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Pay vs Performance Disclosure
 12 Months Ended
Dec. 31, 2024
USD ($)
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Pay vs Performance Disclosure          
Pay vs Performance Disclosure, Table
Average Summary Compensation Table Total for non-PEO NEOs ($)Value of Initial Fixed $100 Investment Based on:
YearSummary Compensation Table Total for PEO ($)Compensation Actually Paid to PEO ($)Average Compensation Actually Paid to non-PEO NEOs ($)Total Shareholder Return ($)Peer Group Total Shareholder Return ($)Net Income
(in $ millions)		Reported Net Sales Growth (%)
202421,979,36948,190,1726,361,98512,965,592181.15146.872,99310.2
202320,767,84742,471,9516,072,17911,389,954149.29143.183,16511.1
202218,563,21411,419,3465,246,4893,676,892120.59140.292,3587.8
202116,359,89827,844,5025,769,0748,859,654130.25143.091,99419.2
202013,317,03224,002,8524,018,5026,761,265118.17113.451,599(3.6)
        
Company Selected Measure Name reported net sales growth        
Named Executive Officers, Footnote
Average Summary Compensation Table Total for non-PEO NEOs: This column represents the average total compensation value as reported in the Summary Compensation Table for Named Executive Officers other than the Principal Executive Officer. The following table lists by year the non-PEO NEOs included in the calculation of the average values in the table:
20242023202220212020
Glenn S. BoehnleinGlenn S. BoehnleinGlenn S. BoehnleinGlenn S. BoehnleinGlenn S. Boehnlein
J. Andrew PierceJ. Andrew PierceJ. Andrew PierceJ. Andrew PierceTimothy J. Scannell
Spencer S. StilesSpencer S. StilesSpencer S. StilesSpencer S. StilesViju S. Menon
Viju S. MenonViju S. MenonViju S. MenonViju S. MenonRobert S. Fletcher
Timothy J. Scannell
        
Peer Group Issuers, Footnote
Peer Group Total Shareholder Return: This column represents the total returns (including reinvestments of dividends) of the S&P 500 Health Care Index used for purposes of Item 201(e) of Regulation S-K. Refer to Item 5 in our 2024 Annual Report on Form 10-K for further information on the peer group. Values in this column assume $100 was invested on December 31, 2019.
        
PEO Total Compensation Amount $ 21,979,369 $ 20,767,847 $ 18,563,214 $ 16,359,898 $ 13,317,032
PEO Actually Paid Compensation Amount $ 48,190,172 42,471,951 11,419,346 27,844,502 24,002,852
Adjustment To PEO Compensation, Footnote
Compensation Actually Paid to PEO: This column represents the compensation actually paid value for our PEO calculated according to the methodology prescribed by the SEC. The following table summarizes the adjustments to the Summary Compensation Table value which resulted in the compensation actually paid amount for our PEO in 2024:
YearSummary Compensation Table Total ($)Grant Date Fair Value of Equity Awards Granted During the Year ($)
Year-End Fair Value of Equity Awards Granted During the Year that Remain Unvested as of Year-End ($)(1)
Change in Fair Value as of Year-End of Equity Awards Granted in Any Prior Year that Remain Unvested as of Year-End ($)(1)
Fair Value of Awards Granted During the Year that Vested During the Year ($)(1)
Change in Fair Value as of the Vesting Date of Equity Awards Granted in Any Prior Year that Vested During the Year ($)(1)
Compensation Actually Paid ($)
202421,979,369(16,703,587)17,683,36518,637,412—6,593,61348,190,172
______________
(1)The fair value of equity awards (performance stock units, restricted stock units and stock option awards) is calculated in accordance with the Compensation — Stock Compensation Topic of the FASB Codification. Stock option values are derived using the Black-Scholes option pricing model. The assumptions (risk-free interest rate, expected dividend yield, expected stock price volatility and expected option life) used in the calculation of the fair value of stock option awards at each measurement date for purposes of determining the compensation actually paid amounts have been updated, as necessary, relative to the assumptions used in the grant date fair value calculations for the respective stock option awards. 		       
Non-PEO NEO Average Total Compensation Amount $ 6,361,985 6,072,179 5,246,489 5,769,074 4,018,502
Non-PEO NEO Average Compensation Actually Paid Amount $ 12,965,592 11,389,954 3,676,892 8,859,654 6,761,265
Adjustment to Non-PEO NEO Compensation Footnote
Average Compensation Actually Paid to non-PEO NEOs: This column represents the average compensation actually paid value for our non-PEO NEOs calculated according to the methodology prescribed by the SEC. The following table summarizes the average adjustments to the average Summary Compensation Table value which resulted in the average compensation actually paid amount for our non-PEO NEOs in 2024:
YearAverage Summary Compensation Table Total ($)Average Grant Date Fair Value of Equity Awards Granted During the Year ($)
Average Year-End Fair Value of Equity Awards Granted During the Year that Remain Unvested as of Year-End ($)(1)
Average Change in Fair Value as of Year-End of Equity Awards Granted in Any Prior Year that Remain Unvested as of Year-End ($)(1)
Average Fair Value of Awards Granted During the Year that Vested During the Year ($)(1)
Average Change in Fair Value as of the Vesting Date of Equity Awards Granted in Any Prior Year that Vested During the Year ($)(1)
Average Compensation Actually Paid ($)
20246,361,985(4,502,720)4,766,6694,783,070—1,556,58812,965,592
______________
(1)The fair value of equity awards (performance stock units, restricted stock units and stock option awards) is calculated in accordance with the Compensation — Stock Compensation Topic of the FASB Codification. Stock option values are derived using the Black-Scholes option pricing model. The assumptions (risk-free interest rate, expected dividend yield, expected stock price volatility and expected option life) used in the calculation of the fair value of stock option awards at each measurement date for purposes of determining the compensation actually paid amounts have been updated, as necessary, relative to the assumptions used in the grant date fair value calculations for the respective stock option awards.
        
Compensation Actually Paid vs. Total Shareholder Return
Relationship of Compensation Actually Paid and Our Total Shareholder Return
The compensation actually paid to our PEO and other NEOs was strongly aligned to our total shareholder return during the five-year period of 2020 to 2024. This is largely a result of the significant weighting of equity-based compensation, which is directly linked to the price of our Common Stock, in the pay program for the PEO and other NEOs.
        
Compensation Actually Paid vs. Net Income
Relationship of Compensation Actually Paid and Our Net Income
The compensation actually paid to our PEO and other NEOs had limited alignment to our reported net income during the five-year period of 2020 to 2024. Reported net income is not used as a performance measure in the pay programs for our PEO and other NEOs, nor is it used when determining any other component of pay for this group.
        
Compensation Actually Paid vs. Company Selected Measure
Relationship of Compensation Actually Paid and Our Reported Net Sales Growth
The compensation actually paid to our PEO and other NEOs was aligned to our reported net sales growth during the five-year period of 2020 to 2024. Our one-year reported net sales growth performance is used in the performance stock units program when calculating our three-year average reported net sales growth performance relative to a comparison group of companies, which has represented 50% of the target award opportunity in each grant of performance stock units.
        
Total Shareholder Return Vs Peer Group
Relationship of Our Total Shareholder Return and the Peer Group Total Shareholder Return
Our cumulative total shareholder return during the five-year period of 2020 to 2024 was greater than that of the S&P 500 Health Care Index.
        
Tabular List, Table
Reported net sales growth
Constant currency sales
Adjusted net earnings per diluted share growth
Adjusted operating income
Adjusted operating income margin
        
Total Shareholder Return Amount $ 181.15 149.29 120.59 130.25 118.17
Peer Group Total Shareholder Return Amount 146.87 143.18 140.29 143.09 113.45
Net Income (Loss) $ 2,993,000,000 $ 3,165,000,000 $ 2,358,000,000 $ 1,994,000,000 $ 1,599,000,000
Company Selected Measure Amount 0.102 0.111 0.078 0.192 (0.036)
Additional 402(v) Disclosure
Summary Compensation Table Total for PEO: This column represents the total compensation value for our PEO as reported in the Summary Compensation Table. Mr. Lobo was the PEO for each of the covered years in the table.
Total Shareholder Return: This column represents the total returns (including reinvestments of dividends) of our Common Stock assuming $100 was invested on December 31, 2019.
Net Income: This column represents our net earnings (in $ millions) as reported in conformance with GAAP.
        
Measure:: 1          
Pay vs Performance Disclosure          
Name Reported net sales growth        
Non-GAAP Measure Description
Reported Net Sales Growth: This column represents the annual percentage change in our reported net sales as reported in conformance with GAAP. We believe this measure is the most important financial performance measure (that is otherwise not required to be disclosed in the Pay versus Performance table) used in linking compensation actually paid to our PEO and other NEOs to our performance for the most recently completed fiscal year. Sales metrics are prominently used in the NEOs' annual bonus plans and performance stock unit awards. Our reported net sales growth in 2024 is a large factor in determining the fair value as of December 31, 2024 for three performance stock unit cycles (the grants of performance stock units made in 2022, 2023 and 2024) thereby significantly influencing the 2024 total compensation actually paid amounts to our PEO and other NEOs.
        
Measure:: 2          
Pay vs Performance Disclosure          
Name Constant currency sales        
Measure:: 3          
Pay vs Performance Disclosure          
Name Adjusted net earnings per diluted share growth        
Measure:: 4          
Pay vs Performance Disclosure          
Name Adjusted operating income        
Measure:: 5          
Pay vs Performance Disclosure          
Name Adjusted operating income margin        
PEO | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount $ (16,703,587)        
PEO | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 17,683,365        
PEO | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 18,637,412        
PEO | Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0        
PEO | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 6,593,613        
Non-PEO NEO | Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount (4,502,720)        
Non-PEO NEO | Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 4,766,669        
Non-PEO NEO | Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 4,783,070        
Non-PEO NEO | Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount 0        
Non-PEO NEO | Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year          
Pay vs Performance Disclosure          
Adjustment to Compensation, Amount $ 1,556,588