currency contracts | Cost of products sold        
Derivative Instruments, Gain (Loss) [Line Items]        
Foreign Currency Cash Flow Hedge Gain (Loss) to be Reclassified During Next 12 Months $ 152      
Cash flow hedge | Interest rate derivative contracts | Interest expense        
Derivative Instruments, Gain (Loss) [Line Items]        
Interest Rate Cash Flow Hedge Gain (Loss) to be Reclassified During Next 12 Months, Net (1)      
Cash flow hedge | Designated as Hedging Instrument [Member] | Forward currency contracts        
Derivative Instruments, Gain (Loss) [Line Items]        
Derivative, Notional Amount 2,284 2,725    
Cash flow hedge | Designated as Hedging Instrument [Member] | Forward currency contracts | Cost of products sold        
Derivative Instruments, Gain (Loss) [Line Items]        
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification and Tax 81 276 268  
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification, Tax (18) (62) (60)  
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification, after Tax 63 214 208  
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, before Tax (235) (209) (54)  
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, Tax 53 47 12  
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, after Tax (182) (162) (42)  
Cash flow hedge | Designated as Hedging Instrument [Member] | Interest rate derivative contracts | Interest expense        
Derivative Instruments, Gain (Loss) [Line Items]        
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification and Tax 0 0 0  
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification, Tax 0 0 0  
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification, after Tax 0 0 0  
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, before Tax 3 16 5  
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, Tax (1) (4) (1)  
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, after Tax 2 13 4  
Net investment hedge | Forward currency contracts | Interest expense        
Derivative Instruments, Gain (Loss) [Line Items]        
Derivative Used in Net Investment Hedge Gain (Loss) to be Reclassified During Next 12 Months, Net 9      
Net investment hedge | Designated as Hedging Instrument [Member] | Forward currency contracts        
Derivative Instruments, Gain (Loss) [Line Items]        
Derivative, Notional Amount 333 365    
Net investment hedge | Designated as Hedging Instrument [Member] | Forward currency contracts | Interest expense        
Derivative Instruments, Gain (Loss) [Line Items]        
Other Comprehensive Income (Loss), Net Investment Hedge, Gain (Loss), before Reclassification and Tax 32 41 56  
Other Comprehensive Income (Loss), Derivative, Excluded Component, Increase (Decrease), before Adjustments, Tax (7) (10) (13)  
Other Comprehensive Income (Loss), Derivative, Excluded Component, Increase (Decrease), before Adjustments, after Tax 25 32 43  
Other Comprehensive Income (Loss), Net Investment Hedge, Gain (Loss), Reclassification, before Tax (10) (10) (13)  
Other Comprehensive Income (Loss), Net Investment Hedge, Gain (Loss), after Reclassification, Tax 2 2 3  
Gain (Loss) on Derivative Used in Net Investment Hedge, after Tax (8) (8) (10)  
Net investment hedge | Designated as Hedging Instrument [Member] | Foreign currency denominated in debt        
Derivative Instruments, Gain (Loss) [Line Items]        
Derivative, Notional Amount 997 997    
Net investment hedge | Designated as Hedging Instrument [Member] | Foreign currency denominated in debt | Interest expense        
Derivative Instruments, Gain (Loss) [Line Items]        
Other Comprehensive Income (Loss), Net Investment Hedge, Gain (Loss), before Reclassification and Tax (34) 61 82  
Other Comprehensive Income (Loss), Derivative, Excluded Component, Increase (Decrease), before Adjustments, Tax 8 (14) (19)  
Other Comprehensive Income (Loss), Derivative, Excluded Component, Increase (Decrease), before Adjustments, after Tax (27) 47 64  
Other Comprehensive Income (Loss), Net Investment Hedge, Gain (Loss), Reclassification, before Tax 0 0 0  
Other Comprehensive Income (Loss), Net Investment Hedge, Gain (Loss), after Reclassification, Tax 0 0 0  
Gain (Loss) on Derivative Used in Net Investment Hedge, after Tax $ 0 $ 0 $ 0