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Taxes (Tables)
12 Months Ended
Dec. 31, 2020
Income Taxes [Abstract]  
Disclosure of components of income (loss) before taxes
(Loss) before taxes
($ millions)202020192018
Switzerland(585)(274)(227)
Foreign(50)(58)(73)
Total (loss) before taxes(635)(332)(300)
Disclosure of components of current and deferred income tax expense
Current and deferred income tax (expense)/income
($ millions)202020192018
Switzerland(14)(34)(77)
Foreign(105)(168)(157)
Current income tax expense(119)(202)(234)
Switzerland96 (246)78 
Foreign127 124 229 
Deferred tax income/(expense)223 (122)307 
Total income tax income/(expense)104 (324)73 
Disclosure of reconciliation of tax rate The main elements contributing to the difference between Alcon's overall applicable tax rate and the effective tax rate are summarized in the below table.
 202020192018
($ millions unless indicated otherwise)%%%
Applicable tax rate98 15.4 %39 11.7 %82 27.3 %
Effect of disallowed expenditures(20)(3.1)%(23)(6.9)%(26)(8.7)%
Effect of equity-based compensation(5)(0.8)%(1)(0.3)%(2)(0.7)%
Effect of income taxed at reduced rates0.6 %0.6 %0.7 %
Effect of tax credits and allowances1.4 %2.1 %13 4.3 %
Effect of adjustments to contingent consideration and other liabilities17 2.7 %11 3.3 %11 3.7 %
Effect of option payments(6)(0.9)%(12)(3.6)%(17)(5.7)%
Effect of tax rate changes(1)
10 1.6 %(342)(103.0)%(14)(4.7)%
Effect of changes in uncertain tax positions(8)(1.3)%10 3.0 %(33)(11.0)%
Effect of other items(10)(1.6)%(2)(0.6)%(4)(1.2)%
Effect of prior year items(2)
15 2.4 %(13)(3.9)%61 20.3 %
Effective tax rate104 16.4 %(324)(97.6)%73 24.3 %
(1)Effect of tax rate changes in 2019 relates primarily to the adoption of the Swiss Tax Reform which resulted in a non-cash tax increase in tax expense of $304 million for the re-measurement of the Swiss deferred tax balances and a $31 million re-measurement of US deferred tax balances as a result of rate changes in the US following legal entity reorganizations executed related to the Spin-off.
(2)    In 2020 and 2019, the prior year items relate to changes in certain estimates which resulted in a $15 million tax benefit and $13 million tax expense, respectively. In 2018, the prior year items relate to an out of period income tax benefit of $61 million which Alcon concluded was not material to the current period or the prior periods to which they relate.