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Pay vs Performance Disclosure
 12 Months Ended 36 Months Ended
Dec. 31, 2022
USD ($)
$ / shares
Dec. 31, 2021
USD ($)
$ / shares
Dec. 31, 2020
USD ($)
$ / shares
Dec. 31, 2022
Pay vs Performance Disclosure [Table]        
Pay vs Performance [Table Text Block]      
Pay versus performance
As required by SEC rules, we are providing the following information about the relationship between executive compensation actually paid (as defined by SEC rules) and certain financial performance measures. For information about how our Compensation Committee seeks to align executive compensation with the Company’s performance, see “Compensation discussion and analysis.” The amounts in the table below are calculated in accordance with SEC rules and do not represent amounts actually earned or realized by our NEOs.
Pay versus performance table
YearSummary
 Compensation
 Table Total for
 CEO
Compensation
Actually Paid
to CEO(1)
Average Summary
Compensation
Table Total
for Non-CEO
Named Executive
Officers(2)
Average
Compensation
Actually Paid to
Non-CEO Named
Executive
Officers(1)
Value of Initial Fixed $100
Investment Based on:		Net
Income
(in billions)
Company Selected Measure (Adjusted EPS)(5)
Total
Shareholder
Return(3)
Peer Group
Total
Shareholder
Return(4)
2022$28,208,909 $(4,695,030)$5,944,038 $(639,700)$170.63 $137.66 $6.960 $23.24 
2021$21,234,358 $65,926,795 $8,235,368 $23,903,448 $206.28 $141.38 $7.728 $25.13 
2020$26,390,073 $79,705,130 $8,981,197 $27,907,550 $143.71 $112.97 $6.377 $19.56 
(1)Represents the amount of “Compensation Actually Paid” or “CAP” as computed per SEC rules. These amounts do not reflect the actual amount of compensation earned by or paid to the applicable individual(s) during the applicable year. The following table summarizes the adjustments made to total compensation in accordance with Item 402(v) of Regulation S-K in order to determine the compensation amounts shown in the table above as being “Compensation Actually Paid”.
Adjustments202220212020
CEOOther NEOs*CEOOther NEOs*CEOOther NEOs*
Total Compensation from Summary Compensation Table (“SCT”)$28,208,909 $5,944,038 $21,234,358 $8,235,368 $26,390,073 $8,981,197 
Adjustments for defined benefit and actuarial pension plans
(Subtraction): SCT amounts$— $— $— $— $— $(158,701)
Adjustments for stock and option awards**
(Subtraction): SCT amounts$(20,198,218)$(3,416,337)$(12,551,562)$(5,251,850)$(16,282,896)$(5,319,794)
Addition: Fair value at year end of awards granted during the covered fiscal year that are outstanding and unvested at year end$13,253,670 $3,626,807 $26,760,316 $10,357,430 $31,993,253 $10,441,378 
Addition (Subtraction): Year-over-year change in fair value of awards granted in any prior fiscal year that are outstanding and unvested at year end$(15,113,021)$(4,391,710)$32,315,930 $10,136,736 $37,866,345 $11,887,160 
Addition: Vesting date fair value of awards granted and vesting during such year$399,670 $109,219 $762,602 $269,259 $823,466 $270,477 
Addition (Subtraction): Change as of the vesting date (from the end of the prior fiscal year) in fair value of awards granted in any prior fiscal year for which vesting conditions were satisfied during such year$(11,246,041)$(2,511,717)$(2,594,849)$156,505 $(1,085,111)$1,805,834 
Compensation Actually Paid (as calculated)$(4,695,030)$(639,700)$65,926,795 $23,903,448 $79,705,130 $27,907,550 
* Amounts presented are averages for the entire group of NEOs (excluding our CEO).
** Stock option grant date fair values are calculated based on the Black-Scholes option pricing model as of date of grant. Adjustments have been made using stock option fair values as of each measurement date using the stock price as of the measurement date and updated assumptions (i.e., term, volatility, dividend yield, risk free rates) as of the measurement date. Performance-based restricted stock unit grant date fair values are calculated using the stock price and performance accrual modifiers, where relevant, as of date of grant assuming target performance. Adjustments have been made using the stock price and performance accrual modifier as of the applicable year end and as of the date of vest. Time-vested restricted stock unit grant date fair values are calculated using the stock price as of date of grant. Adjustments have been made using the stock price as of the applicable year end and as of each date of vest.
(2)The CEO was Mr. Casper for all years in the table. The other NEOs were Messrs Williamson and Lagarde (all years), Mr. Pettiti (2022 and 2021), Mr. Boxer (2022), Mr. Stevenson (2021 and 2020), and Syed Jafry (2020).
(3)For the relevant fiscal year, represents the cumulative total shareholder return of the Company for the measurement periods ending on December 31 of each of 2022, 2021 and 2020, respectively.
(4)For the relevant fiscal year, represents the cumulative total shareholder return of a weighted blend (80/20, respectively) of the Standard & Poor’s 500 Healthcare and Standard & Poor’s 500 Industrial Indices (“S&P Index”), our published industry index for purposes of disclosure under Item 201(e) of Regulation S-K, for the measurement periods ending on December 31 of each of 2022, 2021 and 2020, respectively.
(5)Adjusted EPS is a non-GAAP measure. Appendix A to this Proxy Statement defines this and other non-GAAP financial measures.
Company Selected Measure Name [1]       Adjusted EPS
Named Executive Officers, Footnote [Text Block]       The CEO was Mr. Casper for all years in the table. The other NEOs were Messrs Williamson and Lagarde (all years), Mr. Pettiti (2022 and 2021), Mr. Boxer (2022), Mr. Stevenson (2021 and 2020), and Syed Jafry (2020).
Peer Group Issuers, Footnote [Text Block]       For the relevant fiscal year, represents the cumulative total shareholder return of a weighted blend (80/20, respectively) of the Standard & Poor’s 500 Healthcare and Standard & Poor’s 500 Industrial Indices (“S&P Index”), our published industry index for purposes of disclosure under Item 201(e) of Regulation S-K, for the measurement periods ending on December 31 of each of 2022, 2021 and 2020, respectively.
PEO Total Compensation Amount $ 28,208,909 $ 21,234,358 $ 26,390,073  
PEO Actually Paid Compensation Amount [2] (4,695,030) 65,926,795 79,705,130  
Adjustment To PEO Compensation, Footnote [Text Block]      
Adjustments202220212020
CEOOther NEOs*CEOOther NEOs*CEOOther NEOs*
Total Compensation from Summary Compensation Table (“SCT”)$28,208,909 $5,944,038 $21,234,358 $8,235,368 $26,390,073 $8,981,197 
Adjustments for defined benefit and actuarial pension plans
(Subtraction): SCT amounts$— $— $— $— $— $(158,701)
Adjustments for stock and option awards**
(Subtraction): SCT amounts$(20,198,218)$(3,416,337)$(12,551,562)$(5,251,850)$(16,282,896)$(5,319,794)
Addition: Fair value at year end of awards granted during the covered fiscal year that are outstanding and unvested at year end$13,253,670 $3,626,807 $26,760,316 $10,357,430 $31,993,253 $10,441,378 
Addition (Subtraction): Year-over-year change in fair value of awards granted in any prior fiscal year that are outstanding and unvested at year end$(15,113,021)$(4,391,710)$32,315,930 $10,136,736 $37,866,345 $11,887,160 
Addition: Vesting date fair value of awards granted and vesting during such year$399,670 $109,219 $762,602 $269,259 $823,466 $270,477 
Addition (Subtraction): Change as of the vesting date (from the end of the prior fiscal year) in fair value of awards granted in any prior fiscal year for which vesting conditions were satisfied during such year$(11,246,041)$(2,511,717)$(2,594,849)$156,505 $(1,085,111)$1,805,834 
Compensation Actually Paid (as calculated)$(4,695,030)$(639,700)$65,926,795 $23,903,448 $79,705,130 $27,907,550 
* Amounts presented are averages for the entire group of NEOs (excluding our CEO).
** Stock option grant date fair values are calculated based on the Black-Scholes option pricing model as of date of grant. Adjustments have been made using stock option fair values as of each measurement date using the stock price as of the measurement date and updated assumptions (i.e., term, volatility, dividend yield, risk free rates) as of the measurement date. Performance-based restricted stock unit grant date fair values are calculated using the stock price and performance accrual modifiers, where relevant, as of date of grant assuming target performance. Adjustments have been made using the stock price and performance accrual modifier as of the applicable year end and as of the date of vest. Time-vested restricted stock unit grant date fair values are calculated using the stock price as of date of grant. Adjustments have been made using the stock price as of the applicable year end and as of each date of vest.
Non-PEO NEO Average Total Compensation Amount [3] 5,944,038 8,235,368 8,981,197  
Non-PEO NEO Average Compensation Actually Paid Amount [2] (639,700) 23,903,448 27,907,550  
Adjustment to Non-PEO NEO Compensation Footnote [Text Block]      
Adjustments202220212020
CEOOther NEOs*CEOOther NEOs*CEOOther NEOs*
Total Compensation from Summary Compensation Table (“SCT”)$28,208,909 $5,944,038 $21,234,358 $8,235,368 $26,390,073 $8,981,197 
Adjustments for defined benefit and actuarial pension plans
(Subtraction): SCT amounts$— $— $— $— $— $(158,701)
Adjustments for stock and option awards**
(Subtraction): SCT amounts$(20,198,218)$(3,416,337)$(12,551,562)$(5,251,850)$(16,282,896)$(5,319,794)
Addition: Fair value at year end of awards granted during the covered fiscal year that are outstanding and unvested at year end$13,253,670 $3,626,807 $26,760,316 $10,357,430 $31,993,253 $10,441,378 
Addition (Subtraction): Year-over-year change in fair value of awards granted in any prior fiscal year that are outstanding and unvested at year end$(15,113,021)$(4,391,710)$32,315,930 $10,136,736 $37,866,345 $11,887,160 
Addition: Vesting date fair value of awards granted and vesting during such year$399,670 $109,219 $762,602 $269,259 $823,466 $270,477 
Addition (Subtraction): Change as of the vesting date (from the end of the prior fiscal year) in fair value of awards granted in any prior fiscal year for which vesting conditions were satisfied during such year$(11,246,041)$(2,511,717)$(2,594,849)$156,505 $(1,085,111)$1,805,834 
Compensation Actually Paid (as calculated)$(4,695,030)$(639,700)$65,926,795 $23,903,448 $79,705,130 $27,907,550 
* Amounts presented are averages for the entire group of NEOs (excluding our CEO).
** Stock option grant date fair values are calculated based on the Black-Scholes option pricing model as of date of grant. Adjustments have been made using stock option fair values as of each measurement date using the stock price as of the measurement date and updated assumptions (i.e., term, volatility, dividend yield, risk free rates) as of the measurement date. Performance-based restricted stock unit grant date fair values are calculated using the stock price and performance accrual modifiers, where relevant, as of date of grant assuming target performance. Adjustments have been made using the stock price and performance accrual modifier as of the applicable year end and as of the date of vest. Time-vested restricted stock unit grant date fair values are calculated using the stock price as of date of grant. Adjustments have been made using the stock price as of the applicable year end and as of each date of vest.
Equity Valuation Assumption Difference, Footnote [Text Block]       Stock option grant date fair values are calculated based on the Black-Scholes option pricing model as of date of grant. Adjustments have been made using stock option fair values as of each measurement date using the stock price as of the measurement date and updated assumptions (i.e., term, volatility, dividend yield, risk free rates) as of the measurement date. Performance-based restricted stock unit grant date fair values are calculated using the stock price and performance accrual modifiers, where relevant, as of date of grant assuming target performance. Adjustments have been made using the stock price and performance accrual modifier as of the applicable year end and as of the date of vest. Time-vested restricted stock unit grant date fair values are calculated using the stock price as of date of grant. Adjustments have been made using the stock price as of the applicable year end and as of each date of vest.
Compensation Actually Paid vs. Total Shareholder Return [Text Block]       tmo-20230404_g125.jpg
Compensation Actually Paid vs. Net Income [Text Block]       tmo-20230404_g126.jpg
Compensation Actually Paid vs. Company Selected Measure [Text Block]       tmo-20230404_g127.jpg
Tabular List [Table Text Block]       The most important financial measures used by the Company to link Compensation Actually Paid (as defined by SEC rules) to the Company’s NEOs for the most recently completed fiscal year to the Company’s performance are:
Organic Revenue Growth*Adjusted Net Income*Adjusted EPS*Free Cash Flow*Total Shareholder Return
Total Shareholder Return Amount [4] 170.63 206.28 143.71  
Peer Group Total Shareholder Return Amount [5] 137.66 141.38 112.97  
Net Income (Loss) $ 6,960,000,000 $ 7,728,000,000 $ 6,377,000,000  
Company Selected Measure Amount | $ / shares [1] 23.24 25.13 19.56  
PEO Name       Mr. Casper
Additional 402(v) Disclosure [Text Block]       These measures are non-GAAP measures. Appendix A to this Proxy Statement defines these and other non-GAAP financial measures and reconciles them to the most directly comparable historical GAAP financial measures.
Measure [Axis]: 1        
Pay vs Performance Disclosure [Table]        
Measure Name       Organic Revenue Growth*
Measure [Axis]: 2        
Pay vs Performance Disclosure [Table]        
Measure Name       Adjusted Net Income*
Measure [Axis]: 3        
Pay vs Performance Disclosure [Table]        
Measure Name       Adjusted EPS*
Non-GAAP Measure Description [Text Block]       Adjusted EPS is a non-GAAP measure. Appendix A to this Proxy Statement defines this and other non-GAAP financial measures.
Measure [Axis]: 4        
Pay vs Performance Disclosure [Table]        
Measure Name       Free Cash Flow*
Measure [Axis]: 5        
Pay vs Performance Disclosure [Table]        
Measure Name       Total Shareholder Return
PEO [Member] | Defined Benefit and Pension Plan Amounts Deducted From SCT [Member]        
Pay vs Performance Disclosure [Table]        
Adjustment to Compensation Amount $ 0 $ 0 $ 0  
PEO [Member] | Stock Awards Deducted from SCT [Member]        
Pay vs Performance Disclosure [Table]        
Adjustment to Compensation Amount (20,198,218) (12,551,562) (16,282,896)  
PEO [Member] | FV of Equity Awards Granted in Period Outstanding Unvested [Member]        
Pay vs Performance Disclosure [Table]        
Adjustment to Compensation Amount 13,253,670 26,760,316 31,993,253  
PEO [Member] | Change in FV of Equity Awards Adj [Member]        
Pay vs Performance Disclosure [Table]        
Adjustment to Compensation Amount (15,113,021) 32,315,930 37,866,345  
PEO [Member] | Equity Awards Granted and Vested in Period [Member]        
Pay vs Performance Disclosure [Table]        
Adjustment to Compensation Amount 399,670 762,602 823,466  
PEO [Member] | Change in FV of Prior Period Awards Vested in Period [Member]        
Pay vs Performance Disclosure [Table]        
Adjustment to Compensation Amount (11,246,041) (2,594,849) (1,085,111)  
Non-PEO NEO [Member] | Defined Benefit and Pension Plan Amounts Deducted From SCT [Member]        
Pay vs Performance Disclosure [Table]        
Adjustment to Compensation Amount 0 0 (158,701)  
Non-PEO NEO [Member] | Stock Awards Deducted from SCT [Member]        
Pay vs Performance Disclosure [Table]        
Adjustment to Compensation Amount (3,416,337) (5,251,850) (5,319,794)  
Non-PEO NEO [Member] | FV of Equity Awards Granted in Period Outstanding Unvested [Member]        
Pay vs Performance Disclosure [Table]        
Adjustment to Compensation Amount 3,626,807 10,357,430 10,441,378  
Non-PEO NEO [Member] | Change in FV of Equity Awards Adj [Member]        
Pay vs Performance Disclosure [Table]        
Adjustment to Compensation Amount (4,391,710) 10,136,736 11,887,160  
Non-PEO NEO [Member] | Equity Awards Granted and Vested in Period [Member]        
Pay vs Performance Disclosure [Table]        
Adjustment to Compensation Amount 109,219 269,259 270,477  
Non-PEO NEO [Member] | Change in FV of Prior Period Awards Vested in Period [Member]        
Pay vs Performance Disclosure [Table]        
Adjustment to Compensation Amount $ (2,511,717) $ 156,505 $ 1,805,834  
[1] Adjusted EPS is a non-GAAP measure. Appendix A to this Proxy Statement defines this and other non-GAAP financial measures.
[2] Represents the amount of “Compensation Actually Paid” or “CAP” as computed per SEC rules. These amounts do not reflect the actual amount of compensation earned by or paid to the applicable individual(s) during the applicable year. The following table summarizes the adjustments made to total compensation in accordance with Item 402(v) of Regulation S-K in order to determine the compensation amounts shown in the table above as being “Compensation Actually Paid”.
[3] The CEO was Mr. Casper for all years in the table. The other NEOs were Messrs Williamson and Lagarde (all years), Mr. Pettiti (2022 and 2021), Mr. Boxer (2022), Mr. Stevenson (2021 and 2020), and Syed Jafry (2020).
[4] For the relevant fiscal year, represents the cumulative total shareholder return of the Company for the measurement periods ending on December 31 of each of 2022, 2021 and 2020, respectively.
[5] For the relevant fiscal year, represents the cumulative total shareholder return of a weighted blend (80/20, respectively) of the Standard & Poor’s 500 Healthcare and Standard & Poor’s 500 Industrial Indices (“S&P Index”), our published industry index for purposes of disclosure under Item 201(e) of Regulation S-K, for the measurement periods ending on December 31 of each of 2022, 2021 and 2020, respectively.