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Income Taxes (Tables)

12 Months Ended

Dec. 31, 2024

Income Tax Disclosure [Abstract]

Schedule of Reconciliation of U.S. Statutory Income Tax Rate to Company's Effective Income Tax Rate from Continuing Operations

Effective Income Tax Rate Reconciliation
			2024						2023						2022
United States federal statutory rate			21.0		%				21.0		%				21.0		%
United States state and local income taxes, less federal deduction			1.1						1.1						2.0
Foreign income tax at rates other than 21%			(4.1)						(6.8)						(4.1)
Tax related to repatriation of foreign earnings			0.3						1.2						(2.4)
United States research and development credits			(1.4)						(1.2)						(1.5)
Intellectual property transfers			—						(3.3)						0.1
United States federal audit settlement			—						—						(6.1)
Goodwill impairment			2.8						—						1.7
Outside basis difference related to the anticipated sale of the Spinal Implants business			(4.9)						—						—
Other			(0.5)						1.8						1.4
Effective income tax rate			14.3		%	0			13.8		%				12.1		%

Schedule of Provision for Income Taxes

Earnings Before Income Taxes
			2024						2023						2022
United States			$	523					$	701					$	407
International			2,969						2,972						2,276
Total			$	3,492					$	3,673					$	2,683

Components of Income Tax Expense (Benefit)
Current income tax expense (benefit):			2024						2023						2022
United States federal			$	490					$	236					$	(76)
United States state and local			90						48						64
International			289						430						279
Total current income tax expense			$	869					$	714					$	267
Deferred income tax expense (benefit):
United States federal			$	(462)					$	(212)					$	(179)
United States state and local			(76)						(20)						(30)
International			168						26						267
Total deferred income tax expense (benefit)			$	(370)					$	(206)					$	58
Total income tax expense			$	499					$	508					$	325

Schedule of Difference in Income Tax Effects Comprising Company's Deferred Income Tax Assets and Liabilities

Deferred Income Tax Assets and Liabilities
Deferred income tax assets:			2024						2023
Inventories			$	551					$	521
Other accrued expenses			207						253
Depreciation and amortization			715						918
State income taxes			167						150
Share-based compensation			100						86
Research and development capitalization			408						295
International interest expense carryforwards			52						46
Net operating loss and credit carryforwards			410						385
Outside basis difference related to the anticipated sale of the Spinal Implants business			170						—
Other			310						235
Total deferred income tax assets			$	3,090					$	2,889
Less valuation allowances			(228)						(223)
Net deferred income tax assets			$	2,862					$	2,666
Deferred income tax liabilities:
Depreciation and amortization			$	(1,141)					$	(1,012)
Undistributed earnings			(61)						(47)
Total deferred income tax liabilities			$	(1,202)					$	(1,059)
Net deferred income tax assets			$	1,660					$	1,607
Reported as:
Noncurrent deferred income tax assets			$	1,742					$	1,670
Noncurrent liabilities—Other liabilities			(82)						(63)
Total			$	1,660					$	1,607

Schedule of Unrecognized Tax Benefits Roll Forward

Uncertain Income Tax Positions
			2024						2023
Beginning uncertain tax positions			$	371					$	286
Increases related to current year income tax positions			18						102
Increases related to prior year income tax positions			—						10
Decreases related to prior year income tax positions			(4)						(33)
Settlements of income tax audits			(21)						(1)
Statute of limitations expirations and other			(3)						—
Foreign currency translation			(12)						7
Ending uncertain tax positions			$	349					$	371
Reported as:
Noncurrent liabilities—Income taxes			$	349					$	371

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Tabular disclosure of the components of income tax expense attributable to continuing operations for each year presented including, but not limited to: current tax expense (benefit), deferred tax expense (benefit), investment tax credits, government grants, the benefits of operating loss carryforwards, tax expense that results from allocating certain tax benefits either directly to contributed capital or to reduce goodwill or other noncurrent intangible assets of an acquired entity, adjustments of a deferred tax liability or asset for enacted changes in tax laws or rates or a change in the tax status of the entity, and adjustments of the beginning-of-the-year balances of a valuation allowance because of a change in circumstances that causes a change in judgment about the realizability of the related deferred tax asset in future years.

+ References

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-Topic 740
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-Section 50
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Tabular disclosure of the components of net deferred tax asset or liability recognized in an entity's statement of financial position, including the following: the total of all deferred tax liabilities, the total of all deferred tax assets, the total valuation allowance recognized for deferred tax assets.

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Tabular disclosure of the reconciliation using percentage or dollar amounts of the reported amount of income tax expense attributable to continuing operations for the year to the amount of income tax expense that would result from applying domestic federal statutory tax rates to pretax income from continuing operations.

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Tabular disclosure of the change in unrecognized tax benefits.

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