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Fair value measurements - Financial Assets and Liabilities at Fair Value (Details) - USD ($) $ in Millions | 12 Months Ended |
--- | --- | ---
Dec. 29, 2024 | Dec. 31, 2023 | Jan. 01, 2023 | Jun. 20, 2024
Financial assets and liabilities at fair value |  |  |  |
Derivatives designated as hedging instruments : Assets | $ 2,144 |  |  |
Derivatives designated as hedging instruments : Liabilities | 4,547 |  |  |
Equity investments | 451 | $ 4,473 |  |
Debt securities | 7,216 | 8,874 |  |
Contingent Consideration | 1,217 | 1,092 |  |
Total Gross Assets | 2,194 | 1,591 |  |
Credit Support Agreements (CSA) | $ (2,172) | $ (1,575) |  |
Derivative Asset, Statement Of Financial Position, Extensible Enumeration, Not Disclosed Flag | Total Net Asset | Total Net Asset |  |
Total Net Asset | $ 22 | $ 16 |  |
Total Gross Liabilities | 4,564 | 6,037 |  |
Credit Support Agreements (CSA) | $ (4,412) | $ (5,604) |  |
Derivative Liability, Statement Of Financial Position, Extensible Enumeration, Not Disclosed Flag | Total Net Liabilities | Total Net Liabilities |  |
Total Net Liabilities | $ 152 | $ 433 |  |
Beginning Balance | 1,092 | 1,120 | $ 533 |
Changes in estimated fair value | 88 | 29 | (194) |
Additions | 112 | 0 | 792 |
Payments/Other | (75) | (57) | (11) |
Ending Balance | 1,217 | 1,092 | 1,120 |
Other Noncurrent Liabilities |  |  |  |
Financial assets and liabilities at fair value |  |  |  |
Contingent Consideration | 1,217 | 1,092 | 1,116 |
Other Current Liabilities |  |  |  |
Financial assets and liabilities at fair value |  |  |  |
Contingent Consideration |  |  | 4 |
Abiomed |  |  |  |
Financial assets and liabilities at fair value |  |  |  |
Contingent Consideration | 700 |  | $ 704 |
Proteologix |  |  |  |
Financial assets and liabilities at fair value |  |  |  |
Contingent Consideration | 105 |  |  | $ 100
Level 1 |  |  |  |
Financial assets and liabilities at fair value |  |  |  |
Derivatives designated as hedging instruments : Assets | 0 |  |  |
Derivatives designated as hedging instruments : Liabilities | 0 |  |  |
Equity investments | 451 | 4,473 |  |
Debt securities | 0 |  |  |
Level 2 |  |  |  |
Financial assets and liabilities at fair value |  |  |  |
Derivatives designated as hedging instruments : Assets | 2,144 | 1,527 |  |
Derivatives designated as hedging instruments : Liabilities | 4,547 | 5,962 |  |
Equity investments | 0 |  |  |
Debt securities | 7,216 |  |  |
Level 3 |  |  |  |
Financial assets and liabilities at fair value |  |  |  |
Derivatives designated as hedging instruments : Assets | 0 |  |  |
Derivatives designated as hedging instruments : Liabilities | 0 |  |  |
Equity investments | 0 |  |  |
Debt securities | 0 |  |  |
Contingent Consideration | 1,217 | 1,092 |  |
Foreign exchange contracts |  |  |  |
Financial assets and liabilities at fair value |  |  |  |
Derivatives designated as hedging instruments : Assets | 660 |  |  |
Derivatives designated as hedging instruments : Liabilities | 794 |  |  |
Derivatives not designated as hedging instruments : Assets | 50 |  |  |
Derivatives not designated as hedging instruments : Liabilities | 17 |  |  |
Foreign exchange contracts | Level 1 |  |  |  |
Financial assets and liabilities at fair value |  |  |  |
Derivatives designated as hedging instruments : Assets | 0 |  |  |
Derivatives designated as hedging instruments : Liabilities | 0 |  |  |
Derivatives not designated as hedging instruments : Assets | 0 |  |  |
Derivatives not designated as hedging instruments : Liabilities | 0 |  |  |
Foreign exchange contracts | Level 2 |  |  |  |
Financial assets and liabilities at fair value |  |  |  |
Derivatives designated as hedging instruments : Assets | 660 | 539 |  |
Derivatives designated as hedging instruments : Liabilities | 794 | 624 |  |
Derivatives not designated as hedging instruments : Assets | 50 | 64 |  |
Derivatives not designated as hedging instruments : Liabilities | 17 | 75 |  |
Foreign exchange contracts | Level 3 |  |  |  |
Financial assets and liabilities at fair value |  |  |  |
Derivatives designated as hedging instruments : Assets | 0 |  |  |
Derivatives designated as hedging instruments : Liabilities | 0 |  |  |
Derivatives not designated as hedging instruments : Assets | 0 |  |  |
Derivatives not designated as hedging instruments : Liabilities | 0 |  |  |
Interest rate swaps contracts: |  |  |  |
Financial assets and liabilities at fair value |  |  |  |
Derivatives designated as hedging instruments : Assets | 1,484 |  |  |
Derivatives designated as hedging instruments : Liabilities | 3,753 |  |  |
Interest rate swaps contracts: | Level 1 |  |  |  |
Financial assets and liabilities at fair value |  |  |  |
Derivatives designated as hedging instruments : Assets | 0 |  |  |
Derivatives designated as hedging instruments : Liabilities | 0 |  |  |
Interest rate swaps contracts: | Level 2 |  |  |  |
Financial assets and liabilities at fair value |  |  |  |
Derivatives designated as hedging instruments : Assets | 1,484 | 988 |  |
Derivatives designated as hedging instruments : Liabilities | 3,753 | $ 5,338 |  |
Interest rate swaps contracts: | Level 3 |  |  |  |
Financial assets and liabilities at fair value |  |  |  |
Derivatives designated as hedging instruments : Assets | 0 |  |  |
Derivatives designated as hedging instruments : Liabilities | $ 0 |  |  |

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