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Changes in consolidated statements of comprehensive income (Tables)
 12 Months Ended
Dec. 31, 2022
Comprehensive income [abstract]  
Comprehensive income

(USD millions)




Note

Fair value
adjustments
on financial
instruments

Actuarial
gains/(losses)
from defined
benefit plans

Cumulative
currency
translation
effects
Total value
adjustments
attributable to
Novartis AG
shareholders


Non-
controlling
interest



Total value
adjustments
Value adjustments at December 31, 2019
120
-5 919
1 142
-4 657
-29
-4 686
Fair value adjustments on equity securities, net of taxes of USD -36 million  1
250
250
250
Net investment hedge
-201
-201
-201
Defined benefit plans, net of taxes of USD -3 million
145
145
-2
143
Currency translation effects, net of taxes of USD 10 million
8.1
3 193
3 193
1
3 194
Total value adjustments in 2020
250
145
2 992
3 387
-1
3 386
Fair value adjustments on equity securities sold, reclassified to retained earnings
-150
-150
-150
Value adjustments related to divestments
2
2
2
Impact of change in ownership of consolidated entities
-1
-1
1
Value adjustments at December 31, 2020
220
-5 773
4 134
-1 419
-29
-1 448
Fair value adjustments on equity securities, net of taxes of USD -44 million  1
194
194
194
Net investment hedge, net of taxes of USD 33 million
216
216
216
Defined benefit plans, net of taxes of USD -323 million
1 808
1 808
1
1 809
Currency translation effects, net of taxes of USD 17 million
8.1
-4 757
-4 757
-5
-4 762
Total value adjustments in 2021
194
1 808
-4 541
-2 539
-4
-2 543
Fair value adjustments on equity securities sold, reclassified to retained earnings net of taxes of USD 48 million
-164
-164
-164
Value adjustments related to divestments
-62
-3
-65
-65
Value adjustments at December 31, 2021
188
-3 968
-407
-4 187
-33
-4 220
Fair value adjustments on equity securities, net of taxes of USD 81 million  1
-382
-382
-382
Net investment hedge, net of taxes of USD -30 million
91
91
91
Defined benefit plans, net of taxes of USD -104 million
-104
-104
1
-103
Currency translation effects, net of taxes of USD 18 million
8.1
-444
-444
-6
-450
Total value adjustments in 2022
-382
-104
-353
-839
-5
-844
Fair value adjustments on equity securities sold, reclassified to retained earnings net of taxes of nil
-4
-4
-4
Value adjustments related to divestments, net of taxes of USD -4 million
34
34
34
Value adjustments at December 31, 2022
-198
-4 038
-760
-4 996
-38
-5 034
 1  Includes fair value adjustments on equity securities designated as financial assets valued at fair value through other comprehensive income with no subsequent recycling into the consolidated income statement