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Segment Reporting (Tables)
12 Months Ended
Dec. 31, 2024
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, by Segment
A reconciliation of sales and operating income for the reportable segments to the applicable line items within our accompanying consolidated statements of operations is as follows (in millions, except percentages). Prior period amounts have been restated at constant currency to conform to the current year presentation.

Year Ended December 31, 2024
MedSurg% of net salesCardiovascular% of net salesTotal
Net sales of reportable segments$5,973 $10,711 $16,683 
Impact of foreign currency fluctuations64 
Total net sales16,747 
Segment expenses:
Cost of products sold1,649 27.6 %3,404 31.8 %5,053 
Selling, general and administrative expenses1,801 30.2 %3,166 29.6 %4,967 
Research and development expenses462 7.7 %975 9.1 %1,437 
Other segment items(1)
14 0.2 %19 0.2 %33 
Segment operating income(2)
2,046 34.3 %3,147 29.4 %5,193 
Unallocated amounts:
Corporate expenses, including hedging activities and impact of foreign currency fluctuations on operating income of reportable segments(663)
Goodwill and other intangible asset impairment charges, acquisition/divestiture-related net charges (credits), restructuring and restructuring-related net charges (credits), certain litigation-related net charges (credits) and EU MDR implementation costs
(1,070)
Amortization expense(856)
Operating income (loss) 2,603 
Other income (expense), net(321)
Income (loss) before income taxes$2,282 
Year Ended December 31, 2023
MedSurg% of net salesCardiovascular% of net salesTotal
Net sales of reportable segments$5,378 $8,714 $14,091 
Impact of foreign currency fluctuations149 
Total net sales14,240 
Segment expenses:
Cost of products sold1,470 27.3 %2,805 32.2 %4,276 
Selling, general and administrative expenses1,626 30.2 %2,749 31.5 %4,375 
Research and development expenses427 7.9 %855 9.8 %1,282 
Other segment items(1)
20 0.4 %23 0.3 %43 
Segment operating income(2)
1,834 34.1 %2,281 26.2 %4,115 
Unallocated amounts:
Corporate expenses, including hedging activities and impact of foreign currency fluctuations on operating income of reportable segments(377)
Goodwill and other intangible asset impairment charges, acquisition/divestiture-related net charges (credits), restructuring and restructuring-related net charges (credits), certain litigation-related net charges (credits) and EU MDR implementation costs
(567)
Amortization expense(828)
Operating income (loss) 2,343 
Other income (expense), net(358)
Income (loss) before income taxes$1,985 
Year Ended December 31, 2022
MedSurg% of net salesCardiovascular% of net salesTotal
Net sales of reportable segments$4,855 $7,679 $12,535 
Other(3)
(60)
Impact of foreign currency fluctuations208 
Total net sales12,682 
Segment expenses:
Cost of products sold1,401 28.9 %2,637 34.3 %4,038 
Selling, general and administrative expenses1,510 31.1 %2,454 32.0 %3,965 
Research and development expenses432 8.9 %782 10.2 %1,214 
Other segment items(1)
23 0.5 %22 0.3 %45 
Segment operating income(2)
1,489 30.7 %1,784 23.2 %3,272 
Unallocated amounts:
Corporate expenses, including hedging activities and impact of foreign currency fluctuations on operating income of reportable segments29 
Goodwill and other intangible asset impairment charges, acquisition/divestiture-related net charges (credits), restructuring and restructuring-related net charges (credits), certain litigation-related net charges (credits) and EU MDR implementation costs
(789)
Amortization expense(803)
Other(3)
(60)
Operating income (loss) 1,649 
Other income (expense), net(508)
Income (loss) before income taxes$1,141 
(1) Includes royalty expense.
(2) Calculated as Net sales of reportable segments less Segment expenses.
(3)    In 2022, amounts reflect sales reserves established for Italian government payback provisions, which are being disputed in the Italian court system. These amounts were not allocated to our reportable segments or considered by our CODM for resource allocation and decision-making purposes.
Reconciliation of Assets from Segment to Consolidated
Year Ended December 31,
Depreciation expense (in millions)
202420232022
MedSurg$110 $103 $88 
Cardiovascular302 263 245 
Consolidated depreciation expense$412 $367 $333 

As of December 31,
Total assets (in millions)
20242023
MedSurg$3,093 $2,888 
Cardiovascular7,084 5,988 
Total assets of reportable segments10,177 8,876 
Goodwill17,089 14,387 
Other intangible assets, net6,684 6,003 
All other corporate assets5,446 5,869 
 $39,395 $35,136 
Schedule of Revenue from External Customers and Long-Lived Assets, by Geographical Areas
As of December 31,
Long-lived assets (in millions)
20242023
U.S.$1,461 $1,300 
Ireland631 598 
Costa Rica530 373 
Other countries672 587 
Property, plant and equipment, net3,294 2,859 
Goodwill17,089 14,387 
Other intangible assets, net6,684 6,003 
Operating lease right-of-use assets in Other long-term assets
449 439 
 $27,516 $23,688