BAXTER INTERNATIONAL INC, 10-K filed on 2/21/2025
Annual Report
v3.25.0.1
Cover Page - USD ($)
$ in Billions
12 Months Ended
Dec. 31, 2024
Feb. 13, 2025
Jun. 30, 2024
Entity Information [Line Items]      
Document Type 10-K    
Document Annual Report true    
Document Period End Date Dec. 31, 2024    
Current Fiscal Year End Date --12-31    
Document Transition Report false    
Entity File Number 1-4448    
Entity Registrant Name Baxter International Inc.    
Entity Incorporation, State or Country Code DE    
Entity Tax Identification Number 36-0781620    
Entity Address, Address Line One One Baxter Parkway,    
Entity Address, City or Town Deerfield,    
Entity Address, State or Province IL    
Entity Address, Postal Zip Code 60015    
City Area Code 224    
Local Phone Number 948.2000    
Entity Well-known Seasoned Issuer No    
Entity Voluntary Filers No    
Entity Current Reporting Status Yes    
Entity Interactive Data Current Yes    
Entity Filer Category Large Accelerated Filer    
Entity Small Business false    
Entity Emerging Growth Company false    
ICFR Auditor Attestation Flag true    
Document Financial Statement Error Correction [Flag] false    
Entity Shell Company false    
Entity Public Float     $ 17
Entity Common Stock, Shares Outstanding   511,624,996  
Documents Incorporated by Reference Portions of the registrant’s definitive 2024 proxy statement for use in connection with its Annual Meeting of Stockholders expected to be held on May 6, 2025 are incorporated by reference into Part III of this report.    
Amendment Flag false    
Document Fiscal Year Focus 2024    
Document Fiscal Period Focus FY    
Entity Central Index Key 0000010456    
NEW YORK STOCK EXCHANGE, INC. | Common stock, $1.00 par value      
Entity Information [Line Items]      
Title of 12(b) Security Common stock, $1.00 par value    
Trading Symbol BAX (NYSE)    
Security Exchange Name NYSE    
NEW YORK STOCK EXCHANGE, INC. | 1.3% Global Notes due 2025      
Entity Information [Line Items]      
Title of 12(b) Security 1.3% Global Notes due 2025    
Trading Symbol BAX 25    
Security Exchange Name NYSE    
NEW YORK STOCK EXCHANGE, INC. | 1.3% Global Notes due 2029      
Entity Information [Line Items]      
Title of 12(b) Security 1.3% Global Notes due 2029    
Trading Symbol BAX 29    
Security Exchange Name NYSE    
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Audit Information
12 Months Ended
Dec. 31, 2024
Audit Information [Abstract]  
Auditor Name PricewaterhouseCoopers LLP
Auditor Location Chicago, Illinois
Auditor Firm ID 238
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CONSOLIDATED BALANCE SHEETS - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Current assets:    
Cash and cash equivalents $ 1,764 $ 3,078
Accounts receivable, net of allowance of $71 in 2024 and $62 in 2023 1,679 1,719
Inventories 2,046 1,918
Prepaid expenses and other current assets 753 706
Current assets of discontinued operations 2,611 2,179
Total current assets 8,853 9,600
Property, plant and equipment, net 2,870 2,871
Goodwill 5,275 5,793
Other intangible assets, net 5,223 5,918
Operating lease right-of-use assets 306 336
Other non-current assets 755 809
Non-current assets of discontinued operations 2,500 2,949
Total assets 25,782 28,276
Current liabilities:    
Short-term debt 2,126 0
Current maturities of long-term debt and finance lease obligations 626 2,667
Accounts payable 968 881
Accrued expenses and other current liabilities 1,861 1,915
Current liabilities of discontinued operations 930 1,040
Total current liabilities 6,511 6,503
Long-term debt and finance lease obligations 10,374 11,089
Operating lease liabilities 243 265
Other non-current liabilities 1,076 1,400
Non-current liabilities of discontinued operations 554 551
Total liabilities 18,758 19,808
Commitments and contingencies
Equity:    
Common stock, $1 par value, authorized 2,000,000,000 shares, issued 683,494,944 shares in 2024 and 2023 683 683
Common stock in treasury, at cost, 172,567,636 shares in 2024 and 175,861,893 shares in 2023 (11,059) (11,230)
Additional contributed capital 6,421 6,389
Retained earnings 14,929 16,114
Accumulated other comprehensive income (loss) (4,010) (3,554)
Total Baxter stockholders’ equity 6,964 8,402
Noncontrolling interests 60 66
Total equity 7,024 8,468
Total liabilities and equity $ 25,782 $ 28,276
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CONSOLIDATED BALANCE SHEETS (Parenthetical) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Statement of Financial Position [Abstract]    
Allowance for doubtful accounts $ 71 $ 62
Common stock, par value (in dollars per share) $ 1 $ 1
Common stock, authorized (in shares) 2,000,000,000 2,000,000,000
Common stock, issued (in shares) 683,494,944 683,494,944
Treasury stock, shares (in shares) 172,567,636 175,861,893
v3.25.0.1
CONSOLIDATED STATEMENTS OF INCOME (LOSS) - USD ($)
shares in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2024
Sep. 30, 2024
Jun. 30, 2024
Mar. 31, 2024
Dec. 31, 2023
Sep. 30, 2023
Jun. 30, 2023
Mar. 31, 2023
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Income Statement [Abstract]                      
Net sales $ 2,753,000,000 $ 2,699,000,000 $ 2,694,000,000 $ 2,490,000,000 $ 2,729,000,000 $ 2,599,000,000 $ 2,591,000,000 $ 2,441,000,000 $ 10,636,000,000 $ 10,360,000,000 $ 10,057,000,000
Cost of sales                 6,652,000,000 6,210,000,000 6,508,000,000
Gross margin 959,000,000 1,033,000,000 1,031,000,000 961,000,000 1,100,000,000 1,056,000,000 1,030,000,000 964,000,000 3,984,000,000 4,150,000,000 3,549,000,000
Selling, general and administrative expenses                 2,967,000,000 2,953,000,000 3,097,000,000
Research and development expenses                 590,000,000 518,000,000 450,000,000
Goodwill impairments                 425,000,000 0 2,812,000,000
Other operating expense (income), net                 (12,000,000) (28,000,000) 35,000,000
Operating income (loss)                 14,000,000 707,000,000 (2,845,000,000)
Interest expense, net                 341,000,000 439,000,000 394,000,000
Other (income) expense, net                 (38,000,000) 26,000,000 9,000,000
Income (loss) from continuing operations before income taxes                 (289,000,000) 242,000,000 (3,248,000,000)
Income tax (benefit) expense                 37,000,000 61,000,000 (135,000,000)
Income (loss) from continuing operations (488,000,000) 61,000,000 95,000,000 6,000,000 219,000,000 37,000,000 (27,000,000) (48,000,000) (326,000,000) 181,000,000 (3,113,000,000)
Income (loss) from discontinued operations, net of tax (22,000,000) 83,000,000 (406,000,000) 33,000,000 27,000,000 2,474,000,000 (112,000,000) 93,000,000 (312,000,000) 2,482,000,000 692,000,000
Net income (loss) (510,000,000) 144,000,000 (311,000,000) 39,000,000 246,000,000 2,511,000,000 (139,000,000) 45,000,000 (638,000,000) 2,663,000,000 (2,421,000,000)
Less: Net income attributable to noncontrolling interests included in discontinued operations                 11,000,000 7,000,000 12,000,000
Net income (loss) attributable to Baxter stockholders $ (512,000,000) $ 140,000,000 $ (314,000,000) $ 37,000,000 $ 245,000,000 $ 2,508,000,000 $ (141,000,000) $ 44,000,000 $ (649,000,000) $ 2,656,000,000 $ (2,433,000,000)
Income (loss) from continuing operations per common share                      
Basic (in dollars per share) $ (0.95) $ 0.12 $ 0.19 $ 0.01 $ 0.43 $ 0.07 $ (0.05) $ (0.10) $ (0.64) $ 0.36 $ (6.18)
Diluted (in dollars per share) (0.95) 0.12 0.19 0.01 0.43 0.07 (0.05) (0.10) (0.64) 0.36 (6.18)
Income (loss) from discontinued operations per common share                      
Basic (in dollars per share) (0.05) 0.15 (0.81) 0.06 0.05 4.88 (0.23) 0.19 (0.63) 4.89 1.35
Diluted (in dollars per share) (0.05) 0.15 (0.81) 0.06 0.05 4.86 (0.23) 0.19 (0.63) 4.87 1.35
Net Income (loss) per common share                      
Basic (in dollars per share) (1.00) 0.27 (0.62) 0.07 0.48 4.95 (0.28) 0.09 (1.27) 5.25 (4.83)
Diluted (in dollars per share) $ (1.00) $ 0.27 $ (0.62) $ 0.07 $ 0.48 $ 4.93 $ (0.28) $ 0.09 $ (1.27) $ 5.23 $ (4.83)
Weighted-average number of shares outstanding                      
Basic (in shares)                 510 506 504
Diluted (in shares)                 510 508 504
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CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Statement of Comprehensive Income [Abstract]      
Income (loss) from continuing operations $ (326) $ 181 $ (3,113)
Other comprehensive income (loss) from continuing operations, net of tax:      
Currency translation adjustments, net of tax expense (benefit) of $1 in 2024, ($26) in 2023 and $35 in 2022 (648) 301 (647)
Pension and other postretirement benefit plans, net of tax expense of $(6) in 2024, $(25) in 2023 and $10 in 2022 (19) (92) (39)
Hedging activities, net of tax expense (benefit) of $3 in 2024, zero in 2023 and $2 in 2022 12 (1) 7
Available-for-sale debt securities, net of tax expense of zero in 2024 and 2023 and $1 in $2 in 2022 0 0 3
Total other comprehensive income (loss) from continuing operations, net of tax (655) 208 (676)
Comprehensive income (loss) from continuing operations (981) 389 (3,789)
Income (loss) from discontinued operations, net of tax (312) 2,482 692
Currency translation adjustments, net of tax expense (benefit) of $(7) in 2024, $8 in 2023 and $6 in 2022 187 97 168
Pension and other postretirement benefit plans, net of tax expense of $3 in 2024, $(2) in 2023 and $2 in 2022 (4) (29) 55
Total other comprehensive income from discontinued operations 183 68 223
Comprehensive income (loss) from discontinued operations (129) 2,550 915
Comprehensive income (loss) from continuing operations (1,110) 2,939 (2,874)
Less: Net income attributable to noncontrolling interests included in discontinued operations 11 7 12
Less: Other comprehensive income (loss) attributable to noncontrolling interests (16) (3) (5)
Comprehensive income (loss) attributable to Baxter stockholders $ (1,105) $ 2,935 $ (2,881)
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CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME (LOSS) (Parenthetical) - USD ($)
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Statement of Comprehensive Income [Abstract]      
Currency translation adjustments, tax $ 1,000,000 $ (26,000,000) $ 35,000,000
Pension and other postretirement benefits, tax (6,000,000) (25,000,000) 10,000,000
Hedging activities, tax 3,000,000 0 2,000,000
Tax expense on available-for-sale securities 0 1,000,000 2,000,000
Discontinued operations, currency translation adjustments, tax (7,000,000) 8,000,000 $ 6,000,000
Discontinued operations, pension and other postretirement benefits, tax $ 3,000,000 $ (2,000,000)  
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CONSOLIDATED STATEMENTS OF CHANGES IN EQUITY - USD ($)
$ in Millions
Total
Common stock
Common stock in treasury
Additional contributed capital
Retained earnings
Accumulated other comprehensive income (loss)
Total Baxter stockholders' equity
Noncontrolling interests
Beginning of year (in shares) at Dec. 31, 2021   683,000,000            
Beginning of year at Dec. 31, 2021 $ 9,121 $ 683 $ (11,488) $ 6,197 $ 17,065 $ (3,380) $ 9,077 $ 44
Beginning of year (in shares) at Dec. 31, 2021     182,000,000          
Increase (Decrease) in Stockholders' Equity [Roll Forward]                
Net income (loss) (2,421)       (2,433)   (2,433) 12
Other comprehensive income (loss) $ (458)         (453) (453) (5)
Purchases of common stock (in shares) 500,000   0          
Purchases of treasury stock $ (32)   $ (32)       (32)  
Stock issued under employee benefit plans and other (in shares)     (3,000,000)          
Stock issued under employee benefit plans and other 256   $ 131 125     256  
Dividends declared on common stock (582)       (582)   (582)  
Change in noncontrolling interests 11             11
End of year (in shares) at Dec. 31, 2022   683,000,000            
End of year at Dec. 31, 2022 5,895 $ 683 $ (11,389) 6,322 14,050 (3,833) 5,833 62
End of year (in shares) at Dec. 31, 2022     179,000,000          
Increase (Decrease) in Stockholders' Equity [Roll Forward]                
Net income (loss) 2,663       2,656   2,656 7
Other comprehensive income (loss) 276         279 279 (3)
Stock issued under employee benefit plans and other (in shares)     (3,000,000)          
Stock issued under employee benefit plans and other 226   $ 159 67     226  
Dividends declared on common stock (592)       (592)   (592)  
End of year (in shares) at Dec. 31, 2023   683,000,000            
End of year at Dec. 31, 2023 $ 8,468 $ 683 $ (11,230) 6,389 16,114 (3,554) 8,402 66
End of year (in shares) at Dec. 31, 2023 175,861,893   176,000,000          
Increase (Decrease) in Stockholders' Equity [Roll Forward]                
Net income (loss) $ (638)       (649)   (649) 11
Other comprehensive income (loss) (472)         (456) (456) (16)
Stock issued under employee benefit plans and other (in shares)     (3,000,000)          
Stock issued under employee benefit plans and other 203   $ 171 32     203  
Dividends declared on common stock (536)       (536)   (536)  
Change in noncontrolling interests (1)             (1)
End of year (in shares) at Dec. 31, 2024   683,000,000            
End of year at Dec. 31, 2024 $ 7,024 $ 683 $ (11,059) $ 6,421 $ 14,929 $ (4,010) $ 6,964 $ 60
End of year (in shares) at Dec. 31, 2024 172,567,636   173,000,000          
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CONSOLIDATED STATEMENTS OF CASH FLOWS - USD ($)
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Cash flows from operations      
Income (loss) from continuing operations $ (638,000,000) $ 2,663,000,000 $ (2,421,000,000)
Income (loss) from discontinued operations, net of tax (312,000,000) 2,482,000,000 692,000,000
Income (loss) from continuing operations (326,000,000) 181,000,000 (3,113,000,000)
Adjustments to reconcile net income (loss) to cash flows from operations:      
Depreciation and amortization 997,000,000 984,000,000 1,072,000,000
Pension settlement and curtailment (gains) losses 0 1,000,000 (12,000,000)
Net periodic pension and other postretirement costs (28,000,000) (29,000,000) 42,000,000
Deferred income taxes (262,000,000) (256,000,000) (260,000,000)
Stock compensation 114,000,000 115,000,000 140,000,000
Long-lived asset impairments 50,000,000 0 344,000,000
Other long-lived asset impairments 44,000,000 (11,000,000) 9,000,000
Goodwill impairments 425,000,000 0 2,812,000,000
Loss on product divestiture arrangement 0 0 54,000,000
Reclassification of cumulative translation loss to earnings 0 0 65,000,000
Loss on subsidiary liquidation 0 0 21,000,000
Other 41,000,000 61,000,000 (40,000,000)
Changes in balance sheet items:      
Accounts receivable, net (35,000,000) (38,000,000) (48,000,000)
Inventories (201,000,000) (128,000,000) (198,000,000)
Prepaid expenses and other current assets (125,000,000) (45,000,000) (44,000,000)
Accounts payable 112,000,000 92,000,000 (67,000,000)
Accrued expenses and other current liabilities 44,000,000 293,000,000 (158,000,000)
Other (31,000,000) (13,000,000) (91,000,000)
Cash flows from operations – continuing operations 819,000,000 1,207,000,000 528,000,000
Cash flows from operations – discontinued operations 200,000,000 519,000,000 683,000,000
Cash flows from operations 1,019,000,000 1,726,000,000 1,211,000,000
Cash flows from investing activities      
Capital expenditures (446,000,000) (432,000,000) (377,000,000)
Acquisitions of developed technology and investments (14,000,000) (4,000,000) (258,000,000)
Proceeds from sale of marketable equity securities 34,000,000 0 0
Other investing activities, net 16,000,000 26,000,000 11,000,000
Cash flows from investing activities - continuing operations (410,000,000) (410,000,000) (624,000,000)
Cash flows from investing activities - discontinued operations (216,000,000) 3,623,000,000 (307,000,000)
Cash flows from investing activities - continuing operations (626,000,000) 3,213,000,000 (931,000,000)
Cash flows from financing activities      
Increase in short term debt 1,830,000,000 0 0
Repayments of debt (2,657,000,000) (2,634,000,000) (954,000,000)
Net (decreases) increases in debt with original maturities of three months or less 296,000,000 (301,000,000) 55,000,000
Cash dividends on common stock (590,000,000) (586,000,000) (573,000,000)
Proceeds from stock issued under employee benefit plans 71,000,000 95,000,000 127,000,000
Purchases of treasury stock 0 0 (32,000,000)
Other financing activities, net (31,000,000) (63,000,000) (61,000,000)
Cash flows from financing activities (1,081,000,000) (3,489,000,000) (1,438,000,000)
Effect of foreign exchange rate changes on cash, cash equivalents and restricted cash (96,000,000) 26,000,000 (76,000,000)
Increase (decrease) in cash, cash equivalents and restricted cash (784,000,000) 1,476,000,000 (1,234,000,000)
Cash, cash equivalents and restricted cash at beginning of year [1] 3,198,000,000 1,722,000,000 2,956,000,000
Cash, cash equivalents and restricted cash at end of year [1] 2,414,000,000 3,198,000,000 1,722,000,000
Less cash and cash equivalents of discontinued operations 648,000,000 116,000,000 97,000,000
Cash, cash equivalents and restricted cash of continuing operations $ 1,766,000,000 $ 3,082,000,000 $ 1,625,000,000
[1] The following table provides a reconciliation of cash, cash equivalents and restricted cash amounts as shown in the consolidated statement of cash flows to the amount reported in the consolidated balance sheet as of December 31, 2024, 2023, and 2022:
As of December 31 (in millions)202420232022
Cash and cash equivalents$1,764 $3,078 $1,621 
Restricted cash included in prepaid expenses and other current assets
Cash, cash equivalents and restricted cash$1,766 $3,082 $1,625 
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CONSOLIDATED STATEMENTS OF CASH FLOWS (Details) (Parenthetical) - USD ($)
$ in Thousands
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Statement of Cash Flows [Abstract]      
Cash and cash equivalents $ 1,764,000 $ 3,078,000 $ 1,621,000
Restricted cash included in prepaid expenses and other current assets 2,000 4,000 4,000
Cash, cash equivalents and restricted cash $ 1,766,000 $ 3,082,000 $ 1,625,000
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SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
12 Months Ended
Dec. 31, 2024
Accounting Policies [Abstract]  
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Nature of Operations
Baxter International Inc., through our subsidiaries (collectively, Baxter, we, our or us), provides a broad portfolio of essential healthcare products, including sterile intravenous (IV) solutions; infusion systems, administrative sets; parenteral nutrition therapies; surgical hemostat, sealant and adhesion prevention products; connected care solutions and collaboration tools, including smart bed systems, patient monitoring systems and diagnostic technologies; respiratory health devices; advanced equipment for the surgical space, including operating room integration technologies, precision positioning devices and other accessories; injectable pharmaceuticals; inhaled anesthetics and drug compounding services. These products are used by hospitals, nursing homes, rehabilitation centers, ambulatory surgery centers, doctors’ offices, kidney dialysis centers and patients at home under physician supervision. Our global footprint and the critical nature of our products and services play a key role in expanding access to healthcare in emerging and developed countries. Our business is comprised of three reportable segments: Medical Products & Therapies, Healthcare Systems & Technologies, and Pharmaceuticals which are described in Note 18.
On August 12, 2024, we entered into an Equity Purchase Agreement (EPA ) with certain affiliates of Carlyle Group Inc. (Carlyle) to sell our Kidney Care business. That business, which is now known as Vantive Health LLC (Vantive) is comprised of our former Kidney Care segment and provides chronic and acute dialysis therapies and services, including peritoneal dialysis, hemodialysis, continuous renal replacement therapies, and other organ support therapies. On January 31, 2025, we completed the sale of our Kidney Care business to Carlyle for an aggregate purchase price of $3.80 billion in cash, subject to certain closing cash, working capital and debt adjustments. After giving effect to certain adjustments, we received approximately $3.71 billion pre-tax cash proceeds at closing of the transaction with the net after tax proceeds currently estimated to be approximately $3.4 billion, subject to certain post-closing adjustments. We determined that our Kidney Care business met the criteria to be classified as held-for-sale in August 2024, and we also concluded that it met the conditions to be reported as a discontinued operation at that time. Accordingly, our Kidney Care business is reported in discontinued operations in the accompanying consolidated financial systems, and our prior period results have been adjusted to reflect discontinued operations presentation. See Note 2 for additional information.
Hurricane Helene
In September 2024, Hurricane Helene, which brought significant rain and extensive flooding to Western North Carolina, caused damage to certain of our assets at our North Cove facility in Marion, N.C. and disrupted operations at that facility. Since then, we have actively worked with our customers, regulators and other stakeholders to manage inventory and minimize disruption to patient care as we worked towards resuming our North Cove manufacturing operations. Our insurance policies generally cover the repair or replacement of our assets that suffer loss or damage, less applicable deductibles and subject to any coverage limits and exclusions. Our insurance policies also provide coverage for interruption to our business, including lost profits, and reimbursement for other expenses and costs that have been incurred relating to the damages and losses suffered. In 2024, we recorded $110 million of pre-tax net charges related to damages caused by Hurricane Helene. This consisted of $44 million related to the write-off of damaged inventory and fixed assets as well as $317 million of remediation, idle facility, air freight and other costs offset by $251 million of insurance recoveries. These amounts were recorded as a component of cost of sales in the consolidated statement of income (loss) for the year ended December 31, 2024.
Risks and Uncertainties
Supply Constraints and Global Economic Conditions
In recent years, we have experienced significant challenges to our global supply chain, including production delays and interruptions, increased costs and shortages of raw materials and component parts (including resins and electromechanical devices), higher transportation costs, adverse impacts from significant weather events (including Hurricane Helene and the flooding of our North Cove facility), elevated inflation levels and interest rates, disruptions to certain ports of call and access to shipping lanes around the world, the war in Ukraine, the conflict in the Middle East and other geopolitical events. While we have seen improvements in the availability of component parts and
improved pricing of raw materials and on transportation costs, some of these challenges (such as additional transportation costs resulting from Hurricane Helene as we transfer product across our global network in the interest of increasing the availability of intravenous solutions for our customers while we work to fully remediate our North Cove facility) are expected to have a negative impact on our results of operations in the future.
We expect that the challenges caused by global economic conditions, among other factors, may continue to have an adverse effect on our business.
Use of Estimates
The preparation of financial statements in conformity with U.S. Generally Accepted Accounting Principles (U.S. GAAP) requires us to make estimates and assumptions that affect the reported amounts and related disclosures in the consolidated financial statements and accompanying notes. Actual results could differ from those estimates.
Principles of Consolidation
The consolidated financial statements include the accounts of Baxter and our majority-owned subsidiaries that we control, after elimination of intra-company balances and transactions.
Revenue Recognition
Revenue is measured as the amount of consideration we expect to receive in exchange for transferring goods or providing services. A performance obligation is a promise in a contract to transfer a distinct good or service to the customer and is the unit of account in the contract. A contract’s transaction price is allocated to each distinct performance obligation and recognized as revenue when, or as, the performance obligation is satisfied. Some of our contracts have multiple performance obligations. For contracts with multiple performance obligations, we allocate the contract’s transaction price to each performance obligation using our best estimate of the standalone selling price of each distinct good or service in the contract. Our global payment terms are typically between 30-90 days.
Our primary customers are hospitals, healthcare distribution companies and government agencies that purchase healthcare products on behalf of providers. Most of our performance obligations are satisfied at a point in time. This includes sales of our broad portfolio of essential healthcare products across our business segments. We earn revenues from sterile IV solutions; infusion systems and devices; parenteral nutrition therapies; inhaled anesthetics; generic injectable pharmaceuticals; surgical hemostat and sealant products, smart bed systems; patient monitoring and diagnostic technologies; respiratory health devices; and advanced equipment for the surgical space. For most of those offerings, our performance obligation is satisfied upon delivery to the customer. Shipping and handling activities are considered to be fulfillment activities and are not considered to be a separate performance obligation.
To a lesser extent, we enter into arrangements for which revenue may be recognized over time. For example, we lease medical equipment to customers under operating lease arrangements and recognize the related revenues on a monthly basis over the lease term. Our Healthcare Systems & Technologies segment includes connected care solutions and collaboration tools that are implemented over time. We recognize revenue for these arrangements over time or at a point in time depending on our evaluation of when the customer obtains control of the promised goods or services. We also earn revenue from contract manufacturing activities, which is recognized over time as the services are performed. Revenue is recognized over time when we are creating or enhancing an asset that the customer controls as the asset is created or enhanced or our performance does not create an asset with an alternative use and we have an enforceable right to payment for performance completed.
As of December 31, 2024, we had $5.47 billion of transaction price allocated to remaining performance obligations related to executed contracts with an original duration of more than one year, which are primarily included in the Medical Product and Therapies segments. Some contracts in the United States included in this amount contain index-dependent price increases, which are not known at this time. We expect to recognize approximately 25% of this amount as revenue in 2025, 20% in 2026, 20% in 2027, 35% in 2028 and the remainder thereafter.
Significant Judgments
Revenues from product sales are recorded at the net sales price, which includes estimates of variable consideration, primarily related to rebates and distributor chargebacks. These reserves are based on estimates of the amounts earned or to be claimed on the related sales and are included in accrued expenses and other current liabilities and as reductions of accounts receivable, net on the consolidated balance sheets. Management's estimates take into consideration historical experience, current contractual and statutory requirements, specific known market events and trends, industry data and forecasted customer buying and payment patterns. Overall,
these reserves reflect our best estimates of the amount of consideration to which we are entitled based on the terms of the contract using the expected value method. The amount of variable consideration included in the net sales price is limited to the amount for which it is probable that a significant reversal in revenue will not occur when the related uncertainty is resolved. Revenue recognized in the years ended December 31, 2024, 2023 and 2022 related to performance obligations satisfied in prior periods was not material. Additionally, our contracts with customers often include promises to transfer multiple products and services to a customer. Determining whether products and services are considered distinct performance obligations that should be accounted for separately and determining the allocation of the transaction price may require significant judgment.
Practical Expedients
We apply a practical expedient to expense as incurred costs to obtain a contract with a customer when the amortization period would have been one year or less. We do not disclose the value of the transaction price that is allocated to unsatisfied performance obligations for contracts with an original expected length of less than one year. We have elected to use the practical expedient to not adjust the promised amount of consideration for the effects of a significant financing component if it is expected, at contract inception, that the period between when we transfer a promised good or service to a customer and when the customer pays for that good or service will be one year or less. Additionally, all taxes assessed by a governmental authority that are both imposed on and concurrent with a specific revenue-producing transaction and collected from a customer are excluded from revenue.
Accounts Receivable and Allowance for Doubtful Accounts
In the normal course of business, we provide credit to our customers, perform credit evaluations of these customers and maintain reserves for potential credit losses. In determining the amount of the allowance for doubtful accounts, we consider, among other items, historical credit losses, the past-due status of receivables, payment histories, other customer-specific information, current economic conditions and reasonable and supportable future forecasts. Receivables are written off when we determine that they are uncollectible.

Shipping and Handling Costs
Shipping costs incurred to physically move product from our premises to the customer’s premises are classified as selling, general and administrative (SG&A) expenses. Handling costs, which are costs incurred to store, move and prepare products for shipment, are classified as cost of sales. Approximately $382 million in 2024, $358 million in 2023 and $388 million in 2022 of shipping costs were classified in SG&A expenses.
Cash, Cash Equivalents and Restricted Cash
Cash and cash equivalents include cash, certificates of deposit and money market and other short-term funds with original maturities of three months or less. Restricted cash represents cash balances restricted as to withdrawal or use and are included in prepaid expenses and other current assets on the consolidated balance sheets.
Inventories
Inventories are stated at the lower of cost or net realizable value determined by the first-in, first-out method. We review inventories on hand at least quarterly and record provisions for estimated excess, slow-moving and obsolete inventory, as well as inventory with a carrying value in excess of net realizable value.
Property, Plant and Equipment, Net
Property, plant and equipment are stated at cost. Depreciation expense is calculated using the straight-line method over the estimated useful lives of the related assets, which range from 20 to 50 years for buildings and improvements and from 3 to 15 years for machinery and equipment. Leasehold improvements are amortized over the life of the related facility lease (including any renewal periods, if appropriate) or the asset, whichever is shorter. We capitalize certain computer software and software development costs incurred in connection with developing or obtaining software for internal use. Capitalized software costs are included within machinery and equipment and are amortized on a straight-line basis over the estimated useful lives of the software, which generally range from three to five years.
Research and Development
Research and development (R&D) costs, including R&D acquired in transactions that are not business combinations, are expensed as incurred. Pre-regulatory approval contingent milestone obligations to counterparties in collaborative arrangements, which include acquired R&D, are expensed when the milestone is probable to be achieved. Contingent milestone payments made to such counterparties on or after regulatory approval are capitalized and amortized over the remaining useful life of the related product. Amounts capitalized for such payments are included in other intangible assets, net.
Acquired in-process R&D (IPR&D) is the value assigned to technology or products under development acquired in a business combination which have not received regulatory approval and have no alternative future use. Acquired IPR&D is capitalized as an indefinite-lived intangible asset. Development costs incurred after the acquisition are expensed as incurred. Upon receipt of regulatory approval of the related technology or product, the indefinite-lived intangible asset is accounted for as a finite-lived intangible asset and amortized on a straight-line basis over the estimated economic life of the related technology or product, subject to annual impairment reviews as discussed below. If the R&D project is abandoned, the indefinite-lived asset is charged to expense.
Collaborative Arrangements
We periodically enter into collaborative arrangements in the normal course of business. These collaborative arrangements take a number of forms and structures and are designed to enhance and expedite long-term sales and profitability growth. These arrangements may provide for us to obtain commercialization rights to a product under development, and require us to make upfront payments, contingent milestone payments, profit-sharing, and/or royalty payments. We may be responsible for ongoing costs associated with the arrangements, including R&D cost reimbursements to the counterparty. See the Research and Development section of this note regarding the accounting treatment of upfront and contingent milestone payments. Any royalty and profit-sharing payments during the commercialization phase are expensed as cost of sales when they become due and payable.
Restructuring Charges
We record liabilities for costs associated with exit or disposal activities in the period in which the liability is incurred. Employee termination costs are primarily recorded when actions are probable and estimable. Costs for one-time termination benefits in which the employee is required to render service until termination in order to receive the benefits are recognized ratably over the future service period. Refer to the discussion below regarding the accounting for asset impairment charges.
Goodwill, Intangible Assets and Other Long-Lived Assets
Goodwill is initially measured as the excess of the purchase price over the fair value (or other measurement attribute required by U.S. GAAP) of acquired assets and liabilities in a business combination. Management performs an impairment test in the fourth quarter of each year, or whenever events or changes in circumstances indicate that the fair value of the reporting unit is more likely than not below its carrying amount. We have the option to assess goodwill for impairment by initially performing a qualitative assessment to determine whether it is more-likely-than-not that the fair value of a reporting unit is less than its carrying amount. If we determine that it is not more-likely-than-not that the fair value of a reporting unit is less than its carrying amount, then the quantitative goodwill impairment test is not required to be performed. If we determine that it is more-likely-than-not that the fair value of a reporting unit is less than its carrying amount, or if we do not elect the option to perform an initial qualitative assessment, we perform a quantitative goodwill impairment test.  In the quantitative impairment test, we calculate the estimated fair value of the reporting unit. If the carrying amount of the reporting unit exceeds the estimated fair value, an impairment charge is recorded for the amount that its carrying amount, including goodwill, exceeds its fair value, limited to the total amount of goodwill allocated to that reporting unit. In a quantitative goodwill impairment test, the fair values of our reporting units are generally determined based on a discounted cash flow model (an income approach) and earnings multiples (a market approach). Significant assumptions in reporting unit fair value measurements generally include revenue growth rates, forecasted earnings before interest, taxes, depreciation and amortization (EBITDA) margins, discount rates, terminal growth rates and earnings multiples. Each of those assumptions can significantly affect the fair values of our reporting units.
Indefinite-lived intangible assets, such as IPR&D acquired in business combinations and certain trade names with indefinite lives, are subject to an impairment review annually in the fourth quarter and whenever indicators of impairment exist. We have the option to assess indefinite-lived intangible assets for impairment by first performing
qualitative assessments to determine whether it is more-likely-than-not that the fair values of the indefinite-lived intangible assets are less than the carrying amounts. If we determine that it is more-likely-than-not that an indefinite-lived intangible asset is impaired, or if we elect not to perform an initial qualitative assessment, we then perform the quantitative impairment test by comparing the fair value of the indefinite-lived intangible asset with its carrying amount. If the carrying amount exceeds the fair value of the indefinite-lived intangible asset, we write the carrying amount down to the fair value.
We review the carrying amounts of long-lived assets used in operations, other than goodwill and intangible assets not subject to amortization, for potential impairment when events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. In evaluating recoverability, we group assets and liabilities at the lowest level such that the identifiable cash flows relating to the group are largely independent of the cash flows of other assets and liabilities. We then compare the carrying amounts of the assets or asset groups with the related estimated undiscounted future cash flows. In the event an asset (or asset group) is not recoverable, an impairment charge is recorded as the amount by which the carrying amount of the asset (or asset group) exceeds its fair value.
Long-lived assets are classified as held for sale when certain criteria are met, including when management has committed to sell the asset, the asset is available for sale in its present condition and the sale is probable of being completed within one year of the balance sheet date. Assets held for sale are no longer depreciated or amortized and they are reported at the lower of their carrying amount or fair value less cost to sell.
See Notes 3 and 5 for further information about impairments of goodwill and intangible assets recognized in the accompanying consolidated financial statements.
Investments in Debt and Equity Securities
Investments in debt securities classified as available-for-sale are measured at fair value with changes in fair value reported in other comprehensive (loss) income (OCI). Investments in marketable equity securities are classified as other non-current assets and are measured at fair value with gains and losses recognized in other (income) expense, net. We have elected to apply the measurement alternative to equity securities without readily determinable fair values. As such, our non-marketable equity securities are measured at cost, less any impairment, and are adjusted for changes in fair value resulting from observable transactions for identical or similar investments of the same issuer. Gains and losses on non-marketable equity securities are also recognized in other (income) expense, net. Noncontrolling investments in common stock or in-substance common stock are accounted for under the equity method if we have the ability to exercise significant influence over the operating and financial policies of the investee. We review our investments in debt and equity securities for impairment and adjust impaired investments to fair value through earnings, as required.
Income Taxes
Deferred taxes are recognized for the future tax effects of temporary differences between financial and income tax reporting based on enacted tax laws and rates. We maintain valuation allowances unless it is more-likely-than-not that the deferred tax asset will be realized. With respect to uncertain tax positions, we determine whether the position is more-likely-than-not to be sustained upon examination based on the technical merits of the position. Any tax position that meets the more-likely-than-not recognition threshold is measured and recognized in the consolidated financial statements at the largest amount of benefit that is greater than 50% likely of being realized upon ultimate settlement. The liability relating to uncertain tax positions is classified as current in the consolidated balance sheets to the extent that we anticipate making a payment within one year. Interest and penalties associated with income taxes are classified in the income tax expense (benefit) line in the consolidated statements of income (loss).
Foreign Currency Translation
Cumulative translation adjustments (CTA) related to foreign operations are included in OCI. For foreign operations in highly inflationary economies, translation gains and losses are included in other (income) expense, net, and were not material in 2024, 2023 and 2022.
Derivatives and Hedging Activities
Derivative instruments are recognized as either assets or liabilities at fair value in the consolidated balance sheets and are classified as short-term or long-term based on the scheduled maturity of the instrument. We designate
certain of our derivatives and foreign-currency denominated debt as hedging instruments in cash flow, fair value or net investment hedges.
For each derivative instrument that is designated and effective as a cash flow hedge, the gain or loss on the derivative is recorded in AOCI and then recognized in earnings consistent with the underlying hedged item. Cash flow hedges are classified in cost of sales and interest expense, net, and are primarily related to forecasted intra-company sales denominated in foreign currencies and forecasted interest payments on anticipated issuances of debt, respectively.
For each derivative instrument that is designated and effective as a fair value hedge, the gain or loss on the derivative is recognized immediately to earnings, and offsets changes in fair value attributable to a particular risk, such as changes in interest rates, of the hedged item, which are also recognized in earnings. Changes in the fair value of hedge instruments designated as fair value hedges are classified in interest expense, net, as they hedge the interest rate risk associated with certain of our fixed-rate debt.
We have designated certain of our Euro-denominated senior notes as hedges of our net investment in our European operations and, as a result, mark to spot rate adjustments on the outstanding debt balances are recorded as a component of AOCI.
For derivative instruments that are not designated as hedges, the change in fair value is recorded directly to other (income) expense, net.
If it is determined that a derivative or nonderivative hedging instrument is no longer highly effective as a hedge, we discontinue hedge accounting prospectively. Gains or losses relating to terminations of effective cash flow hedges generally continue to be deferred and are recognized consistent with the loss or income recognition of the underlying hedged items. However, if it is probable that the hedged forecasted transactions will not occur, any gains or losses would be immediately reclassified from AOCI to earnings. If we terminate a fair value hedge, an amount equal to the cumulative fair value adjustment to the hedged item at the date of termination is amortized to earnings over the remaining term of the hedged item. If we remove a net investment hedge designation, any gain or loss recognized in AOCI are not reclassified to earnings until we sell, liquidate, or deconsolidate the foreign investments that were being hedged.
Cash flows related to the settlement of derivative instruments designated as net investment hedges of foreign operations are classified in the consolidated statements of cash flows within investing activities. Cash flows for all other derivatives, including those that are not designated as a hedge, are classified in the same line item as the cash flows of the related hedged item, which is generally within operating activities.
New Accounting Standards
Recently issued accounting standards not yet adopted
In November 2024, the Financial Accounting Standards Board (FASB) issued Accounting Standards Update (ASU) 2024-03, Income Statement - Reporting Comprehensive Income - Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses, which requires disaggregated disclosure of certain expenses on an interim and annual basis in the notes to the financial statements. This standard is effective for annual consolidated financial statements for the year ending December 31, 2027 and for interim periods beginning in 2028. We are currently evaluating the impact of this new standard on our consolidated financial statements.
In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvement to Income Tax Disclosures, which requires (1) disclosure of specific categories in the rate reconciliation and (2) additional information for reconciling items that meet a quantitative threshold. Additionally, the amendment requires disclosure of certain disaggregated information about income taxes paid, income from continuing operations before income tax expense (benefit) and income tax expense (benefit). The standard is effective for our annual consolidated financial
statements for the year ending December 31, 2025. We are currently evaluating the impact of this standard on our consolidated financial statements.
Recently adopted accounting pronouncements 
As of January 1, 2024, we adopted ASU 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures, which requires enhanced disclosures about segment expenses on an annual and interim basis. This standard became effective for our annual consolidated financial statements for the year ended December 31, 2024 and for interim periods beginning in 2025. See Note 18 for further information on our segment disclosures.
As of January 2024, we adopted ASU 2022-03, Fair Value Measurement (Topic 820): Fair Value Measurement of Equity Securities Subject to Contractual Sales Restrictions, which (1) clarifies the guidance in Topic 820 on the fair value measurement of an equity security that is subject to contractual restrictions that prohibit the sale of an equity security and (2) requires specific disclosures related to such an equity security. The standard became effective for our annual consolidated financial statements for the year ended December 31, 2024 and for interim periods beginning in 2025. The impact of the adoption of this ASU did not have a material effect on our consolidated financial statements.
As of January 1, 2022, we adopted ASU 2021-05, Leases (Topic 842), which requires a lessor to classify a lease with variable lease payments (that do not depend on an index or rate) as an operating lease if (1) the lease would have been classified as a sales-type or direct financing lease, and (2) the lessor would have recognized a selling loss at lease commencement. These changes are intended to avoid recognizing a day-one loss for a lease with variable payments even though the lessor expects the arrangement will be profitable overall. The adoption of this ASU did not have a material impact on our consolidated financial statements.
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DISCONTINUED OPERATIONS
12 Months Ended
Dec. 31, 2024
Discontinued Operations and Disposal Groups [Abstract]  
DISCONTINUED OPERATIONS
DISCONTINUED OPERATIONS
A component of an entity is reported in discontinued operations after meeting the criteria for held-for-sale classification if the disposition represents a strategic shift that has (or will have) a major effect on the entity's operations and financial results. The consolidated financial statements reflect discontinued operations for two strategic actions, as described below.
Discontinued Operations - Kidney Care
On August 12, 2024, we entered into an EPA to sell our Kidney Care business, subject to receipt of customary regulatory approvals and satisfaction of other closing conditions. That business, which is comprised of our former Kidney Care segment, provides chronic and acute dialysis therapies and services, including peritoneal dialysis, hemodialysis, continuous renal replacement therapies, and other organ support therapies. On January 31, 2025, we completed the sale of our Kidney Care business to Carlyle for an aggregate purchase price of $3.80 billion in cash, subject to certain closing cash, working capital and debt adjustments. After giving effect to certain adjustments, we received approximately $3.71 billion pre-tax cash proceeds at closing of the transaction with the net after tax proceeds currently estimated to be approximately $3.4 billion, subject to certain post-closing adjustments.
We concluded that our Kidney Care business met the criteria to be classified as held-for-sale in August 2024. We analyzed the quantitative and qualitative factors relevant to the sale of our Kidney Care business, including its significance to our overall net income (loss), earnings (loss) per share, and net assets, and determined that those conditions for discontinued operations presentation had been met. As such, the financial position, results of operations and cash flows of that business are reported as discontinued operations in the accompanying consolidated financial statements. Prior period amounts have been adjusted to reflect discontinued operations presentation. The fair value and carrying value of assets held for sale are evaluated each period and a loss on sale is recognized when the fair value less costs to sell are below the carrying value. There has been no loss on sale recognized for the period ending December 31, 2024. We will recognize a gain or loss upon disposition of the business depending on the carrying value at that date, including any tax impacts of the sale, which may be material.
Upon closing of the sale of the Kidney Care business, Baxter and Vantive entered into several agreements, including a Manufacturing and Supply Agreement (Kidney Care MSA), a long-term Master Services Agreement, a Distribution Agreement, a Transition Services Agreement (Kidney Care TSA), and an Intellectual Property Agreement. Pursuant to the Kidney Care MSA, Baxter and the Kidney Care divested entities will provide each other
with certain dialysis-related products, other products, product components and fulfillment services for a period up to 10 years post-closing (with certain extension rights as provided therein). Pursuant to the Kidney Care TSA, Baxter and the entities that will be divested in connection with the Kidney Care sale (the Kidney Care divested entities) will provide each other, on an interim basis, certain transitional services for up to 30 months post-closing (with certain extension rights as provided therein) to help ensure business continuity and help minimize disruptions to the entities' operations post-closing. Services to be provided under the Kidney Care TSA include information technology applications and support, supply chain and certain other corporate and administrative services. Pursuant to the EPA, Baxter will retain (i) the manufacture and sale of saline solutions and (ii) the plastics operations of Baxter and its subsidiaries at its Mountain Home, Arkansas facility, which is not part of the Kidney Care segment.
Discontinued Operations - BioPharma Solutions
On September 29, 2023, we sold our BPS business to Advent International and Warburg Pincus (collectively, the buyers). Under the terms of the related Equity Purchase agreement entered into with the buyers in May 2023, we were entitled to aggregate consideration of $4.25 billion, subject to adjustment for specified items. After giving effect to those adjustments, we received cash proceeds of $3.96 billion. We recognized a pre-tax gain on the sale of $2.88 billion ($2.59 billion net of tax), which represents the excess of (a) the $3.91 billion in net consideration received, consisting of (i) $3.96 billion in cash proceeds from the buyers, less (ii) $47 million in transaction costs, over (b) the sum of (i) the $840 million net book value of the BPS business upon the closing of the transaction and (ii) BPS's $181 million other comprehensive loss, which was reclassified to earnings.
The BPS business, which was historically reported within our former Americas segment, provided contract manufacturing and development services, which include sterile fill-finish manufacturing and support services across clinical and commercial applications, primarily serving customers in the pharmaceutical industry. BPS was historically operated through our former, wholly-owned subsidiaries Baxter Pharmaceutical Solutions LLC, a Delaware limited liability company, and Baxter Oncology GmbH, a German limited liability company (collectively, the divested entities).
We concluded that our BPS business met the criteria to be classified as held-for-sale in May 2023. A component of an entity is reported in discontinued operations after meeting the criteria for held-for-sale classification if the disposition represents a strategic shift that has (or will have) a major effect on the entity's operations and financial results. We analyzed the quantitative and qualitative factors relevant to the divestiture of our BPS business, including its significance to our overall net income (loss) and earnings (loss) per share, and determined that those conditions for discontinued operations presentation had been met. As such, the financial position, results of operations and cash flows of that business, including our gain from the sale of that business and the related cash proceeds received, are reported as discontinued operations in the accompanying consolidated financial statements. Prior period amounts have been adjusted to reflect discontinued operations presentation.
At closing of the transaction, Baxter Pharmaceutical Solutions LLC included a BPS manufacturing facility in Bloomington Indiana and Baxter Oncology GmbH included a manufacturing facility in Halle Germany. Previously, Baxter Oncology GmbH included an additional manufacturing site in Bielefeld Germany that was not part of the BPS business and was transferred to another Baxter entity prior to closing of the divestiture. Accordingly, amounts related to the Bielefeld site continue to be presented as continuing operations in the accompanying consolidated financial statements.
At closing of the transaction, Baxter entered into a Transition Services Agreement (BPS TSA) and a Master Commercial Manufacturing and Supply Agreement (BPS MSA) with the divested entities. Pursuant to the BPS TSA, Baxter and the divested entities will provide to each other, on an interim basis, specific transition services for up to 24 months post-closing to help ensure business continuity and minimize disruptions. Services provided under the BPS TSA include finance, information technology, human resources, integrated supply chain and certain other administrative services. Pursuant to the BPS MSA, the divested entities will provide development, manufacturing, regulatory and other related services for certain Baxter pharmaceutical products for up to 5 years post-closing (with certain extension rights as provided therein).
Results of Discontinued Operations and Assets and Liabilities of Discontinued Operations
The following table summarizes the major classes of line items included in income (loss) from discontinued operations, net of tax, for the years ended December 31, 2024, 2023 and 2022:
Kidney CareBioPharma SolutionsTotal
Year Ended December 31,Year Ended December 31,Year Ended December 31,
(in millions)202420232022202420232022202420232022
Net sales$4,513 $4,453 $4,449 $— $469 $607 $4,513 $4,922 $5,056 
Cost of sales2,812 3,628 2,932 — 216 276 2,812 3,844 3,208 
Gross margin1,701 825 1,517 — 253 331 1,701 1,078 1,848 
Selling, general and administrative expenses1,203 993 762 — 45 28 1,203 1,038 790 
Research and development expenses181 149 152 — 181 150 155 
Goodwill impairments430 — — — — — 430 — — 
Other operating expense (income), net(1)— — — — (1)— 
Operating income (loss)(112)(317)602 — 207 300 (112)(110)902 
Interest expense, net13 — (1)— 13 
Other (income) expense, net10 25 — 10 26 
Income (loss) from discontinued operations before gain on disposition and income taxes(135)(345)598 — 207 297 (135)(138)895 
Gain on disposition— — — — 2,882 — — 2,882 — 
Income tax expense (benefit)177 (95)139 — 357 64 177 262 203 
Income (loss) from discontinued operations, net of tax(312)(250)459 — 2,732 233 (312)2,482 692 
Less: Net income attributable to noncontrolling interest included in discontinued operations11 11 — — — 11 11 
Net income (loss) attributable to Baxter stockholders included in discontinued operations$(323)$(257)$448 $— $2,732 $233 $(323)$2,475 $681 
For the year ended December 31, 2024, SG&A expenses include $261 million of separation-related costs incurred in connection with the sale of our Kidney Care business. For the year ended December 31, 2023, SG&A expenses include $196 million and $17 million, respectively, of separation-related costs incurred in connection with the sale of our Kidney Care business and the sale of BPS, respectively.
The following table summarizes the carrying amounts of the major classes of assets and liabilities classified as discontinued operations in the consolidated balance sheets as of December 31, 2024 and 2023:
as of December 31 (in millions)20242023
Cash and cash equivalents$648 $116 
Accounts receivable, net of allowances942 971 
Inventories821 906 
Prepaid expenses and other current assets200 186 
Current assets of discontinued operations2,611 2,179 
Property, plant and equipment, net1,516 1,562 
Goodwill265 721 
Other intangible assets, net148 161 
Operating lease right-of-use assets204 188 
Other non-current assets367 317 
Non-current assets of discontinued operations2,500 2,949 
Assets of discontinued operations$5,111 $5,128 
Current maturities of finance lease obligations$$
Accounts payable344 360 
Accrued expenses and other current liabilities585 679 
Current liabilities of discontinued operations930 1,040 
Long-term finance lease obligations, less current portion37 41 
Operating lease liabilities173 173 
Other non-current liabilities344 337 
Non-current liabilities of discontinued operations554 551 
Liabilities of discontinued operations$1,484 $1,591 
v3.25.0.1
ACQUISITIONS AND OTHER ARRANGEMENTS
12 Months Ended
Dec. 31, 2024
Business Combination, Asset Acquisition, and Joint Venture Formation [Abstract]  
ACQUISITIONS AND OTHER ARRANGEMENTS
ACQUISITIONS AND OTHER ARRANGEMENTS
Results of operations of acquired businesses are included in our results of operations beginning as of the respective acquisition dates. The purchase price of each acquisition is allocated to the net assets acquired based on estimates of their fair values (or other measurement attribute required under U.S. GAAP) at the date of the acquisition. Any purchase price in excess of these net assets is recorded as goodwill.
Contingent consideration related to business combinations is recognized at its estimated fair value on the acquisition date. Subsequent changes to the fair value of those contingent consideration arrangements are recognized in earnings. Contingent consideration related to business acquisitions may consist of development, regulatory and commercial milestone payments, and sales or earnings-based payments, and are valued using discounted cash flow techniques. The fair value of development, regulatory and commercial milestone payments reflects management’s expectations of the probability of payment, and increases or decreases as the probability of payment or expectation of timing or amount of payments changes. The fair value of sales-based payments is based upon probability-weighted future revenue estimates and increases or decreases as revenue estimates or expectation of timing or amount of payments changes.
Hillrom
In 2021, we completed our acquisition of all outstanding equity interests of Hillrom for a purchase price of $10.48 billion. Hillrom was a global medical technology leader whose products and services help enable earlier diagnosis and treatment, optimize surgical efficiency, and accelerate patient recovery while simplifying clinical communication and shifting care closer to home. Hillrom made those outcomes possible through digital and connected care solutions and collaboration tools, including smart bed systems, patient monitoring and diagnostic
technologies, respiratory health devices, advanced equipment for the surgical space and more, delivering actionable, real-time insights at the point of care.
Impairment of Goodwill from Our Hillrom Acquisition
During 2024, we recorded a $425 million goodwill impairment related to our Front Line Care reporting unit within our Healthcare Systems & Technologies segment. Refer to Note 5 for additional information regarding this goodwill impairment.
During the third quarter of 2022, we performed trigger-based impairment tests of the goodwill of each of the reporting units within our Hillrom segment (currently referred to as our Healthcare Systems & Technologies segment), as well as the indefinite-lived intangible assets, consisting primarily of trade names, that we
acquired in connection with the Hillrom acquisition. We performed those tests as of September 30, 2022 due to (a) macroeconomic conditions, including the rising interest rate environment and broad declines in equity valuations, and (b) reduced earnings forecasts for our Hillrom reporting units, driven primarily by shortages of certain component parts used in our products, raw materials inflation and increased supply chain costs. Those impairment tests resulted in total pre-tax goodwill impairment charges of $2.79 billion in the third quarter of 2022. In
connection with our annual goodwill impairment assessment in the fourth quarter of 2022, we performed quantitative impairment tests for all of our reporting units and recorded an additional $27 million goodwill impairment related to our Hillrom segment. No goodwill impairments were recorded for our remaining reporting units in connection with our annual goodwill impairment tests because the fair values of those reporting units exceeded their carrying amounts
The fair values of the reporting units tested for impairment during 2022 were determined based on a discounted cash flow model (an income approach) and earnings multiples (a market approach) based on the guideline public company method. Significant assumptions used in the determination of the fair values of our reporting units generally include forecasted cash flows, discount rates, terminal growth rates and earnings multiples. The discounted cash flow models used to determine the fair values of our reporting units during 2022 reflected our most recent cash flow projections, discount rates ranging from 9% to 10% and terminal growth rates ranging from 2% to 3%. Our reporting unit fair value measurements are classified as Level 3 in the fair value hierarchy because they involve significant unobservable inputs.
Impairment of Indefinite-Lived Intangible Assets from Our Hillrom Acquisition
In addition to the goodwill impairments discussed above, we recognized pre-tax impairment charges of $332 million in the third quarter of 2022 to reduce the carrying amounts of certain indefinite-lived intangible assets, which primarily related to the Hillrom and Welch Allyn trade names acquired in the Hillrom acquisition, to their estimated fair values. Those intangible asset impairment charges are classified within cost of sales in the accompanying consolidated statements of income (loss) for the year ended December 31, 2022.
The fair values of the trade name intangible assets were determined using the relief from royalty method. Significant assumptions used in the determination of the fair value of the trade name intangible assets included revenue growth rates, terminal growth rates, discount rates and royalty rates. The relief from royalty models used in the determination of the fair values of our trade name intangible assets during 2022 reflected our most recent revenue projections, a discount rate of 9.5%, royalty rates ranging from 3% to 5% and terminal growth rates ranging from 2% to 3%. Our trade name intangible asset fair value measurements are classified as Level 3 in the fair value hierarchy because they involve significant unobservable inputs.
In the fourth quarter of 2022, we recognized an impairment charge of $12 million related to developed-technology intangible assets due to declines in market expectations for the related products. The fair values of the intangible assets were measured using a discounted cash flow approach and the charge is classified within cost of sales in the accompanying consolidated statements of income (loss) for the year ended December 31, 2022. We consider the fair values of the assets to be Level 3 measurements due to the significant estimates and assumptions, including forecasted future cash flows, that we used in establishing the estimated fair values.
Other
Total consideration transferred for other acquisitions totaled $32 million in 2022 and primarily resulted in the recognition of goodwill and other intangible assets. These acquisitions did not materially affect our results of operations.
Other Business Development Activities
Zosyn
In March 2022, we entered into an agreement with a subsidiary of Pfizer Inc. to acquire the rights to Zosyn, a premixed frozen piperacillin-tazobactam product, in the U.S. and Canada. Zosyn is used for the treatment of intra-abdominal infections, nosocomial pneumonia, skin and skin structure infections, female pelvic infections and community-acquired pneumonia. Under the terms of the acquisition, we paid the acquisition price of $122 million and received specified intellectual property, including patent rights, in the first quarter of 2022 and received additional intellectual property, including the product rights to Zosyn, in the first quarter of 2023. Under the arrangement, we received profit sharing payments from sales of Zosyn until the product rights transferred to us in April 2023. The related profit sharing payments that were earned during 2023 and 2022 were not material.
The transaction has been accounted for as an asset acquisition, as substantially all of the fair value of the assets acquired under the arrangement was concentrated in the product rights that we received, which we classify as a developed technology intangible asset. Accordingly, the $122 million purchase price was primarily allocated to the developed technology intangible asset class and is being amortized over an estimated useful life of 9 years.
Celerity Pharmaceuticals, LLC
In September 2013, we entered into an agreement with Celerity Pharmaceuticals, LLC (Celerity) to develop certain acute care generic injectable premix and oncolytic products through regulatory approval. We transferred our rights in these products to Celerity and Celerity assumed ownership and responsibility for development of the products. We were obligated to purchase the individual product rights from Celerity if the products obtained regulatory approval. In December 2020, we entered into an agreement with a third party to divest our rights to one of the products that was being developed by Celerity, a generic version of liposomal doxorubicin, for less than $1 million if that product were to receive regulatory approval in the U.S. and European Union in 2022. Liposomal doxorubicin is a chemotherapy medicine used to treat various types of cancer and we entered into this transaction to divest our rights to this generic version of that product after we had separately entered into a transaction to acquire the branded version.
The related regulatory approvals were subsequently obtained for the generic version of liposomal doxorubicin and we recognized a loss of approximately $54 million in the third quarter of 2022, representing the difference between the amount we owed Celerity following those regulatory approvals and the proceeds that we were entitled to receive from our divestiture of those product rights. That loss is reported within other operating expense (income), net in our consolidated statements of income (loss) for the year ended December 31, 2022.
Other Asset Acquisitions
During 2021, we also entered into distribution license arrangements for multiple products that have not yet obtained regulatory approval. In addition to the cash paid at acquisition, we could make additional payments of up to $17 million upon the achievement of certain development, regulatory or commercial milestones.
Other
In addition to the arrangements described above, we have entered into several other collaborative arrangements. We could make additional payments of up to $20 million upon the achievement of certain development and regulatory milestones, in addition to future payments related to contingent commercialization milestones, profit-sharing and royalties.
ACQUISITIONS AND OTHER ARRANGEMENTS
ACQUISITIONS AND OTHER ARRANGEMENTS
Results of operations of acquired businesses are included in our results of operations beginning as of the respective acquisition dates. The purchase price of each acquisition is allocated to the net assets acquired based on estimates of their fair values (or other measurement attribute required under U.S. GAAP) at the date of the acquisition. Any purchase price in excess of these net assets is recorded as goodwill.
Contingent consideration related to business combinations is recognized at its estimated fair value on the acquisition date. Subsequent changes to the fair value of those contingent consideration arrangements are recognized in earnings. Contingent consideration related to business acquisitions may consist of development, regulatory and commercial milestone payments, and sales or earnings-based payments, and are valued using discounted cash flow techniques. The fair value of development, regulatory and commercial milestone payments reflects management’s expectations of the probability of payment, and increases or decreases as the probability of payment or expectation of timing or amount of payments changes. The fair value of sales-based payments is based upon probability-weighted future revenue estimates and increases or decreases as revenue estimates or expectation of timing or amount of payments changes.
Hillrom
In 2021, we completed our acquisition of all outstanding equity interests of Hillrom for a purchase price of $10.48 billion. Hillrom was a global medical technology leader whose products and services help enable earlier diagnosis and treatment, optimize surgical efficiency, and accelerate patient recovery while simplifying clinical communication and shifting care closer to home. Hillrom made those outcomes possible through digital and connected care solutions and collaboration tools, including smart bed systems, patient monitoring and diagnostic
technologies, respiratory health devices, advanced equipment for the surgical space and more, delivering actionable, real-time insights at the point of care.
Impairment of Goodwill from Our Hillrom Acquisition
During 2024, we recorded a $425 million goodwill impairment related to our Front Line Care reporting unit within our Healthcare Systems & Technologies segment. Refer to Note 5 for additional information regarding this goodwill impairment.
During the third quarter of 2022, we performed trigger-based impairment tests of the goodwill of each of the reporting units within our Hillrom segment (currently referred to as our Healthcare Systems & Technologies segment), as well as the indefinite-lived intangible assets, consisting primarily of trade names, that we
acquired in connection with the Hillrom acquisition. We performed those tests as of September 30, 2022 due to (a) macroeconomic conditions, including the rising interest rate environment and broad declines in equity valuations, and (b) reduced earnings forecasts for our Hillrom reporting units, driven primarily by shortages of certain component parts used in our products, raw materials inflation and increased supply chain costs. Those impairment tests resulted in total pre-tax goodwill impairment charges of $2.79 billion in the third quarter of 2022. In
connection with our annual goodwill impairment assessment in the fourth quarter of 2022, we performed quantitative impairment tests for all of our reporting units and recorded an additional $27 million goodwill impairment related to our Hillrom segment. No goodwill impairments were recorded for our remaining reporting units in connection with our annual goodwill impairment tests because the fair values of those reporting units exceeded their carrying amounts
The fair values of the reporting units tested for impairment during 2022 were determined based on a discounted cash flow model (an income approach) and earnings multiples (a market approach) based on the guideline public company method. Significant assumptions used in the determination of the fair values of our reporting units generally include forecasted cash flows, discount rates, terminal growth rates and earnings multiples. The discounted cash flow models used to determine the fair values of our reporting units during 2022 reflected our most recent cash flow projections, discount rates ranging from 9% to 10% and terminal growth rates ranging from 2% to 3%. Our reporting unit fair value measurements are classified as Level 3 in the fair value hierarchy because they involve significant unobservable inputs.
Impairment of Indefinite-Lived Intangible Assets from Our Hillrom Acquisition
In addition to the goodwill impairments discussed above, we recognized pre-tax impairment charges of $332 million in the third quarter of 2022 to reduce the carrying amounts of certain indefinite-lived intangible assets, which primarily related to the Hillrom and Welch Allyn trade names acquired in the Hillrom acquisition, to their estimated fair values. Those intangible asset impairment charges are classified within cost of sales in the accompanying consolidated statements of income (loss) for the year ended December 31, 2022.
The fair values of the trade name intangible assets were determined using the relief from royalty method. Significant assumptions used in the determination of the fair value of the trade name intangible assets included revenue growth rates, terminal growth rates, discount rates and royalty rates. The relief from royalty models used in the determination of the fair values of our trade name intangible assets during 2022 reflected our most recent revenue projections, a discount rate of 9.5%, royalty rates ranging from 3% to 5% and terminal growth rates ranging from 2% to 3%. Our trade name intangible asset fair value measurements are classified as Level 3 in the fair value hierarchy because they involve significant unobservable inputs.
In the fourth quarter of 2022, we recognized an impairment charge of $12 million related to developed-technology intangible assets due to declines in market expectations for the related products. The fair values of the intangible assets were measured using a discounted cash flow approach and the charge is classified within cost of sales in the accompanying consolidated statements of income (loss) for the year ended December 31, 2022. We consider the fair values of the assets to be Level 3 measurements due to the significant estimates and assumptions, including forecasted future cash flows, that we used in establishing the estimated fair values.
Other
Total consideration transferred for other acquisitions totaled $32 million in 2022 and primarily resulted in the recognition of goodwill and other intangible assets. These acquisitions did not materially affect our results of operations.
Other Business Development Activities
Zosyn
In March 2022, we entered into an agreement with a subsidiary of Pfizer Inc. to acquire the rights to Zosyn, a premixed frozen piperacillin-tazobactam product, in the U.S. and Canada. Zosyn is used for the treatment of intra-abdominal infections, nosocomial pneumonia, skin and skin structure infections, female pelvic infections and community-acquired pneumonia. Under the terms of the acquisition, we paid the acquisition price of $122 million and received specified intellectual property, including patent rights, in the first quarter of 2022 and received additional intellectual property, including the product rights to Zosyn, in the first quarter of 2023. Under the arrangement, we received profit sharing payments from sales of Zosyn until the product rights transferred to us in April 2023. The related profit sharing payments that were earned during 2023 and 2022 were not material.
The transaction has been accounted for as an asset acquisition, as substantially all of the fair value of the assets acquired under the arrangement was concentrated in the product rights that we received, which we classify as a developed technology intangible asset. Accordingly, the $122 million purchase price was primarily allocated to the developed technology intangible asset class and is being amortized over an estimated useful life of 9 years.
Celerity Pharmaceuticals, LLC
In September 2013, we entered into an agreement with Celerity Pharmaceuticals, LLC (Celerity) to develop certain acute care generic injectable premix and oncolytic products through regulatory approval. We transferred our rights in these products to Celerity and Celerity assumed ownership and responsibility for development of the products. We were obligated to purchase the individual product rights from Celerity if the products obtained regulatory approval. In December 2020, we entered into an agreement with a third party to divest our rights to one of the products that was being developed by Celerity, a generic version of liposomal doxorubicin, for less than $1 million if that product were to receive regulatory approval in the U.S. and European Union in 2022. Liposomal doxorubicin is a chemotherapy medicine used to treat various types of cancer and we entered into this transaction to divest our rights to this generic version of that product after we had separately entered into a transaction to acquire the branded version.
The related regulatory approvals were subsequently obtained for the generic version of liposomal doxorubicin and we recognized a loss of approximately $54 million in the third quarter of 2022, representing the difference between the amount we owed Celerity following those regulatory approvals and the proceeds that we were entitled to receive from our divestiture of those product rights. That loss is reported within other operating expense (income), net in our consolidated statements of income (loss) for the year ended December 31, 2022.
Other Asset Acquisitions
During 2021, we also entered into distribution license arrangements for multiple products that have not yet obtained regulatory approval. In addition to the cash paid at acquisition, we could make additional payments of up to $17 million upon the achievement of certain development, regulatory or commercial milestones.
Other
In addition to the arrangements described above, we have entered into several other collaborative arrangements. We could make additional payments of up to $20 million upon the achievement of certain development and regulatory milestones, in addition to future payments related to contingent commercialization milestones, profit-sharing and royalties.
v3.25.0.1
SUPPLEMENTAL FINANCIAL INFORMATION
12 Months Ended
Dec. 31, 2024
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
SUPPLEMENTAL FINANCIAL INFORMATION
SUPPLEMENTAL FINANCIAL INFORMATION
Allowance for Doubtful Accounts
The following table is a summary of changes in our allowance for doubtful accounts for the years ended December 31, 2024 and 2023.
years ended December 31
(in millions)
202420232022
Balance at beginning of period$62 $50 $52 
Charged to costs and expenses
Write-offs(8)(4)(3)
Currency translation adjustments10 (2)
Balance at end of period$71 $62 $50 
Inventories
as of December 31 (in millions)
2024
2023
Raw materials$510 $530 
Work in process266 234 
Finished goods1,270 1,154 
Inventories$2,046 $1,918 
Prepaid Expenses and Other Current Assets
as of December 31 (in millions)20242023
Prepaid value added taxes$167 $118 
Prepaid income taxes199 204 
Spare parts123 141 
Contract assets51 53 
Derivative assets45 
Other205 145 
Prepaid expenses and other current assets$753 $706 
Property, Plant and Equipment, Net
as of December 31 (in millions)20242023
Land and land improvements$115 $119 
Buildings and leasehold improvements1,301 1,238 
Machinery and equipment5,047 4,909 
Equipment on lease with customers467 760 
Construction in progress718 624 
Total property, plant and equipment, at cost7,648 7,650 
Accumulated depreciation(4,778)(4,779)
Property, plant and equipment, net$2,870 $2,871 
Depreciation expense was $372 million in 2024, $394 million in 2023 and $393 million in 2022.
Other Non-Current Assets
as of December 31 (in millions)20242023
Deferred tax assets$204 $263 
Non-current receivables, net50 42 
Contract assets82 112 
Capitalized implementation costs in hosting arrangements102 103 
Pension and other postretirement benefits56 46 
Investments109 136 
Other152 107 
Other non-current assets$755 $809 
Accrued Expenses and Other Current Liabilities
as of December 31 (in millions)20242023
Common stock dividends payable$87 $147 
Employee compensation and withholdings447 477 
Property, payroll and certain other taxes96 92 
Contract liabilities131 128 
Restructuring liabilities112 81 
Accrued rebates214 240 
Operating lease liabilities80 92 
Income taxes payable121 78 
Pension and other postretirement benefits39 37 
Contingent payments related to acquisitions— 
Other534 540 
Accrued expenses and other current liabilities$1,861 $1,915 
Other Non-Current Liabilities
as of December 31 (in millions)20242023
Pension and other postretirement benefits$678 $714 
Deferred tax liabilities103 403 
Long-term tax liabilities94 72 
Contingent payments related to acquisitions11 11 
Contract liabilities40 41 
Litigation and environmental reserves29 19 
Restructuring liabilities10 14 
Other111 126 
Other non-current liabilities$1,076 $1,400 
Interest Expense, net
years ended December 31 (in millions)202420232022
Interest costs$421 $523 $423 
Interest costs capitalized(13)(15)(10)
Interest expense408 508 413 
Interest income(67)(69)(19)
Interest expense, net$341 $439 $394 
Other (Income) Expense, net
years ended December 31 (in millions)202420232022
Foreign exchange (gains) losses, net$25 $53 $(3)
Change in fair value of marketable equity securities(3)(7)(11)
Pension settlement and curtailment (gains) losses— — (12)
Pension and other postretirement benefit (gains) losses(39)(48)(30)
Reclassification of cumulative translation loss to earnings— — 65 
Non-marketable investment impairments    — 34 — 
Other, net(21)(6)— 
Other (income) expense, net$(38)$26 $
Following the wind down of our operations in Argentina, we determined that the net assets of the related entities were substantially liquidated during the third quarter of 2022. As a result of that determination, we reclassified their $65 million cumulative translation loss from accumulated other comprehensive income (loss) to other (income) expense, net.
Supplemental Cash Flow Information
Non-Cash Investing Activities
Purchases of property, plant and equipment included in accounts payable and accrued liabilities as of December 31, 2024, 2023 and 2022 was $64 million, $58 million and $64 million, respectively.
Other Supplemental Information
year ended December 31 (in millions)202420232022
Interest paid, net of portion capitalized$401 $484 $355 
Income taxes paid$223 $174 $168 
v3.25.0.1
GOODWILL AND OTHER INTANGIBLE ASSETS, NET
12 Months Ended
Dec. 31, 2024
Goodwill and Intangible Assets Disclosure [Abstract]  
GOODWILL AND OTHER INTANGIBLE ASSETS, NET
GOODWILL AND OTHER INTANGIBLE ASSETS, NET
Goodwill
The following is a reconciliation of goodwill by business segment.
(in millions)AmericasEMEAAPACMedical Products & Therapies
Healthcare Systems & Technologies1
PharmaceuticalsTotal
December 31, 2022$1,665 $78 $18 $— $3,988 $— $5,749 
Currency translation and other(19)(3)(2)46 21 44 
Reallocation of goodwill(1,646)(75)(16)1,195 — 542 — 
December 31, 2023$— $— $— $1,241 $3,989 $563 $5,793 
Impairment— — — — (425)— (425)
Currency translation and other— — — (56)(14)(23)(93)
December 31, 2024$— $— $— $1,185 $3,550 $540 $5,275 
1Prior to the third quarter of 2023, our Healthcare Systems & Technologies segment was referred to as our Hillrom segment.
Change in Reportable Segments
Our reportable segments were previously comprised of the following geographic segments related to our legacy Baxter business: Americas (North and South America), EMEA (Europe, Middle East and Africa) and APAC (Asia Pacific), and a global segment for our Hillrom business. In the third quarter of 2023, we completed the implementation of a new operating model intended to simplify and streamline our operations and better align our
manufacturing and supply chain to our commercial activities. Our segments were changed during the third quarter of 2023 to align with our new operating model. Under this operating model, our business is comprised of three reportable segments: Medical Products & Therapies, Healthcare Systems & Technologies (formerly referred to as our Hillrom segment) and Pharmaceuticals. As a result of this segment change, we reallocated the goodwill from our previous Americas, EMEA and APAC segments to the reporting units within our Medical Products & Therapies and Pharmaceuticals segments based on the relative fair values of those reporting units. We performed goodwill impairment assessments both before and after the reporting unit change and we did not identify any goodwill impairments.
Goodwill Impairment
In connection with our annual goodwill impairment assessment in the fourth quarter of 2024, we recorded a $425 million goodwill impairment related to our Front Line Care reporting unit within our Healthcare Systems & Technologies segment. The reduction in value was primarily due to lower forecasted operating results and a lower terminal growth rate utilized in valuing this reporting unit which contributed to reduced expected future cash flows, as well as lower earnings multiples. The fair value of the Front Line Care reporting unit was determined based on a discounted cash flow model (an income approach) and earnings multiples (a market approach) based on the guideline public company method. Significant assumptions used in the determination of the fair values of our reporting units generally include revenue growth rates, forecasted EBITDA margins, discount rates, terminal growth rates and earnings multiples. The discounted cash flow model used to determine the fair value of our Front Line Care reporting unit reflected our most recent cash flow projections, a discount rate of 9.5% and a terminal growth rate of 3.25%. Our reporting unit fair value measurements are classified as Level 3 in the fair value hierarchy because they involve significant unobservable inputs. As of December 31, 2024, the carrying amount of goodwill for our Front Line Care reporting unit was $1.99 billion. No goodwill impairments were recorded for our remaining reporting units in connection with our annual goodwill impairment tests because the fair values of those reporting units exceeded their carrying amounts.
Other Intangible Assets, Net
The following is a summary of our other intangible assets.
Indefinite-lived intangible assets
(in millions)Customer relationshipsDeveloped technology,
including patents
Trade NamesOther amortized
intangible assets
Trade NamesIn process Research and DevelopmentTotal
December 31, 2023
Gross other intangible assets$3,390 $3,181 $964 $86 $680 $157 $8,458 
Accumulated amortization(654)(1,782)(38)(66)— — $(2,540)
Other intangible assets, net$2,736 $1,399 $926 $20 $680 $157 $5,918 
December 31, 2024
Gross other intangible assets$3,387 $3,131 $958 $86 $680 $107 $8,349 
Accumulated amortization(878)(2,075)(107)(66)— — (3,126)
Other intangible assets, net$2,509 $1,056 $851 $20 $680 $107 $5,223 
Intangible asset amortization expense was $625 million in 2024, $590 million in 2023 and $679 million in 2022. The anticipated annual amortization expense for definite-lived intangible assets recorded as of December 31, 2024 is $586 million in 2025, $562 million in 2026, $412 million in 2027, $400 million in 2028 and $378 million in 2029.
During the fourth quarter of 2023, as a result of an update to our long-term branding strategy, we reclassified two trade name intangible assets with carrying amounts of $870 million and $21 million from indefinite-lived intangible assets to amortizing intangible assets. The estimated useful lives assigned to those assets were 15 years and 5 years, respectively. We performed impairment tests of those intangible assets at the time of the reclassification and determined that no impairment had occurred.
Intangible Asset Impairments
Impairment of Indefinite-Lived Intangible Assets from Our Claris Acquisition
In connection with our annual IPR&D impairment assessment in the fourth quarter of 2024, we recognized a pre-tax impairment charge of $50 million to reduce the carrying amount of an IPR&D asset to its fair value. The reduction in value was primarily due to lower forecasted revenues and margins which contributed to reduced expected future cash flows. The intangible asset impairment charge is classified within research and development expenses in the accompanying consolidated statements of income (loss) for the year ended December 31, 2024. The fair value of the IPR&D asset was determined using the multi-period excess earnings method. Significant assumptions used in the determination of the fair value of the IPR&D asset included forecasted cash flows and the discount rate. The multi-period excess earnings model used in our determination of the fair value of the IPR&D asset reflected our most recent cash flow projections and a discount rate of 11%. Our IPR&D intangible asset fair value measurement is classified as Level 3 in the fair value hierarchy because it involves significant unobservable inputs.
v3.25.0.1
DEBT AND CREDIT FACILITIES
12 Months Ended
Dec. 31, 2024
Debt Disclosure [Abstract]  
DEBT AND CREDIT FACILITIES
DEBT AND CREDIT FACILITIES
Debt Outstanding
At December 31, 2024 and 2023, we had the following debt outstanding:
as of December 31 (in millions)Effective interest rate as of December 31,2024¹
20241
20231
Commercial paper4.8 %$300 $— 
0.4% notes due 2024
— %— 828 
1.322% notes due 2024
— %— 1,398 
7.0% notes due 2024
— %— 13 
Floating-rate notes due 2024— %— 300 
Term loan maturing 2024— %— 130 
1.3% notes due 2025
1.5 %625 662 
Delayed draw term loan due 20255.7 %1,826 — 
2.6% notes due 2026
2.7 %749 748 
Term loan maturing 20266.7 %1,643 1,643 
7.65% debentures due 2027
7.7 %
1.915% notes due 2027
2.0 %1,446 1,445 
6.625% debentures due 2028
5.8 %94 95 
2.272% notes due 2028
2.4 %1,245 1,244 
1.3% notes due 2029
1.5 %776 828 
3.95% notes due 2030
4.1 %497 496 
1.73% notes due 2031
2.7 %646 646 
2.539% notes due 2032
2.6 %1,541 1,540 
6.25% notes due 2037
6.3 %266 265 
3.65% notes due 2042
5.4 %
4.5% notes due 2043
4.6 %256 256 
3.5% notes due 2046
3.7 %441 440 
3.132% notes due 2051
3.2 %743 741 
Finance leases and other4.2 %21 27 
Total debt and finance lease obligations13,126 13,756 
Short-term debt (2,126)— 
Current maturities of long-term debt and finance lease obligations(626)(2,667)
Long-term debt and finance lease obligations$10,374 $11,089 
1Book values include any discounts, premiums and adjustments related to hedging instruments and effective interest rates reflect amortization of those items.
Significant Debt Activity
In February 2025, we repaid $1.00 billion under our $1.64 billion five-year term loan facility maturing in 2026.
In 2024, we repaid our $13 million 7.0% notes due 2024, $809 million 0.4% notes due 2024, $1.40 billion 1.322% notes due 2024, $300 million floating rate notes due 2024 and $130 million three-year term loan facility due 2024.
In 2023, we repaid our $800 million 0.868% notes due 2023, our $300 million floating rate notes due 2023 and $1.54 billion under our $2.00 billion three-year term loan facility maturing in 2024.
The loss from our early extinguishments of debt in 2023 was not significant.
Credit Facilities
On July 17, 2024, we entered into a credit agreement pursuant to which a group of banks provided us with senior unsecured term loans in an aggregate principal amount of up to $2.05 billion ("the bridge facility"). Borrowings under the bridge facility were available in up to three drawings to fund (a) the refinancing of our 1.322% Senior Notes due November 29, 2024, our Floating Rate Notes due November 29, 2024, and certain borrowings under our existing term loan facility and (b) payment of certain U.S. tax liabilities arising from internal reorganization transactions related to the sale of our Kidney Care business. Borrowings under the bridge facility bore interest at a rate based on our long-term debt ratings in effect from time to time and the interest rate on any borrowings outstanding beyond December 31, 2024 would increase by 0.25%. We also incurred a ticking fee on undrawn commitments at a rate based on our long-term debt ratings in effect from time to time. The banks' funding commitments under the bridge facility terminated on December 31, 2024. Outstanding borrowings under the bridge facility were scheduled to mature on the earlier of 364 days from the first funding date and November 24, 2025. Additionally, we were required to use the net cash proceeds from certain transactions (including from the sale of our Kidney Care business) to repay any outstanding borrowings under the bridge facility. The bridge facility contained financial and other covenants, including a net leverage covenant, and provided for customary events of default. In November 2024, we reduced the bridge facility capacity from $2.05 billion to $1.83 billion. Additionally, during the fourth quarter of 2024 we drew on the bridge facility to repay our 1.322% Senior Notes due November 29, 2024, our Floating Rate Notes due November 29, 2024 and the outstanding balance on our three-year term loan facility. There was $1.83 billion outstanding under this bridge facility as of December 31, 2024. In January 2025, we used a portion of the approximately $3.4 billion of net after-tax cash proceeds from the sale of our Kidney Care business to repay the $1.83 billion outstanding under the bridge facility, at which time it was terminated.
In the first quarter of 2024, we amended the credit agreements governing our U.S. dollar-denominated term loan credit facility and revolving credit facility and the guaranty agreement with respect to our Euro-denominated revolving credit facility to increase the maximum net leverage ratio covenant for the six fiscal quarters ending June 30, 2024, September 30, 2024, December 31, 2024, March 31, 2025, June 30, 2025, and September 30, 2025. In accordance with the terms of the amendment, the capacity under our U.S dollar-denominated revolving credit facility was reduced from $2.50 billion to $2.00 billion on September 30, 2024. As of December 31, 2024, we were in compliance with the financial covenants in these agreements. Costs incurred in connection with the amendment were not material. In the first quarter of 2023, we previously amended the credit agreements governing our U.S. Dollar-denominated term loan credit facility and revolving credit facility and the guaranty agreement with respect to our Euro-denominated revolving credit facility, in each case to amend the net leverage ratio covenant to increase the maximum net leverage ratio for the four fiscal quarters ending March 31, 2023, June 30, 2023, September 30, 2023 and December 31, 2023.
As of December 31, 2024, we had a U.S. Dollar-denominated term loan credit facility, which had one tranche of term loans outstanding, a U.S. Dollar-denominated revolving credit facility and a Euro-denominated revolving credit facility.
Borrowings under the term loan credit facility bear interest on the principal amount outstanding at either Term SOFR plus an applicable margin plus a credit spread adjustment or a “base rate” plus an applicable margin. The term loan credit facility contains various covenants, including a maximum net leverage ratio. We have the option to prepay outstanding amounts under the term loan credit facility in whole or in part at any time.
In addition to our U.S. dollar-denominated revolving credit facility with a current capacity of $2.00 billion, our Euro-denominated revolving credit facility has a capacity of €200 million. Fees under the credit facilities are 0.125% annually as of December 31, 2024 and 2023, and are based on our credit ratings and the total capacity of the facility. There were no borrowings outstanding under these credit facilities as of December 31, 2024 or 2023. Our commercial paper borrowing arrangements require us to maintain undrawn borrowing capacity under our revolving credit facilities for an amount at least equal to our outstanding commercial paper borrowings. Each of the revolving credit facilities is scheduled to mature in 2026. The revolving credit facilities enable us to borrow funds on an unsecured basis at variable interest rates and contain various covenants, including a maximum net leverage ratio. Based on our covenant calculations as of December 31, 2024 we have capacity to draw on the full amounts under our revolving credit facilities, less commercial paper borrowings which were $300 million at year-end.
We also maintain other credit arrangements, which totaled approximately $412 million and $238 million as of December 31, 2024 and 2023, respectively. The increase over the prior year is due to additional credit arrangements entered into in preparation for the sale of our Kidney Care business. There were no amounts outstanding under these arrangements as of December 31, 2024 and 2023.
As of December 31, 2024, we were in compliance with the financial covenants in these agreements. The non-performance of any financial institution supporting any of the credit facilities would reduce the maximum capacity of these facilities by each institution’s respective commitment.
Commercial Paper
As of December 31, 2024, we had $300 million of commercial paper outstanding with a weighted-average interest rate of 4.78% and an original term of 45 days. There was no commercial paper outstanding as of December 31, 2023. In 2025, we repaid the $300 million balance outstanding as of December 31, 2024.
Future Debt and Finance Lease Maturities
as of and for the years ended December 31 (in millions)Debt maturities
2025$2,757 
20262,398 
20271,458 
20281,345 
2029784 
Thereafter4,438 
Total debt and finance lease maturities13,180 
Discounts, premiums, and adjustments relating to hedging instruments(54)
Total debt and finance lease obligations$13,126 
v3.25.0.1
LEASES
12 Months Ended
Dec. 31, 2024
Leases [Abstract]  
LEASES
LEASES
Lessee Activity
We have entered into operating and finance leases primarily for office, manufacturing, warehouse and R&D facilities, vehicles and equipment. Our leases have remaining terms from 1 to 38 years and some of those leases include options that provide us with the ability to extend the lease term for periods ranging from 1 to 10 years. Such options are included in the lease term when it is reasonably certain that the option will be exercised.
Certain of our leases include provisions for variable lease payments which are based on, but not limited to, maintenance, insurance, taxes, index escalations and usage-based amounts. For all asset classes, we have elected to apply a practical expedient to account for other services within lease contracts as components of the lease. We also have elected to apply a practical expedient for short-term leases whereby we do not recognize a lease liability and right-of-use asset for leases with a term of less than 12 months.
We classify our leases as operating or finance at the lease commencement date. Finance leases are generally those leases for which we will pay substantially all of the underlying asset’s fair value or will use the asset for all or a major part of its economic life, including circumstances in which we will ultimately own the asset. All other leases are operating leases. For finance leases, we recognize interest expense using the effective interest method and we recognize amortization expense on the right-of-use asset over the shorter of the lease term or the useful life of the asset. For operating leases, we recognize lease cost on a straight-line basis over the term of the lease.
Lease liabilities and right-of-use assets are recognized at the lease commencement date based on the present value of minimum lease payments over the lease term. We determine the present value of payments under a lease based on our incremental borrowing rate as of the lease commencement date. The incremental borrowing rate is equal to the rate of interest that we would have to pay to borrow on a collateralized basis over a similar term in an amount equal to the lease payments in a similar economic environment.
The components of lease cost for the years ended December 31, 2024, 2023 and 2022 were:
(in millions)202420232022
Operating lease cost$89 $94 $93 
Finance lease cost
Amortization of right-of-use assets
Interest on lease liabilities
Variable lease cost54 45 44 
Lease cost$148 $143 $141 
The following table contains supplemental cash flow information related to leases for the years ended December 31, 2024, 2023 and 2022:
(in millions)202420232022
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases$100 $115 $108 
Operating cash flows from finance leases
Financing cash flows from finance leases
Right-of-use operating lease assets obtained in exchange for lease obligations64 66 59 
Right-of-use finance lease assets obtained in exchange for lease obligations15 — 
Supplemental balance sheet information related to leases as of December 31, 2024 and 2023 include:
(in millions)20242023
Operating leases
Operating lease right-of-use assets$306 $336 
Accrued expenses and other current liabilities$80 $92 
Operating lease liabilities243 265 
Total operating lease liabilities$323 $357 
Finance leases
Property, plant and equipment, at cost$33 $33 
Accumulated depreciation(15)(13)
Property, plant and equipment, net$18 $20 
Current maturities of long-term debt and finance lease obligations$$
Long-term debt and finance lease obligations19 25 
Total finance lease liabilities$21 $27 
Lease term and discount rates as of December 31, 2024 and 2023 were:
December 31, 2024December 31, 2023
Weighted-average remaining lease term (years)
Operating leases66
Finance leases88
Weighted-average discount rate
Operating leases3.1 %3.0 %
Finance leases4.2 %3.9 %
Maturities of operating and finance lease liabilities as of December 31, 2024 were:
(in millions)Finance LeasesOperating Leases
2025$$93 
202675 
202763 
202844 
202924 
Thereafter10 62 
Total minimum lease payments28 361 
Less: imputed interest(7)(38)
Present value of lease liabilities$21 $323 
Lessor Activity
We lease medical equipment, such as smart beds and infusion pumps, to customers, often in conjunction with arrangements to provide consumable medical products such as intravenous (IV) fluids and inhaled anesthetics. Certain of our equipment leases are classified as sales-type leases and the remainder are operating leases. The terms of the related contracts, including the proportion of fixed versus variable payments and any options to shorten or extend the lease term, vary by customer. We allocate revenue between equipment leases and medical products based on their standalone selling prices.
The components of lease revenue for the years ended December 31, 2024, 2023 and 2022 were:
(in millions)202420232022
Sales-type lease revenue$10 $$
Operating lease revenue380 397 401 
Variable lease revenue28 21 17 
Total lease revenue$418 $425 $426 
The components of our net investment in sales-type leases as of December 31, 2024 and 2023 were:
(in millions)20242023
Minimum lease payments$38 $50 
Unguaranteed residual values(1)— 
Net investment in leases $37 $50 
Our net investment in sales-type leases is classified as follows in the accompanying consolidated balance sheets as of December 31, 2024 and 2023:
(in millions)20242023
Accounts receivable, net$15 $25 
Other non-current assets22 26 
Total$37 $51 
Our net investment in sales-type leases was $37 million as of December 31, 2024, of which $3 million originated in 2020 and prior, $10 million in 2021, $6 million in 2022, $8 million in 2023 and $10 million in 2024.
Maturities of sales-type and operating leases as of December 31, 2024 were:
(in millions)
Sales-type Leases1
Operating Leases
2025$20 $13 
2026
2027
2028
2029
Thereafter— — 
Total minimum lease payments$37 $33 
1 Unamortized imputed interest on minimum lease payments was less than $1 million as of December 31, 2024.
LEASES
LEASES
Lessee Activity
We have entered into operating and finance leases primarily for office, manufacturing, warehouse and R&D facilities, vehicles and equipment. Our leases have remaining terms from 1 to 38 years and some of those leases include options that provide us with the ability to extend the lease term for periods ranging from 1 to 10 years. Such options are included in the lease term when it is reasonably certain that the option will be exercised.
Certain of our leases include provisions for variable lease payments which are based on, but not limited to, maintenance, insurance, taxes, index escalations and usage-based amounts. For all asset classes, we have elected to apply a practical expedient to account for other services within lease contracts as components of the lease. We also have elected to apply a practical expedient for short-term leases whereby we do not recognize a lease liability and right-of-use asset for leases with a term of less than 12 months.
We classify our leases as operating or finance at the lease commencement date. Finance leases are generally those leases for which we will pay substantially all of the underlying asset’s fair value or will use the asset for all or a major part of its economic life, including circumstances in which we will ultimately own the asset. All other leases are operating leases. For finance leases, we recognize interest expense using the effective interest method and we recognize amortization expense on the right-of-use asset over the shorter of the lease term or the useful life of the asset. For operating leases, we recognize lease cost on a straight-line basis over the term of the lease.
Lease liabilities and right-of-use assets are recognized at the lease commencement date based on the present value of minimum lease payments over the lease term. We determine the present value of payments under a lease based on our incremental borrowing rate as of the lease commencement date. The incremental borrowing rate is equal to the rate of interest that we would have to pay to borrow on a collateralized basis over a similar term in an amount equal to the lease payments in a similar economic environment.
The components of lease cost for the years ended December 31, 2024, 2023 and 2022 were:
(in millions)202420232022
Operating lease cost$89 $94 $93 
Finance lease cost
Amortization of right-of-use assets
Interest on lease liabilities
Variable lease cost54 45 44 
Lease cost$148 $143 $141 
The following table contains supplemental cash flow information related to leases for the years ended December 31, 2024, 2023 and 2022:
(in millions)202420232022
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases$100 $115 $108 
Operating cash flows from finance leases
Financing cash flows from finance leases
Right-of-use operating lease assets obtained in exchange for lease obligations64 66 59 
Right-of-use finance lease assets obtained in exchange for lease obligations15 — 
Supplemental balance sheet information related to leases as of December 31, 2024 and 2023 include:
(in millions)20242023
Operating leases
Operating lease right-of-use assets$306 $336 
Accrued expenses and other current liabilities$80 $92 
Operating lease liabilities243 265 
Total operating lease liabilities$323 $357 
Finance leases
Property, plant and equipment, at cost$33 $33 
Accumulated depreciation(15)(13)
Property, plant and equipment, net$18 $20 
Current maturities of long-term debt and finance lease obligations$$
Long-term debt and finance lease obligations19 25 
Total finance lease liabilities$21 $27 
Lease term and discount rates as of December 31, 2024 and 2023 were:
December 31, 2024December 31, 2023
Weighted-average remaining lease term (years)
Operating leases66
Finance leases88
Weighted-average discount rate
Operating leases3.1 %3.0 %
Finance leases4.2 %3.9 %
Maturities of operating and finance lease liabilities as of December 31, 2024 were:
(in millions)Finance LeasesOperating Leases
2025$$93 
202675 
202763 
202844 
202924 
Thereafter10 62 
Total minimum lease payments28 361 
Less: imputed interest(7)(38)
Present value of lease liabilities$21 $323 
Lessor Activity
We lease medical equipment, such as smart beds and infusion pumps, to customers, often in conjunction with arrangements to provide consumable medical products such as intravenous (IV) fluids and inhaled anesthetics. Certain of our equipment leases are classified as sales-type leases and the remainder are operating leases. The terms of the related contracts, including the proportion of fixed versus variable payments and any options to shorten or extend the lease term, vary by customer. We allocate revenue between equipment leases and medical products based on their standalone selling prices.
The components of lease revenue for the years ended December 31, 2024, 2023 and 2022 were:
(in millions)202420232022
Sales-type lease revenue$10 $$
Operating lease revenue380 397 401 
Variable lease revenue28 21 17 
Total lease revenue$418 $425 $426 
The components of our net investment in sales-type leases as of December 31, 2024 and 2023 were:
(in millions)20242023
Minimum lease payments$38 $50 
Unguaranteed residual values(1)— 
Net investment in leases $37 $50 
Our net investment in sales-type leases is classified as follows in the accompanying consolidated balance sheets as of December 31, 2024 and 2023:
(in millions)20242023
Accounts receivable, net$15 $25 
Other non-current assets22 26 
Total$37 $51 
Our net investment in sales-type leases was $37 million as of December 31, 2024, of which $3 million originated in 2020 and prior, $10 million in 2021, $6 million in 2022, $8 million in 2023 and $10 million in 2024.
Maturities of sales-type and operating leases as of December 31, 2024 were:
(in millions)
Sales-type Leases1
Operating Leases
2025$20 $13 
2026
2027
2028
2029
Thereafter— — 
Total minimum lease payments$37 $33 
1 Unamortized imputed interest on minimum lease payments was less than $1 million as of December 31, 2024.
LEASES
LEASES
Lessee Activity
We have entered into operating and finance leases primarily for office, manufacturing, warehouse and R&D facilities, vehicles and equipment. Our leases have remaining terms from 1 to 38 years and some of those leases include options that provide us with the ability to extend the lease term for periods ranging from 1 to 10 years. Such options are included in the lease term when it is reasonably certain that the option will be exercised.
Certain of our leases include provisions for variable lease payments which are based on, but not limited to, maintenance, insurance, taxes, index escalations and usage-based amounts. For all asset classes, we have elected to apply a practical expedient to account for other services within lease contracts as components of the lease. We also have elected to apply a practical expedient for short-term leases whereby we do not recognize a lease liability and right-of-use asset for leases with a term of less than 12 months.
We classify our leases as operating or finance at the lease commencement date. Finance leases are generally those leases for which we will pay substantially all of the underlying asset’s fair value or will use the asset for all or a major part of its economic life, including circumstances in which we will ultimately own the asset. All other leases are operating leases. For finance leases, we recognize interest expense using the effective interest method and we recognize amortization expense on the right-of-use asset over the shorter of the lease term or the useful life of the asset. For operating leases, we recognize lease cost on a straight-line basis over the term of the lease.
Lease liabilities and right-of-use assets are recognized at the lease commencement date based on the present value of minimum lease payments over the lease term. We determine the present value of payments under a lease based on our incremental borrowing rate as of the lease commencement date. The incremental borrowing rate is equal to the rate of interest that we would have to pay to borrow on a collateralized basis over a similar term in an amount equal to the lease payments in a similar economic environment.
The components of lease cost for the years ended December 31, 2024, 2023 and 2022 were:
(in millions)202420232022
Operating lease cost$89 $94 $93 
Finance lease cost
Amortization of right-of-use assets
Interest on lease liabilities
Variable lease cost54 45 44 
Lease cost$148 $143 $141 
The following table contains supplemental cash flow information related to leases for the years ended December 31, 2024, 2023 and 2022:
(in millions)202420232022
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases$100 $115 $108 
Operating cash flows from finance leases
Financing cash flows from finance leases
Right-of-use operating lease assets obtained in exchange for lease obligations64 66 59 
Right-of-use finance lease assets obtained in exchange for lease obligations15 — 
Supplemental balance sheet information related to leases as of December 31, 2024 and 2023 include:
(in millions)20242023
Operating leases
Operating lease right-of-use assets$306 $336 
Accrued expenses and other current liabilities$80 $92 
Operating lease liabilities243 265 
Total operating lease liabilities$323 $357 
Finance leases
Property, plant and equipment, at cost$33 $33 
Accumulated depreciation(15)(13)
Property, plant and equipment, net$18 $20 
Current maturities of long-term debt and finance lease obligations$$
Long-term debt and finance lease obligations19 25 
Total finance lease liabilities$21 $27 
Lease term and discount rates as of December 31, 2024 and 2023 were:
December 31, 2024December 31, 2023
Weighted-average remaining lease term (years)
Operating leases66
Finance leases88
Weighted-average discount rate
Operating leases3.1 %3.0 %
Finance leases4.2 %3.9 %
Maturities of operating and finance lease liabilities as of December 31, 2024 were:
(in millions)Finance LeasesOperating Leases
2025$$93 
202675 
202763 
202844 
202924 
Thereafter10 62 
Total minimum lease payments28 361 
Less: imputed interest(7)(38)
Present value of lease liabilities$21 $323 
Lessor Activity
We lease medical equipment, such as smart beds and infusion pumps, to customers, often in conjunction with arrangements to provide consumable medical products such as intravenous (IV) fluids and inhaled anesthetics. Certain of our equipment leases are classified as sales-type leases and the remainder are operating leases. The terms of the related contracts, including the proportion of fixed versus variable payments and any options to shorten or extend the lease term, vary by customer. We allocate revenue between equipment leases and medical products based on their standalone selling prices.
The components of lease revenue for the years ended December 31, 2024, 2023 and 2022 were:
(in millions)202420232022
Sales-type lease revenue$10 $$
Operating lease revenue380 397 401 
Variable lease revenue28 21 17 
Total lease revenue$418 $425 $426 
The components of our net investment in sales-type leases as of December 31, 2024 and 2023 were:
(in millions)20242023
Minimum lease payments$38 $50 
Unguaranteed residual values(1)— 
Net investment in leases $37 $50 
Our net investment in sales-type leases is classified as follows in the accompanying consolidated balance sheets as of December 31, 2024 and 2023:
(in millions)20242023
Accounts receivable, net$15 $25 
Other non-current assets22 26 
Total$37 $51 
Our net investment in sales-type leases was $37 million as of December 31, 2024, of which $3 million originated in 2020 and prior, $10 million in 2021, $6 million in 2022, $8 million in 2023 and $10 million in 2024.
Maturities of sales-type and operating leases as of December 31, 2024 were:
(in millions)
Sales-type Leases1
Operating Leases
2025$20 $13 
2026
2027
2028
2029
Thereafter— — 
Total minimum lease payments$37 $33 
1 Unamortized imputed interest on minimum lease payments was less than $1 million as of December 31, 2024.
LEASES
LEASES
Lessee Activity
We have entered into operating and finance leases primarily for office, manufacturing, warehouse and R&D facilities, vehicles and equipment. Our leases have remaining terms from 1 to 38 years and some of those leases include options that provide us with the ability to extend the lease term for periods ranging from 1 to 10 years. Such options are included in the lease term when it is reasonably certain that the option will be exercised.
Certain of our leases include provisions for variable lease payments which are based on, but not limited to, maintenance, insurance, taxes, index escalations and usage-based amounts. For all asset classes, we have elected to apply a practical expedient to account for other services within lease contracts as components of the lease. We also have elected to apply a practical expedient for short-term leases whereby we do not recognize a lease liability and right-of-use asset for leases with a term of less than 12 months.
We classify our leases as operating or finance at the lease commencement date. Finance leases are generally those leases for which we will pay substantially all of the underlying asset’s fair value or will use the asset for all or a major part of its economic life, including circumstances in which we will ultimately own the asset. All other leases are operating leases. For finance leases, we recognize interest expense using the effective interest method and we recognize amortization expense on the right-of-use asset over the shorter of the lease term or the useful life of the asset. For operating leases, we recognize lease cost on a straight-line basis over the term of the lease.
Lease liabilities and right-of-use assets are recognized at the lease commencement date based on the present value of minimum lease payments over the lease term. We determine the present value of payments under a lease based on our incremental borrowing rate as of the lease commencement date. The incremental borrowing rate is equal to the rate of interest that we would have to pay to borrow on a collateralized basis over a similar term in an amount equal to the lease payments in a similar economic environment.
The components of lease cost for the years ended December 31, 2024, 2023 and 2022 were:
(in millions)202420232022
Operating lease cost$89 $94 $93 
Finance lease cost
Amortization of right-of-use assets
Interest on lease liabilities
Variable lease cost54 45 44 
Lease cost$148 $143 $141 
The following table contains supplemental cash flow information related to leases for the years ended December 31, 2024, 2023 and 2022:
(in millions)202420232022
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases$100 $115 $108 
Operating cash flows from finance leases
Financing cash flows from finance leases
Right-of-use operating lease assets obtained in exchange for lease obligations64 66 59 
Right-of-use finance lease assets obtained in exchange for lease obligations15 — 
Supplemental balance sheet information related to leases as of December 31, 2024 and 2023 include:
(in millions)20242023
Operating leases
Operating lease right-of-use assets$306 $336 
Accrued expenses and other current liabilities$80 $92 
Operating lease liabilities243 265 
Total operating lease liabilities$323 $357 
Finance leases
Property, plant and equipment, at cost$33 $33 
Accumulated depreciation(15)(13)
Property, plant and equipment, net$18 $20 
Current maturities of long-term debt and finance lease obligations$$
Long-term debt and finance lease obligations19 25 
Total finance lease liabilities$21 $27 
Lease term and discount rates as of December 31, 2024 and 2023 were:
December 31, 2024December 31, 2023
Weighted-average remaining lease term (years)
Operating leases66
Finance leases88
Weighted-average discount rate
Operating leases3.1 %3.0 %
Finance leases4.2 %3.9 %
Maturities of operating and finance lease liabilities as of December 31, 2024 were:
(in millions)Finance LeasesOperating Leases
2025$$93 
202675 
202763 
202844 
202924 
Thereafter10 62 
Total minimum lease payments28 361 
Less: imputed interest(7)(38)
Present value of lease liabilities$21 $323 
Lessor Activity
We lease medical equipment, such as smart beds and infusion pumps, to customers, often in conjunction with arrangements to provide consumable medical products such as intravenous (IV) fluids and inhaled anesthetics. Certain of our equipment leases are classified as sales-type leases and the remainder are operating leases. The terms of the related contracts, including the proportion of fixed versus variable payments and any options to shorten or extend the lease term, vary by customer. We allocate revenue between equipment leases and medical products based on their standalone selling prices.
The components of lease revenue for the years ended December 31, 2024, 2023 and 2022 were:
(in millions)202420232022
Sales-type lease revenue$10 $$
Operating lease revenue380 397 401 
Variable lease revenue28 21 17 
Total lease revenue$418 $425 $426 
The components of our net investment in sales-type leases as of December 31, 2024 and 2023 were:
(in millions)20242023
Minimum lease payments$38 $50 
Unguaranteed residual values(1)— 
Net investment in leases $37 $50 
Our net investment in sales-type leases is classified as follows in the accompanying consolidated balance sheets as of December 31, 2024 and 2023:
(in millions)20242023
Accounts receivable, net$15 $25 
Other non-current assets22 26 
Total$37 $51 
Our net investment in sales-type leases was $37 million as of December 31, 2024, of which $3 million originated in 2020 and prior, $10 million in 2021, $6 million in 2022, $8 million in 2023 and $10 million in 2024.
Maturities of sales-type and operating leases as of December 31, 2024 were:
(in millions)
Sales-type Leases1
Operating Leases
2025$20 $13 
2026
2027
2028
2029
Thereafter— — 
Total minimum lease payments$37 $33 
1 Unamortized imputed interest on minimum lease payments was less than $1 million as of December 31, 2024.
v3.25.0.1
COMMITMENTS AND CONTINGENCIES
12 Months Ended
Dec. 31, 2024
Commitments and Contingencies Disclosure [Abstract]  
COMMITMENTS AND CONTINGENCIES
COMMITMENTS AND CONTINGENCIES
Refer to Note 3 for information regarding contingent payments associated with collaborative and other arrangements.
Indemnifications
During the normal course of business, we make indemnities, commitments and guarantees pursuant to which we may be required to make payments related to specific transactions. Indemnifications include: (i) intellectual property indemnities to customers in connection with the use, sales or license of products and services; (ii) indemnities to customers in connection with losses incurred while performing services on their premises; (iii) indemnities to vendors and service providers pertaining to claims based on negligence or willful misconduct; (iv) indemnities involving the representations and warranties in certain contracts; and (v) contractual indemnities for our directors and our executive and corporate officers for services provided to or at the request of us. In addition, under our Amended and Restated Certificate of Incorporation, and consistent with Delaware General Corporation Law, we have agreed to indemnify our directors and officers for certain losses and expenses upon the occurrence of certain prescribed events. The majority of these indemnities, commitments and guarantees do not provide for any limitation on the maximum potential for future payments that we could be obligated to make. To help address some of these risks, we maintain various insurance coverages. Based on historical experience and evaluation of the agreements, we do not believe that any payments related to our indemnities will have a material impact on our financial condition or results of operations.
Legal Contingencies
We are involved in product liability, patent, commercial, employment, and other legal matters that arise in the normal course of our business. We record a liability when a loss is considered probable and the amount can be reasonably estimated. If the reasonable estimate of a probable loss is a range, and no amount within the range is a better estimate than any other amount, the minimum amount in the range is accrued. If a loss is not probable or a probable loss cannot be reasonably estimated, no liability is recorded. As of December 31, 2024 and 2023, our total recorded reserves with respect to legal and environmental matters were $40 million and $25 million, respectively. 
We have established reserves for certain of the matters discussed below. We are not able to estimate the amount or range of any loss for certain contingencies for which there is no reserve or additional loss for matters already reserved. While our liability in connection with these claims cannot be estimated and the resolution thereof in any reporting period could have a significant impact on our results of operations and cash flows for that period, the outcome of these legal proceedings is not expected to have a material adverse effect on our consolidated financial position. While we believe that we have valid defenses in the matters set forth below, litigation is inherently uncertain, excessive verdicts do occur, and we may incur material judgments or enter into material settlements of claims.  
In addition to the matters described below, we remain subject to the risk of future administrative and legal actions. With respect to governmental and regulatory matters, these actions may lead to product recalls, injunctions, and other restrictions on our operations (including our ability to launch new products) and monetary sanctions, including significant civil or criminal penalties. With respect to intellectual property, we may be exposed to significant litigation concerning the scope of our and others’ rights. Such litigation could result in a loss of patent protection or the ability to market products, which could lead to a significant loss of sales, or otherwise materially affect future results of operations.
Environmental
We are involved as a potentially responsible party (PRP) for environmental clean-up costs at six Superfund sites. Additionally, we are a defendant in a separate matter regarding a seventh Superfund site. Under the U.S. Superfund statute and many state laws, generators of hazardous waste sent to a disposal or recycling site are liable for site cleanup if contaminants from that property later leak into the environment. The laws generally provide that a PRP may be held jointly and severally liable for the costs of investigating and remediating the site. Separate from these Superfund cases noted above, we are involved in ongoing environmental remediations associated with historic operations at certain of our facilities. As of December 31, 2024 and 2023, our environmental reserves, which are measured on an undiscounted basis, were $29 million and $15 million, respectively. After considering these reserves, the outcome of these matters is not expected to have a material adverse effect on our financial position or results of operations.
General Litigation
In March 2020, two lawsuits were filed against us in the Northern District of Illinois by plaintiffs alleging injuries as a result of exposure to ethylene oxide used in our manufacturing facility in Mountain Home, Arkansas to sterilize certain of our products. The plaintiffs sought damages, including compensatory and punitive damages in an unspecified amount, and unspecified injunctive and declaratory relief. The parties reached an agreement to settle these lawsuits in the third quarter of 2021 for amounts that were not material to our financial results, which were paid in the fourth quarter of 2021. We have since resolved, without litigation, additional claims of injuries from exposure to ethylene oxide at Mountain Home for amounts within accruals previously established as of December 31, 2021. On October 20, 2022, a lawsuit was filed against us in the Western District of Arkansas alleging injury as a result of exposure to ethylene oxide at Mountain Home. On December 16, 2022, we filed a motion to dismiss and for a more definite statement. In response, Plaintiffs filed a First Amended Complaint on January 6, 2023. We answered the First Amended Complaint on January 27, 2023. The parties reached an agreement to settle this lawsuit in the third quarter of 2023 for an amount that was not material to our financial results, which was paid in the fourth quarter of 2023. The case was dismissed on October 17, 2023. Since December 2023, 41 lawsuits (after giving effect to the amendment referenced below) have been filed against us in the Circuit Court of Cook County, Illinois by plaintiffs alleging injuries as a result of exposure to ethylene oxide used by several companies, including historic use by us for sterilization at our facility in Round Lake, Illinois. The plaintiffs seek damages in an unspecified amount. On July 16, 2024, Plaintiffs' counsel filed an omnibus motion seeking leave to add certain defendants to hundreds of previously-filed lawsuits, including Baxter with respect to 40 cases. The motion was denied on July 25, 2024, without prejudice to refiling multiple motions each addressing smaller groupings of cases and defendants. On September 11, 2024, the court granted leave to amend one previously-filed complaint to add Baxter as a defendant.
We acquired Hillrom on December 13, 2021. In July 2021, Hill-Rom, Inc., a wholly-owned subsidiary of Hillrom, received a subpoena from the United States Office of Inspector General for the Department of Health and Human Services (the DHHS) requesting documents and information related to compliance with the False Claims Act and the Anti-Kickback Statute. The subpoena was related to a lawsuit brought under the qui tam provisions of the False Claims Act. The allegations included in the unsealed complaint relate to conduct prior to our acquisition of Hillrom, and the division involved is no longer operational. Hillrom voluntarily began a related internal review, and Hillrom and Baxter cooperated fully with the DHHS and the Department of Justice (DOJ) with respect to this matter. In
January 2024, the parties reached an agreement to settle the allegations. We paid the settlement amounts, which were not material to our financial results, in January 2024 and the matter was dismissed in February 2024. In October 2022, the DOJ issued a separate Civil Investigative Demand (CID) addressed to Hillrom, requesting documents and information related to compliance with the False Claims Act and the Anti-Kickback Statute. In October 2024, the DOJ issued a subpoena (the 2024 Subpoena), pursuant to 18 U.S.C. 3846, to Hillrom. The 2024 Subpoena substantially overlaps with the CID and requests additional documents relating to Hillrom's respiratory health business. Baxter is cooperating fully with the DOJ in responding to the CID and the 2024 Subpoena. The DHHS and DOJ often issue these types of requests when investigating alleged violations of the federal health care laws.
On December 28, 2021, Linet Americas, Inc. (Linet) filed a complaint against Hill-Rom Holdings, Inc., Hill-Rom Company, Inc., and Hill-Rom Services, Inc. in the United States District Court for the Northern District of Illinois, captioned Linet Americas, Inc. v. Hill-Rom Holdings, Inc.; Hill-Rom Company, Inc.; Hill-Rom Services, Inc. Linet alleges that Hillrom violated Sections 1 and 2 of The Sherman Antitrust Act of 1890, Section 3 of the Clayton Act, and the Illinois Antitrust Act by allegedly engaging in anti-competitive conduct in alleged markets for standard, ICU and birthing beds. Hillrom filed an answer to the complaint on January 28, 2022 and filed a motion challenging certain aspects of plaintiff's case on May 27, 2022, which was denied on January 17, 2024, subject to further discovery.
On June 20, 2024, Reading Hospital filed a putative class action complaint against Hill-Rom Holdings, Inc., Hill-Rom Company, Inc., and Hill-Rom Services, Inc. in the United States District Court for the Eastern District of Pennsylvania. The complaint alleges that Hillrom violated Sections 1 and 2 of The Sherman Antitrust Act and Section 3 of the Clayton Act by allegedly engaging in anti-competitive conduct in alleged markets for standard, ICU and birthing beds. The plaintiff filed the action on behalf of itself and all "direct purchasers of Standard Hospital Beds, ICU Beds, and/or Birthing Beds from Hill-Rom during a period beginning at least as early as June 20, 2020” and continuing past the date of filing. On September 30, 2024, the plaintiff filed a First Amended Complaint. On November 8, 2024, Hillrom filed a Motion to Dismiss Plaintiff's Amended Complaint. Briefing was completed in January 2025 and the motion is pending before the court.
v3.25.0.1
STOCKHOLDERS’ EQUITY
12 Months Ended
Dec. 31, 2024
Equity [Abstract]  
STOCKHOLDERS' EQUITY
STOCKHOLDERS' EQUITY
Stock-Based Compensation
Our stock-based compensation generally includes stock options, restricted stock units (RSUs), performance share units (PSUs) and purchases under our employee stock purchase plan. Shares issued relating to our stock-based plans are generally issued out of treasury stock.
As of December 31, 2024, approximately 48 million authorized shares are available for future awards under our stock-based compensation plans.
Stock Compensation Expense
Stock compensation expense was $114 million, $115 million and $140 million in 2024, 2023 and 2022, respectively. The related tax benefit recognized was $8 million in 2024, $10 million in 2023 and $31 million in 2022. Included in the benefit in 2024 and 2023 was tax expense for stock-based compensation shortfalls of $9 million and $11 million, respectively. Included in the benefit in 2022 were realized excess tax benefits for stock-based compensation $5 million.
Approximately 70% of stock compensation expense is classified in SG&A expenses, with the remainder classified in cost of sales and R&D expenses. Costs capitalized in the consolidated balance sheets at December 31, 2024 and 2023 were not material.
Stock compensation expense is based on awards expected to vest and therefore has been reduced by estimated forfeitures.
Stock Options
Stock options are granted to employees and non-employee directors with exercise prices equal to 100% of the market value on the date of grant. Stock options granted to employees generally vest in one-third increments over a three-year period. Stock options granted to non-employee directors generally vest immediately on the grant date and are issued with a six-month claw-back provision. Stock options typically have a contractual term of 10 years. The grant-date fair value, adjusted for estimated forfeitures, is recognized as expense on a straight-line basis over the substantive vesting period.
The fair value of stock options is determined using the Black-Scholes model. The weighted-average assumptions used in estimating the fair value of stock options granted during each year, along with the weighted-average grant-date fair values, were as follows:
years ended December 3120232022
Expected volatility27 %24 %
Expected life (in years)6.05.5
Risk-free interest rate4.2 %1.8 %
Dividend yield3.0 %1.3 %
Fair value per stock option$$18 
The following table summarizes stock option activity for the year ended December 31, 2024 and the outstanding stock options as of December 31, 2024.
(options and aggregate intrinsic values in thousands)OptionsWeighted-
average
exercise
price
Weighted-
average
remaining
contractual
term
(in years)
Aggregate
intrinsic
value
Outstanding as of January 1, 202419,467 $59.35 
Granted— $— 
Exercised(760)$37.43 
Forfeited(287)$47.96 
Expired(1,039)$65.21 
Outstanding as of December 31, 202417,381 $60.15 3.83$— 
Vested or expected to vest as of December 31, 202417,236 $60.31 3.80$— 
Exercisable as of December 31, 202414,718 $62.66 3.32$— 
The aggregate intrinsic value in the table above represents the difference between the exercise price and our closing stock price on the last trading day of the year. The total intrinsic value of options exercised in 2024, 2023 and 2022 was $1 million, $5 million and $37 million, respectively.
As of December 31, 2024, $11 million of unrecognized compensation cost related to stock options is expected to be recognized as expense over a weighted-average period of approximately 1.1 years.
RSUs
RSUs are granted to employees and non-employee directors. RSUs granted to employees generally vest in one-third increments over a three-year period. RSUs granted to non-employee directors generally vest immediately on the grant date and are issued with a six-month claw-back provision. The grant-date fair value, adjusted for estimated forfeitures, is recognized as expense on a straight-line basis over the substantive vesting period. The fair value of RSUs is determined based on the number of shares granted and the closing price of our common stock on the date of grant.
The following table summarizes nonvested RSU activity for the year ended December 31, 2024.
(share units in thousands)Share unitsWeighted-
average
grant-date
fair value
Nonvested RSUs as of January 1, 20244,006 $49.77 
Granted5,179 $42.28 
Vested(1,565)$53.64 
Forfeited(680)$46.32 
Nonvested RSUs as of December 31, 20246,940 $43.94 
As of December 31, 2024, $123 million of unrecognized compensation cost related to RSUs is expected to be recognized as expense over a weighted-average period of approximately 1.8 years. The weighted-average grant-date fair value of RSUs granted in 2024, 2023 and 2022 was $42.37, $39.20 and $81.66, respectively. The fair value of RSUs vested in 2024, 2023 and 2022 was $46 million, $25 million and $69 million, respectively.
PSUs
Our annual equity awards stock compensation program for senior management includes the issuance of PSUs. PSUs awarded in 2024 (which grants were made solely to the CEO and Chief Financial Officer) were based on our stock performance relative to our peer group over the 3-year performance period. PSUs awarded in 2020 through 2023 were based on our compound annual sales growth rate (CAGR) performance, our adjusted return on invested capital (ROIC) performance and on our stock performance relative to our peer group. The vesting condition for these CAGR and ROIC PSUs was set at the beginning of the 3-year performance period. Compensation cost for the CAGR and adjusted ROIC PSUs is measured based on the fair value of the awards on the date that the specific vesting terms for each award are established and the fair value of the awards is determined based on the quoted price of our stock on the grant date of the award. The compensation cost for CAGR and adjusted ROIC PSUs is adjusted at each reporting date to reflect the estimated vesting outcome.
The fair value for PSUs based on our stock performance relative to our peer group is determined using a Monte Carlo model. The assumptions used in estimating the fair value of these PSUs granted during the period, along with the grant-date fair values, were as follows:
years ended December 31202420232022
Baxter volatility29 %27 %27 %
Peer group volatility
20%-52%
23%-54%
24%-54%
Correlation of returns
0.12-0.51
0.23-0.48
0.21-0.61
Risk-free interest rate4.3 %4.6 %1.6 %
Fair value per PSU$57 $30 $102 
The following table summarizes nonvested PSU activity for the year ended December 31, 2024.
(share units in thousands)Share unitsWeighted-
average
grant-date
fair value
Nonvested PSUs as of January 1, 2024729 $57.03 
Granted186 $57.22 
Vested(73)$77.35 
Forfeited(240)$87.85 
Nonvested PSUs as of December 31, 2024602 $42.36 
Unrecognized compensation cost related to all unvested PSUs of $6 million at December 31, 2024 is expected to be recognized as expense over a weighted-average period of 2.7 years.
Employee Stock Purchase Plan
Nearly all employees are eligible to participate in our employee stock purchase plan. The employee purchase price is 85% of the closing market price on the purchase date.
As of December 31, 2024, approximately 8 million shares of common stock were available for issuance to eligible participants.
During each of the years ended December 31, 2024 and 2023 we issued approximately 1.4 million shares and during the year ended December 31, 2022, we issued approximately 0.9 million shares under the employee stock purchase plan.
Cash Dividends
Total cash dividends declared per share for 2024, 2023, and 2022 were $1.04, $1.16 and $1.15, respectively.
A quarterly dividend of $0.29 per share ($1.16 on an annualized basis) was declared in February, May and July of 2024 and was paid in April, July and October of 2024, respectively. Our Board of Directors declared a quarterly dividend of $0.17 per share in November of 2024, which was paid in January of 2025.
Stock Repurchase Programs
As authorized by the Board of Directors, we repurchase our stock depending on our cash flows, net debt level and market conditions. In July 2012, the Board of Directors authorized a share repurchase program and the related authorization was subsequently increased a number of times. We did not repurchase any shares under this authority in 2024 or 2023. We repurchased 0.5 million shares under this authority pursuant to Rule 10b5-1 plans for $32 million in cash in 2022. We had $1.30 billion of repurchase authority available as of December 31, 2024.  
Other
In addition to common stock, our authorized capital structure includes 100 million shares of preferred stock, no par value. As of December 31, 2024 and 2023, no shares of preferred stock were outstanding.
v3.25.0.1
ACCUMULATED OTHER COMPREHENSIVE INCOME (LOSS)
12 Months Ended
Dec. 31, 2024
Equity [Abstract]  
ACCUMULATED OTHER COMPREHENSIVE INCOME (LOSS)
ACCUMULATED OTHER COMPREHENSIVE INCOME (LOSS)
Comprehensive income (loss) includes all changes in stockholders’ equity that do not arise from transactions with stockholders, and consists of net income (loss), CTA, certain gains and losses from pension and other postretirement employee benefit (OPEB) plans, certain gains and losses from hedging activities and unrealized gains and losses on available-for-sale debt securities.
The following table is a net-of-tax summary of the changes in AOCI by component for the years ended December 31, 2024, 2023, and 2022.
(in millions)CTAPension and OPEB plansHedging
activities
Available-for-sale debt securitiesTotal
Gains (losses)
Balance as of December 31, 2023$(2,985)$(452)$(120)$$(3,554)
Other comprehensive income (loss) before reclassifications(445)(19)10 — (454)
Amounts reclassified from AOCI (a)— (4)— (2)
Net other comprehensive income (loss)(445)(23)12 — (456)
Balance as of December 31, 2024$(3,430)$(475)$(108)$$(4,010)
(in millions)CTAPension and OPEB plansHedging
activities
Available-for-sale debt securitiesTotal
Gains (losses)
Balance as of December 31, 2022$(3,386)$(331)$(119)$$(3,833)
Other comprehensive income (loss) before reclassifications216 (106)— 115 
Amounts reclassified from AOCI (a)185 (15)(6)— 164 
Net other comprehensive income (loss)401 (121)(1)— 279 
Balance as of December 31, 2023$(2,985)$(452)$(120)$$(3,554)

(in millions)CTAPension and OPEB plansHedging
activities
Available-for-sale debt securitiesTotal
Gains (losses)
Balance as of December 31, 2021$(2,907)$(347)$(126)$— $(3,380)
Other comprehensive income (loss) before reclassifications(544)(9)22 (528)
Amounts reclassified from AOCI (a)65 25 (15)— 75 
Net other comprehensive income (loss)(479)16 (453)
Balance as of December 31, 2022$(3,386)$(331)$(119)$$(3,833)
(a)    See table below for details about these reclassifications.
The following table is a summary of the amounts reclassified from AOCI to net income (loss) during the years ended December 31, 2024 and 2023.
Amounts reclassified from
AOCI (a)
(in millions)202420232022Location of impact
in income statement
CTA
Reclassification of cumulative translation loss to earnings$— $— $(65)Other (income) expense, net
Reclassification of cumulative translation loss to earnings from BPS divestiture— (185)$— Income (loss) from discontinued operations, net of tax
— (185)(65)Total before tax
Less: Tax effect— — — Income tax expense (benefit)
$— $(185)$(65)Net of tax
Pension and OPEB items
Amortization of net losses and prior service costs or credits$$18 $(30)Other (income) expense, net
Settlement charges— (2)(1)Other (income) expense, net
Pension settlement from BPS divestiture— — Income (loss) from discontinued operations, net of tax
20 (31)Total before tax
Less: Tax effect(2)(5)Income tax expense (benefit)
$$15 $(25)Net of tax
Gains (losses) on hedging activities 
Foreign exchange contracts$$16 $26 Cost of sales
Interest rate contracts(6)(6)(6)Interest expense, net
Fair value hedges(5)(3)— Other (income) expense, net
(3)20 Total before tax
Less: Tax effect(1)(5)Income tax expense (benefit)
$(2)$$15 Net of tax
Total reclassifications for the period$$(164)$(75)Total net of tax
(a)Amounts in parentheses indicate reductions to net income.
Refer to Note 4 for additional information regarding the reclassification of a cumulative translation loss to earnings, Note 13 for additional information regarding the amortization of pension and OPEB items and Note 16 for additional information regarding hedging activity.
v3.25.0.1
REVENUES
12 Months Ended
Dec. 31, 2024
Revenue from Contract with Customer [Abstract]  
REVENUES
REVENUES
Contract Balances
The timing of revenue recognition, billings and cash collections results in the recognition of trade accounts receivable, unbilled receivables, contract assets, and customer advances and deposits (contract liabilities) on our consolidated balance sheets. Net trade accounts receivable was $1.54 billion as of December 31, 2024 and 2023.
For contract manufacturing arrangements, revenue is primarily recognized throughout the production cycle, which typically lasts up to 90 days, resulting in the recognition of contract assets until the related services are completed and the customers are billed. Additionally, for certain arrangements containing a performance obligation to deliver software that can be used with medical devices, we recognize revenue upon delivery of the software, which results in the recognition of contract assets when customers are billed over time, generally over one to five years. For
bundled contracts involving equipment delivered up-front and consumable medical products to be delivered over time, total contract revenue is allocated between the equipment and consumable medical products. In certain of those arrangements, a contract asset is created for the difference between the amount of equipment revenue recognized upon delivery and the amount of consideration initially receivable from the customer. In those arrangements, the contract asset becomes a trade account receivable as consumable medical products are provided and billed, generally over one to seven years.
The following table summarizes our contract assets:
as of December 31 (in millions)20242023
Contract manufacturing services$$
Software sales44 45 
Bundled equipment and consumable medical products contracts87 116 
Contract assets$133 $165 
Contract liabilities represent deferred revenues that arise as a result of cash received from customers or where the timing of billing for services precedes satisfaction of our performance obligations. Such remaining performance obligations represent the portion of the contract price for which work has not been performed and are primarily related to our installation and service contracts. We expect to satisfy the majority of the remaining performance obligations and recognize revenue related to installation and service contracts within the next 12 months with most of the non-current performance obligations satisfied within 24 months.
The following table summarizes contract liability activity for the years ended December 31, 2024 and 2023. The contract liability balance represents the transaction price allocated to the remaining performance obligations.
year ended December 31 (in millions)20242023
Balance at beginning of period$169 $173 
New revenue deferrals554 478 
Revenue recognized upon satisfaction of performance obligations(555)(484)
Currency translation
Balance at end of period$171 $169 
In 2024 and 2023, $103 million and $117 million of revenue was recognized that was included in contract liabilities as of December 31, 2023 and 2022, respectively. In 2022, $110 million of revenue was recognized that was included in contract liabilities as of December 31, 2021.
The following table summarizes the classification of contract assets and contract liabilities as reported in the consolidated balance sheet:
as of December 31 (in millions)20242023
Prepaid expenses and other current assets$51 $53 
Other non-current assets82 112 
Contract assets$133 $165 
Accrued expenses and other current liabilities$131 $128 
Other non-current liabilities40 41 
Contract liabilities$171 $169 
Disaggregation of Net Sales
Refer to Note 18 for additional information on our net sales including the disaggregation of net sales within each of our segments and net sales by geographic location.
v3.25.0.1
BUSINESS OPTIMIZATION CHARGES
12 Months Ended
Dec. 31, 2024
Restructuring and Related Activities [Abstract]  
BUSINESS OPTIMIZATION CHARGES
BUSINESS OPTIMIZATION CHARGES
In recent years, we have undertaken actions to transform our cost structure and enhance operational efficiency. These efforts include restructuring the organization, optimizing the manufacturing footprint, R&D operations and supply chain network, employing disciplined cost management and centralizing and streamlining certain support functions. We currently expect to incur additional pre-tax cash costs, primarily related to the implementation of business optimization programs, of approximately $4 million through the completion of initiatives that are currently underway. We continue to pursue cost savings initiatives, including those intended to mitigate a portion of the dis-synergies expected to arise as a result of the sale of our Kidney Care business, and to the extent further cost savings opportunities are identified, we would incur additional restructuring charges and costs to implement business optimization programs in future periods. For segment reporting, business optimization charges are unallocated expenses.
We recorded the following charges related to business optimization programs in 2024, 2023 and 2022:
years ended December 31 (in millions)202420232022
Restructuring charges$146 $141 $144 
Costs to implement business optimization programs1
16 33 49 
Total business optimization charges$162 $174 $193 
1 Costs to implement business optimization programs for the years ended December 31, 2024, 2023 and 2022, respectively, consisted primarily of external consulting and transition costs, including employee compensation and related costs. The costs were primarily included within cost of sales and SG&A expenses.
The costs of restructuring actions consisted primarily of employee termination costs, contract termination costs and asset impairments. During the years ended December 31, 2024, 2023 and 2022, we recorded the following restructuring charges:
2024
(in millions)COGSSG&AR&DTotal
Employee termination costs$20 $48 $30 $98 
Contract termination and other costs— 
Asset impairments39 — — 39 
Total restructuring charges$62 $54 $30 $146 
2023
(in millions)COGSSG&AR&DTotal
Employee termination costs$20 $91 $10 $121 
Contract termination and other costs(1)— 
Asset impairments11 — 18 
Total restructuring charges$30 $101 $10 $141 
2022
(in millions)COGSSG&AR&DTotal
Employee termination costs$15 $94 $$112 
Contract termination and other costs— 22 — 22 
Asset impairments— 10 — 10 
Total restructuring charges$15 $126 $$144 
For the year ended December 31, 2024, $45 million of the restructuring charges reflected above, consisting of employee termination costs, were related to initiatives to reduce our cost structure following the sale of our Kidney Care segment. For the year ended December 31, 2024, $46 million of the restructuring charges reflected in the table above were related to business optimization initiatives within our Healthcare Systems & Technologies segment. These charges included $21 million of long-lived asset impairment charges, $9 million of other asset write-downs related to inventory and $2 million of employee termination costs related to our decision to discontinue a product line. Additionally, these charges included $14 million of employee termination costs related to other business optimization initiatives within this segment.
For the year ended December 31, 2023, $81 million of the restructuring charges reflected above, consisting of employee termination costs, were related to the implementation of our new operating model intended to streamline our operations.
For the year ended December 31, 2022, $85 million restructuring charges reflected in the table above were related to integration activities for the Hillrom acquisition, consisting of $55 million of employee termination costs, $22 million of contract terminations and other costs and $8 million of asset impairments.
The following table summarizes activity in the liability related to our restructuring initiatives.
(in millions)
Liability balance as of December 31, 2021$75 
Charges152 
Payments (118)
Reserve adjustments(18)
Currency translation(5)
Liability balance as of December 31, 202286 
Charges146 
Payments(101)
Reserve adjustments(23)
Currency translation(13)
Liability balance as of December 31, 202395 
Charges116 
Payments(80)
Reserve adjustments(9)
Currency translation— 
Liability balance as of December 31, 2024$122 
Reserve adjustments primarily relate to employee termination cost reserves established in prior periods.
Substantially all of our restructuring liabilities as of December 31, 2024 relate to employee termination costs, with the remaining liabilities attributable to contract termination costs. Substantially all of the cash payments for those liabilities are expected to be disbursed by the end of 2024.
v3.25.0.1
PENSION AND OTHER POSTRETIREMENT BENEFIT PROGRAMS
12 Months Ended
Dec. 31, 2024
Retirement Benefits [Abstract]  
PENSION AND OTHER POSTRETIREMENT BENEFIT PROGRAMS
PENSION AND OTHER POSTRETIREMENT BENEFIT PROGRAMS
We sponsor a number of qualified and nonqualified pension plans for eligible employees. We also sponsor certain unfunded contributory healthcare and life insurance benefits for substantially all domestic retired employees. Newly hired employees in the United States and Puerto Rico are not eligible to participate in the pension plans but receive a higher level of company contributions in our defined contribution plans.
Reconciliation of Pension and Other Postretirement Benefit Plan Obligations, Assets and Funded Status
The benefit plan information in the table below pertains to all of our pension and OPEB plans, both in the United States and in other countries.    
Pension benefitsOPEB
as of and for the years ended December 31 (in millions)2024202320242023
Benefit obligations
Beginning of period$2,901 $2,665 $154 $160 
Service cost11 19 — — 
Interest cost136 148 
Participant contributions— — 
Actuarial (gain) loss(129)169 (3)
Benefit payments(133)(133)(15)(19)
Settlements(8)(14)— — 
Acquisitions— — — 
Plan Amendments— (2)— 
Foreign exchange and other(33)38 (1)— 
End of period2,748 2,901 141 154 
Fair value of plan assets
Beginning of period2,350 2,161 — — 
Actual return on plan assets(4)268 — — 
Employer contributions46 27 15 19 
Participant contributions— — 
Benefit payments(133)(133)(15)(19)
Settlements(8)(14)— — 
Foreign exchange and other(26)37 — — 
End of period2,228 2,350 — — 
Funded status at December 31$(520)$(551)$(141)$(154)
Amounts recognized in the consolidated balance sheets
Noncurrent asset$56 $46 $— $— 
Current liability(23)(20)(16)(17)
Noncurrent liability(553)(577)(125)(137)
Net liability recognized at December 31$(520)$(551)$(141)$(154)
Actuarial gains and losses result from changes in actuarial assumptions (such as changes in the discount rate and revised mortality rates). Actuarial gains in 2024 and losses in 2023 related to plan benefit obligations were primarily the result of changes in discount rates.
The pension obligation information in the table above represents the projected benefit obligation (PBO). The PBO incorporates assumptions relating to future compensation levels. The accumulated benefit obligation (ABO) is the same as the PBO except that it includes no assumptions relating to future compensation levels. The ABO for all of our pension plans was $2.71 billion and $3.06 billion at the 2024 and 2023 measurement dates, respectively.
The information in the funded status table above represents the totals for all of our pension plans. The following table is information relating to the individual plans in the funded status table above that have an ABO in excess of plan assets.
as of December 31 (in millions)20242023
ABO$2,403 $2,502 
Fair value of plan assets$1,843 $1,919 
The following table presents information relating to the individual plans in the funded status table above that have a PBO in excess of plan assets (many of which also have an ABO in excess of assets and are therefore also included in the table directly above).
as of December 31 (in millions)20242023
PBO$2,419 $2,561 
Fair value of plan assets$1,843 $1,961 
Expected Net Pension and OPEB Plan Payments for the Next 10 Years
(in millions)Pension benefitsOPEB
2025$156 $17 
2026160 15 
2027172 14 
2028179 14 
2029183 13 
2030 through 2034973 55 
Total expected net benefit payments for next 10 years$1,823 $128 
The expected net benefit payments above reflect the total net benefits expected to be paid from the plans’ assets (for funded plans) or from our assets (for unfunded plans). The federal subsidies relating to the Medicare Prescription Drug, Improvement and Modernization Act are not expected to be significant.
Amounts Recognized in AOCI
The pension and OPEB plans’ gains or losses, prior service costs or credits, and transition assets or obligations not yet recognized in net periodic benefit cost are recognized on a net-of-tax basis in AOCI and will be amortized from AOCI to net periodic benefit cost in the future. For active employees, we utilize the average future working lifetime as the amortization period for prior service. For inactive employees, we utilize the average remaining life expectancy as the amortization period for prior service.
The following table is a summary of the pre-tax losses (gains) included in AOCI at December 31, 2024 and 2023.
(in millions)Pension benefitsOPEB
Actuarial loss (gain)$642 $(42)
Prior service credit and transition obligation11 (10)
Total pre-tax loss (gain) recognized in AOCI at December 31, 2024$653 $(52)
Actuarial loss (gain)$615 $(50)
Prior service credit and transition obligation11 (16)
Total pre-tax loss (gain) recognized in AOCI at December 31, 2023$626 $(66)
Refer to Note 10 for the net-of-tax balances included in AOCI as of each of the year-end dates. The following table is a summary of the net-of-tax amounts recorded in OCI relating to pension and OPEB plans.
Year ended December 31 (in millions)202420232022
Gain (loss) arising during the year, net of tax of $(6) in 2024, $31 in 2023 and $4 in 2022
$(15)$(103)$(61)
Amortization of gain (loss) to earnings, net of tax of zero in 2024, $(5) in 2023 and $6 in 2022
(4)13 21 
Settlement charges, net of tax of zero in 2024, $(1) in 2023 and zero 2022
— (2)
Pension and other employee benefits$(19)$(92)$(39)
In 2024, 2023 and 2022, OCI activity for pension and OPEB plans was primarily related to actuarial gains and losses.
Net Periodic Benefit Cost
Year ended December 31 (in millions)202420232022
Pension benefits
Service cost$11 $19 $71 
Interest cost136 148 94 
Expected return on plan assets(179)(187)(156)
Amortization of net losses and other deferred amounts15 41 
Curtailment gain— — (12)
Settlement charges— — 
Other— 
Net periodic pension benefit cost$(17)$(12)$39 
OPEB
Service cost$— $— $
Interest cost
Amortization of net losses and prior service credit(19)(24)(14)
Curtailment gain— (1)— 
Net periodic OPEB cost$(11)$(17)$(9)
Weighted-Average Assumptions Used in Determining Benefit Obligations at the Measurement Date
Pension benefitsOPEB
2024202320242023
Discount rate
U.S. and Puerto Rico plans5.71 %5.20 %5.54 %5.11 %
International plans3.67 %1.76 %n/an/a
Rate of compensation increase
U.S. and Puerto Rico plans3.00 %2.60 %n/an/a
International plans3.07 %2.59 %n/an/a
Annual rate of increase in the per-capita costn/an/a6.75 %6.25 %
Rate decreased ton/an/a5.00 %5.00 %
by the year endedn/an/a20322029
The assumptions above, which were used in calculating the December 31, 2024 measurement date benefit obligations, will be used in the calculation of net periodic benefit cost in 2025.
Weighted-Average Assumptions Used in Determining Net Periodic Benefit Cost
Pension benefitsOPEB
202420232022202420232022
Discount rate
U.S. and Puerto Rico plans5.20 %5.55 %3.01 %5.11 %5.46 %2.76 %
International plans3.41 %4.11 %1.55 %n/an/an/a
Expected return on plan assets
U.S. and Puerto Rico plans6.65 %6.43 %5.00 %n/an/an/a
International plans4.86 %4.93 %3.89 %n/an/an/a
Rate of compensation increase
U.S. and Puerto Rico plans2.60 %2.93 %3.68 %n/an/an/a
International plans3.32 %3.43 %3.17 %n/an/an/a
Annual rate of increase in the per-capita costn/an/an/a6.75 %6.25 %6.50 %
Rate decreased ton/an/an/a5.00 %5.00 %5.00 %
by the year endedn/an/an/a203220292029
We established the expected return on plan assets assumption primarily based on a review of historical compound average asset returns, both company-specific and relating to the broad market (based on our asset allocation), as well as an analysis of current market and economic information and future expectations. We plan to use a 6.65% assumption for our U.S. and Puerto Rico plans for 2025.
Pension Plan Assets
An investment committee of members of senior management is responsible for supervising, monitoring and evaluating the invested assets of our funded pension plans. The investment committee, which meets at least quarterly, abides by documented policies and procedures relating to investment goals, targeted asset allocations, risk management practices, allowable and prohibited investment holdings, diversification, use of derivatives, the relationship between plan assets and benefit obligations, and other relevant factors and considerations.
The investment committee’s policies and procedures include the following:
Ability to pay all benefits when due;
Targeted long-term performance expectations relative to applicable market indices, such as Russell, MSCI EAFE, and other indices;
Targeted asset allocation percentage ranges (summarized below), and periodic reviews of these allocations;
Diversification of assets among third-party investment managers, and by geography, industry, stage of business cycle and other measures;
Specified investment holding and transaction prohibitions (for example, private placements or other restricted securities, securities that are not traded in a sufficiently active market, short sales, certain derivatives, commodities and margin transactions);
Specified portfolio percentage limits on holdings in a single corporate or other entity (generally 5% at time of purchase, except for holdings in U.S. government or agency securities);
Specified average credit quality for the fixed-income securities portfolio (at least A- by Standard & Poor’s or A3 by Moody’s);
Specified portfolio percentage limits on foreign holdings; and
Periodic monitoring of investment manager performance and adherence to the investment committee’s policies.
Plan assets are invested using a total return investment approach whereby a mix of equity securities, debt securities and other investments are used to preserve asset values, diversify risk and exceed the planned benchmark
investment return. Investment strategies and asset allocations are based on consideration of plan liabilities, the plans’ funded status and other factors, such as the plans’ demographics and liability durations. Investment performance is reviewed by the investment committee on a quarterly basis and asset allocations are reviewed at least annually.
Plan assets are managed in a balanced portfolio comprised of two major components: return-seeking investments and liability hedging investments. The target allocations for plan assets are 50% in return-seeking investments and 50% in liability hedging investments and other holdings. The documented policy includes an allocation range based on each individual investment type within the major components that allows for a variance from the target allocations depending on the investment type. Return-seeking investments primarily include common stock of U.S. and international companies, common/collective trust funds, mutual funds, hedge funds, and partnership investments. Liability hedging investments and other holdings primarily include cash, money market funds with an original maturity of three months or less, U.S. and foreign government and governmental agency issues, corporate bonds, municipal securities, derivative contracts and asset-backed securities.
While the investment committee provides oversight over plan assets for U.S. and international plans, the summary above is specific to the plans in the United States. The plan assets for international plans are managed and allocated by the entities in each country, with input and oversight provided by the investment committee. The plan assets for the U.S. and international plans are included in the table below.
The following tables summarize our pension plan financial instruments that are measured at fair value on a recurring basis.
Basis of fair value measurement
(in millions)Balance at December 31, 2024Quoted prices
in active
markets for
identical assets
(Level 1)
Significant
other
observable
inputs
(Level 2)
Significant
unobservable
inputs
(Level 3)
Measured at NAV (a)
Assets
Cash$52 
Fixed income securities
Cash equivalents$179 $— $179 $— $— 
U.S. government and government agency issues135 — 135 — — 
Corporate bonds357 — 357 — — 
Equity securities
Common stock353 353 — — — 
Mutual funds199 199 — — 
Common/collective trust funds540 — — — 540 
Partnership investments198 — — — 198 
Other holdings215 79 127 — 
Fair value of pension plan assets$2,228 $561 $750 $127 $738 
(a) Certain assets that are measured at fair value using the NAV per share (or its equivalent) practical expedient have not been classified in the fair value hierarchy.
Basis of fair value measurement
(in millions)Balance at December 31, 2023Quoted prices
in active
markets for
identical assets
(Level 1)
Significant
other
observable
inputs
(Level 2)
Significant
unobservable
inputs
(Level 3)
Measured at NAV (a)
Assets
Cash$60 
Fixed income securities
Cash equivalents$399 $— $399 $— $— 
U.S. government and government agency issues95 — 95 — — 
Corporate bonds265 — 265 — — 
Equity securities
Common stock344 344 — — — 
Mutual funds192 192 — — 
Common/collective trust funds540 — — — 540 
Partnership investments216 — — — 216 
Other holdings239 12 72 155 — 
Fair value of pension plan assets$2,350 $548 $831 $155 $756 
(a) Certain assets that are measured at fair value using the NAV per share (or its equivalent) practical expedient have not been classified in the fair value hierarchy.
The following table is a reconciliation of changes in fair value measurements that used significant unobservable inputs (Level 3).
(in millions)Other
holdings
Balance at December 31, 2022$
Purchases1
148 
Balance at December 31, 2023155 
Unrealized gains (losses)(24)
Sales(7)
Purchases
Balance at December 31, 2024$127 
1 Purchases in 2023 included $148 million for an insurance contract buy-in related to our pension plan in the United Kingdom.
The assets and liabilities of our pension plans are valued using the following valuation methods:
Investment categoryValuation methodology
Cash equivalentsThese largely consist of a short-term investment fund, U.S. Dollars and foreign currency. The fair value of the short-term investment fund is based on the net asset value.
U.S. government and government agency issuesValues are based on reputable pricing vendors, who typically use pricing matrices or models that use observable inputs.
Corporate bondsValues are based on reputable pricing vendors, who typically use pricing matrices or models that use observable inputs.
Common stockValues are based on the closing prices on the valuation date in an active market on national and international stock exchanges.
Mutual fundsValues are based on the net asset value of the units held in the respective fund which are obtained from national and international exchanges or based on the net asset value of the underlying assets of the fund provided by the fund manager.
Common/collective trust fundsValues are based on the net asset value of the units held at year end.
Partnership investmentsValues are based on the net asset value of the participation by us in the investment as determined by the general partner or investment manager of the respective partnership.
Other holdingsOther holdings includes assets valued by pricing vendors using pricing matrices or models that use observable inputs and an insurance contract held by our pension plan in the United Kingdom, which is measured using a discounted cash flow model. In addition to observable market inputs such as interest rates, the fair value measurement of the insurance contract also reflects unobservable inputs, such as qualitative judgments about pricing of similar contracts in the insurance market.
Expected Pension and OPEB Plan Funding
Our funding policy for our pension plans is to contribute amounts sufficient to meet legal funding requirements, plus any additional amounts that we may determine to be appropriate considering the funded status of the plans, tax deductibility, the cash flows generated by us, and other factors. Volatility in the global financial markets could have an unfavorable impact on future funding requirements. In 2025, we have no obligation to fund our principal plans in the United States, but we regularly reassess the amount and timing of any discretionary contributions. Conversely, we do expect to make contributions of at least $26 million to our Puerto Rico plan and $7 million to our foreign pension plans in 2025. Additionally, we expect to have net cash outflows relating to our OPEB plans of approximately $16 million in 2025.
The following table details the funded status percentage of our pension plans as of December 31, 2024, including certain plans that are unfunded in accordance with the guidelines of our funding policy outlined above.
United States and Puerto RicoInternational
as of December 31, 2024 (in millions)Qualified
plans
Nonqualified
plan
Funded
plans
Unfunded
plans
Total
Fair value of plan assets$1,763 $ n/a$465 $ n/a$2,228 
PBO2,015 183 518 33 2,749 
Funded status percentage87 %n/a90 %n/a81 %
Pension Plan Amendments
In May 2022, we announced that the pay and service amounts used to calculate pension benefits for active non-bargaining participants in our U.S. Hillrom pension plan would freeze as of December 31, 2022. Years of additional service earned and eligible compensation received after December 31, 2022 will not be included in the determination of the benefits payable to those participants. This change resulted in an $11 million decline in the
projected benefit obligation (PBO) with an offsetting curtailment gain included within other (income) expense, net on the consolidated statements of income (loss) for the year ended December 31, 2022.
U.S. Defined Contribution Plan
Most U.S. employees are eligible to participate in a qualified defined contribution plan. We recognized expense of $119 million in 2024, $116 million in 2023 and $96 million in 2022 related to contributions to this plan.
v3.25.0.1
INCOME TAXES
12 Months Ended
Dec. 31, 2024
Income Tax Disclosure [Abstract]  
INCOME TAXES
INCOME TAXES
Income (Loss) Before Income Tax Expense (Benefit) by Category
years ended December 31 (in millions)202420232022
United States$(1,499)$(1,057)$(3,858)
International1,210 1,299 610 
Income (loss) from continuing operations before income taxes$(289)$242 $(3,248)
Income Tax Expense (Benefit)
years ended December 31 (in millions)202420232022
Current
United States
Federal$19 $$
State and local21 — 
International259 307 116 
Current income tax expense (benefit)299 317 125 
Deferred
United States
Federal(197)(123)(264)
State and local(21)(25)(49)
International(44)(108)53 
Deferred income tax expense (benefit)(262)(256)(260)
Income tax expense (benefit)$37 $61 $(135)
Deferred Tax Assets and Liabilities
as of December 31 (in millions)20242023
Deferred tax assets
Accrued liabilities and other$310 $282 
Pension and other postretirement benefits131 135 
Tax credit and net operating loss carryforwards750 723 
Swiss tax reform net asset basis step-up92 157 
Operating lease liabilities139 140 
Valuation allowances(536)(584)
Total deferred tax assets886 853 
Deferred tax liabilities
Subsidiaries’ unremitted earnings21 81 
Long-lived assets and other632 783 
Operating lease right-of-use assets132 131 
Total deferred tax liabilities785 995 
Net deferred tax asset (liability)$101 $(142)
At December 31, 2024, we had U.S. state operating loss carryforwards totaling $58 million, U.S. federal operating loss carryforwards totaling $13 million and tax credit carryforwards totaling $282 million, which includes a U.S. foreign tax credit carryforward of $184 million. The U.S. federal and state operating loss and tax credit carryforwards expire between 2025 and 2044, with $14 million of the operating loss carryforwards having no expiration date.
At December 31, 2024, with respect to our operations outside the U.S., we had foreign operating loss carryforwards totaling $74 million and foreign tax credit carryforwards totaling $14 million. The foreign operating loss carryforwards expire between 2025 and 2041 with $50 million having no expiration date. All of the foreign tax credit carryforwards have no expiration date.
Realization of the U.S. and foreign operating loss and tax credit carryforwards depends on generating sufficient future earnings. A valuation allowance of $536 million and $584 million was recognized as of December 31, 2024 and 2023, respectively, to reduce the deferred tax assets associated with net operating loss and tax credit carryforwards because we do not believe it is more likely than not that these assets will be fully realized prior to expiration.
After evaluating relevant U.S. tax laws, any elections or other opportunities that may be available and the future expiration of certain U.S. tax provisions that will impact the utilization of our U.S. foreign tax credit carryforwards, management expects to be able to realize some, but not all, of the U.S. foreign tax credit deferred tax assets up to its recurring and non-recurring foreign inclusions. Therefore, a valuation allowance of $131 million and $130 million was recognized with respect to the foreign tax credit carryforwards as of December 31, 2024 and 2023, respectively. We will continue to evaluate the need for additional valuation allowances and, as circumstances change, the valuation allowance may change.
As a result of Swiss tax reform legislation enacted during 2019, we recognized an $863 million net asset tax basis step-up that is amortizable as a tax deduction ratably over tax years 2025 through 2029. A deferred tax asset of $92 million and $157 million for the tax basis step-up was recognized as of December 31, 2024 and 2023, respectively. We expect to realize some, but not all, of the Swiss deferred tax assets for that tax basis step-up based on expected future earnings generated by our Swiss subsidiary during the period in which the tax basis will be amortized. Therefore, a valuation allowance of $42 million and $90 million was recognized on the Swiss deferred tax assets for the tax basis step-up as of December 31, 2024 and 2023, respectively. For the year ended December 31, 2024, we recorded an adjustment to the tax rate originally applied to the Swiss net asset tax basis step-up, and as a result recorded a net tax expense of $25 million to decrease the deferred tax asset by $59 million and the related valuation allowance by $34 million as of December 31, 2024. We evaluated the impact on prior periods and determined the impact was immaterial.
The following table is a summary of changes in our deferred tax valuation allowance for the years ended December 31, 2024, 2023 and 2022.
years ended December 31 (in millions)202420232022
Balance at beginning of period$584 $631 $326 
Charged to income tax expense48 87 313 
Deductions(73)(139)(1)
Currency translation adjustments(23)(7)
Balance at end of period$536 $584 $631 
Income Tax Expense (Benefit) Reconciliation
years ended December 31 (in millions)202420232022
Income tax expense (benefit) at U.S. statutory rate$(61)$51 $(682)
Tax incentives(176)(200)(156)
State and local taxes, net of federal benefit(9)(2)(27)
Impact of foreign taxes137 190 78 
Non-deductible goodwill impairments86 — 591 
Notional interest deduction expense (benefit)(37)31 (306)
Valuation allowances(25)(51)312 
Stock compensation (windfall) shortfall tax expense (benefit)10 (4)
Research and development tax credits(19)(17)(8)
Uncertain tax positions(7)
Unutilized foreign tax credits15 32 32 
Subpart F income18 26 11 
Foreign tax credits(5)(7)
Pillar Two taxes11 — — 
Revaluation of Swiss basis step-up deferred tax asset58 — — 
Tax law changes on Section 98717 — — 
Other, net(8)27 
Income tax expense (benefit)$37 $61 $(135)
Our effective income tax rate can differ from the 21% U.S. federal statutory rate due to a number of factors, including tax incentives, foreign rate differences, state income taxes, non-deductible expenses, non-taxable income, increases or decreases in valuation allowances and liabilities for uncertain tax positions, excess tax benefits or shortfalls on stock compensation awards, audit developments and legislative changes.
In 2024, the difference between our effective income tax rate and the U.S. federal statutory rate was adversely impacted by a non-deductible impairment of goodwill and legislative changes under IRC Section 987 (which is the exchange gain or loss on foreign branch remittances in the U.S., effective in 2024), and a net revaluation of the Swiss basis step-up deferred tax asset and related valuation allowance that arose from Swiss tax reform legislation in 2019, partially offset by a favorable geographic earnings mix, a decrease in valuation allowance mainly related to U.S. foreign tax credit carryforward, and a tax benefit related to research and development tax credits.

In 2023, our effective income tax rate was impacted favorably by geographic earnings mix, a $50 million net tax benefit after related valuation allowances from notional interest deductions that are received by certain wholly-owned foreign subsidiaries that have financed their operations with equity capital and a $17 million tax benefit related to research and development tax credits, partially offset by tax shortfalls on stock compensation awards.
In 2022, our effective income tax rate was adversely impacted by non-deductible impairments of goodwill acquired in the Hillrom acquisition and valuation allowance increases, including the increase described above related to
deferred tax assets from a tax basis step-up that arose from Swiss tax reform legislation in 2019. Those items were partially offset by a $47 million net tax benefit after related valuation allowances from notional interest deductions.
We plan to repatriate our foreign earnings with the exception of approximately $607 million of accumulated earnings that are indefinitely reinvested as of December 31, 2024 related to three of our foreign operations. Additional withholding and capital gain taxes of $70 million would be incurred if such earnings were remitted currently.
Our tax provisions for 2024, 2023 and 2022 do not include any significant tax charges related to either the Base Erosion and Anti-Abuse Tax (BEAT) or Global Intangible Low Taxed Income (GILTI) provisions, except for the inability to fully utilize foreign tax credits against such GILTI. Our accounting policy is to recognize any GILTI charge as a period cost.
Unrecognized Tax Benefits
We classify interest and penalties associated with income taxes in income tax expense (benefit) within the consolidated statements of income (loss). Net interest and penalties recognized were not significant during 2024, 2023 and 2022. The liability recognized related to interest and penalties was $21 million and $17 million as of December 31, 2024 and 2023, respectively. The total amount of gross unrecognized tax benefits that, if recognized, would impact the effective tax rate are $51 million, $47 million and $31 million as of December 31, 2024, 2023 and 2022, respectively. We believe that it is reasonably possible that our gross unrecognized tax benefits will be reduced within the next 12 months by $13 million.
The following table is a reconciliation of our unrecognized tax benefits for the years ended December 31, 2024, 2023 and 2022. 
as of and for the years ended (in millions)202420232022
Balance at beginning of the year$89 $87 $106 
Increase associated with tax positions taken during the current year10 11 
Increase (decrease) associated with tax positions taken during a prior year14 
Settlements(1)(2)(7)
Decrease associated with lapses in statutes of limitations(7)(8)(37)
Balance at end of the year$96 $89 $87 
Of the gross unrecognized tax benefits, $39 million and $33 million were recognized as liabilities in the consolidated balance sheets as of December 31, 2024 and 2023, respectively.
Tax Incentives
We have received tax incentives in Puerto Rico, Switzerland, Dominican Republic, and Costa Rica. The financial impact of the reductions as compared to the statutory tax rates is indicated in the income tax expense (benefit) reconciliation table above. The tax reductions as compared to the local statutory rate favorably impacted earnings (loss) per diluted share by $0.34 in 2024, $0.39 in 2023 and $0.31 in 2022. The above grants provide that our manufacturing operations are and will be partially exempt from local taxes with varying expirations from 2024 to 2034.
Examinations of Tax Returns
As of December 31, 2024, we had ongoing audits in the United States, Germany, Italy and other jurisdictions. During 2022, we closed U.S. tax years 2017-2018 with the IRS with no material adjustments to our financial statements. Tax years 2019 and 2020 remain under examination by the IRS, including with respect to transfer pricing matters, and tax years 2012 and forward remain under examination by various foreign taxing authorities. While the final outcome of these matters is inherently uncertain, we believe we have made adequate tax provisions for all years subject to examination.
v3.25.0.1
EARNINGS (LOSS) PER SHARE
12 Months Ended
Dec. 31, 2024
Earnings Per Share [Abstract]  
EARNINGS (LOSS) PER SHARE
EARNINGS (LOSS) PER SHARE
The numerator for both basic and diluted earnings (loss) per share (EPS) is net income (loss) attributable to Baxter stockholders. The denominator for basic EPS is the weighted-average number of shares outstanding during the period. The dilutive effect of outstanding stock options, RSUs and PSUs is reflected in the denominator for diluted EPS using the treasury stock method.
The following table is a reconciliation of net income (loss) attributable to Baxter stockholders.
years ended December 31(in millions)202420232022
Income (loss) from continuing operations$(326)$181 $(3,113)
Less: Net income attributable to noncontrolling interests included in continuing operations— — 
Income (loss) from continuing operations attributable to Baxter stockholders(326)181 (3,114)
Income (loss) from discontinued operations(312)2,482 692 
Less: Net income attributable to noncontrolling interests included in discontinued operations11 11 
Income (loss) from discontinued operations attributable to Baxter stockholders(323)2,475 681 
Net income (loss) attributable to Baxter stockholders$(649)$2,656 $(2,433)
The following table is a reconciliation of basic shares to diluted shares.
years ended December 31(in millions)202420232022
Basic shares510 506 504 
Effect of dilutive securities— — 
Diluted shares510 508 504 
Basic and diluted shares are the same for the years ended December 31, 2024 and 2022 due to our loss from continuing operations attributable to Baxter stockholders. The effect of dilutive securities includes unexercised stock options, unvested RSUs and contingently issuable shares related to granted PSUs. The computation of diluted EPS excludes 25 million, 19 million, and 22 million equity awards in 2024, 2023 and 2022, respectively, because their inclusion would have had an anti-dilutive effect on diluted EPS. Refer to Note 9 for additional information regarding items impacting basic shares.
v3.25.0.1
DERIVATIVES AND HEDGING ACTIVITIES
12 Months Ended
Dec. 31, 2024
Derivative Instruments and Hedging Activities Disclosure [Abstract]  
DERIVATIVES AND HEDGING ACTIVITIES
DERIVATIVES AND HEDGING ACTIVITIES
Concentrations of Credit Risk
We invest excess cash in certificates of deposit or money market or other funds and diversify the concentration of cash among different financial institutions. With respect to financial instruments, where appropriate, we have diversified our selection of counterparties, and have arranged collateralization and master-netting agreements to minimize the risk of loss.
Global economic conditions and liquidity issues in certain countries have resulted, and may continue to result, in delays in the collection of receivables and credit losses. Global economic conditions, governmental actions and customer-specific factors may require us to re-evaluate the collectability of our receivables and we could potentially incur additional credit losses.
Foreign Currency and Interest Rate Risk Management
We operate on a global basis and are exposed to the risk that our earnings, cash flows and equity could be adversely impacted by fluctuations in foreign exchange and interest rates. Our hedging policy attempts to manage these risks to an acceptable level based on our judgment of the appropriate trade-off between risk, opportunity and costs.
We are primarily exposed to foreign exchange risk with respect to recognized assets and liabilities, forecasted transactions and net assets denominated in the Euro, British Pound, Australian Dollar, Canadian Dollar, Chinese Renminbi, Japanese Yen, Mexican Peso, Indian Rupee and Swedish Krona. We manage our foreign currency exposures on a consolidated basis, which allows us to net exposures and take advantage of any natural offsets. In addition, we use derivative and nonderivative instruments to further reduce the net exposure to foreign exchange risk. Gains and losses on the hedging instruments offset losses and gains on the hedged transactions and reduce the earnings and equity volatility resulting from changes in foreign exchange rates. Financial market and currency volatility may limit our ability to cost-effectively hedge these exposures.
We are also exposed to the risk that our earnings and cash flows could be adversely impacted by fluctuations in interest rates. Our policy is to manage interest costs using the mix of fixed- and floating-rate debt that we believe is appropriate at that time. To manage this mix in a cost-efficient manner, we periodically enter into interest rate swaps in which we agree to exchange, at specified intervals, the difference between fixed and floating interest amounts calculated by reference to an agreed-upon notional amount.
We do not hold any instruments for trading purposes and none of our outstanding derivative instruments contain credit-risk-related contingent features.
Cash Flow Hedges
We may use options, including collars and purchased options, forwards and cross-currency swaps to hedge the foreign exchange risk to earnings relating to forecasted transactions and recognized assets and liabilities. We periodically use treasury rate locks to hedge the risk to earnings associated with movements in interest rates relating to anticipated issuances of debt.
The notional amounts of foreign exchange contracts designated as cash flow hedges were $99 million and $340 million as of December 31, 2024 and 2023, respectively. The maximum term over which we have cash flow hedge contracts in place related to forecasted transactions at December 31, 2024 is 11 months for foreign exchange contracts. There were no outstanding interest rate contracts designated as cash flow hedges as of December 31, 2024 and 2023.
Fair Value Hedges
We periodically use interest rate swaps to convert a portion of our fixed-rate debt into variable-rate debt. These instruments hedge our earnings from changes in the fair value of debt due to fluctuations in the designated benchmark interest rate.
There were no outstanding interest rate contracts designated as fair value hedges as of December 31, 2024 and 2023.  
In October 2023, we entered into a foreign currency forward contract with a notional amount of $798 million and designated that derivative as a fair value hedge of our €750 million of 0.40% senior notes due May 2024. This forward contract matured in May 2024.
Net Investment Hedges
In May 2017, we issued €600 million of 1.3% senior notes due May 2025. In May 2019, we issued €750 million of 1.3% senior notes due May 2029. We have designated these debt obligations as hedges of our net investment in our European operations and, as a result, mark to spot rate adjustments of the outstanding debt balances are recorded as a component of AOCI.
In May 2019, we issued €750 million of 0.40% senior notes due May 2024, which we repaid in full on their maturity date. We had designated these debt obligations as hedges of our investment in our European operations and, as a result, mark to spot rate adjustments of the outstanding debt balances were previously recorded as a component of AOCI. In October 2023, we dedesignated this previously designated net investment hedge and concurrently entered into a fair value hedging relationship as discussed in the “Fair Value Hedges” section above.
As of December 31, 2024, we had an accumulated pre-tax unrealized translation gain in AOCI of $124 million related to the Euro-denominated senior notes.
Dedesignations
If it is determined that a derivative or nonderivative hedging instrument is no longer highly effective as a hedge, we discontinue hedge accounting prospectively. Gains or losses relating to terminations of effective cash flow hedges generally continue to be deferred and are recognized consistent with the loss or income recognition of the underlying hedged items. However, if it is probable that hedged forecasted transactions will not occur, any gains or losses would be immediately reclassified from AOCI to earnings. There were no cash flow hedge dedesignations in 2024, 2023 or 2022 resulting from changes in our assessment of the probability that the hedged forecasted transactions would occur. The losses relating to these terminations continue to be deferred and are being recognized consistent with the underlying hedged item, interest expense on the issuance of debt.
If we terminate a fair value hedge, an amount equal to the cumulative fair value adjustment to the hedged item at the date of termination is amortized to earnings over the remaining term of the hedged item. There were no fair value hedges terminated in 2024, 2023 or 2022.
If we remove a net investment hedge designation, any gain or loss recognized in AOCI is not reclassified to earnings until we sell, liquidate, or deconsolidate the foreign investments that were being hedged. In October 2023, we dedesignated one of our net investment hedges as discussed in the "Net Investment Hedges" section above. There were no net investment hedges terminated in 2024 or 2022.
Undesignated Derivative Instruments
We use forward contracts to hedge earnings from the effects of foreign exchange relating to certain of our intra-company and third-party receivables and payables denominated in a foreign currency. These derivative instruments are generally not formally designated as hedges and the terms of these instruments generally do not exceed one month.
The total notional amount of undesignated derivative instruments was $389 million and $305 million as of December 31, 2024 and 2023, respectively.
Gains and Losses on Hedging Instruments and Undesignated Derivative Instruments
The following tables summarize the gains and losses on our hedging instruments and the classification of those gains and losses within our consolidated financial statements for the years ended December 31, 2024, 2023 and 2022.
(in millions)Gain (loss)
recognized in OCI
Location of gain
(loss) in
income statement
Gain (loss) reclassified from
AOCI into income
202420232022202420232022
Cash flow hedges
Interest rate contracts$— $— $— Interest expense, net$(6)$(6)$(6)
Foreign exchange contracts17 15 28 Cost of sales15 26 
Fair value hedges
Foreign exchange contracts(3)(4)— Other (income) expense, net(5)(3)— 
Net investment hedges87 (58)141 Other (income) expense, net— — — 
Total$101 $(47)$169 $(3)$$20 
Location of gain (loss) in
income statement
Gain (loss) recognized
in income
(in millions)202420232022
Fair value hedges
Foreign exchange contractsOther (income) expense, net$(24)$38 $— 
Undesignated derivative instruments
Foreign exchange contractsOther (income) expense, net(13)(16)
Total$(37)$40 $(16)
The following table summarizes net-of-tax activity in AOCI, a component of stockholders’ equity, related to our cash flow hedges.
as of and for the year ended December 31 (in millions)202420232022
Accumulated other comprehensive income (loss) balance at beginning of year$(120)$(119)$(126)
(Loss) gain in fair value of derivatives during the year10 22 
Amount reclassified to earnings during the year(6)(15)
Accumulated other comprehensive income (loss) balance at end of year$(108)$(120)$(119)
As of December 31, 2024, $1 million of deferred, net after-tax gains on derivative instruments included in AOCI are expected to be recognized in earnings during the next 11 months, coinciding with when the hedged items are expected to impact earnings.
Derivative Assets and Liabilities
The following table summarizes the classification and fair values of derivative instruments reported in the consolidated balance sheet as of December 31, 2024.
Derivatives in asset positionsDerivatives in liability positions
(in millions)Balance sheet locationFair valueBalance sheet locationFair value
Derivative instruments designated as hedges
Foreign exchange contracts
Prepaid expenses and other current assets$Accrued expenses and other current liabilities$— 
Undesignated derivative instruments
Foreign exchange contracts
Prepaid expenses and other current assetsAccrued expenses and other current liabilities
Total derivative instruments$$
The following table summarizes the classification and fair values of derivative instruments reported in the consolidated balance sheet as of December 31, 2023.
Derivatives in asset positionsDerivatives in liability positions
(in millions)Balance sheet locationFair valueBalance sheet locationFair value
Derivative instruments designated as hedges
Foreign exchange contracts
Prepaid expenses and other current assets$41 Accrued expenses and other current liabilities$— 
Undesignated derivative instruments
Foreign exchange contracts
Prepaid expenses and other current assetsAccrued expenses and other current liabilities
Total derivative instruments$45 $
While some of our derivatives are subject to master netting arrangements, we present our assets and liabilities related to derivative instruments on a gross basis within the consolidated balance sheets. Additionally, we are not required to post collateral for any of our outstanding derivatives.
The following table provides information on our derivative positions as if they were presented on a net basis, allowing for the right of offset by counterparty.
December 31, 2024December 31, 2023
(in millions)AssetLiabilityAssetLiability
Gross amounts recognized in the consolidated balance sheets$$$45 $
Gross amount subject to offset in master netting arrangements not offset in the consolidated balance sheets(1)(1)(4)(4)
Total$$$41 $
The following table presents the amounts recorded on the consolidated balance sheets related to fair value hedges:
Carrying amount of hedged itemsCumulative amount of fair value hedging adjustment included in the carrying amount of the hedged items (a)
(in millions)Balance as of December 31, 2024Balance as of December 31, 2023Balance as of December 31, 2024Balance as of December 31, 2023
Long-term debt$99 $100 $$
(a) These fair value hedges were terminated in 2018 and earlier periods.
v3.25.0.1
FAIR VALUE MEASUREMENTS
12 Months Ended
Dec. 31, 2024
Fair Value Disclosures [Abstract]  
FAIR VALUE MEASUREMENTS
FAIR VALUE MEASUREMENTS
The fair value hierarchy consists of the following three levels:
Level 1 — Quoted prices in active markets that we have the ability to access for identical assets or liabilities;
Level 2 — Quoted prices for similar instruments in active markets, quoted prices for identical or similar instruments in markets that are not active, and model-based valuations in which all significant inputs are observable in the market; and
Level 3 — Valuations using significant inputs that are unobservable in the market and include the use of judgment by management about the assumptions market participants would use in pricing the asset or liability.
The following tables summarize our assets and liabilities that are measured at fair value on a recurring basis.
Basis of fair value measurement
(in millions)Balance as of December 31,
2024
Quoted prices
in active
markets for
identical assets
(Level 1)
Significant
other
observable
inputs
(Level 2)
Significant
unobservable
inputs
(Level 3)
Assets
Foreign exchange contracts$$— $$— 
Available-for-sale debt securities— — 
Marketable equity securities 13 13 — — 
Total$21 $13 $$
Liabilities
Foreign exchange contracts$$— $$— 
Contingent payments related to acquisitions12 — — 12 
Total$14 $— $$12 
Basis of fair value measurement
(in millions)Balance as of December 31,
2023
Quoted prices
in active
markets for
identical assets
(Level 1)
Significant
other
observable
inputs
(Level 2)
Significant
unobservable
inputs
(Level 3)
Assets
Foreign exchange contracts$45 $— $45 $— 
Available-for-sale debt securities— — 
Marketable equity securities44 44 — — 
Total$90 $44 $45 $
Liabilities
Foreign exchange contracts$$— $$— 
Contingent payments related to acquisitions14 — — 14 
Total$19 $— $$14 
As of December 31, 2024 and 2023, cash and cash equivalents of $1.76 billion and $3.08 billion, respectively, included money market and other short-term funds of approximately $583 million and $1.63 billion, respectively, that are considered Level 2 in the fair value hierarchy.
For assets that are measured using quoted prices in active markets, the fair value is the published market price per unit multiplied by the number of units held, without consideration of transaction costs. A majority of the derivatives entered into by us are valued using internal valuation techniques as no quoted market prices exist for such instruments. The principal techniques used to value these instruments are discounted cash flow and Black-Scholes models. The key inputs, which are considered observable and vary depending on the type of derivative, include contractual terms, interest rate yield curves, foreign exchange rates and volatility.
Available-for-sale debt securities, which consist of convertible debt and convertible redeemable preferred shares issued by nonpublic entities, are measured using discounted cash flow and option pricing models. Those available-for-sale debt securities are classified as Level 3 fair value measurements when there are no observable transactions near the balance sheet date due to the lack of observable data over certain fair value inputs such as equity volatility. The fair values of available-for-sale debt securities increase when interest rates decrease, equity volatility increases, or the fair values of the equity shares underlying the conversion options increase.
Contingent payments related to acquisitions, which consist of milestone payments and sales-based payments, are valued using discounted cash flow techniques incorporating management's expectations of future outcomes. The fair value of milestone payments increases as the estimated probability of payment increases or the expected timing of payments is accelerated. The fair value of sales-based payments is based upon probability-weighted future
revenue estimates, and increases as revenue estimates increase, probability weighting of higher revenue scenarios increases or the expected timing of payment is accelerated.
The following table is a reconciliation of recurring fair value measurements that use significant unobservable inputs (Level 3), which consist of contingent payments related to acquisitions and available-for-sale debt securities.
20242023
as of and for the years ended December 31 (in millions)Contingent payments related to acquisitionsAvailable-for-sale debt securitiesContingent payments related to acquisitionsAvailable-for-sale debt securities
Fair value at beginning of period$14 $$84 $27 
Change in fair value recognized in earnings— — (19)(21)
Payments(2)— (51)— 
Transfers out of Level 3— — — (5)
Fair value at end of period$12 $$14 $
During the year ended December 31, 2023, available-for-sale debt securities were reclassified from Level 3, upon conversion to marketable equity securities, which are classified as Level 1 in the fair value hierarchy, upon initial public offerings of the investees.
Financial Instruments Not Measured at Fair Value
In addition to the financial instruments that we are required to recognize at fair value in the consolidated balance sheets, we have certain financial instruments that are recognized at amortized cost or some basis other than fair value. For these financial instruments, the following table provides the values recognized in the consolidated balance sheets and the estimated fair values.
Book valuesFair values(a)
as of December 31 (in millions)2024202320242023
Liabilities
Short-term debt$2,126 $— $2,126 $— 
Current maturities of long-term debt and finance lease obligations626 2,667 619 2,621 
Long-term debt and finance lease obligations10,374 11,089 9,295 10,026 
(a)    These fair value amounts are classified as Level 2 within the fair value hierarchy as they are estimated based on observable inputs.
The carrying value of short-term debt approximates its fair value due to the short-term maturities of the obligations. The estimated fair values of current and long-term debt were computed by multiplying price by the notional amount of the respective debt instruments. Price is calculated using the stated terms of the respective debt instrument and yield curves commensurate with our credit risk. The carrying values of other financial instruments not presented in the table above, such as accounts receivable and accounts payable, approximate their fair values due to the short-term maturities of most of those assets and liabilities.
The carrying values of equity investments without readily determinable fair values that we measure at cost, less impairment were $37 million and $33 million at December 31, 2024 and 2023, respectively. When applicable, we also adjust the measurement of such equity investments for observable prices in orderly transactions for an identical or similar investment of the same issuer. These investments are included in Other non-current assets on our consolidated balance sheets.
v3.25.0.1
SEGMENT AND GEOGRAPHIC INFORMATION
12 Months Ended
Dec. 31, 2024
Segment Reporting [Abstract]  
SEGMENT AND GEOGRAPHIC INFORMATION
SEGMENT AND GEOGRAPHIC INFORMATION
Our business is comprised of three reportable segments: Medical Products & Therapies, Healthcare Systems & Technologies, and Pharmaceuticals. The Medical Products & Therapies segment includes sales of our sterile IV solutions, infusion systems, administration sets, parenteral nutrition therapies and surgical hemostat, sealant and adhesion prevention products. The Healthcare Systems & Technologies segment includes sales of our connected care solutions and collaboration tools, including smart bed systems, patient monitoring systems and diagnostic technologies, respiratory health devices and advanced equipment for the surgical space, including operating room integration technologies, precision positioning devices, and other accessories. The Pharmaceuticals segment includes sales of specialty injectable pharmaceuticals, inhaled anesthetics and drug compounding services. Other sales not allocated to a segment primarily include sales of products and services provided directly through certain of our manufacturing facilities and royalty income under a business development arrangement that ended in early 2023 when we acquired the related product rights.
Disaggregation of Net Sales
The following tables present our U.S. and International disaggregated net sales.
for the years ended December 31202420232022
(in millions)U.S.InternationalTotalU.S.InternationalTotalU.S.InternationalTotal
Infusion Therapies & Technologies
$2,279 $1,824 $4,103 $2,227 $1,733 $3,960 $2,241 $1,576 $3,817 
Advanced Surgery
603 501 1,104 582 469 1,051 574 424 998 
Medical Products & Therapies2,882 2,325 5,207 2,809 2,202 5,011 2,815 2,000 4,815 
Care and Connectivity Solutions
1,311 503 1,814 1,263 537 1,800 1,295 496 1,791 
Front Line Care
843 294 1,137 905 308 1,213 840 308 1,148 
Healthcare Systems & Technologies
2,154 797 2,951 2,168 845 3,013 2,135 804 2,939 
Injectables and Anesthesia
780 593 1,373 759 588 1,347 682 623 1,305 
Drug Compounding— 1,038 1,038 — 902 902 — 821 821 
Pharmaceuticals780 1,631 2,411 759 1,490 2,249 682 1,444 2,126 
Other1
34 33 67 66 21 87 137 40 177 
Total Baxter$5,850 $4,786 $10,636 $5,802 $4,558 $10,360 $5,769 $4,288 $10,057 
1 In connection with the reclassification of our BPS business to discontinued operations during the second quarter of 2023, we reclassified $2 million of contract manufacturing revenues from the first quarter of 2023 and $37 million of sales for the year ended December 31, 2022 from BPS to Other (within continuing operations), as the related manufacturing facility was not part of that divestiture transaction.
Geographic Information
Our net sales are attributed to the following geographic regions based on the location of the customer.
for the years ended December 31 (in millions)202420232022
Net sales:
United States$5,850 $5,802 $5,769 
Emerging markets1
1,350 1,343 1,253 
Rest of world 2
3,436 3,215 3,035 
Total net sales$10,636 $10,360 $10,057 
1 Emerging markets include sales from our operations in Eastern Europe, the Middle East, Africa, Latin America and Asia (except for Japan).
2 Rest of world includes sales from our operations in Western Europe, Canada, Japan, Australia and New Zealand.
Our property, plant and equipment and operating lease right-of-use assets, net are attributed to the following geographic regions.
as of December 31 (in millions)20242023
Property, plant and equipment and operating lease right-of-use assets, net:
United States$1,654 $1,615 
Emerging markets793 829 
Rest of world 729 763 
Total property, plant and equipment and operating lease right-of-use assets, net$3,176 $3,207 
Segment Information
Our chief operating decision maker who has been identified as our Chair, President and Chief Executive Officer, reviews the financial information presented for purposes of evaluating the performance of our segments and to make resource allocation decisions.
Segment operating income is the measure of segment profitability and represents income before income taxes, interest and other non-operating income or expense, unallocated corporate costs, intangible asset amortization and other special items. Special items, which are presented below in our reconciliations of segment operating income to income (loss) from continuing operations before income taxes, are excluded from segment operating income because they are highly variable, difficult to predict and of a size that may substantially impact our reported results of operations for the period.
Corporate costs, inclusive of global functional support costs, overhead costs and other shared costs that benefit our segments are allocated to those segments. Corporate costs that are not allocated to our segments, as well as any differences between actual corporate costs and the amounts allocated to our segments, are presented as unallocated corporate costs. With the results of our former Kidney Care segment reported in discontinued operations, corporate costs that had previously been allocated to the Kidney Care segment which did not convey with the Kidney Care segment in the completed sale are now presented as unallocated corporate costs.
Segment results include net sales, cost of sales, selling general and administrative expenses, research and development expenses, and other segment items which are directly allocated to each segment. Beginning in 2024
annual reporting, we adopted ASU 2023-07 retrospectively. The following tables present our segment information of net sales, significant expenses and operating income during the periods presented.
For the year ended December 31, 2024
(in millions)Medical Products & TherapiesHealthcare Systems & TechnologiesPharmaceuticals
Net sales$5,207 $2,951 $2,411 
Cost of sales2,867 1,464 1,612 
Selling, general and administrative expenses1,176 836 396 
Research and development expenses216 184 91 
Other segment items(2)(1)(1)
Segment operating income$950 $468 $313 
For the year ended December 31, 2023
(in millions)Medical Products & TherapiesHealthcare Systems & TechnologiesPharmaceuticals
Net sales$5,011 $3,013 $2,249 
Cost of sales2,720 1,532 1,400 
Selling, general and administrative expenses1,097 822 363 
Research and development expenses222 176 86 
Other segment items— — (1)
Segment operating income$972 $483 $401 
For the year ended December 31, 2022
(in millions)Medical Products & TherapiesHealthcare Systems & TechnologiesPharmaceuticals
Net sales$4,815 $2,939 $2,126 
Cost of sales2,584 1,463 1,293 
Selling, general and administrative expenses1,069 827 361 
Research and development expenses202 155 81 
Other segment items(2)— — 
Segment operating income$962 $494 $391 
The following table presents our reportable segment operating income and reconciliations of reportable segment operating income to income (loss) from continuing operations before income taxes.
for the years ended December 31 (in millions)202420232022
Medical Products & Therapies$950 $972 $962 
Healthcare Systems & Technologies468 483 494 
Pharmaceuticals313 401 391 
Total reportable segment operating income1,731 1,856 1,847 
Other18 18 77 
Unallocated corporate costs(275)(355)(367)
Intangible asset amortization expense(625)(590)(679)
Business optimization items(162)(174)(193)
European Medical Devices Regulation(33)(41)(42)
Long-lived asset impairments(50)— (344)
Legal matters(17)(7)— 
Acquisition and integration items(23)— (213)
Product-related items(15)— (44)
Hurricane Helene Costs(110)— — 
Loss on product divestiture arrangement— — (54)
Goodwill impairments(425)— (2,812)
Loss on subsidiary liquidation— — (21)
Total operating income (loss)14 707 (2,845)
Interest expense, net341 439 394 
Other (income) expense, net(38)26 
Income (loss) from continuing operations before income taxes$(289)$242 $(3,248)
Additional financial information for our segments is as follows:
for the years ended December 31 (in millions)202420232022
Depreciation Expense1:
Medical Products & Therapies$201 $232 $217 
Healthcare Systems & Technologies109 108 117 
Pharmaceuticals62 54 59 
Total depreciation expense$372 $394 $393 
1 Depreciation expense related to Corporate property, plant and equipment has been fully allocated to our segments and those allocations are reflected in the depreciation amounts presented herein.
Our chief operating decision maker does not receive asset or capital expenditure information by segment and, accordingly, we do not report that information for our segments.
v3.25.0.1
QUARTERLY FINANCIAL DATA (UNAUDITED)
12 Months Ended
Dec. 31, 2024
Quarterly Financial Information Disclosure [Abstract]  
QUARTERLY FINANCIAL DATA (UNAUDITED)
QUARTERLY FINANCIAL DATA (UNAUDITED)
The following table represents data from our unaudited consolidated statements of income (loss) for the most recent eight quarters. This quarterly information has been prepared on the same basis as the consolidated financial statements and includes all normal recurring adjustments necessary to fairly state the information for the periods
presented. The results of operations of any quarter are not necessarily indicative of the results that may be expected for any future period.

2024
(in millions, except per share data)First
Quarter
Second Quarter2
Third
Quarter
Fourth Quarter3
Full Year 1
Net sales$2,490 $2,694 $2,699 $2,753 $10,636 
Gross margin961 1,031 1,033 959 3,984 
Income (loss) from continuing operations95 61 (488)(326)
Income (loss) from discontinued operations33 (406)83 (22)(312)
Net income (loss)39 (311)144 (510)(638)
Net income (loss) attributable to Baxter stockholders37 (314)140 (512)(649)
Income (loss) from continuing operations per common share
Basic$0.01 $0.19 $0.12 $(0.95)$(0.64)
Diluted$0.01 $0.19 $0.12 $(0.95)$(0.64)
Income (loss) from discontinued operations per common share
Basic$0.06 $(0.81)$0.15 $(0.05)$(0.63)
Diluted$0.06 $(0.81)$0.15 $(0.05)$(0.63)
Net Income (loss) per common share
Basic$0.07 $(0.62)$0.27 $(1.00)$(1.27)
Diluted$0.07 $(0.62)$0.27 $(1.00)$(1.27)

2023
(in millions, except per share data)First
Quarter
Second Quarter4
Third
Quarter5
Fourth Quarter
Full Year 1
Net sales$2,441 $2,591 $2,599 $2,729 $10,360 
Gross margin964 1,030 1,056 1,100 4,150 
Income (loss) from continuing operations(48)(27)37 219 181 
Income from discontinued operations93 (112)2,474 27 2,482 
Net income (loss)45 (139)2,511 246 2,663 
Net income (loss) attributable to Baxter stockholders44 (141)2,508 245 2,656 
Income (loss) from continuing operations per common share
Basic$(0.10)$(0.05)$0.07 $0.43 $0.36 
Diluted$(0.10)$(0.05)$0.07 $0.43 $0.36 
Income from discontinued operations per common share
Basic$0.19 $(0.23)$4.88 $0.05 $4.89 
Diluted$0.19 $(0.23)$4.86 $0.05 $4.87 
Net Income (loss) per common share
Basic$0.09 $(0.28)$4.95 $0.48 $5.25 
Diluted$0.09 $(0.28)$4.93 $0.48 $5.23 
1The sum of per share amounts for quarterly periods may not equal full year amounts due to rounding.
2Our results from discontinued operations for the quarter ended June 30, 2024 included a $430 million charge related to a goodwill impairment of our Chronic Therapies reporting unit within our Kidney Care segment.
3Our results from continuing operations for the fourth quarter ended December 31, 2024 included a $425 million charge related to a goodwill impairment of our Front Line Care reporting unit within our Healthcare Systems & Technologies segment.
4Our results from discontinued operations for the quarter ended June 30, 2023 included $243 million of long-lived asset impairment charges resulting from our decision to cease production at one of our dialyzer manufacturing facilities.
5Our results from discontinued operations for the quarter ended September 30, 2023 included a gain of $2.88 billion from the sale of our BPS business, partially offset by $267 million of long-lived asset impairment charges related to our the hemodialysis business of our former Kidney Care segment.
v3.25.0.1
Pay vs Performance Disclosure - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2024
Sep. 30, 2024
Jun. 30, 2024
Mar. 31, 2024
Dec. 31, 2023
Sep. 30, 2023
Jun. 30, 2023
Mar. 31, 2023
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Pay vs Performance Disclosure                      
Net income (loss) attributable to Baxter stockholders $ (512) $ 140 $ (314) $ 37 $ 245 $ 2,508 $ (141) $ 44 $ (649) $ 2,656 $ (2,433)
v3.25.0.1
Insider Trading Arrangements
3 Months Ended
Dec. 31, 2024
Trading Arrangements, by Individual  
Rule 10b5-1 Arrangement Adopted false
Non-Rule 10b5-1 Arrangement Adopted false
Rule 10b5-1 Arrangement Terminated false
Non-Rule 10b5-1 Arrangement Terminated false
v3.25.0.1
Insider Trading Policies and Procedures
12 Months Ended
Dec. 31, 2024
Insider Trading Policies and Procedures [Line Items]  
Insider Trading Policies and Procedures Adopted true
v3.25.0.1
Cybersecurity Risk Management and Strategy Disclosure
12 Months Ended
Dec. 31, 2024
Cybersecurity Risk Management, Strategy, and Governance [Line Items]  
Cybersecurity Risk Management Processes for Assessing, Identifying, and Managing Threats [Text Block]
We assess, identify and manage risks from cybersecurity threats through our Global Cybersecurity and Compliance Program (Cybersecurity Program). Cybersecurity risks identified in the Cybersecurity Program are integrated into our Enterprise Risk Management Program. In addition, the Cybersecurity Program seeks to incorporate consideration of cybersecurity risk into our product development, business strategy, financial planning and capital allocation decisions.
The Cybersecurity Program is currently overseen by the Board of Directors (Board) and is managed by a dedicated Chief Information Security Officer (CISO), who in turn reports to the Chief Information Officer (CIO), who currently reports to the CEO. The CISO's organization has oversight responsibilities for cybersecurity strategy, policy, standards, architecture and processes for the security of our corporate and manufacturing enterprise network, information assets and medical device technologies. Our current CISO has over 20 years of experience in cybersecurity and risk and technology management, and has held numerous positions in the cybersecurity sector, including serving as Global Cyber Risk Officer at another Fortune 500 medical products and equipment company and CISO at other healthcare companies and health care delivery organizations. Our current CIO has over 30 years of experience in information technology and has served in a number of professional services leadership roles, including as CIO over the past 15 years at three companies. The CISO’s organization monitors and manages, and works to identify and assess, cybersecurity risk through various technologies, resources, processes and policies that are updated as necessary to align with the changing threat landscape, our evolving business needs as well as global regulatory requirements. In addition, from time to time, we also utilize external auditors and assessors to help evaluate our Cybersecurity Program, including conducting penetration testing and vulnerability, risk and maturity assessments. We also actively engage with industry experts, regulatory agencies, advocacy groups, industry peers, intelligence and law enforcement communities as part of our continuing efforts to evaluate and enhance the effectiveness of our Cybersecurity Program and to stay abreast of the emerging cybersecurity landscape.
Cybersecurity Risk Management Processes Integrated [Flag] true
Cybersecurity Risk Management Processes Integrated [Text Block] Cybersecurity risks identified in the Cybersecurity Program are integrated into our Enterprise Risk Management Program. In addition, the Cybersecurity Program seeks to incorporate consideration of cybersecurity risk into our product development, business strategy, financial planning and capital allocation decisions.
Cybersecurity Risk Management Third Party Engaged [Flag] true
Cybersecurity Risk Third Party Oversight and Identification Processes [Flag] true
Cybersecurity Risk Materially Affected or Reasonably Likely to Materially Affect Registrant [Flag] false
Cybersecurity Risk Board of Directors Oversight [Text Block] Program are integrated into our Enterprise Risk Management Program. In addition, the Cybersecurity Program seeks to incorporate consideration of cybersecurity risk into our product development, business strategy, financial planning and capital allocation decisions. The Cybersecurity Program is currently overseen by the Board of Directors (Board) and is managed by a dedicated Chief Information Security Officer (CISO), who in turn reports to the Chief Information Officer (CIO), who currently reports to the CEO. The CISO's organization has oversight responsibilities for cybersecurity strategy, policy, standards, architecture and processes for the security of our corporate and manufacturing enterprise network, information assets and medical device technologies.
Cybersecurity Risk Board Committee or Subcommittee Responsible for Oversight [Text Block] In February 2024, we amended the charters of the Audit Committee and Quality and Regulatory Compliance (QRC) Committee of our Board to provide for the realignment of oversight over the company’s innovation strategy and cybersecurity to the full Board, as these responsibilities now sit within the vertically integrated segments and are part of the business strategies themselves. The Board oversees information technology functions generally, including product related cybersecurity matters (which had previously been subject to the oversight of the QRC Committee). The Audit Committee is responsible for the oversight of certain significant cybersecurity incidents, including ones related to our products and services and receives related updates from management on those incidents
Cybersecurity Risk Process for Informing Board Committee or Subcommittee Responsible for Oversight [Text Block]
The Cybersecurity Program maintains a cybersecurity governance and oversight framework that seeks to drive accountability for all levels of employees, including senior management and executive officers. Cybersecurity matters are generally managed by a combination of working groups that report to the cybersecurity compliance committee and ultimately the cybersecurity executive oversight committee, as appropriate. Our cross functional cybersecurity compliance committee, which is led by the CISO, is composed of members of senior management, including the CIO, and reviews matters such as cybersecurity escalations, critical remediations and disclosure recommendations. The output from the cybersecurity compliance committee meetings is discussed at meetings of Baxter’s cybersecurity executive oversight committee, which is led by the CISO and includes the CIO and other members of management.
In February 2024, we amended the charters of the Audit Committee and Quality and Regulatory Compliance (QRC) Committee of our Board to provide for the realignment of oversight over the company’s innovation strategy and cybersecurity to the full Board, as these responsibilities now sit within the vertically integrated segments and are part of the business strategies themselves. The Board oversees information technology functions generally, including product related cybersecurity matters (which had previously been subject to the oversight of the QRC Committee). The Audit Committee is responsible for the oversight of certain significant cybersecurity incidents, including ones related to our products and services and receives related updates from management on those incidents. Consistent with this oversight responsibility, the Audit Committee is responsible for reviewing proposed disclosures in connection with any material cybersecurity incident consistent with our disclosure obligations under Item 1.05 of Form 8-K. The full Board receives periodic updates on information technology and cybersecurity matters from company management (including the CIO and CISO) and external advisors from time to time and the Audit Committee receives periodic updates (including as part of continuing director education) on the evolving cybersecurity landscape and regulatory reporting requirements.
The CISO maintains and annually updates a Cybersecurity Incident Response Plan which is a guide for our Cyber Security Incident Response Team and business to respond to cybersecurity incidents in a coordinated manner. Additionally, the CISO, in partnership with a third-party consultant, facilitates periodic cyber-crisis tabletop exercises with members of senior management (including our executive officers) to help us prepare for the occurrence of a significant cybersecurity event and our related response activities. Cybersecurity risks and threats, including any previous cybersecurity incidents, have not materially impacted us or our operations to date. However, we cannot provide any assurance that we will not be subject to a material cybersecurity incident in the future. See "Risks Relating to Our Operations—Breaches and breakdowns affecting our information technology systems or protected information, including from cyber security breaches and data leakage, could have a material adverse effect on our business, results of operations, financial condition, cash flows, reputation and competitive position” in Item 1A. Risk Factors of this Annual Report on Form 10-K for a discussion of cybersecurity-related risks.
Cybersecurity Risk Role of Management [Text Block]
The Cybersecurity Program maintains a cybersecurity governance and oversight framework that seeks to drive accountability for all levels of employees, including senior management and executive officers. Cybersecurity matters are generally managed by a combination of working groups that report to the cybersecurity compliance committee and ultimately the cybersecurity executive oversight committee, as appropriate. Our cross functional cybersecurity compliance committee, which is led by the CISO, is composed of members of senior management, including the CIO, and reviews matters such as cybersecurity escalations, critical remediations and disclosure recommendations. The output from the cybersecurity compliance committee meetings is discussed at meetings of Baxter’s cybersecurity executive oversight committee, which is led by the CISO and includes the CIO and other members of management.
In February 2024, we amended the charters of the Audit Committee and Quality and Regulatory Compliance (QRC) Committee of our Board to provide for the realignment of oversight over the company’s innovation strategy and cybersecurity to the full Board, as these responsibilities now sit within the vertically integrated segments and are part of the business strategies themselves. The Board oversees information technology functions generally, including product related cybersecurity matters (which had previously been subject to the oversight of the QRC Committee). The Audit Committee is responsible for the oversight of certain significant cybersecurity incidents, including ones related to our products and services and receives related updates from management on those incidents. Consistent with this oversight responsibility, the Audit Committee is responsible for reviewing proposed disclosures in connection with any material cybersecurity incident consistent with our disclosure obligations under Item 1.05 of Form 8-K. The full Board receives periodic updates on information technology and cybersecurity matters from company management (including the CIO and CISO) and external advisors from time to time and the Audit Committee receives periodic updates (including as part of continuing director education) on the evolving cybersecurity landscape and regulatory reporting requirements.
The CISO maintains and annually updates a Cybersecurity Incident Response Plan which is a guide for our Cyber Security Incident Response Team and business to respond to cybersecurity incidents in a coordinated manner. Additionally, the CISO, in partnership with a third-party consultant, facilitates periodic cyber-crisis tabletop exercises with members of senior management (including our executive officers) to help us prepare for the occurrence of a significant cybersecurity event and our related response activities. Cybersecurity risks and threats, including any previous cybersecurity incidents, have not materially impacted us or our operations to date. However, we cannot provide any assurance that we will not be subject to a material cybersecurity incident in the future. See "Risks Relating to Our Operations—Breaches and breakdowns affecting our information technology systems or protected information, including from cyber security breaches and data leakage, could have a material adverse effect on our business, results of operations, financial condition, cash flows, reputation and competitive position” in Item 1A. Risk Factors of this Annual Report on Form 10-K for a discussion of cybersecurity-related risks.
Cybersecurity Risk Management Positions or Committees Responsible [Flag] true
Cybersecurity Risk Management Positions or Committees Responsible [Text Block] In February 2024, we amended the charters of the Audit Committee and Quality and Regulatory Compliance (QRC) Committee of our Board to provide for the realignment of oversight over the company’s innovation strategy and cybersecurity to the full Board, as these responsibilities now sit within the vertically integrated segments and are part of the business strategies themselves. The Board oversees information technology functions generally, including product related cybersecurity matters (which had previously been subject to the oversight of the QRC Committee). The Audit Committee is responsible for the oversight of certain significant cybersecurity incidents, including ones related to our products and services and receives related updates from management on those incidents
Cybersecurity Risk Management Expertise of Management Responsible [Text Block] Our current CISO has over 20 years of experience in cybersecurity and risk and technology management, and has held numerous positions in the cybersecurity sector, including serving as Global Cyber Risk Officer at another Fortune 500 medical products and equipment company and CISO at other healthcare companies and health care delivery organizations. Our current CIO has over 30 years of experience in information technology and has served in a number of professional services leadership roles, including as CIO over the past 15 years at three companies.
Cybersecurity Risk Process for Informing Management or Committees Responsible [Text Block]
The Cybersecurity Program maintains a cybersecurity governance and oversight framework that seeks to drive accountability for all levels of employees, including senior management and executive officers. Cybersecurity matters are generally managed by a combination of working groups that report to the cybersecurity compliance committee and ultimately the cybersecurity executive oversight committee, as appropriate. Our cross functional cybersecurity compliance committee, which is led by the CISO, is composed of members of senior management, including the CIO, and reviews matters such as cybersecurity escalations, critical remediations and disclosure recommendations. The output from the cybersecurity compliance committee meetings is discussed at meetings of Baxter’s cybersecurity executive oversight committee, which is led by the CISO and includes the CIO and other members of management.
In February 2024, we amended the charters of the Audit Committee and Quality and Regulatory Compliance (QRC) Committee of our Board to provide for the realignment of oversight over the company’s innovation strategy and cybersecurity to the full Board, as these responsibilities now sit within the vertically integrated segments and are part of the business strategies themselves. The Board oversees information technology functions generally, including product related cybersecurity matters (which had previously been subject to the oversight of the QRC Committee). The Audit Committee is responsible for the oversight of certain significant cybersecurity incidents, including ones related to our products and services and receives related updates from management on those incidents. Consistent with this oversight responsibility, the Audit Committee is responsible for reviewing proposed disclosures in connection with any material cybersecurity incident consistent with our disclosure obligations under Item 1.05 of Form 8-K. The full Board receives periodic updates on information technology and cybersecurity matters from company management (including the CIO and CISO) and external advisors from time to time and the Audit Committee receives periodic updates (including as part of continuing director education) on the evolving cybersecurity landscape and regulatory reporting requirements.
The CISO maintains and annually updates a Cybersecurity Incident Response Plan which is a guide for our Cyber Security Incident Response Team and business to respond to cybersecurity incidents in a coordinated manner. Additionally, the CISO, in partnership with a third-party consultant, facilitates periodic cyber-crisis tabletop exercises with members of senior management (including our executive officers) to help us prepare for the occurrence of a significant cybersecurity event and our related response activities. Cybersecurity risks and threats, including any previous cybersecurity incidents, have not materially impacted us or our operations to date. However, we cannot provide any assurance that we will not be subject to a material cybersecurity incident in the future. See "Risks Relating to Our Operations—Breaches and breakdowns affecting our information technology systems or protected information, including from cyber security breaches and data leakage, could have a material adverse effect on our business, results of operations, financial condition, cash flows, reputation and competitive position” in Item 1A. Risk Factors of this Annual Report on Form 10-K for a discussion of cybersecurity-related risks.
Cybersecurity Risk Management Positions or Committees Responsible Report to Board [Flag] true
v3.25.0.1
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Policies)
12 Months Ended
Dec. 31, 2024
Accounting Policies [Abstract]  
Nature of Operations
Nature of Operations
Baxter International Inc., through our subsidiaries (collectively, Baxter, we, our or us), provides a broad portfolio of essential healthcare products, including sterile intravenous (IV) solutions; infusion systems, administrative sets; parenteral nutrition therapies; surgical hemostat, sealant and adhesion prevention products; connected care solutions and collaboration tools, including smart bed systems, patient monitoring systems and diagnostic technologies; respiratory health devices; advanced equipment for the surgical space, including operating room integration technologies, precision positioning devices and other accessories; injectable pharmaceuticals; inhaled anesthetics and drug compounding services. These products are used by hospitals, nursing homes, rehabilitation centers, ambulatory surgery centers, doctors’ offices, kidney dialysis centers and patients at home under physician supervision. Our global footprint and the critical nature of our products and services play a key role in expanding access to healthcare in emerging and developed countries. Our business is comprised of three reportable segments: Medical Products & Therapies, Healthcare Systems & Technologies, and Pharmaceuticals which are described in Note 18.
On August 12, 2024, we entered into an Equity Purchase Agreement (EPA ) with certain affiliates of Carlyle Group Inc. (Carlyle) to sell our Kidney Care business. That business, which is now known as Vantive Health LLC (Vantive) is comprised of our former Kidney Care segment and provides chronic and acute dialysis therapies and services, including peritoneal dialysis, hemodialysis, continuous renal replacement therapies, and other organ support therapies. On January 31, 2025, we completed the sale of our Kidney Care business to Carlyle for an aggregate purchase price of $3.80 billion in cash, subject to certain closing cash, working capital and debt adjustments. After giving effect to certain adjustments, we received approximately $3.71 billion pre-tax cash proceeds at closing of the transaction with the net after tax proceeds currently estimated to be approximately $3.4 billion, subject to certain post-closing adjustments. We determined that our Kidney Care business met the criteria to be classified as held-for-sale in August 2024, and we also concluded that it met the conditions to be reported as a discontinued operation at that time. Accordingly, our Kidney Care business is reported in discontinued operations in the accompanying consolidated financial systems, and our prior period results have been adjusted to reflect discontinued operations presentation. See Note 2 for additional information.
Hurricane Helene
In September 2024, Hurricane Helene, which brought significant rain and extensive flooding to Western North Carolina, caused damage to certain of our assets at our North Cove facility in Marion, N.C. and disrupted operations at that facility. Since then, we have actively worked with our customers, regulators and other stakeholders to manage inventory and minimize disruption to patient care as we worked towards resuming our North Cove manufacturing operations. Our insurance policies generally cover the repair or replacement of our assets that suffer loss or damage, less applicable deductibles and subject to any coverage limits and exclusions. Our insurance policies also provide coverage for interruption to our business, including lost profits, and reimbursement for other expenses and costs that have been incurred relating to the damages and losses suffered. In 2024, we recorded $110 million of pre-tax net charges related to damages caused by Hurricane Helene. This consisted of $44 million related to the write-off of damaged inventory and fixed assets as well as $317 million of remediation, idle facility, air freight and other costs offset by $251 million of insurance recoveries. These amounts were recorded as a component of cost of sales in the consolidated statement of income (loss) for the year ended December 31, 2024.
Risks and Uncertainties
Risks and Uncertainties
Supply Constraints and Global Economic Conditions
In recent years, we have experienced significant challenges to our global supply chain, including production delays and interruptions, increased costs and shortages of raw materials and component parts (including resins and electromechanical devices), higher transportation costs, adverse impacts from significant weather events (including Hurricane Helene and the flooding of our North Cove facility), elevated inflation levels and interest rates, disruptions to certain ports of call and access to shipping lanes around the world, the war in Ukraine, the conflict in the Middle East and other geopolitical events. While we have seen improvements in the availability of component parts and
improved pricing of raw materials and on transportation costs, some of these challenges (such as additional transportation costs resulting from Hurricane Helene as we transfer product across our global network in the interest of increasing the availability of intravenous solutions for our customers while we work to fully remediate our North Cove facility) are expected to have a negative impact on our results of operations in the future.
We expect that the challenges caused by global economic conditions, among other factors, may continue to have an adverse effect on our business.
Use of Estimates
Use of Estimates
The preparation of financial statements in conformity with U.S. Generally Accepted Accounting Principles (U.S. GAAP) requires us to make estimates and assumptions that affect the reported amounts and related disclosures in the consolidated financial statements and accompanying notes. Actual results could differ from those estimates.
Principles of Consolidation
Principles of Consolidation
The consolidated financial statements include the accounts of Baxter and our majority-owned subsidiaries that we control, after elimination of intra-company balances and transactions.
Revenue Recognition
Revenue Recognition
Revenue is measured as the amount of consideration we expect to receive in exchange for transferring goods or providing services. A performance obligation is a promise in a contract to transfer a distinct good or service to the customer and is the unit of account in the contract. A contract’s transaction price is allocated to each distinct performance obligation and recognized as revenue when, or as, the performance obligation is satisfied. Some of our contracts have multiple performance obligations. For contracts with multiple performance obligations, we allocate the contract’s transaction price to each performance obligation using our best estimate of the standalone selling price of each distinct good or service in the contract. Our global payment terms are typically between 30-90 days.
Our primary customers are hospitals, healthcare distribution companies and government agencies that purchase healthcare products on behalf of providers. Most of our performance obligations are satisfied at a point in time. This includes sales of our broad portfolio of essential healthcare products across our business segments. We earn revenues from sterile IV solutions; infusion systems and devices; parenteral nutrition therapies; inhaled anesthetics; generic injectable pharmaceuticals; surgical hemostat and sealant products, smart bed systems; patient monitoring and diagnostic technologies; respiratory health devices; and advanced equipment for the surgical space. For most of those offerings, our performance obligation is satisfied upon delivery to the customer. Shipping and handling activities are considered to be fulfillment activities and are not considered to be a separate performance obligation.
To a lesser extent, we enter into arrangements for which revenue may be recognized over time. For example, we lease medical equipment to customers under operating lease arrangements and recognize the related revenues on a monthly basis over the lease term. Our Healthcare Systems & Technologies segment includes connected care solutions and collaboration tools that are implemented over time. We recognize revenue for these arrangements over time or at a point in time depending on our evaluation of when the customer obtains control of the promised goods or services. We also earn revenue from contract manufacturing activities, which is recognized over time as the services are performed. Revenue is recognized over time when we are creating or enhancing an asset that the customer controls as the asset is created or enhanced or our performance does not create an asset with an alternative use and we have an enforceable right to payment for performance completed.
As of December 31, 2024, we had $5.47 billion of transaction price allocated to remaining performance obligations related to executed contracts with an original duration of more than one year, which are primarily included in the Medical Product and Therapies segments. Some contracts in the United States included in this amount contain index-dependent price increases, which are not known at this time. We expect to recognize approximately 25% of this amount as revenue in 2025, 20% in 2026, 20% in 2027, 35% in 2028 and the remainder thereafter.
Significant Judgments
Revenues from product sales are recorded at the net sales price, which includes estimates of variable consideration, primarily related to rebates and distributor chargebacks. These reserves are based on estimates of the amounts earned or to be claimed on the related sales and are included in accrued expenses and other current liabilities and as reductions of accounts receivable, net on the consolidated balance sheets. Management's estimates take into consideration historical experience, current contractual and statutory requirements, specific known market events and trends, industry data and forecasted customer buying and payment patterns. Overall,
these reserves reflect our best estimates of the amount of consideration to which we are entitled based on the terms of the contract using the expected value method. The amount of variable consideration included in the net sales price is limited to the amount for which it is probable that a significant reversal in revenue will not occur when the related uncertainty is resolved. Revenue recognized in the years ended December 31, 2024, 2023 and 2022 related to performance obligations satisfied in prior periods was not material. Additionally, our contracts with customers often include promises to transfer multiple products and services to a customer. Determining whether products and services are considered distinct performance obligations that should be accounted for separately and determining the allocation of the transaction price may require significant judgment.
Practical Expedients
Practical Expedients
We apply a practical expedient to expense as incurred costs to obtain a contract with a customer when the amortization period would have been one year or less. We do not disclose the value of the transaction price that is allocated to unsatisfied performance obligations for contracts with an original expected length of less than one year. We have elected to use the practical expedient to not adjust the promised amount of consideration for the effects of a significant financing component if it is expected, at contract inception, that the period between when we transfer a promised good or service to a customer and when the customer pays for that good or service will be one year or less. Additionally, all taxes assessed by a governmental authority that are both imposed on and concurrent with a specific revenue-producing transaction and collected from a customer are excluded from revenue.
Accounts Receivable and Allowance for Doubtful Accounts
Accounts Receivable and Allowance for Doubtful Accounts
In the normal course of business, we provide credit to our customers, perform credit evaluations of these customers and maintain reserves for potential credit losses. In determining the amount of the allowance for doubtful accounts, we consider, among other items, historical credit losses, the past-due status of receivables, payment histories, other customer-specific information, current economic conditions and reasonable and supportable future forecasts. Receivables are written off when we determine that they are uncollectible.
Shipping and Handling Costs
Shipping and Handling Costs
Shipping costs incurred to physically move product from our premises to the customer’s premises are classified as selling, general and administrative (SG&A) expenses. Handling costs, which are costs incurred to store, move and prepare products for shipment, are classified as cost of sales. Approximately $382 million in 2024, $358 million in 2023 and $388 million in 2022 of shipping costs were classified in SG&A expenses.
Cash, Cash Equivalents and Restricted Cash
Cash, Cash Equivalents and Restricted Cash
Cash and cash equivalents include cash, certificates of deposit and money market and other short-term funds with original maturities of three months or less. Restricted cash represents cash balances restricted as to withdrawal or use and are included in prepaid expenses and other current assets on the consolidated balance sheets.
Inventories
Inventories
Inventories are stated at the lower of cost or net realizable value determined by the first-in, first-out method. We review inventories on hand at least quarterly and record provisions for estimated excess, slow-moving and obsolete inventory, as well as inventory with a carrying value in excess of net realizable value.
Property, Plant and Equipment, Net
Property, Plant and Equipment, Net
Property, plant and equipment are stated at cost. Depreciation expense is calculated using the straight-line method over the estimated useful lives of the related assets, which range from 20 to 50 years for buildings and improvements and from 3 to 15 years for machinery and equipment. Leasehold improvements are amortized over the life of the related facility lease (including any renewal periods, if appropriate) or the asset, whichever is shorter. We capitalize certain computer software and software development costs incurred in connection with developing or obtaining software for internal use. Capitalized software costs are included within machinery and equipment and are amortized on a straight-line basis over the estimated useful lives of the software, which generally range from three to five years.
Research and Development
Research and Development
Research and development (R&D) costs, including R&D acquired in transactions that are not business combinations, are expensed as incurred. Pre-regulatory approval contingent milestone obligations to counterparties in collaborative arrangements, which include acquired R&D, are expensed when the milestone is probable to be achieved. Contingent milestone payments made to such counterparties on or after regulatory approval are capitalized and amortized over the remaining useful life of the related product. Amounts capitalized for such payments are included in other intangible assets, net.
Acquired in-process R&D (IPR&D) is the value assigned to technology or products under development acquired in a business combination which have not received regulatory approval and have no alternative future use. Acquired IPR&D is capitalized as an indefinite-lived intangible asset. Development costs incurred after the acquisition are expensed as incurred. Upon receipt of regulatory approval of the related technology or product, the indefinite-lived intangible asset is accounted for as a finite-lived intangible asset and amortized on a straight-line basis over the estimated economic life of the related technology or product, subject to annual impairment reviews as discussed below. If the R&D project is abandoned, the indefinite-lived asset is charged to expense.
Collaborative Arrangements
Collaborative Arrangements
We periodically enter into collaborative arrangements in the normal course of business. These collaborative arrangements take a number of forms and structures and are designed to enhance and expedite long-term sales and profitability growth. These arrangements may provide for us to obtain commercialization rights to a product under development, and require us to make upfront payments, contingent milestone payments, profit-sharing, and/or royalty payments. We may be responsible for ongoing costs associated with the arrangements, including R&D cost reimbursements to the counterparty. See the Research and Development section of this note regarding the accounting treatment of upfront and contingent milestone payments. Any royalty and profit-sharing payments during the commercialization phase are expensed as cost of sales when they become due and payable.
Restructuring Charges
Restructuring Charges
We record liabilities for costs associated with exit or disposal activities in the period in which the liability is incurred. Employee termination costs are primarily recorded when actions are probable and estimable. Costs for one-time termination benefits in which the employee is required to render service until termination in order to receive the benefits are recognized ratably over the future service period. Refer to the discussion below regarding the accounting for asset impairment charges.
Goodwill, Intangible Assets, and Other Long-Lived Assets
Goodwill, Intangible Assets and Other Long-Lived Assets
Goodwill is initially measured as the excess of the purchase price over the fair value (or other measurement attribute required by U.S. GAAP) of acquired assets and liabilities in a business combination. Management performs an impairment test in the fourth quarter of each year, or whenever events or changes in circumstances indicate that the fair value of the reporting unit is more likely than not below its carrying amount. We have the option to assess goodwill for impairment by initially performing a qualitative assessment to determine whether it is more-likely-than-not that the fair value of a reporting unit is less than its carrying amount. If we determine that it is not more-likely-than-not that the fair value of a reporting unit is less than its carrying amount, then the quantitative goodwill impairment test is not required to be performed. If we determine that it is more-likely-than-not that the fair value of a reporting unit is less than its carrying amount, or if we do not elect the option to perform an initial qualitative assessment, we perform a quantitative goodwill impairment test.  In the quantitative impairment test, we calculate the estimated fair value of the reporting unit. If the carrying amount of the reporting unit exceeds the estimated fair value, an impairment charge is recorded for the amount that its carrying amount, including goodwill, exceeds its fair value, limited to the total amount of goodwill allocated to that reporting unit. In a quantitative goodwill impairment test, the fair values of our reporting units are generally determined based on a discounted cash flow model (an income approach) and earnings multiples (a market approach). Significant assumptions in reporting unit fair value measurements generally include revenue growth rates, forecasted earnings before interest, taxes, depreciation and amortization (EBITDA) margins, discount rates, terminal growth rates and earnings multiples. Each of those assumptions can significantly affect the fair values of our reporting units.
Indefinite-lived intangible assets, such as IPR&D acquired in business combinations and certain trade names with indefinite lives, are subject to an impairment review annually in the fourth quarter and whenever indicators of impairment exist. We have the option to assess indefinite-lived intangible assets for impairment by first performing
qualitative assessments to determine whether it is more-likely-than-not that the fair values of the indefinite-lived intangible assets are less than the carrying amounts. If we determine that it is more-likely-than-not that an indefinite-lived intangible asset is impaired, or if we elect not to perform an initial qualitative assessment, we then perform the quantitative impairment test by comparing the fair value of the indefinite-lived intangible asset with its carrying amount. If the carrying amount exceeds the fair value of the indefinite-lived intangible asset, we write the carrying amount down to the fair value.
We review the carrying amounts of long-lived assets used in operations, other than goodwill and intangible assets not subject to amortization, for potential impairment when events or changes in circumstances indicate that the carrying amount of an asset may not be recoverable. In evaluating recoverability, we group assets and liabilities at the lowest level such that the identifiable cash flows relating to the group are largely independent of the cash flows of other assets and liabilities. We then compare the carrying amounts of the assets or asset groups with the related estimated undiscounted future cash flows. In the event an asset (or asset group) is not recoverable, an impairment charge is recorded as the amount by which the carrying amount of the asset (or asset group) exceeds its fair value.
Long-lived assets are classified as held for sale when certain criteria are met, including when management has committed to sell the asset, the asset is available for sale in its present condition and the sale is probable of being completed within one year of the balance sheet date. Assets held for sale are no longer depreciated or amortized and they are reported at the lower of their carrying amount or fair value less cost to sell.
See Notes 3 and 5 for further information about impairments of goodwill and intangible assets recognized in the accompanying consolidated financial statements.
Investments in Debt and Equity Securities
Investments in Debt and Equity Securities
Investments in debt securities classified as available-for-sale are measured at fair value with changes in fair value reported in other comprehensive (loss) income (OCI). Investments in marketable equity securities are classified as other non-current assets and are measured at fair value with gains and losses recognized in other (income) expense, net. We have elected to apply the measurement alternative to equity securities without readily determinable fair values. As such, our non-marketable equity securities are measured at cost, less any impairment, and are adjusted for changes in fair value resulting from observable transactions for identical or similar investments of the same issuer. Gains and losses on non-marketable equity securities are also recognized in other (income) expense, net. Noncontrolling investments in common stock or in-substance common stock are accounted for under the equity method if we have the ability to exercise significant influence over the operating and financial policies of the investee. We review our investments in debt and equity securities for impairment and adjust impaired investments to fair value through earnings, as required.
Income Taxes
Income Taxes
Deferred taxes are recognized for the future tax effects of temporary differences between financial and income tax reporting based on enacted tax laws and rates. We maintain valuation allowances unless it is more-likely-than-not that the deferred tax asset will be realized. With respect to uncertain tax positions, we determine whether the position is more-likely-than-not to be sustained upon examination based on the technical merits of the position. Any tax position that meets the more-likely-than-not recognition threshold is measured and recognized in the consolidated financial statements at the largest amount of benefit that is greater than 50% likely of being realized upon ultimate settlement. The liability relating to uncertain tax positions is classified as current in the consolidated balance sheets to the extent that we anticipate making a payment within one year. Interest and penalties associated with income taxes are classified in the income tax expense (benefit) line in the consolidated statements of income (loss).
Foreign Currency Translation
Foreign Currency Translation
Cumulative translation adjustments (CTA) related to foreign operations are included in OCI. For foreign operations in highly inflationary economies, translation gains and losses are included in other (income) expense, net, and were not material in 2024, 2023 and 2022.
Derivatives and Hedging Activities
Derivatives and Hedging Activities
Derivative instruments are recognized as either assets or liabilities at fair value in the consolidated balance sheets and are classified as short-term or long-term based on the scheduled maturity of the instrument. We designate
certain of our derivatives and foreign-currency denominated debt as hedging instruments in cash flow, fair value or net investment hedges.
For each derivative instrument that is designated and effective as a cash flow hedge, the gain or loss on the derivative is recorded in AOCI and then recognized in earnings consistent with the underlying hedged item. Cash flow hedges are classified in cost of sales and interest expense, net, and are primarily related to forecasted intra-company sales denominated in foreign currencies and forecasted interest payments on anticipated issuances of debt, respectively.
For each derivative instrument that is designated and effective as a fair value hedge, the gain or loss on the derivative is recognized immediately to earnings, and offsets changes in fair value attributable to a particular risk, such as changes in interest rates, of the hedged item, which are also recognized in earnings. Changes in the fair value of hedge instruments designated as fair value hedges are classified in interest expense, net, as they hedge the interest rate risk associated with certain of our fixed-rate debt.
We have designated certain of our Euro-denominated senior notes as hedges of our net investment in our European operations and, as a result, mark to spot rate adjustments on the outstanding debt balances are recorded as a component of AOCI.
For derivative instruments that are not designated as hedges, the change in fair value is recorded directly to other (income) expense, net.
If it is determined that a derivative or nonderivative hedging instrument is no longer highly effective as a hedge, we discontinue hedge accounting prospectively. Gains or losses relating to terminations of effective cash flow hedges generally continue to be deferred and are recognized consistent with the loss or income recognition of the underlying hedged items. However, if it is probable that the hedged forecasted transactions will not occur, any gains or losses would be immediately reclassified from AOCI to earnings. If we terminate a fair value hedge, an amount equal to the cumulative fair value adjustment to the hedged item at the date of termination is amortized to earnings over the remaining term of the hedged item. If we remove a net investment hedge designation, any gain or loss recognized in AOCI are not reclassified to earnings until we sell, liquidate, or deconsolidate the foreign investments that were being hedged.
Cash flows related to the settlement of derivative instruments designated as net investment hedges of foreign operations are classified in the consolidated statements of cash flows within investing activities. Cash flows for all other derivatives, including those that are not designated as a hedge, are classified in the same line item as the cash flows of the related hedged item, which is generally within operating activities.
New Accounting Standards
New Accounting Standards
Recently issued accounting standards not yet adopted
In November 2024, the Financial Accounting Standards Board (FASB) issued Accounting Standards Update (ASU) 2024-03, Income Statement - Reporting Comprehensive Income - Expense Disaggregation Disclosures (Subtopic 220-40): Disaggregation of Income Statement Expenses, which requires disaggregated disclosure of certain expenses on an interim and annual basis in the notes to the financial statements. This standard is effective for annual consolidated financial statements for the year ending December 31, 2027 and for interim periods beginning in 2028. We are currently evaluating the impact of this new standard on our consolidated financial statements.
In December 2023, the FASB issued ASU 2023-09, Income Taxes (Topic 740): Improvement to Income Tax Disclosures, which requires (1) disclosure of specific categories in the rate reconciliation and (2) additional information for reconciling items that meet a quantitative threshold. Additionally, the amendment requires disclosure of certain disaggregated information about income taxes paid, income from continuing operations before income tax expense (benefit) and income tax expense (benefit). The standard is effective for our annual consolidated financial
statements for the year ending December 31, 2025. We are currently evaluating the impact of this standard on our consolidated financial statements.
Recently adopted accounting pronouncements 
As of January 1, 2024, we adopted ASU 2023-07, Segment Reporting (Topic 280): Improvements to Reportable Segment Disclosures, which requires enhanced disclosures about segment expenses on an annual and interim basis. This standard became effective for our annual consolidated financial statements for the year ended December 31, 2024 and for interim periods beginning in 2025. See Note 18 for further information on our segment disclosures.
As of January 2024, we adopted ASU 2022-03, Fair Value Measurement (Topic 820): Fair Value Measurement of Equity Securities Subject to Contractual Sales Restrictions, which (1) clarifies the guidance in Topic 820 on the fair value measurement of an equity security that is subject to contractual restrictions that prohibit the sale of an equity security and (2) requires specific disclosures related to such an equity security. The standard became effective for our annual consolidated financial statements for the year ended December 31, 2024 and for interim periods beginning in 2025. The impact of the adoption of this ASU did not have a material effect on our consolidated financial statements.
As of January 1, 2022, we adopted ASU 2021-05, Leases (Topic 842), which requires a lessor to classify a lease with variable lease payments (that do not depend on an index or rate) as an operating lease if (1) the lease would have been classified as a sales-type or direct financing lease, and (2) the lessor would have recognized a selling loss at lease commencement. These changes are intended to avoid recognizing a day-one loss for a lease with variable payments even though the lessor expects the arrangement will be profitable overall. The adoption of this ASU did not have a material impact on our consolidated financial statements.
v3.25.0.1
DISCONTINUED OPERATIONS (Tables)
12 Months Ended
Dec. 31, 2024
Discontinued Operations and Disposal Groups [Abstract]  
Summary of Discontinued Operations
The following table summarizes the major classes of line items included in income (loss) from discontinued operations, net of tax, for the years ended December 31, 2024, 2023 and 2022:
Kidney CareBioPharma SolutionsTotal
Year Ended December 31,Year Ended December 31,Year Ended December 31,
(in millions)202420232022202420232022202420232022
Net sales$4,513 $4,453 $4,449 $— $469 $607 $4,513 $4,922 $5,056 
Cost of sales2,812 3,628 2,932 — 216 276 2,812 3,844 3,208 
Gross margin1,701 825 1,517 — 253 331 1,701 1,078 1,848 
Selling, general and administrative expenses1,203 993 762 — 45 28 1,203 1,038 790 
Research and development expenses181 149 152 — 181 150 155 
Goodwill impairments430 — — — — — 430 — — 
Other operating expense (income), net(1)— — — — (1)— 
Operating income (loss)(112)(317)602 — 207 300 (112)(110)902 
Interest expense, net13 — (1)— 13 
Other (income) expense, net10 25 — 10 26 
Income (loss) from discontinued operations before gain on disposition and income taxes(135)(345)598 — 207 297 (135)(138)895 
Gain on disposition— — — — 2,882 — — 2,882 — 
Income tax expense (benefit)177 (95)139 — 357 64 177 262 203 
Income (loss) from discontinued operations, net of tax(312)(250)459 — 2,732 233 (312)2,482 692 
Less: Net income attributable to noncontrolling interest included in discontinued operations11 11 — — — 11 11 
Net income (loss) attributable to Baxter stockholders included in discontinued operations$(323)$(257)$448 $— $2,732 $233 $(323)$2,475 $681 
The following table summarizes the carrying amounts of the major classes of assets and liabilities classified as discontinued operations in the consolidated balance sheets as of December 31, 2024 and 2023:
as of December 31 (in millions)20242023
Cash and cash equivalents$648 $116 
Accounts receivable, net of allowances942 971 
Inventories821 906 
Prepaid expenses and other current assets200 186 
Current assets of discontinued operations2,611 2,179 
Property, plant and equipment, net1,516 1,562 
Goodwill265 721 
Other intangible assets, net148 161 
Operating lease right-of-use assets204 188 
Other non-current assets367 317 
Non-current assets of discontinued operations2,500 2,949 
Assets of discontinued operations$5,111 $5,128 
Current maturities of finance lease obligations$$
Accounts payable344 360 
Accrued expenses and other current liabilities585 679 
Current liabilities of discontinued operations930 1,040 
Long-term finance lease obligations, less current portion37 41 
Operating lease liabilities173 173 
Other non-current liabilities344 337 
Non-current liabilities of discontinued operations554 551 
Liabilities of discontinued operations$1,484 $1,591 
v3.25.0.1
SUPPLEMENTAL FINANCIAL INFORMATION (Tables)
12 Months Ended
Dec. 31, 2024
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Allowance for Doubtful Accounts
Allowance for Doubtful Accounts
The following table is a summary of changes in our allowance for doubtful accounts for the years ended December 31, 2024 and 2023.
years ended December 31
(in millions)
202420232022
Balance at beginning of period$62 $50 $52 
Charged to costs and expenses
Write-offs(8)(4)(3)
Currency translation adjustments10 (2)
Balance at end of period$71 $62 $50 
Inventories
Inventories
as of December 31 (in millions)
2024
2023
Raw materials$510 $530 
Work in process266 234 
Finished goods1,270 1,154 
Inventories$2,046 $1,918 
Prepaid Expenses and Other Current Assets
Prepaid Expenses and Other Current Assets
as of December 31 (in millions)20242023
Prepaid value added taxes$167 $118 
Prepaid income taxes199 204 
Spare parts123 141 
Contract assets51 53 
Derivative assets45 
Other205 145 
Prepaid expenses and other current assets$753 $706 
Property, Plant and Equipment, Net
Property, Plant and Equipment, Net
as of December 31 (in millions)20242023
Land and land improvements$115 $119 
Buildings and leasehold improvements1,301 1,238 
Machinery and equipment5,047 4,909 
Equipment on lease with customers467 760 
Construction in progress718 624 
Total property, plant and equipment, at cost7,648 7,650 
Accumulated depreciation(4,778)(4,779)
Property, plant and equipment, net$2,870 $2,871 
Other Non-Current Assets
Other Non-Current Assets
as of December 31 (in millions)20242023
Deferred tax assets$204 $263 
Non-current receivables, net50 42 
Contract assets82 112 
Capitalized implementation costs in hosting arrangements102 103 
Pension and other postretirement benefits56 46 
Investments109 136 
Other152 107 
Other non-current assets$755 $809 
Accrued Expenses and Other Current Liabilities
Accrued Expenses and Other Current Liabilities
as of December 31 (in millions)20242023
Common stock dividends payable$87 $147 
Employee compensation and withholdings447 477 
Property, payroll and certain other taxes96 92 
Contract liabilities131 128 
Restructuring liabilities112 81 
Accrued rebates214 240 
Operating lease liabilities80 92 
Income taxes payable121 78 
Pension and other postretirement benefits39 37 
Contingent payments related to acquisitions— 
Other534 540 
Accrued expenses and other current liabilities$1,861 $1,915 
Other Non-Current Liabilities
Other Non-Current Liabilities
as of December 31 (in millions)20242023
Pension and other postretirement benefits$678 $714 
Deferred tax liabilities103 403 
Long-term tax liabilities94 72 
Contingent payments related to acquisitions11 11 
Contract liabilities40 41 
Litigation and environmental reserves29 19 
Restructuring liabilities10 14 
Other111 126 
Other non-current liabilities$1,076 $1,400 
Interest Expense, net
Interest Expense, net
years ended December 31 (in millions)202420232022
Interest costs$421 $523 $423 
Interest costs capitalized(13)(15)(10)
Interest expense408 508 413 
Interest income(67)(69)(19)
Interest expense, net$341 $439 $394 
Other Expense, net
Other (Income) Expense, net
years ended December 31 (in millions)202420232022
Foreign exchange (gains) losses, net$25 $53 $(3)
Change in fair value of marketable equity securities(3)(7)(11)
Pension settlement and curtailment (gains) losses— — (12)
Pension and other postretirement benefit (gains) losses(39)(48)(30)
Reclassification of cumulative translation loss to earnings— — 65 
Non-marketable investment impairments    — 34 — 
Other, net(21)(6)— 
Other (income) expense, net$(38)$26 $
Other Supplemental Information
Other Supplemental Information
year ended December 31 (in millions)202420232022
Interest paid, net of portion capitalized$401 $484 $355 
Income taxes paid$223 $174 $168 
v3.25.0.1
GOODWILL AND OTHER INTANGIBLE ASSETS, NET (Tables)
12 Months Ended
Dec. 31, 2024
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill
The following is a reconciliation of goodwill by business segment.
(in millions)AmericasEMEAAPACMedical Products & Therapies
Healthcare Systems & Technologies1
PharmaceuticalsTotal
December 31, 2022$1,665 $78 $18 $— $3,988 $— $5,749 
Currency translation and other(19)(3)(2)46 21 44 
Reallocation of goodwill(1,646)(75)(16)1,195 — 542 — 
December 31, 2023$— $— $— $1,241 $3,989 $563 $5,793 
Impairment— — — — (425)— (425)
Currency translation and other— — — (56)(14)(23)(93)
December 31, 2024$— $— $— $1,185 $3,550 $540 $5,275 
1Prior to the third quarter of 2023, our Healthcare Systems & Technologies segment was referred to as our Hillrom segment.
Other Intangible Assets, Net
The following is a summary of our other intangible assets.
Indefinite-lived intangible assets
(in millions)Customer relationshipsDeveloped technology,
including patents
Trade NamesOther amortized
intangible assets
Trade NamesIn process Research and DevelopmentTotal
December 31, 2023
Gross other intangible assets$3,390 $3,181 $964 $86 $680 $157 $8,458 
Accumulated amortization(654)(1,782)(38)(66)— — $(2,540)
Other intangible assets, net$2,736 $1,399 $926 $20 $680 $157 $5,918 
December 31, 2024
Gross other intangible assets$3,387 $3,131 $958 $86 $680 $107 $8,349 
Accumulated amortization(878)(2,075)(107)(66)— — (3,126)
Other intangible assets, net$2,509 $1,056 $851 $20 $680 $107 $5,223 
v3.25.0.1
DEBT AND CREDIT FACILITIES (Tables)
12 Months Ended
Dec. 31, 2024
Debt Disclosure [Abstract]  
Debt Outstanding
At December 31, 2024 and 2023, we had the following debt outstanding:
as of December 31 (in millions)Effective interest rate as of December 31,2024¹
20241
20231
Commercial paper4.8 %$300 $— 
0.4% notes due 2024
— %— 828 
1.322% notes due 2024
— %— 1,398 
7.0% notes due 2024
— %— 13 
Floating-rate notes due 2024— %— 300 
Term loan maturing 2024— %— 130 
1.3% notes due 2025
1.5 %625 662 
Delayed draw term loan due 20255.7 %1,826 — 
2.6% notes due 2026
2.7 %749 748 
Term loan maturing 20266.7 %1,643 1,643 
7.65% debentures due 2027
7.7 %
1.915% notes due 2027
2.0 %1,446 1,445 
6.625% debentures due 2028
5.8 %94 95 
2.272% notes due 2028
2.4 %1,245 1,244 
1.3% notes due 2029
1.5 %776 828 
3.95% notes due 2030
4.1 %497 496 
1.73% notes due 2031
2.7 %646 646 
2.539% notes due 2032
2.6 %1,541 1,540 
6.25% notes due 2037
6.3 %266 265 
3.65% notes due 2042
5.4 %
4.5% notes due 2043
4.6 %256 256 
3.5% notes due 2046
3.7 %441 440 
3.132% notes due 2051
3.2 %743 741 
Finance leases and other4.2 %21 27 
Total debt and finance lease obligations13,126 13,756 
Short-term debt (2,126)— 
Current maturities of long-term debt and finance lease obligations(626)(2,667)
Long-term debt and finance lease obligations$10,374 $11,089 
1Book values include any discounts, premiums and adjustments related to hedging instruments and effective interest rates reflect amortization of those items.
Future Debt Maturities
Future Debt and Finance Lease Maturities
as of and for the years ended December 31 (in millions)Debt maturities
2025$2,757 
20262,398 
20271,458 
20281,345 
2029784 
Thereafter4,438 
Total debt and finance lease maturities13,180 
Discounts, premiums, and adjustments relating to hedging instruments(54)
Total debt and finance lease obligations$13,126 
v3.25.0.1
LEASES (Tables)
12 Months Ended
Dec. 31, 2024
Leases [Abstract]  
Components of Lease Cost
The components of lease cost for the years ended December 31, 2024, 2023 and 2022 were:
(in millions)202420232022
Operating lease cost$89 $94 $93 
Finance lease cost
Amortization of right-of-use assets
Interest on lease liabilities
Variable lease cost54 45 44 
Lease cost$148 $143 $141 
The following table contains supplemental cash flow information related to leases for the years ended December 31, 2024, 2023 and 2022:
(in millions)202420232022
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating leases$100 $115 $108 
Operating cash flows from finance leases
Financing cash flows from finance leases
Right-of-use operating lease assets obtained in exchange for lease obligations64 66 59 
Right-of-use finance lease assets obtained in exchange for lease obligations15 — 
Lease term and discount rates as of December 31, 2024 and 2023 were:
December 31, 2024December 31, 2023
Weighted-average remaining lease term (years)
Operating leases66
Finance leases88
Weighted-average discount rate
Operating leases3.1 %3.0 %
Finance leases4.2 %3.9 %
Supplemental Balance Sheet Information Related To Leases
Supplemental balance sheet information related to leases as of December 31, 2024 and 2023 include:
(in millions)20242023
Operating leases
Operating lease right-of-use assets$306 $336 
Accrued expenses and other current liabilities$80 $92 
Operating lease liabilities243 265 
Total operating lease liabilities$323 $357 
Finance leases
Property, plant and equipment, at cost$33 $33 
Accumulated depreciation(15)(13)
Property, plant and equipment, net$18 $20 
Current maturities of long-term debt and finance lease obligations$$
Long-term debt and finance lease obligations19 25 
Total finance lease liabilities$21 $27 
Maturities of Operating Lease Liabilities
Maturities of operating and finance lease liabilities as of December 31, 2024 were:
(in millions)Finance LeasesOperating Leases
2025$$93 
202675 
202763 
202844 
202924 
Thereafter10 62 
Total minimum lease payments28 361 
Less: imputed interest(7)(38)
Present value of lease liabilities$21 $323 
Maturities of Finance Lease Liabilities
Maturities of operating and finance lease liabilities as of December 31, 2024 were:
(in millions)Finance LeasesOperating Leases
2025$$93 
202675 
202763 
202844 
202924 
Thereafter10 62 
Total minimum lease payments28 361 
Less: imputed interest(7)(38)
Present value of lease liabilities$21 $323 
Components of Lease Revenue
The components of lease revenue for the years ended December 31, 2024, 2023 and 2022 were:
(in millions)202420232022
Sales-type lease revenue$10 $$
Operating lease revenue380 397 401 
Variable lease revenue28 21 17 
Total lease revenue$418 $425 $426 
Components of Net Investment In Sales-Type Leases
The components of our net investment in sales-type leases as of December 31, 2024 and 2023 were:
(in millions)20242023
Minimum lease payments$38 $50 
Unguaranteed residual values(1)— 
Net investment in leases $37 $50 
Our net investment in sales-type leases is classified as follows in the accompanying consolidated balance sheets as of December 31, 2024 and 2023:
(in millions)20242023
Accounts receivable, net$15 $25 
Other non-current assets22 26 
Total$37 $51 
Maturities of Sales-Type Leases
Maturities of sales-type and operating leases as of December 31, 2024 were:
(in millions)
Sales-type Leases1
Operating Leases
2025$20 $13 
2026
2027
2028
2029
Thereafter— — 
Total minimum lease payments$37 $33 
1 Unamortized imputed interest on minimum lease payments was less than $1 million as of December 31, 2024
Maturities of Operating Leases
Maturities of sales-type and operating leases as of December 31, 2024 were:
(in millions)
Sales-type Leases1
Operating Leases
2025$20 $13 
2026
2027
2028
2029
Thereafter— — 
Total minimum lease payments$37 $33 
1 Unamortized imputed interest on minimum lease payments was less than $1 million as of December 31, 2024
v3.25.0.1
STOCKHOLDERS’ EQUITY (Tables)
12 Months Ended
Dec. 31, 2024
Equity [Abstract]  
Stock Options Fair Value Assumptions The weighted-average assumptions used in estimating the fair value of stock options granted during each year, along with the weighted-average grant-date fair values, were as follows:
years ended December 3120232022
Expected volatility27 %24 %
Expected life (in years)6.05.5
Risk-free interest rate4.2 %1.8 %
Dividend yield3.0 %1.3 %
Fair value per stock option$$18 
Summary of Stock Option Activity
The following table summarizes stock option activity for the year ended December 31, 2024 and the outstanding stock options as of December 31, 2024.
(options and aggregate intrinsic values in thousands)OptionsWeighted-
average
exercise
price
Weighted-
average
remaining
contractual
term
(in years)
Aggregate
intrinsic
value
Outstanding as of January 1, 202419,467 $59.35 
Granted— $— 
Exercised(760)$37.43 
Forfeited(287)$47.96 
Expired(1,039)$65.21 
Outstanding as of December 31, 202417,381 $60.15 3.83$— 
Vested or expected to vest as of December 31, 202417,236 $60.31 3.80$— 
Exercisable as of December 31, 202414,718 $62.66 3.32$— 
Summary of Nonvested RSU Activity
The following table summarizes nonvested RSU activity for the year ended December 31, 2024.
(share units in thousands)Share unitsWeighted-
average
grant-date
fair value
Nonvested RSUs as of January 1, 20244,006 $49.77 
Granted5,179 $42.28 
Vested(1,565)$53.64 
Forfeited(680)$46.32 
Nonvested RSUs as of December 31, 20246,940 $43.94 
Performance Stock Units Fair Value The assumptions used in estimating the fair value of these PSUs granted during the period, along with the grant-date fair values, were as follows:
years ended December 31202420232022
Baxter volatility29 %27 %27 %
Peer group volatility
20%-52%
23%-54%
24%-54%
Correlation of returns
0.12-0.51
0.23-0.48
0.21-0.61
Risk-free interest rate4.3 %4.6 %1.6 %
Fair value per PSU$57 $30 $102 
Summary of Nonvested Performance Stock Unit Activity
The following table summarizes nonvested PSU activity for the year ended December 31, 2024.
(share units in thousands)Share unitsWeighted-
average
grant-date
fair value
Nonvested PSUs as of January 1, 2024729 $57.03 
Granted186 $57.22 
Vested(73)$77.35 
Forfeited(240)$87.85 
Nonvested PSUs as of December 31, 2024602 $42.36 
v3.25.0.1
ACCUMULATED OTHER COMPREHENSIVE INCOME (LOSS) (Tables)
12 Months Ended
Dec. 31, 2024
Equity [Abstract]  
Summary of Changes in AOCI by Component
The following table is a net-of-tax summary of the changes in AOCI by component for the years ended December 31, 2024, 2023, and 2022.
(in millions)CTAPension and OPEB plansHedging
activities
Available-for-sale debt securitiesTotal
Gains (losses)
Balance as of December 31, 2023$(2,985)$(452)$(120)$$(3,554)
Other comprehensive income (loss) before reclassifications(445)(19)10 — (454)
Amounts reclassified from AOCI (a)— (4)— (2)
Net other comprehensive income (loss)(445)(23)12 — (456)
Balance as of December 31, 2024$(3,430)$(475)$(108)$$(4,010)
(in millions)CTAPension and OPEB plansHedging
activities
Available-for-sale debt securitiesTotal
Gains (losses)
Balance as of December 31, 2022$(3,386)$(331)$(119)$$(3,833)
Other comprehensive income (loss) before reclassifications216 (106)— 115 
Amounts reclassified from AOCI (a)185 (15)(6)— 164 
Net other comprehensive income (loss)401 (121)(1)— 279 
Balance as of December 31, 2023$(2,985)$(452)$(120)$$(3,554)

(in millions)CTAPension and OPEB plansHedging
activities
Available-for-sale debt securitiesTotal
Gains (losses)
Balance as of December 31, 2021$(2,907)$(347)$(126)$— $(3,380)
Other comprehensive income (loss) before reclassifications(544)(9)22 (528)
Amounts reclassified from AOCI (a)65 25 (15)— 75 
Net other comprehensive income (loss)(479)16 (453)
Balance as of December 31, 2022$(3,386)$(331)$(119)$$(3,833)
(a)    See table below for details about these reclassifications.
Summary of Reclassification from AOCI to Net Income
The following table is a summary of the amounts reclassified from AOCI to net income (loss) during the years ended December 31, 2024 and 2023.
Amounts reclassified from
AOCI (a)
(in millions)202420232022Location of impact
in income statement
CTA
Reclassification of cumulative translation loss to earnings$— $— $(65)Other (income) expense, net
Reclassification of cumulative translation loss to earnings from BPS divestiture— (185)$— Income (loss) from discontinued operations, net of tax
— (185)(65)Total before tax
Less: Tax effect— — — Income tax expense (benefit)
$— $(185)$(65)Net of tax
Pension and OPEB items
Amortization of net losses and prior service costs or credits$$18 $(30)Other (income) expense, net
Settlement charges— (2)(1)Other (income) expense, net
Pension settlement from BPS divestiture— — Income (loss) from discontinued operations, net of tax
20 (31)Total before tax
Less: Tax effect(2)(5)Income tax expense (benefit)
$$15 $(25)Net of tax
Gains (losses) on hedging activities 
Foreign exchange contracts$$16 $26 Cost of sales
Interest rate contracts(6)(6)(6)Interest expense, net
Fair value hedges(5)(3)— Other (income) expense, net
(3)20 Total before tax
Less: Tax effect(1)(5)Income tax expense (benefit)
$(2)$$15 Net of tax
Total reclassifications for the period$$(164)$(75)Total net of tax
(a)Amounts in parentheses indicate reductions to net income.
v3.25.0.1
REVENUES (Tables)
12 Months Ended
Dec. 31, 2024
Revenue from Contract with Customer [Abstract]  
Summary of Contract Assets and Liabilities
The following table summarizes our contract assets:
as of December 31 (in millions)20242023
Contract manufacturing services$$
Software sales44 45 
Bundled equipment and consumable medical products contracts87 116 
Contract assets$133 $165 
The following table summarizes contract liability activity for the years ended December 31, 2024 and 2023. The contract liability balance represents the transaction price allocated to the remaining performance obligations.
year ended December 31 (in millions)20242023
Balance at beginning of period$169 $173 
New revenue deferrals554 478 
Revenue recognized upon satisfaction of performance obligations(555)(484)
Currency translation
Balance at end of period$171 $169 
The following table summarizes the classification of contract assets and contract liabilities as reported in the consolidated balance sheet:
as of December 31 (in millions)20242023
Prepaid expenses and other current assets$51 $53 
Other non-current assets82 112 
Contract assets$133 $165 
Accrued expenses and other current liabilities$131 $128 
Other non-current liabilities40 41 
Contract liabilities$171 $169 
v3.25.0.1
BUSINESS OPTIMIZATION CHARGES (Tables)
12 Months Ended
Dec. 31, 2024
Restructuring and Related Activities [Abstract]  
Business Optimization Charges
We recorded the following charges related to business optimization programs in 2024, 2023 and 2022:
years ended December 31 (in millions)202420232022
Restructuring charges$146 $141 $144 
Costs to implement business optimization programs1
16 33 49 
Total business optimization charges$162 $174 $193 
1 Costs to implement business optimization programs for the years ended December 31, 2024, 2023 and 2022, respectively, consisted primarily of external consulting and transition costs, including employee compensation and related costs. The costs were primarily included within cost of sales and SG&A expenses.
Components of Restructuring Costs During the years ended December 31, 2024, 2023 and 2022, we recorded the following restructuring charges:
2024
(in millions)COGSSG&AR&DTotal
Employee termination costs$20 $48 $30 $98 
Contract termination and other costs— 
Asset impairments39 — — 39 
Total restructuring charges$62 $54 $30 $146 
2023
(in millions)COGSSG&AR&DTotal
Employee termination costs$20 $91 $10 $121 
Contract termination and other costs(1)— 
Asset impairments11 — 18 
Total restructuring charges$30 $101 $10 $141 
2022
(in millions)COGSSG&AR&DTotal
Employee termination costs$15 $94 $$112 
Contract termination and other costs— 22 — 22 
Asset impairments— 10 — 10 
Total restructuring charges$15 $126 $$144 
Summary of Activity in Reserves related to Business Optimization Initiatives
The following table summarizes activity in the liability related to our restructuring initiatives.
(in millions)
Liability balance as of December 31, 2021$75 
Charges152 
Payments (118)
Reserve adjustments(18)
Currency translation(5)
Liability balance as of December 31, 202286 
Charges146 
Payments(101)
Reserve adjustments(23)
Currency translation(13)
Liability balance as of December 31, 202395 
Charges116 
Payments(80)
Reserve adjustments(9)
Currency translation— 
Liability balance as of December 31, 2024$122 
v3.25.0.1
PENSION AND OTHER POSTRETIREMENT BENEFIT PROGRAMS (Tables)
12 Months Ended
Dec. 31, 2024
Retirement Benefits [Abstract]  
Reconciliation of Pension and OPEB Plan Obligations, Assets and Funded Status
The benefit plan information in the table below pertains to all of our pension and OPEB plans, both in the United States and in other countries.    
Pension benefitsOPEB
as of and for the years ended December 31 (in millions)2024202320242023
Benefit obligations
Beginning of period$2,901 $2,665 $154 $160 
Service cost11 19 — — 
Interest cost136 148 
Participant contributions— — 
Actuarial (gain) loss(129)169 (3)
Benefit payments(133)(133)(15)(19)
Settlements(8)(14)— — 
Acquisitions— — — 
Plan Amendments— (2)— 
Foreign exchange and other(33)38 (1)— 
End of period2,748 2,901 141 154 
Fair value of plan assets
Beginning of period2,350 2,161 — — 
Actual return on plan assets(4)268 — — 
Employer contributions46 27 15 19 
Participant contributions— — 
Benefit payments(133)(133)(15)(19)
Settlements(8)(14)— — 
Foreign exchange and other(26)37 — — 
End of period2,228 2,350 — — 
Funded status at December 31$(520)$(551)$(141)$(154)
Amounts recognized in the consolidated balance sheets
Noncurrent asset$56 $46 $— $— 
Current liability(23)(20)(16)(17)
Noncurrent liability(553)(577)(125)(137)
Net liability recognized at December 31$(520)$(551)$(141)$(154)
Information Relating to Individual Plans in Funded Status that have ABO in Excess of Plan Assets The following table is information relating to the individual plans in the funded status table above that have an ABO in excess of plan assets.
as of December 31 (in millions)20242023
ABO$2,403 $2,502 
Fair value of plan assets$1,843 $1,919 
Information Relating to Individual Plans in Funded Status that have PBO in Excess of Plan Assets
The following table presents information relating to the individual plans in the funded status table above that have a PBO in excess of plan assets (many of which also have an ABO in excess of assets and are therefore also included in the table directly above).
as of December 31 (in millions)20242023
PBO$2,419 $2,561 
Fair value of plan assets$1,843 $1,961 
Expected Net Pension and OPEB Plan Payments for Next 10 Years
(in millions)Pension benefitsOPEB
2025$156 $17 
2026160 15 
2027172 14 
2028179 14 
2029183 13 
2030 through 2034973 55 
Total expected net benefit payments for next 10 years$1,823 $128 
Summary of Pre-Tax losses Included in AOCI
The following table is a summary of the pre-tax losses (gains) included in AOCI at December 31, 2024 and 2023.
(in millions)Pension benefitsOPEB
Actuarial loss (gain)$642 $(42)
Prior service credit and transition obligation11 (10)
Total pre-tax loss (gain) recognized in AOCI at December 31, 2024$653 $(52)
Actuarial loss (gain)$615 $(50)
Prior service credit and transition obligation11 (16)
Total pre-tax loss (gain) recognized in AOCI at December 31, 2023$626 $(66)
Summary of Net-of-Tax Amounts Recorded in OCI Relating to Pension and OPEB Plans The following table is a summary of the net-of-tax amounts recorded in OCI relating to pension and OPEB plans.
Year ended December 31 (in millions)202420232022
Gain (loss) arising during the year, net of tax of $(6) in 2024, $31 in 2023 and $4 in 2022
$(15)$(103)$(61)
Amortization of gain (loss) to earnings, net of tax of zero in 2024, $(5) in 2023 and $6 in 2022
(4)13 21 
Settlement charges, net of tax of zero in 2024, $(1) in 2023 and zero 2022
— (2)
Pension and other employee benefits$(19)$(92)$(39)
Net Periodic Benefit Cost - Continuing Operations
Year ended December 31 (in millions)202420232022
Pension benefits
Service cost$11 $19 $71 
Interest cost136 148 94 
Expected return on plan assets(179)(187)(156)
Amortization of net losses and other deferred amounts15 41 
Curtailment gain— — (12)
Settlement charges— — 
Other— 
Net periodic pension benefit cost$(17)$(12)$39 
OPEB
Service cost$— $— $
Interest cost
Amortization of net losses and prior service credit(19)(24)(14)
Curtailment gain— (1)— 
Net periodic OPEB cost$(11)$(17)$(9)
Weighted-Average Assumptions Used in Determining Benefit Obligations at Measurement Date
Pension benefitsOPEB
2024202320242023
Discount rate
U.S. and Puerto Rico plans5.71 %5.20 %5.54 %5.11 %
International plans3.67 %1.76 %n/an/a
Rate of compensation increase
U.S. and Puerto Rico plans3.00 %2.60 %n/an/a
International plans3.07 %2.59 %n/an/a
Annual rate of increase in the per-capita costn/an/a6.75 %6.25 %
Rate decreased ton/an/a5.00 %5.00 %
by the year endedn/an/a20322029
Pension benefitsOPEB
202420232022202420232022
Discount rate
U.S. and Puerto Rico plans5.20 %5.55 %3.01 %5.11 %5.46 %2.76 %
International plans3.41 %4.11 %1.55 %n/an/an/a
Expected return on plan assets
U.S. and Puerto Rico plans6.65 %6.43 %5.00 %n/an/an/a
International plans4.86 %4.93 %3.89 %n/an/an/a
Rate of compensation increase
U.S. and Puerto Rico plans2.60 %2.93 %3.68 %n/an/an/a
International plans3.32 %3.43 %3.17 %n/an/an/a
Annual rate of increase in the per-capita costn/an/an/a6.75 %6.25 %6.50 %
Rate decreased ton/an/an/a5.00 %5.00 %5.00 %
by the year endedn/an/an/a203220292029
Fair Value of Pension Plan Assets and Liabilities
The following tables summarize our pension plan financial instruments that are measured at fair value on a recurring basis.
Basis of fair value measurement
(in millions)Balance at December 31, 2024Quoted prices
in active
markets for
identical assets
(Level 1)
Significant
other
observable
inputs
(Level 2)
Significant
unobservable
inputs
(Level 3)
Measured at NAV (a)
Assets
Cash$52 
Fixed income securities
Cash equivalents$179 $— $179 $— $— 
U.S. government and government agency issues135 — 135 — — 
Corporate bonds357 — 357 — — 
Equity securities
Common stock353 353 — — — 
Mutual funds199 199 — — 
Common/collective trust funds540 — — — 540 
Partnership investments198 — — — 198 
Other holdings215 79 127 — 
Fair value of pension plan assets$2,228 $561 $750 $127 $738 
(a) Certain assets that are measured at fair value using the NAV per share (or its equivalent) practical expedient have not been classified in the fair value hierarchy.
Basis of fair value measurement
(in millions)Balance at December 31, 2023Quoted prices
in active
markets for
identical assets
(Level 1)
Significant
other
observable
inputs
(Level 2)
Significant
unobservable
inputs
(Level 3)
Measured at NAV (a)
Assets
Cash$60 
Fixed income securities
Cash equivalents$399 $— $399 $— $— 
U.S. government and government agency issues95 — 95 — — 
Corporate bonds265 — 265 — — 
Equity securities
Common stock344 344 — — — 
Mutual funds192 192 — — 
Common/collective trust funds540 — — — 540 
Partnership investments216 — — — 216 
Other holdings239 12 72 155 — 
Fair value of pension plan assets$2,350 $548 $831 $155 $756 
(a) Certain assets that are measured at fair value using the NAV per share (or its equivalent) practical expedient have not been classified in the fair value hierarchy.
Changes in Fair Value Measurements that Used Significant Unobservable Inputs
The following table is a reconciliation of changes in fair value measurements that used significant unobservable inputs (Level 3).
(in millions)Other
holdings
Balance at December 31, 2022$
Purchases1
148 
Balance at December 31, 2023155 
Unrealized gains (losses)(24)
Sales(7)
Purchases
Balance at December 31, 2024$127 
1 Purchases in 2023 included $148 million for an insurance contract buy-in related to our pension plan in the United Kingdom.
Funded Status Percentage of Pension Plans
The following table details the funded status percentage of our pension plans as of December 31, 2024, including certain plans that are unfunded in accordance with the guidelines of our funding policy outlined above.
United States and Puerto RicoInternational
as of December 31, 2024 (in millions)Qualified
plans
Nonqualified
plan
Funded
plans
Unfunded
plans
Total
Fair value of plan assets$1,763 $ n/a$465 $ n/a$2,228 
PBO2,015 183 518 33 2,749 
Funded status percentage87 %n/a90 %n/a81 %
v3.25.0.1
INCOME TAXES (Tables)
12 Months Ended
Dec. 31, 2024
Income Tax Disclosure [Abstract]  
Income (Loss) Before Income Tax Expense (Benefit) by Category
Income (Loss) Before Income Tax Expense (Benefit) by Category
years ended December 31 (in millions)202420232022
United States$(1,499)$(1,057)$(3,858)
International1,210 1,299 610 
Income (loss) from continuing operations before income taxes$(289)$242 $(3,248)
Income Tax Expense (Benefit)
Income Tax Expense (Benefit)
years ended December 31 (in millions)202420232022
Current
United States
Federal$19 $$
State and local21 — 
International259 307 116 
Current income tax expense (benefit)299 317 125 
Deferred
United States
Federal(197)(123)(264)
State and local(21)(25)(49)
International(44)(108)53 
Deferred income tax expense (benefit)(262)(256)(260)
Income tax expense (benefit)$37 $61 $(135)
Deferred Tax Assets and Liabilities
Deferred Tax Assets and Liabilities
as of December 31 (in millions)20242023
Deferred tax assets
Accrued liabilities and other$310 $282 
Pension and other postretirement benefits131 135 
Tax credit and net operating loss carryforwards750 723 
Swiss tax reform net asset basis step-up92 157 
Operating lease liabilities139 140 
Valuation allowances(536)(584)
Total deferred tax assets886 853 
Deferred tax liabilities
Subsidiaries’ unremitted earnings21 81 
Long-lived assets and other632 783 
Operating lease right-of-use assets132 131 
Total deferred tax liabilities785 995 
Net deferred tax asset (liability)$101 $(142)
Summary of Valuation Allowance
The following table is a summary of changes in our deferred tax valuation allowance for the years ended December 31, 2024, 2023 and 2022.
years ended December 31 (in millions)202420232022
Balance at beginning of period$584 $631 $326 
Charged to income tax expense48 87 313 
Deductions(73)(139)(1)
Currency translation adjustments(23)(7)
Balance at end of period$536 $584 $631 
Income Tax Expense (Benefit) Reconciliation
Income Tax Expense (Benefit) Reconciliation
years ended December 31 (in millions)202420232022
Income tax expense (benefit) at U.S. statutory rate$(61)$51 $(682)
Tax incentives(176)(200)(156)
State and local taxes, net of federal benefit(9)(2)(27)
Impact of foreign taxes137 190 78 
Non-deductible goodwill impairments86 — 591 
Notional interest deduction expense (benefit)(37)31 (306)
Valuation allowances(25)(51)312 
Stock compensation (windfall) shortfall tax expense (benefit)10 (4)
Research and development tax credits(19)(17)(8)
Uncertain tax positions(7)
Unutilized foreign tax credits15 32 32 
Subpart F income18 26 11 
Foreign tax credits(5)(7)
Pillar Two taxes11 — — 
Revaluation of Swiss basis step-up deferred tax asset58 — — 
Tax law changes on Section 98717 — — 
Other, net(8)27 
Income tax expense (benefit)$37 $61 $(135)
Reconciliation of Unrecognized Tax Benefits
The following table is a reconciliation of our unrecognized tax benefits for the years ended December 31, 2024, 2023 and 2022. 
as of and for the years ended (in millions)202420232022
Balance at beginning of the year$89 $87 $106 
Increase associated with tax positions taken during the current year10 11 
Increase (decrease) associated with tax positions taken during a prior year14 
Settlements(1)(2)(7)
Decrease associated with lapses in statutes of limitations(7)(8)(37)
Balance at end of the year$96 $89 $87 
v3.25.0.1
EARNINGS (LOSS) PER SHARE (Tables)
12 Months Ended
Dec. 31, 2024
Earnings Per Share [Abstract]  
Schedule of Earnings Per Share, Basic and Diluted
The following table is a reconciliation of net income (loss) attributable to Baxter stockholders.
years ended December 31(in millions)202420232022
Income (loss) from continuing operations$(326)$181 $(3,113)
Less: Net income attributable to noncontrolling interests included in continuing operations— — 
Income (loss) from continuing operations attributable to Baxter stockholders(326)181 (3,114)
Income (loss) from discontinued operations(312)2,482 692 
Less: Net income attributable to noncontrolling interests included in discontinued operations11 11 
Income (loss) from discontinued operations attributable to Baxter stockholders(323)2,475 681 
Net income (loss) attributable to Baxter stockholders$(649)$2,656 $(2,433)
Reconciliation of Basic Shares to Diluted Shares
The following table is a reconciliation of basic shares to diluted shares.
years ended December 31(in millions)202420232022
Basic shares510 506 504 
Effect of dilutive securities— — 
Diluted shares510 508 504 
v3.25.0.1
DERIVATIVES AND HEDGING ACTIVITIES (Tables)
12 Months Ended
Dec. 31, 2024
Derivative Instruments and Hedging Activities Disclosure [Abstract]  
Summary of Gains and Losses on Derivative Instruments
The following tables summarize the gains and losses on our hedging instruments and the classification of those gains and losses within our consolidated financial statements for the years ended December 31, 2024, 2023 and 2022.
(in millions)Gain (loss)
recognized in OCI
Location of gain
(loss) in
income statement
Gain (loss) reclassified from
AOCI into income
202420232022202420232022
Cash flow hedges
Interest rate contracts$— $— $— Interest expense, net$(6)$(6)$(6)
Foreign exchange contracts17 15 28 Cost of sales15 26 
Fair value hedges
Foreign exchange contracts(3)(4)— Other (income) expense, net(5)(3)— 
Net investment hedges87 (58)141 Other (income) expense, net— — — 
Total$101 $(47)$169 $(3)$$20 
Location of gain (loss) in
income statement
Gain (loss) recognized
in income
(in millions)202420232022
Fair value hedges
Foreign exchange contractsOther (income) expense, net$(24)$38 $— 
Undesignated derivative instruments
Foreign exchange contractsOther (income) expense, net(13)(16)
Total$(37)$40 $(16)
Net of Tax Activity in Accumulated Other Comprehensive Income Related to Cash Flow Hedges
The following table summarizes net-of-tax activity in AOCI, a component of stockholders’ equity, related to our cash flow hedges.
as of and for the year ended December 31 (in millions)202420232022
Accumulated other comprehensive income (loss) balance at beginning of year$(120)$(119)$(126)
(Loss) gain in fair value of derivatives during the year10 22 
Amount reclassified to earnings during the year(6)(15)
Accumulated other comprehensive income (loss) balance at end of year$(108)$(120)$(119)
Classification and Fair Value Amounts of Derivative Instruments
The following table summarizes the classification and fair values of derivative instruments reported in the consolidated balance sheet as of December 31, 2024.
Derivatives in asset positionsDerivatives in liability positions
(in millions)Balance sheet locationFair valueBalance sheet locationFair value
Derivative instruments designated as hedges
Foreign exchange contracts
Prepaid expenses and other current assets$Accrued expenses and other current liabilities$— 
Undesignated derivative instruments
Foreign exchange contracts
Prepaid expenses and other current assetsAccrued expenses and other current liabilities
Total derivative instruments$$
The following table summarizes the classification and fair values of derivative instruments reported in the consolidated balance sheet as of December 31, 2023.
Derivatives in asset positionsDerivatives in liability positions
(in millions)Balance sheet locationFair valueBalance sheet locationFair value
Derivative instruments designated as hedges
Foreign exchange contracts
Prepaid expenses and other current assets$41 Accrued expenses and other current liabilities$— 
Undesignated derivative instruments
Foreign exchange contracts
Prepaid expenses and other current assetsAccrued expenses and other current liabilities
Total derivative instruments$45 $
Derivative Positions Presented on Net Basis
The following table provides information on our derivative positions as if they were presented on a net basis, allowing for the right of offset by counterparty.
December 31, 2024December 31, 2023
(in millions)AssetLiabilityAssetLiability
Gross amounts recognized in the consolidated balance sheets$$$45 $
Gross amount subject to offset in master netting arrangements not offset in the consolidated balance sheets(1)(1)(4)(4)
Total$$$41 $
Schedule of Fair Value Hedging Instruments, Statements of Financial Performance and Financial Position, Location
The following table presents the amounts recorded on the consolidated balance sheets related to fair value hedges:
Carrying amount of hedged itemsCumulative amount of fair value hedging adjustment included in the carrying amount of the hedged items (a)
(in millions)Balance as of December 31, 2024Balance as of December 31, 2023Balance as of December 31, 2024Balance as of December 31, 2023
Long-term debt$99 $100 $$
(a) These fair value hedges were terminated in 2018 and earlier periods.
v3.25.0.1
FAIR VALUE MEASUREMENTS (Tables)
12 Months Ended
Dec. 31, 2024
Fair Value Disclosures [Abstract]  
Summary of Financial Assets and Liabilities Measured at Fair Value on Recurring Basis
The following tables summarize our assets and liabilities that are measured at fair value on a recurring basis.
Basis of fair value measurement
(in millions)Balance as of December 31,
2024
Quoted prices
in active
markets for
identical assets
(Level 1)
Significant
other
observable
inputs
(Level 2)
Significant
unobservable
inputs
(Level 3)
Assets
Foreign exchange contracts$$— $$— 
Available-for-sale debt securities— — 
Marketable equity securities 13 13 — — 
Total$21 $13 $$
Liabilities
Foreign exchange contracts$$— $$— 
Contingent payments related to acquisitions12 — — 12 
Total$14 $— $$12 
Basis of fair value measurement
(in millions)Balance as of December 31,
2023
Quoted prices
in active
markets for
identical assets
(Level 1)
Significant
other
observable
inputs
(Level 2)
Significant
unobservable
inputs
(Level 3)
Assets
Foreign exchange contracts$45 $— $45 $— 
Available-for-sale debt securities— — 
Marketable equity securities44 44 — — 
Total$90 $44 $45 $
Liabilities
Foreign exchange contracts$$— $$— 
Contingent payments related to acquisitions14 — — 14 
Total$19 $— $$14 
Reconciliation of Fair Value Measurements that Use Significant Unobservable Inputs
The following table is a reconciliation of recurring fair value measurements that use significant unobservable inputs (Level 3), which consist of contingent payments related to acquisitions and available-for-sale debt securities.
20242023
as of and for the years ended December 31 (in millions)Contingent payments related to acquisitionsAvailable-for-sale debt securitiesContingent payments related to acquisitionsAvailable-for-sale debt securities
Fair value at beginning of period$14 $$84 $27 
Change in fair value recognized in earnings— — (19)(21)
Payments(2)— (51)— 
Transfers out of Level 3— — — (5)
Fair value at end of period$12 $$14 $
Book Values and Fair Values of Financial Instruments For these financial instruments, the following table provides the values recognized in the consolidated balance sheets and the estimated fair values.
Book valuesFair values(a)
as of December 31 (in millions)2024202320242023
Liabilities
Short-term debt$2,126 $— $2,126 $— 
Current maturities of long-term debt and finance lease obligations626 2,667 619 2,621 
Long-term debt and finance lease obligations10,374 11,089 9,295 10,026 
(a)    These fair value amounts are classified as Level 2 within the fair value hierarchy as they are estimated based on observable inputs.
v3.25.0.1
SEGMENT AND GEOGRAPHIC INFORMATION (Tables)
12 Months Ended
Dec. 31, 2024
Segment Reporting [Abstract]  
Segment Information
The following tables present our U.S. and International disaggregated net sales.
for the years ended December 31202420232022
(in millions)U.S.InternationalTotalU.S.InternationalTotalU.S.InternationalTotal
Infusion Therapies & Technologies
$2,279 $1,824 $4,103 $2,227 $1,733 $3,960 $2,241 $1,576 $3,817 
Advanced Surgery
603 501 1,104 582 469 1,051 574 424 998 
Medical Products & Therapies2,882 2,325 5,207 2,809 2,202 5,011 2,815 2,000 4,815 
Care and Connectivity Solutions
1,311 503 1,814 1,263 537 1,800 1,295 496 1,791 
Front Line Care
843 294 1,137 905 308 1,213 840 308 1,148 
Healthcare Systems & Technologies
2,154 797 2,951 2,168 845 3,013 2,135 804 2,939 
Injectables and Anesthesia
780 593 1,373 759 588 1,347 682 623 1,305 
Drug Compounding— 1,038 1,038 — 902 902 — 821 821 
Pharmaceuticals780 1,631 2,411 759 1,490 2,249 682 1,444 2,126 
Other1
34 33 67 66 21 87 137 40 177 
Total Baxter$5,850 $4,786 $10,636 $5,802 $4,558 $10,360 $5,769 $4,288 $10,057 
1 In connection with the reclassification of our BPS business to discontinued operations during the second quarter of 2023, we reclassified $2 million of contract manufacturing revenues from the first quarter of 2023 and $37 million of sales for the year ended December 31, 2022 from BPS to Other (within continuing operations), as the related manufacturing facility was not part of that divestiture transaction.
Segment results include net sales, cost of sales, selling general and administrative expenses, research and development expenses, and other segment items which are directly allocated to each segment. Beginning in 2024
annual reporting, we adopted ASU 2023-07 retrospectively. The following tables present our segment information of net sales, significant expenses and operating income during the periods presented.
For the year ended December 31, 2024
(in millions)Medical Products & TherapiesHealthcare Systems & TechnologiesPharmaceuticals
Net sales$5,207 $2,951 $2,411 
Cost of sales2,867 1,464 1,612 
Selling, general and administrative expenses1,176 836 396 
Research and development expenses216 184 91 
Other segment items(2)(1)(1)
Segment operating income$950 $468 $313 
For the year ended December 31, 2023
(in millions)Medical Products & TherapiesHealthcare Systems & TechnologiesPharmaceuticals
Net sales$5,011 $3,013 $2,249 
Cost of sales2,720 1,532 1,400 
Selling, general and administrative expenses1,097 822 363 
Research and development expenses222 176 86 
Other segment items— — (1)
Segment operating income$972 $483 $401 
For the year ended December 31, 2022
(in millions)Medical Products & TherapiesHealthcare Systems & TechnologiesPharmaceuticals
Net sales$4,815 $2,939 $2,126 
Cost of sales2,584 1,463 1,293 
Selling, general and administrative expenses1,069 827 361 
Research and development expenses202 155 81 
Other segment items(2)— — 
Segment operating income$962 $494 $391 
Revenue from External Customers by Geographic Areas
Our net sales are attributed to the following geographic regions based on the location of the customer.
for the years ended December 31 (in millions)202420232022
Net sales:
United States$5,850 $5,802 $5,769 
Emerging markets1
1,350 1,343 1,253 
Rest of world 2
3,436 3,215 3,035 
Total net sales$10,636 $10,360 $10,057 
1 Emerging markets include sales from our operations in Eastern Europe, the Middle East, Africa, Latin America and Asia (except for Japan).
2 Rest of world includes sales from our operations in Western Europe, Canada, Japan, Australia and New Zealand.
Geographic Information
Our property, plant and equipment and operating lease right-of-use assets, net are attributed to the following geographic regions.
as of December 31 (in millions)20242023
Property, plant and equipment and operating lease right-of-use assets, net:
United States$1,654 $1,615 
Emerging markets793 829 
Rest of world 729 763 
Total property, plant and equipment and operating lease right-of-use assets, net$3,176 $3,207 
Reconciliation of Segment Operating Income To Income Before Income Taxes
The following table presents our reportable segment operating income and reconciliations of reportable segment operating income to income (loss) from continuing operations before income taxes.
for the years ended December 31 (in millions)202420232022
Medical Products & Therapies$950 $972 $962 
Healthcare Systems & Technologies468 483 494 
Pharmaceuticals313 401 391 
Total reportable segment operating income1,731 1,856 1,847 
Other18 18 77 
Unallocated corporate costs(275)(355)(367)
Intangible asset amortization expense(625)(590)(679)
Business optimization items(162)(174)(193)
European Medical Devices Regulation(33)(41)(42)
Long-lived asset impairments(50)— (344)
Legal matters(17)(7)— 
Acquisition and integration items(23)— (213)
Product-related items(15)— (44)
Hurricane Helene Costs(110)— — 
Loss on product divestiture arrangement— — (54)
Goodwill impairments(425)— (2,812)
Loss on subsidiary liquidation— — (21)
Total operating income (loss)14 707 (2,845)
Interest expense, net341 439 394 
Other (income) expense, net(38)26 
Income (loss) from continuing operations before income taxes$(289)$242 $(3,248)
Additional financial information for our segments is as follows:
for the years ended December 31 (in millions)202420232022
Depreciation Expense1:
Medical Products & Therapies$201 $232 $217 
Healthcare Systems & Technologies109 108 117 
Pharmaceuticals62 54 59 
Total depreciation expense$372 $394 $393 
1 Depreciation expense related to Corporate property, plant and equipment has been fully allocated to our segments and those allocations are reflected in the depreciation amounts presented herein.
v3.25.0.1
QUARTERLY FINANCIAL DATA (UNAUDITED) (Tables)
12 Months Ended
Dec. 31, 2024
Quarterly Financial Information Disclosure [Abstract]  
Quarterly Financial Results and Market for Company's Stock The results of operations of any quarter are not necessarily indicative of the results that may be expected for any future period.
2024
(in millions, except per share data)First
Quarter
Second Quarter2
Third
Quarter
Fourth Quarter3
Full Year 1
Net sales$2,490 $2,694 $2,699 $2,753 $10,636 
Gross margin961 1,031 1,033 959 3,984 
Income (loss) from continuing operations95 61 (488)(326)
Income (loss) from discontinued operations33 (406)83 (22)(312)
Net income (loss)39 (311)144 (510)(638)
Net income (loss) attributable to Baxter stockholders37 (314)140 (512)(649)
Income (loss) from continuing operations per common share
Basic$0.01 $0.19 $0.12 $(0.95)$(0.64)
Diluted$0.01 $0.19 $0.12 $(0.95)$(0.64)
Income (loss) from discontinued operations per common share
Basic$0.06 $(0.81)$0.15 $(0.05)$(0.63)
Diluted$0.06 $(0.81)$0.15 $(0.05)$(0.63)
Net Income (loss) per common share
Basic$0.07 $(0.62)$0.27 $(1.00)$(1.27)
Diluted$0.07 $(0.62)$0.27 $(1.00)$(1.27)

2023
(in millions, except per share data)First
Quarter
Second Quarter4
Third
Quarter5
Fourth Quarter
Full Year 1
Net sales$2,441 $2,591 $2,599 $2,729 $10,360 
Gross margin964 1,030 1,056 1,100 4,150 
Income (loss) from continuing operations(48)(27)37 219 181 
Income from discontinued operations93 (112)2,474 27 2,482 
Net income (loss)45 (139)2,511 246 2,663 
Net income (loss) attributable to Baxter stockholders44 (141)2,508 245 2,656 
Income (loss) from continuing operations per common share
Basic$(0.10)$(0.05)$0.07 $0.43 $0.36 
Diluted$(0.10)$(0.05)$0.07 $0.43 $0.36 
Income from discontinued operations per common share
Basic$0.19 $(0.23)$4.88 $0.05 $4.89 
Diluted$0.19 $(0.23)$4.86 $0.05 $4.87 
Net Income (loss) per common share
Basic$0.09 $(0.28)$4.95 $0.48 $5.25 
Diluted$0.09 $(0.28)$4.93 $0.48 $5.23 
1The sum of per share amounts for quarterly periods may not equal full year amounts due to rounding.
2Our results from discontinued operations for the quarter ended June 30, 2024 included a $430 million charge related to a goodwill impairment of our Chronic Therapies reporting unit within our Kidney Care segment.
3Our results from continuing operations for the fourth quarter ended December 31, 2024 included a $425 million charge related to a goodwill impairment of our Front Line Care reporting unit within our Healthcare Systems & Technologies segment.
4Our results from discontinued operations for the quarter ended June 30, 2023 included $243 million of long-lived asset impairment charges resulting from our decision to cease production at one of our dialyzer manufacturing facilities.
5Our results from discontinued operations for the quarter ended September 30, 2023 included a gain of $2.88 billion from the sale of our BPS business, partially offset by $267 million of long-lived asset impairment charges related to our the hemodialysis business of our former Kidney Care segment.
v3.25.0.1
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Nature of Operations - Additional Information (Details)
12 Months Ended
Dec. 31, 2024
segment
Accounting Policies [Abstract]  
Number of segments 3
v3.25.0.1
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Basis of Presentation - Additional Information (Details) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Jan. 31, 2025
Dec. 31, 2024
Dec. 31, 2024
Discontinued Operations, Disposed of by Sale | Kidney Care | Subsequent Event      
Summary Of Significant Accounting Policies [Line Items]      
Agreed purchase price $ 3,800    
Proceeds from divestiture of businesses 3,710    
Proceeds $ 3,400    
Hurricane      
Summary Of Significant Accounting Policies [Line Items]      
Hurricane Helene Costs   $ 110  
Tangible asset write-off   $ 44  
Remediation, unused facility, freight, and other costs     $ 317
Insurance Recoveries     $ 251
v3.25.0.1
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Revenue Recognition - Additional Information (Details)
$ in Millions
12 Months Ended
Dec. 31, 2024
USD ($)
Summary Of Significant Accounting Policies [Line Items]  
Transaction price allocated to remaining performance obligations $ 5,470
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date: 2025-01-01  
Summary Of Significant Accounting Policies [Line Items]  
Remaining performance obligations period 1 year
Remaining revenue performance obligation, percentage of revenue expected to be recognized 25.00%
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date: 2026-01-01  
Summary Of Significant Accounting Policies [Line Items]  
Remaining performance obligations period 1 year
Remaining revenue performance obligation, percentage of revenue expected to be recognized 20.00%
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date: 2027-01-01  
Summary Of Significant Accounting Policies [Line Items]  
Remaining performance obligations period 1 year
Remaining revenue performance obligation, percentage of revenue expected to be recognized 20.00%
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date: 2028-01-01  
Summary Of Significant Accounting Policies [Line Items]  
Remaining performance obligations period 1 year
Remaining revenue performance obligation, percentage of revenue expected to be recognized 35.00%
Minimum  
Summary Of Significant Accounting Policies [Line Items]  
Global payment terms 30 days
Maximum  
Summary Of Significant Accounting Policies [Line Items]  
Global payment terms 90 days
Amortization period for cost incurred to obtain contract 1 year
Contract with customer period for goods or service transfers and customer pays for goods or service 1 year
v3.25.0.1
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Shipping and Handling Costs - Additional Information (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Accounting Policies [Abstract]      
Shipping costs included in marketing and administrative expenses $ 382 $ 358 $ 388
v3.25.0.1
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Property, Plant and Equipment, Net - Additional Information (Details)
Dec. 31, 2024
Minimum | Building and Building Improvements  
Summary Of Significant Accounting Policies [Line Items]  
Estimated useful life 20 years
Minimum | Machinery and equipment  
Summary Of Significant Accounting Policies [Line Items]  
Estimated useful life 3 years
Minimum | Software and Software Development Costs  
Summary Of Significant Accounting Policies [Line Items]  
Estimated useful life 3 years
Maximum | Building and Building Improvements  
Summary Of Significant Accounting Policies [Line Items]  
Estimated useful life 50 years
Maximum | Machinery and equipment  
Summary Of Significant Accounting Policies [Line Items]  
Estimated useful life 15 years
Maximum | Software and Software Development Costs  
Summary Of Significant Accounting Policies [Line Items]  
Estimated useful life 5 years
v3.25.0.1
DISCONTINUED OPERATIONS - Narrative (Details) - USD ($)
$ in Millions
1 Months Ended 12 Months Ended
Jan. 31, 2025
Sep. 29, 2023
May 31, 2023
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Transaction service agreement, period     24 months      
Book value   $ 840        
Other comprehensive income       $ 183 $ 68 $ 223
Manufacturing and supply agreement, period     5 years      
Kidney Care Manufacturing and Supply Agreement | Subsequent Event            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Transaction service agreement, period 10 years          
Kidney Care Transition Services Agreement | Subsequent Event            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Transaction service agreement, period 30 months          
Discontinued Operations, Disposed of by Sale | BioPharma Solutions            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Agreed purchase price   4,250        
Proceeds from divestiture of businesses   3,910        
Pre-tax cash proceeds   3,960        
Pre-tax gain on sale   2,880        
Net proceeds of sale   2,590        
Transaction costs   47        
Other comprehensive income   $ 181        
Separation costs       $ 261 17  
Discontinued Operations, Disposed of by Sale | Kidney Care            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Separation costs         $ 196  
Discontinued Operations, Disposed of by Sale | Kidney Care | Subsequent Event            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Agreed purchase price $ 3,800          
Proceeds from divestiture of businesses 3,710          
Proceeds $ 3,400          
v3.25.0.1
DISCONTINUED OPERATIONS - Major Classes of Line Items in Income From Discontinued Operations (Details) - USD ($)
3 Months Ended 12 Months Ended
Dec. 31, 2024
Sep. 30, 2024
Jun. 30, 2024
Mar. 31, 2024
Dec. 31, 2023
Sep. 30, 2023
Jun. 30, 2023
Mar. 31, 2023
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                      
Goodwill impairments                 $ 425,000,000 $ 0 $ 2,812,000,000
Other operating expense (income), net                 (12,000,000) (28,000,000) 35,000,000
Operating income (loss)                 14,000,000 707,000,000 (2,845,000,000)
Interest expense, net                 341,000,000 439,000,000 394,000,000
Other (income) expense, net                 (38,000,000) 26,000,000 9,000,000
Gain on disposition                 0 0 (21,000,000)
Income (loss) from discontinued operations, net of tax $ (22,000,000) $ 83,000,000 $ (406,000,000) $ 33,000,000 $ 27,000,000 $ 2,474,000,000 $ (112,000,000) $ 93,000,000 (312,000,000) 2,482,000,000 692,000,000
Less: Net income attributable to noncontrolling interest included in discontinued operations                 11,000,000 7,000,000 11,000,000
Net income (loss) attributable to Baxter stockholders included in discontinued operations                 (323,000,000) 2,475,000,000 681,000,000
Kidney Care                      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                      
Goodwill impairments     $ 430,000,000                
Discontinued Operations, Disposed of by Sale                      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                      
Net sales                 4,513,000,000 4,922,000,000 5,056,000,000
Cost of sales                 2,812,000,000 3,844,000,000 3,208,000,000
Gross margin                 1,701,000,000 1,078,000,000 1,848,000,000
Selling, general and administrative expenses                 1,203,000,000 1,038,000,000 790,000,000
Research and development expenses                 181,000,000 150,000,000 155,000,000
Goodwill impairments                 430,000,000 0 0
Other operating expense (income), net                 (1,000,000) 0 1,000,000
Operating income (loss)                 (112,000,000) (110,000,000) 902,000,000
Interest expense, net                 13,000,000 2,000,000 1,000,000
Other (income) expense, net                 10,000,000 26,000,000 6,000,000
Income (loss) from discontinued operations before gain on disposition and income taxes                 (135,000,000) (138,000,000) 895,000,000
Gain on disposition                 0 2,882,000,000 0
Income tax expense (benefit)                 177,000,000 262,000,000 203,000,000
Income (loss) from discontinued operations, net of tax                 (312,000,000) 2,482,000,000 692,000,000
Less: Net income attributable to noncontrolling interest included in discontinued operations                 11,000,000 7,000,000 11,000,000
Net income (loss) attributable to Baxter stockholders included in discontinued operations                 (323,000,000) 2,475,000,000 681,000,000
Discontinued Operations, Disposed of by Sale | Kidney Care                      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                      
Net sales                 4,513,000,000 4,453,000,000 4,449,000,000
Cost of sales                 2,812,000,000 3,628,000,000 2,932,000,000
Gross margin                 1,701,000,000 825,000,000 1,517,000,000
Selling, general and administrative expenses                 1,203,000,000 993,000,000 762,000,000
Research and development expenses                 181,000,000 149,000,000 152,000,000
Goodwill impairments                 430,000,000 0 0
Other operating expense (income), net                 (1,000,000) 0 1,000,000
Operating income (loss)                 (112,000,000) (317,000,000) 602,000,000
Interest expense, net                 13,000,000 3,000,000 1,000,000
Other (income) expense, net                 10,000,000 25,000,000 3,000,000
Income (loss) from discontinued operations before gain on disposition and income taxes                 (135,000,000) (345,000,000) 598,000,000
Gain on disposition                 0 0 0
Income tax expense (benefit)                 177,000,000 (95,000,000) 139,000,000
Income (loss) from discontinued operations, net of tax                 (312,000,000) (250,000,000) 459,000,000
Less: Net income attributable to noncontrolling interest included in discontinued operations                 11,000,000 7,000,000 11,000,000
Net income (loss) attributable to Baxter stockholders included in discontinued operations                 (323,000,000) (257,000,000) 448,000,000
Discontinued Operations, Disposed of by Sale | BioPharma Solutions                      
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]                      
Net sales                 0 469,000,000 607,000,000
Cost of sales                 0 216,000,000 276,000,000
Gross margin                 0 253,000,000 331,000,000
Selling, general and administrative expenses                 0 45,000,000 28,000,000
Research and development expenses                 0 1,000,000 3,000,000
Goodwill impairments                 0 0 0
Other operating expense (income), net                 0 0 0
Operating income (loss)                 0 207,000,000 300,000,000
Interest expense, net                 0 (1,000,000) 0
Other (income) expense, net                 0 1,000,000 3,000,000
Income (loss) from discontinued operations before gain on disposition and income taxes                 0 207,000,000 297,000,000
Gain on disposition                 0 2,882,000,000 0
Income tax expense (benefit)                 0 357,000,000 64,000,000
Income (loss) from discontinued operations, net of tax                 0 2,732,000,000 233,000,000
Less: Net income attributable to noncontrolling interest included in discontinued operations                 0 0 0
Net income (loss) attributable to Baxter stockholders included in discontinued operations                 $ 0 $ 2,732,000,000 $ 233,000,000
v3.25.0.1
DISCONTINUED OPERATIONS - Carrying Amounts of the Assets and Liabilities Classified As Discontinued Operations (Details) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]    
Current assets of discontinued operations $ 2,611 $ 2,179
Non-current assets of discontinued operations 2,500 2,949
Current liabilities of discontinued operations 930 1,040
Non-current liabilities of discontinued operations 554 551
Discontinued Operations    
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]    
Cash and cash equivalents 648 116
Accounts receivable, net of allowances 942 971
Inventories 821 906
Prepaid expenses and other current assets 200 186
Current assets of discontinued operations 2,611 2,179
Property, plant and equipment, net 1,516 1,562
Goodwill 265 721
Other intangible assets, net 148 161
Operating lease right-of-use assets 204 188
Other non-current assets 367 317
Non-current assets of discontinued operations 2,500 2,949
Assets of discontinued operations 5,111 5,128
Current maturities of finance lease obligations 1 1
Accounts payable 344 360
Accrued expenses and other current liabilities 585 679
Current liabilities of discontinued operations 930 1,040
Long-term finance lease obligations, less current portion 37 41
Operating lease liabilities 173 173
Other non-current liabilities 344 337
Non-current liabilities of discontinued operations 554 551
Liabilities of discontinued operations $ 1,484 $ 1,591
v3.25.0.1
ACQUISITIONS AND OTHER ARRANGEMENTS - Hillrom Narrative (Details) - USD ($)
3 Months Ended 12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Sep. 30, 2023
Dec. 31, 2022
Sep. 30, 2022
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Acquisitions And Collaborations [Line Items]                  
Goodwill impairments           $ 425,000,000 $ 0 $ 2,812,000,000  
Impairment, Intangible Asset, Indefinite-Lived (Excluding Goodwill), Statement of Income or Comprehensive Income [Extensible Enumeration]             Cost of sales    
Front Line Care | Healthcare Systems & Technologies                  
Acquisitions And Collaborations [Line Items]                  
Goodwill impairments $ 425,000,000         $ 425,000,000      
Trade Names                  
Acquisitions And Collaborations [Line Items]                  
Indefinite-lived intangible assets, discount rate   9.50%         9.50%    
Trade Names | Minimum                  
Acquisitions And Collaborations [Line Items]                  
Indefinite-lived intangible assets, terminal growth rate   2.00%         2.00%    
Indefinite-lived intangible assets, royalty rates   3.00%         3.00%    
Trade Names | Maximum                  
Acquisitions And Collaborations [Line Items]                  
Indefinite-lived intangible assets, terminal growth rate   3.00%         3.00%    
Indefinite-lived intangible assets, royalty rates   5.00%         5.00%    
Developed Technology Rights                  
Acquisitions And Collaborations [Line Items]                  
Intangible asset impairments   $ 12,000,000              
Hillrom                  
Acquisitions And Collaborations [Line Items]                  
Consideration transferred                 $ 10,480,000,000
Goodwill impairments       $ 27,000,000 $ 2,790,000,000        
Hillrom | Minimum                  
Acquisitions And Collaborations [Line Items]                  
Finite-lived intangible assets acquired, discount rate       9.00%       9.00%  
Indefinite-lived intangible assets, terminal growth rate       2.00%       2.00%  
Hillrom | Maximum                  
Acquisitions And Collaborations [Line Items]                  
Finite-lived intangible assets acquired, discount rate       10.00%       10.00%  
Indefinite-lived intangible assets, terminal growth rate       3.00%       3.00%  
Hillrom | Trade Names                  
Acquisitions And Collaborations [Line Items]                  
Impairment of indefinite-lived intangible asset     $ 332,000,000            
Series of Individually Immaterial Business Acquisitions                  
Acquisitions And Collaborations [Line Items]                  
Consideration transferred               $ 32,000,000  
v3.25.0.1
ACQUISITIONS AND OTHER ARRANGEMENTS - Other Business Combinations and Other Asset Acquisitions (Details) - USD ($)
$ in Millions
1 Months Ended 3 Months Ended 12 Months Ended
Mar. 31, 2022
Sep. 30, 2023
Dec. 31, 2024
Dec. 31, 2021
Licensing Agreements        
Acquisitions And Collaborations [Line Items]        
Payments for development regulatory and commercial milestones     $ 17  
Licensing Agreements | Celerity        
Acquisitions And Collaborations [Line Items]        
Proceeds from divestiture of product rights       $ 1
Loss on product divestiture arrangement   $ 54    
Zosyn        
Acquisitions And Collaborations [Line Items]        
Purchase price $ 122      
Zosyn | Developed Technology Rights        
Acquisitions And Collaborations [Line Items]        
Weighted-average useful life 9 years      
Series of Individually Immaterial Asset Acquisitions        
Acquisitions And Collaborations [Line Items]        
Development and regulatory milestone payments, maximum     $ 20  
v3.25.0.1
ACQUISITIONS AND OTHER ARRANGEMENTS - Celerity Pharmaceuticals, LLC Narrative (Details) - Licensing Agreements - Celerity - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Sep. 30, 2023
Dec. 31, 2021
Acquisitions And Collaborations [Line Items]    
Proceeds from divestiture of product rights   $ 1
Loss on product divestiture arrangement $ 54  
v3.25.0.1
SUPPLEMENTAL FINANCIAL INFORMATION - Allowance for Doubtful Accounts (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Accounts Receivable, Allowance for Credit Loss [Roll Forward]      
Balance at beginning of period $ 62 $ 50 $ 52
Charged to costs and expenses 7 7 3
Write-offs (8) (4) (3)
Currency translation adjustments 10 9 (2)
Balance at end of period $ 71 $ 62 $ 50
v3.25.0.1
SUPPLEMENTAL FINANCIAL INFORMATION - Inventories (Details) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Organization, Consolidation and Presentation of Financial Statements [Abstract]    
Raw materials $ 510 $ 530
Work in process 266 234
Finished goods 1,270 1,154
Inventories $ 2,046 $ 1,918
v3.25.0.1
SUPPLEMENTAL FINANCIAL INFORMATION - Prepaid Expenses and Other Current Assets (Details) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Organization, Consolidation and Presentation of Financial Statements [Abstract]    
Prepaid value added taxes $ 167 $ 118
Prepaid income taxes 199 204
Spare parts 123 141
Contract assets 51 53
Derivative assets 8 45
Other 205 145
Prepaid expenses and other current assets $ 753 $ 706
v3.25.0.1
SUPPLEMENTAL FINANCIAL INFORMATION - Property, Plant and Equipment, Net (Details) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, at cost $ 7,648 $ 7,650
Accumulated depreciation (4,778) (4,779)
Property, plant and equipment (PP&E), net 2,870 2,871
Land and land improvements    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, at cost 115 119
Buildings and leasehold improvements    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, at cost 1,301 1,238
Machinery and equipment    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, at cost 5,047 4,909
Equipment on lease with customers    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, at cost 467 760
Construction in progress    
Property, Plant and Equipment [Line Items]    
Property, plant and equipment, at cost $ 718 $ 624
v3.25.0.1
SUPPLEMENTAL FINANCIAL INFORMATION - Other Non-Current Assets (Detail) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Other Assets, Noncurrent    
Deferred tax assets $ 204 $ 263
Non-current receivables, net 50 42
Contract assets 82 112
Capitalized implementation costs in hosting arrangements 102 103
Pension and other postretirement benefits 56 46
Investments 109 136
Other 152 107
Other non-current assets $ 755 $ 809
v3.25.0.1
SUPPLEMENTAL FINANCIAL INFORMATION - Accrued Expenses and Other Current Liabilities (Detail) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Accounts Payable and Accrued Liabilities, Current    
Common stock dividends payable $ 87 $ 147
Employee compensation and withholdings 447 477
Property, payroll and certain other taxes 96 92
Contract liabilities 131 128
Restructuring liabilities 112 81
Accrued rebates 214 240
Operating lease liabilities 80 92
Income taxes payable 121 78
Pension and other postretirement benefits 39 37
Contingent payments related to acquisitions 0 3
Other 534 540
Accrued expenses and other current liabilities $ 1,861 $ 1,915
v3.25.0.1
SUPPLEMENTAL FINANCIAL INFORMATION - Other Non-Current Liabilities (Detail) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Other Liabilities Noncurrent    
Pension and other postretirement benefits $ 678 $ 714
Deferred tax liabilities 103 403
Long-term tax liabilities 94 72
Contingent payments related to acquisitions 11 11
Contract liabilities 40 41
Litigation and environmental reserves 29 19
Restructuring liabilities 10 14
Other 111 126
Other non-current liabilities $ 1,076 $ 1,400
v3.25.0.1
SUPPLEMENTAL FINANCIAL INFORMATION - Interest Expense, net (Detail) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Interest Income Expense Net      
Interest costs $ 421 $ 523 $ 423
Interest costs capitalized (13) (15) (10)
Interest expense 408 508 413
Interest income (67) (69) (19)
Interest expense, net $ 341 $ 439 $ 394
v3.25.0.1
SUPPLEMENTAL FINANCIAL INFORMATION - Other Expense, net (Detail) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Other Income, net      
Foreign exchange (gains) losses, net $ 25 $ 53 $ (3)
Change in fair value of marketable equity securities (3) (7) (11)
Pension settlement and curtailment (gains) losses 0 0 (12)
Pension and other postretirement benefit (gains) losses (39) (48) (30)
Reclassification of cumulative translation loss to earnings 0 0 65
Non-marketable investment impairments 0 34 0
Other, net (21) (6) 0
Other (income) expense, net $ (38) $ 26 $ 9
v3.25.0.1
SUPPLEMENTAL FINANCIAL INFORMATION - Supplemental Cash Flow Information (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Organization, Consolidation and Presentation of Financial Statements [Abstract]      
Interest paid, net of portion capitalized $ 401 $ 484 $ 355
Income taxes paid $ 223 $ 174 $ 168
v3.25.0.1
SUPPLEMENTAL FINANCIAL INFORMATION - Additional Information (Details) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Sep. 30, 2023
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Property, Plant and Equipment [Line Items]        
Depreciation expense   $ 372 $ 394 $ 393
Reclassification of cumulative translation loss to earnings $ 65      
Property, Plant and Equipment        
Property, Plant and Equipment [Line Items]        
Capital expenditures incurred but not yet paid   $ 64 $ 58 $ 64
v3.25.0.1
GOODWILL AND OTHER INTANGIBLE ASSETS, NET - Schedule of Goodwill (Details) - USD ($)
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Goodwill [Roll Forward]      
Goodwill, beginning balance $ 5,793,000,000    
Goodwill impairments (425,000,000) $ 0 $ (2,812,000,000)
Goodwill, ending balance 5,275,000,000 5,793,000,000  
Operating Segments      
Goodwill [Roll Forward]      
Goodwill, beginning balance 5,793,000,000 5,749,000,000  
Currency translation and other (93,000,000) 44,000,000  
Reallocation of goodwill   0  
Goodwill impairments (425,000,000)    
Goodwill, ending balance 5,275,000,000 5,793,000,000 5,749,000,000
Medical Products & Therapies | Operating Segments      
Goodwill [Roll Forward]      
Goodwill, beginning balance 1,241,000,000 0  
Currency translation and other (56,000,000) 46,000,000  
Reallocation of goodwill   1,195,000,000  
Goodwill impairments 0    
Goodwill, ending balance 1,185,000,000 1,241,000,000 0
Healthcare Systems & Technologies | Operating Segments      
Goodwill [Roll Forward]      
Goodwill, beginning balance 3,989,000,000 3,988,000,000  
Currency translation and other (14,000,000) 1,000,000  
Reallocation of goodwill   0  
Goodwill impairments (425,000,000)    
Goodwill, ending balance 3,550,000,000 3,989,000,000 3,988,000,000
Pharmaceuticals | Operating Segments      
Goodwill [Roll Forward]      
Goodwill, beginning balance 563,000,000 0  
Currency translation and other (23,000,000) 21,000,000  
Reallocation of goodwill   542,000,000  
Goodwill impairments 0    
Goodwill, ending balance 540,000,000 563,000,000 0
Americas      
Goodwill [Roll Forward]      
Goodwill, beginning balance 0 1,665,000,000  
Currency translation and other 0 (19,000,000)  
Reallocation of goodwill   (1,646,000,000)  
Goodwill impairments 0    
Goodwill, ending balance 0 0 1,665,000,000
EMEA      
Goodwill [Roll Forward]      
Goodwill, beginning balance 0 78,000,000  
Currency translation and other 0 (3,000,000)  
Reallocation of goodwill   (75,000,000)  
Goodwill impairments 0    
Goodwill, ending balance 0 0 78,000,000
APAC      
Goodwill [Roll Forward]      
Goodwill, beginning balance 0 18,000,000  
Currency translation and other 0 (2,000,000)  
Reallocation of goodwill   (16,000,000)  
Goodwill impairments 0    
Goodwill, ending balance $ 0 $ 0 $ 18,000,000
v3.25.0.1
GOODWILL AND OTHER INTANGIBLE ASSETS, NET - Additional Information (Details) - USD ($)
3 Months Ended 12 Months Ended
Dec. 31, 2024
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Intangible Asset Excluding Goodwill [Line Items]        
Goodwill $ 5,275,000,000 $ 5,275,000,000 $ 5,793,000,000  
Goodwill impairments   425,000,000 0 $ 2,812,000,000
Intangible asset amortization expense   625,000,000 $ 590,000,000 $ 679,000,000
Anticipated annual amortization expense of other intangible assets for 2024 586,000,000 586,000,000    
Anticipated annual amortization expense of other intangible assets for 2025 562,000,000 562,000,000    
Anticipated annual amortization expense of other intangible assets for 2026 412,000,000 412,000,000    
Anticipated annual amortization expense of other intangible assets for 2027 400,000,000 400,000,000    
Anticipated annual amortization expense of other intangible assets for 2028 378,000,000 $ 378,000,000    
Claris        
Intangible Asset Excluding Goodwill [Line Items]        
Impairment of indefinite-lived intangible asset $ 50,000,000      
Indefinite-lived intangible assets, discount rate 11.00% 11.00%    
Front Line Care | Healthcare Systems & Technologies        
Intangible Asset Excluding Goodwill [Line Items]        
Goodwill $ 1,990,000,000 $ 1,990,000,000    
Goodwill impairments $ 425,000,000 $ 425,000,000    
Discount rate 9.50% 9.50%    
Growth rate 3.25% 3.25%    
Trade Names        
Intangible Asset Excluding Goodwill [Line Items]        
Indefinite-lived intangible assets, discount rate     9.50%  
Intangible Assets, Transfers 1        
Intangible Asset Excluding Goodwill [Line Items]        
Reclassification from indefinite-lived assets, to finite-lived intangible assets     $ 870,000,000  
Estimated useful lives 15 years 15 years    
Intangible Assets, Transfers 2        
Intangible Asset Excluding Goodwill [Line Items]        
Reclassification from indefinite-lived assets, to finite-lived intangible assets     $ 21,000,000  
Estimated useful lives 5 years 5 years    
v3.25.0.1
GOODWILL AND OTHER INTANGIBLE ASSETS, NET - Other Intangible Assets, Net (Details) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Intangible Asset Excluding Goodwill [Line Items]    
Gross other intangible assets $ 8,349 $ 8,458
Accumulated amortization (3,126) (2,540)
Other intangible assets, net 5,223 5,918
Trade Names    
Intangible Asset Excluding Goodwill [Line Items]    
Indefinite-Lived Intangible Assets (Excluding Goodwill), Gross 680  
Indefinite-lived intangible assets 680 680
In process Research and Development    
Intangible Asset Excluding Goodwill [Line Items]    
Indefinite-Lived Intangible Assets (Excluding Goodwill), Gross 107  
Indefinite-lived intangible assets 107 157
Customer relationships    
Intangible Asset Excluding Goodwill [Line Items]    
Gross other intangible assets, finite lived 3,387 3,390
Accumulated amortization (878) (654)
Gross other intangible assets, net, finite-lived 2,509 2,736
Developed technology, including patents    
Intangible Asset Excluding Goodwill [Line Items]    
Gross other intangible assets, finite lived 3,131 3,181
Accumulated amortization (2,075) (1,782)
Gross other intangible assets, net, finite-lived 1,056 1,399
Trade Names    
Intangible Asset Excluding Goodwill [Line Items]    
Gross other intangible assets, finite lived 958 964
Accumulated amortization (107) (38)
Gross other intangible assets, net, finite-lived 851 926
Other amortized intangible assets    
Intangible Asset Excluding Goodwill [Line Items]    
Gross other intangible assets, finite lived 86 86
Accumulated amortization (66) (66)
Gross other intangible assets, net, finite-lived $ 20 $ 20
v3.25.0.1
DEBT AND CREDIT FACILITIES - Schedule of Debt (Details) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Oct. 31, 2023
May 31, 2019
Debt Instrument [Line Items]        
Total debt and finance lease obligations $ 13,126 $ 13,756    
Short-term debt (2,126) 0    
Current maturities of long-term debt and finance lease obligations (626) (2,667)    
Long-term debt and finance lease obligations $ 10,374 11,089    
Commercial paper        
Debt Instrument [Line Items]        
Effective interest rate 4.80%      
Total debt and finance lease obligations   0    
0.868% Notes Due May 2023        
Debt Instrument [Line Items]        
Senior notes, coupon rates 0.868%      
0.4% notes due 2024        
Debt Instrument [Line Items]        
Senior notes, coupon rates 0.40%   0.40% 0.40%
Effective interest rate 0.00%      
Total debt and finance lease obligations $ 0 828    
1.322% notes due 2024        
Debt Instrument [Line Items]        
Senior notes, coupon rates 1.322%      
Effective interest rate 0.00%      
Total debt and finance lease obligations $ 0 1,398    
7.0% notes due 2024        
Debt Instrument [Line Items]        
Senior notes, coupon rates 7.00%      
Effective interest rate 0.00%      
Total debt and finance lease obligations $ 0 13    
Floating-rate notes due 2024        
Debt Instrument [Line Items]        
Effective interest rate 0.00%      
Total debt and finance lease obligations $ 0 300    
Term loan maturing 2024        
Debt Instrument [Line Items]        
Effective interest rate 0.00%      
Total debt and finance lease obligations $ 0 130    
1.3% notes due 2025        
Debt Instrument [Line Items]        
Senior notes, coupon rates 1.30%      
Effective interest rate 1.50%      
Total debt and finance lease obligations $ 625 662    
Delayed draw term loan due 2025        
Debt Instrument [Line Items]        
Effective interest rate 5.70%      
Total debt and finance lease obligations $ 1,826 0    
2.6% notes due 2026        
Debt Instrument [Line Items]        
Senior notes, coupon rates 2.60%      
Effective interest rate 2.70%      
Total debt and finance lease obligations $ 749 748    
Term loan maturing 2026        
Debt Instrument [Line Items]        
Effective interest rate 6.70%      
Total debt and finance lease obligations $ 1,643 1,643    
7.65% debentures due 2027        
Debt Instrument [Line Items]        
Senior notes, coupon rates 7.65%      
Effective interest rate 7.70%      
Total debt and finance lease obligations $ 5 5    
1.915% notes due 2027        
Debt Instrument [Line Items]        
Senior notes, coupon rates 1.915%      
Effective interest rate 2.00%      
Total debt and finance lease obligations $ 1,446 1,445    
6.625% debentures due 2028        
Debt Instrument [Line Items]        
Senior notes, coupon rates 6.625%      
Effective interest rate 5.80%      
Total debt and finance lease obligations $ 94 95    
2.272% notes due 2028        
Debt Instrument [Line Items]        
Senior notes, coupon rates 2.272%      
Effective interest rate 2.40%      
Total debt and finance lease obligations $ 1,245 1,244    
1.3% notes due 2029        
Debt Instrument [Line Items]        
Senior notes, coupon rates 1.30%     1.30%
Effective interest rate 1.50%      
Total debt and finance lease obligations $ 776 828    
3.95% notes due 2030        
Debt Instrument [Line Items]        
Senior notes, coupon rates 3.95%      
Effective interest rate 4.10%      
Total debt and finance lease obligations $ 497 496    
1.73% notes due 2031        
Debt Instrument [Line Items]        
Senior notes, coupon rates 1.73%      
Effective interest rate 2.70%      
Total debt and finance lease obligations $ 646 646    
2.539% notes due 2032        
Debt Instrument [Line Items]        
Senior notes, coupon rates 2.539%      
Effective interest rate 2.60%      
Total debt and finance lease obligations $ 1,541 1,540    
6.25% notes due 2037        
Debt Instrument [Line Items]        
Senior notes, coupon rates 6.25%      
Effective interest rate 6.30%      
Total debt and finance lease obligations $ 266 265    
3.65% notes due 2042        
Debt Instrument [Line Items]        
Senior notes, coupon rates 3.65%      
Effective interest rate 5.40%      
Total debt and finance lease obligations $ 6 6    
4.5% notes due 2043        
Debt Instrument [Line Items]        
Senior notes, coupon rates 4.50%      
Effective interest rate 4.60%      
Total debt and finance lease obligations $ 256 256    
3.5% notes due 2046        
Debt Instrument [Line Items]        
Senior notes, coupon rates 3.50%      
Effective interest rate 3.70%      
Total debt and finance lease obligations $ 441 440    
3.132% notes due 2051        
Debt Instrument [Line Items]        
Senior notes, coupon rates 3.132%      
Effective interest rate 3.20%      
Total debt and finance lease obligations $ 743 741    
Finance leases and other        
Debt Instrument [Line Items]        
Effective interest rate 4.20%      
Total debt and finance lease obligations $ 21 $ 27    
v3.25.0.1
DEBT AND CREDIT FACILITIES - Additional Information (Details)
€ in Millions
1 Months Ended 12 Months Ended
Dec. 31, 2023
USD ($)
Dec. 31, 2022
Feb. 20, 2025
USD ($)
Dec. 31, 2024
USD ($)
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Oct. 31, 2023
EUR (€)
Oct. 01, 2021
USD ($)
Oct. 01, 2021
EUR (€)
May 31, 2019
EUR (€)
Debt Instrument [Line Items]                    
Repayments of debt       $ 2,657,000,000 $ 2,634,000,000 $ 954,000,000        
Debt obligations $ 13,756,000,000     13,126,000,000 13,756,000,000          
Domestic Line of Credit                    
Debt Instrument [Line Items]                    
Credit facility, maximum capacity               $ 2,000,000,000    
Foreign Line of Credit                    
Debt Instrument [Line Items]                    
Credit facility, maximum capacity | €                 € 200  
Other Line Of Credit                    
Debt Instrument [Line Items]                    
Credit facility, maximum capacity 238,000,000     412,000,000 238,000,000          
Line of credit, borrowings outstanding $ 0     0 0          
Revolving Credit Facility                    
Debt Instrument [Line Items]                    
Fees under the credit facilities 0.125% 0.125%                
Line of credit, borrowings outstanding $ 0     0 $ 0          
Commercial paper                    
Debt Instrument [Line Items]                    
Debt obligations       300,000,000            
Commercial paper, average outstanding       $ 0            
Weighted-average interest rate 4.78%       4.78%          
Original weighted-average term       45 days            
0.868% Notes Due May 2023                    
Debt Instrument [Line Items]                    
Repayments of debt       $ 800,000,000            
Senior notes, coupon rates       0.868%            
Floating-rate notes due 2023                    
Debt Instrument [Line Items]                    
Repayments of debt       $ 300,000,000            
0.40% Senior Notes due May 2024                    
Debt Instrument [Line Items]                    
Repayments of debt       809,000,000            
Debt obligations $ 828,000,000     $ 0 $ 828,000,000          
Senior notes, coupon rates       0.40%     0.40%     0.40%
Senior notes | €             € 750     € 750
1.3% Senior Notes due May 2029                    
Debt Instrument [Line Items]                    
Debt obligations 828,000,000     $ 776,000,000 828,000,000          
Senior notes, coupon rates       1.30%           1.30%
Senior notes | €                   € 750
Senior three year term loan | Senior Notes                    
Debt Instrument [Line Items]                    
Repayments of debt       $ 1,540,000,000            
Debt term       3 years            
Senior notes       $ 2,000,000,000            
Floating-rate notes due 2024                    
Debt Instrument [Line Items]                    
Repayments of debt       300,000,000            
Debt obligations 300,000,000     0 300,000,000          
1.322% notes due 2024                    
Debt Instrument [Line Items]                    
Repayments of debt       1,400,000,000            
Debt obligations 1,398,000,000     $ 0 1,398,000,000          
Senior notes, coupon rates       1.322%            
1.915% notes due 2027                    
Debt Instrument [Line Items]                    
Debt obligations 1,445,000,000     $ 1,446,000,000 1,445,000,000          
Senior notes, coupon rates       1.915%            
2.272% notes due 2028                    
Debt Instrument [Line Items]                    
Debt obligations 1,244,000,000     $ 1,245,000,000 1,244,000,000          
Senior notes, coupon rates       2.272%            
2.539% notes due 2032                    
Debt Instrument [Line Items]                    
Debt obligations 1,540,000,000     $ 1,541,000,000 1,540,000,000          
Senior notes, coupon rates       2.539%            
3.132% notes due 2051                    
Debt Instrument [Line Items]                    
Debt obligations 741,000,000     $ 743,000,000 741,000,000          
Senior notes, coupon rates       3.132%            
Term loan maturing 2026                    
Debt Instrument [Line Items]                    
Debt obligations 1,643,000,000     $ 1,643,000,000 1,643,000,000          
Debt term       5 years            
Term loan maturing 2026 | Subsequent Event                    
Debt Instrument [Line Items]                    
Repayments of debt     $ 1,000,000,000              
7.0% notes due 2024                    
Debt Instrument [Line Items]                    
Repayments of debt       $ 13,000,000            
Debt obligations 13,000,000     $ 0 13,000,000          
Senior notes, coupon rates       7.00%            
Term loan maturing 2024                    
Debt Instrument [Line Items]                    
Repayments of debt       $ 130,000,000            
Debt obligations $ 130,000,000     $ 0 $ 130,000,000          
Debt term       3 years            
v3.25.0.1
DEBT AND CREDIT FACILITIES - Credit Facilities (Details) - USD ($)
12 Months Ended
Jan. 31, 2025
Dec. 31, 2025
Dec. 31, 2024
Nov. 30, 2024
Sep. 30, 2024
Jul. 17, 2024
Mar. 31, 2024
Dec. 31, 2023
Discontinued Operations, Disposed of by Sale | Kidney Care | Subsequent Event                
Debt Instrument [Line Items]                
Proceeds $ 3,400,000,000              
Senior Notes                
Debt Instrument [Line Items]                
Senior notes, coupon rates           1.322%    
Senior Notes | Forecast                
Debt Instrument [Line Items]                
Interest rate   0.25%            
Bridge Facility | Senior Unsecured Term Loans                
Debt Instrument [Line Items]                
Credit facility, maximum capacity           $ 2,050,000,000.00    
Revolving Credit Facility                
Debt Instrument [Line Items]                
Line of Credit Facility, Current Borrowing Capacity       $ 1,830,000,000 $ 2,000,000,000   $ 2,500,000,000 $ 2,050,000,000.00
Line of credit, borrowings outstanding     $ 0         $ 0
Line of Credit | Senior Unsecured Term Loans                
Debt Instrument [Line Items]                
Line of credit, borrowings outstanding     $ 1,830,000,000          
v3.25.0.1
DEBT AND CREDIT FACILITIES - Commercial Paper (Details) - USD ($)
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Debt Instrument [Line Items]    
Debt obligations $ 13,126,000,000 $ 13,756,000,000
Commercial paper    
Debt Instrument [Line Items]    
Debt obligations 300,000,000  
Weighted-average interest rate   4.78%
Commercial paper, average outstanding $ 0  
v3.25.0.1
DEBT AND CREDIT FACILITIES - Schedule of Maturities of Long-term Debt (Details) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Debt Disclosure [Abstract]    
2025 $ 2,757  
2026 2,398  
2027 1,458  
2028 1,345  
2029 784  
Thereafter 4,438  
Total debt and finance lease maturities 13,180  
Discounts, premiums, and adjustments relating to hedging instruments (54)  
Total debt and finance lease obligations $ 13,126 $ 13,756
v3.25.0.1
LEASES - Additional Information (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Dec. 31, 2020
Leases [Line Items]          
Net investment in sales-type leases $ 37 $ 50      
Sales-type leases, receivables $ 10 $ 8 $ 6 $ 10 $ 3
Minimum          
Leases [Line Items]          
Lessee operating and finance lease remaining term of contract 1 year        
Lessee, renewal term 1 year        
Maximum          
Leases [Line Items]          
Lessee operating and finance lease remaining term of contract 38 years        
Lessee, renewal term 10 years        
v3.25.0.1
LEASES - Components of Lease Cost (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Leases [Abstract]      
Operating lease cost $ 89 $ 94 $ 93
Finance lease cost      
Amortization of right-of-use assets 4 3 3
Interest on lease liabilities 1 1 1
Variable lease cost 54 45 44
Lease cost $ 148 $ 143 $ 141
v3.25.0.1
LEASES - Supplemental Cash Flow Information Related to Leases (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Leases [Abstract]      
Operating cash flows from operating leases $ 100 $ 115 $ 108
Operating cash flows from finance leases 5 3 2
Financing cash flows from finance leases 2 1 1
Right-of-use operating lease assets obtained in exchange for lease obligations 64 66 59
Right-of-use finance lease assets obtained in exchange for lease obligations $ 1 $ 15 $ 0
v3.25.0.1
LEASES - Assets and Liabilities of Lessee (Details) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Operating leases    
Operating lease right-of-use assets $ 306 $ 336
Accrued expenses and other current liabilities $ 80 $ 92
Operating Lease, Liability, Current, Statement of Financial Position [Extensible List] Accrued expenses and other current liabilities Accrued expenses and other current liabilities
Operating lease liabilities $ 243 $ 265
Total operating lease liabilities 323 357
Finance leases    
Property, plant and equipment, at cost 33 33
Accumulated depreciation (15) (13)
Property, plant and equipment, net $ 18 $ 20
Finance Lease, Right-of-Use Asset, Statement of Financial Position [Extensible Enumeration] Property, plant and equipment, net Property, plant and equipment, net
Current maturities of long-term debt and finance lease obligations $ 2 $ 2
Finance Lease, Liability, Current, Statement of Financial Position [Extensible Enumeration] Current maturities of long-term debt and finance lease obligations Current maturities of long-term debt and finance lease obligations
Long-term debt and finance lease obligations $ 19 $ 25
Finance Lease, Liability, Noncurrent, Statement of Financial Position [Extensible Enumeration] Long-term debt and finance lease obligations Long-term debt and finance lease obligations
Total finance lease liabilities $ 21 $ 27
v3.25.0.1
LEASES - Schedule of Lease Term and Discount Rates (Details)
Dec. 31, 2024
Dec. 31, 2023
Leases [Abstract]    
Operating lease, weighted average remaining lease term 6 years 6 years
Finance lease, weighted average remaining lease term 8 years 8 years
Operating lease, weighted average discount rate 3.10% 3.00%
Finance lease, weighted average discount rate 4.20% 3.90%
v3.25.0.1
LEASES - Maturities of Operating and Finance Lease Liabilities (Details) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Finance Leases    
2025 $ 4  
2026 4  
2027 4  
2028 3  
2029 3  
Thereafter 10  
Total minimum lease payments 28  
Less: imputed interest (7)  
Total finance lease liabilities 21 $ 27
Operating Leases    
2025 93  
2026 75  
2027 63  
2028 44  
2029 24  
Thereafter 62  
Total minimum lease payments 361  
Less: imputed interest (38)  
Total operating lease liabilities $ 323 $ 357
v3.25.0.1
LEASES - Components of Operating Lease Income (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Leases [Abstract]      
Sales-type lease revenue $ 10 $ 7 $ 8
Operating lease revenue 380 397 401
Variable lease revenue 28 21 17
Total lease revenue $ 418 $ 425 $ 426
Operating Lease Income Comprehensive Income Extensible List Not Disclosed Flag Operating lease revenue Operating lease revenue Operating lease revenue
v3.25.0.1
LEASES - Components of Net Investment in Sales-type Lease (Details) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Leases [Abstract]    
Minimum lease payments $ 38 $ 50
Unguaranteed residual values (1) 0
Net investment in leases $ 37 $ 50
v3.25.0.1
LEASES - Components of Sales Type Lease Income (Details) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Leases [Abstract]    
Accounts receivable, net $ 15 $ 25
Other non-current assets 22 26
Total $ 37 $ 51
v3.25.0.1
LEASES - Maturities of Sales-type and Operating Leases (Details)
$ in Millions
Dec. 31, 2024
USD ($)
Sales-type Leases1  
2025 $ 20
2026 7
2027 5
2028 4
2029 1
Thereafter 0
Total minimum lease payments 37
Imputed interest 1
Operating Leases  
2025 13
2026 9
2027 3
2028 1
2029 7
Thereafter 0
Present value of minimum lease payments $ 33
v3.25.0.1
COMMITMENTS AND CONTINGENCIES - Additional Information (Details)
$ in Millions
1 Months Ended 12 Months Ended
Jul. 16, 2024
lawsuit
Dec. 31, 2023
USD ($)
lawsuit
Mar. 31, 2020
lawsuit
Dec. 31, 2024
USD ($)
site
Sep. 11, 2024
complaint
Loss Contingencies [Line Items]          
Litigation reserve | $   $ 25   $ 40  
Number of complaints | complaint         1
Alleging Injuries Due To Exposure Of Chemicals          
Loss Contingencies [Line Items]          
Loss contingency, number of lawsuits | lawsuit   41 2    
Exposure to Ethylene Oxide          
Loss Contingencies [Line Items]          
Loss contingency, number of lawsuits | lawsuit 40        
Environmental Clean-up | Superfund Sites          
Loss Contingencies [Line Items]          
Number of sites | site       6  
Environmental reserves | $   $ 15   $ 29  
v3.25.0.1
STOCKHOLDERS’ EQUITY - Stock-based Compensation Narrative (Details) - USD ($)
shares in Millions, $ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Stockholders Equity Note [Line Items]      
Shares available for future awards under the stock-based compensation plans (in shares) 48    
Stock compensation $ 114 $ 115 $ 140
Tax benefit related to stock based compensation 8 10 31
Excess tax benefit for stock based compensation $ 9 $ 11 $ 5
Marketing and Administrative Expenses      
Stockholders Equity Note [Line Items]      
Stock compensation expense allocation percentage 70.00% 70.00%  
v3.25.0.1
STOCKHOLDERS’ EQUITY - Stock Options Narrative (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Employee stock option      
Stockholders Equity Note [Line Items]      
Vesting percentage 33.33%    
Target service period 3 years    
Stock repurchase program, period in force 6 months    
Stock options granted contractual term 10 years    
Total intrinsic value of stock options exercised $ 1 $ 5 $ 37
Unrecognized compensation cost related to all unvested $ 11    
Weighted-average period for all unvested 1 year 1 month 6 days    
Equity Option      
Stockholders Equity Note [Line Items]      
Exercise price, percent 100.00%    
v3.25.0.1
STOCKHOLDERS’ EQUITY - Stock Options Fair Value Assumptions (Details) - Employee stock option - $ / shares
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]    
Expected volatility 27.00% 24.00%
Expected life (in years) 6 years 5 years 6 months
Risk-free interest rate 4.20% 1.80%
Dividend yield 3.00% 1.30%
Fair value per stock (in us dollar per share) $ 9 $ 18
v3.25.0.1
STOCKHOLDERS’ EQUITY - Summary of Stock Option Activity (Detail)
$ / shares in Units, shares in Thousands, $ in Thousands
12 Months Ended
Dec. 31, 2024
USD ($)
$ / shares
shares
Number of options  
Number of options, Outstanding at beginning of year (in shares) | shares 19,467
Number of options, Granted (in shares) | shares 0
Number of options, Exercised (in shares) | shares (760)
Number of options, Forfeited (in shares) | shares (287)
Number of options, Expired (in shares) | shares (1,039)
Number of options, Outstanding at end of year (in shares) | shares 17,381
Number of options, Vested or expected to vest at end of year (in shares) | shares 17,236
Number of options , Exercisable at end of year (in shares) | shares 14,718
Stock options grant weighted-average exercise price  
Weighted-average exercise price, Outstanding at beginning of year (in dollars per share) | $ / shares $ 59.35
Weighted-average exercise price, Granted (in dollars per share) | $ / shares 0
Weighted-average exercise price, Exercised (in dollars per share) | $ / shares 37.43
Weighted-average exercise price, Forfeited (in dollars per share) | $ / shares 47.96
Weighted-average exercise price, Expired (in dollars per share) | $ / shares 65.21
Weighted Average Exercise Price Outstanding at end of year (in dollars per share) | $ / shares 60.15
Weighted Average Exercise Price Vested or expected to vest at end of year (in dollars per share) | $ / shares 60.31
Weighted Average Exercise Price Exercisable at end of year (in dollars per share) | $ / shares $ 62.66
Stock options grant Weighted-average remaining contractual life  
Weighted average remaining contractual life, Outstanding at end of year 3 years 9 months 29 days
Weighted average remaining contractual life, Vested or expected to vest at end of year 3 years 9 months 18 days
Weighted average remaining contractual life, Exercisable at end of year 3 years 3 months 25 days
Stock options grant aggregate intrinsic value  
Aggregate intrinsic value, outstanding, ending balance | $ $ 0
Aggregate intrinsic value,Vested or expected to vest at end of year | $ 0
Aggregate intrinsic value, Exercisable at end of year | $ $ 0
v3.25.0.1
STOCKHOLDERS’ EQUITY - RSUs Narrative (Details) - Restricted Stock Units - USD ($)
$ / shares in Units, $ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Stockholders Equity Note [Line Items]      
Target service period 3 years    
Stock repurchase program, period in force 6 months    
Unrecognized compensation cost related to all unvested $ 123    
Weighted-average period for all unvested 1 year 9 months 18 days    
Weighted average fair value (in dollars per share) $ 42.37 $ 39.20 $ 81.66
Fair value of RSUs and restricted stock vested $ 46 $ 25 $ 69
v3.25.0.1
STOCKHOLDERS’ EQUITY - PSUs Narrative (Details) - Performance Shares
$ in Millions
12 Months Ended
Dec. 31, 2024
USD ($)
Stockholders Equity Note [Line Items]  
Target service period 3 years
Unrecognized compensation cost related to all unvested $ 6
Weighted-average period for all unvested 2 years 8 months 12 days
v3.25.0.1
STOCKHOLDERS’ EQUITY - Summary of Nonvested Restricted Stock Units Activity (Detail) - Restricted Stock Units - $ / shares
shares in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
RSUs shares      
Nonvested Units at beginning of year (in shares) 4,006    
Vested (in shares) (1,565)    
Forfeited (in shares) (680)    
Nonvested Units at end of year (in shares) 6,940 4,006  
RSUs weighted-average grant date fair value      
Weighted-average grant date fair value Nonvested Units at beginning of year (in dollars per share) $ 49.77    
Weighted-average grant date fair value Granted (in dollars per share) 42.37 $ 39.20 $ 81.66
Weighted-average grant date fair value Vested (in dollars per share) 53.64    
Weighted-average grant date fair value Forfeited (in dollars per share) 46.32    
Weighted-average grant date fair value Nonvested Units at end of year (in dollars per share) $ 43.94 $ 49.77  
Baxter Employee      
RSUs shares      
Granted (in shares) 5,179    
RSUs weighted-average grant date fair value      
Weighted-average grant date fair value Granted (in dollars per share) $ 42.28    
v3.25.0.1
STOCKHOLDERS' EQUITY - Performance Stock Units Fair Value Assumptions (Detail) - Performance Shares - $ / shares
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Baxter volatility 29.00% 27.00% 27.00%
Peer group volatility minimum 20.00% 23.00% 24.00%
Peer group volatility maximum 52.00% 54.00% 54.00%
Correlation of returns minimum 0.12 0.23 0.21
Correlation of returns maximum 0.51 0.48 0.61
Risk-free interest rate 4.30% 4.60% 1.60%
Fair value per PSU (in dollars per share) $ 57 $ 30 $ 102
v3.25.0.1
STOCKHOLDERS' EQUITY - Summary of Nonvested Performance Stock Unit Activity (Detail) - Performance Shares
shares in Thousands
12 Months Ended
Dec. 31, 2024
$ / shares
shares
PSUs shares  
Nonvested Units at beginning of year (in shares) | shares 729
Granted (in shares) | shares 186
Vested (in shares) | shares (73)
Forfeited (in shares) | shares (240)
Nonvested Units at end of year (in shares) | shares 602
PSUs weighted-average grant date fair value  
Weighted-average grant date fair value Nonvested Units at beginning of year (in dollars per share) | $ / shares $ 57.03
Weighted-average grant date fair value Granted (in dollars per share) | $ / shares 57.22
Weighted-average grant date fair value Vested (in dollars per share) | $ / shares 77.35
Weighted-average grant date fair value Forfeited (in dollars per share) | $ / shares 87.85
Weighted-average grant date fair value Nonvested Units at end of year (in dollars per share) | $ / shares $ 42.36
v3.25.0.1
STOCKHOLDERS’ EQUITY - Employee Purchase Plan Narrative (Details) - USD ($)
$ / shares in Units, $ in Millions
1 Months Ended 12 Months Ended
Jan. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Stockholders Equity Note [Line Items]        
Shares available for future awards under the stock-based compensation plans (in shares)   48,000,000    
Cash dividends declared per common share (in dollars per share)   $ 1.04 $ 1.16 $ 1.15
Cash dividends declared per common share annualized basis (in dollars per share)   $ 1.16    
Purchases of common stock (in shares)       500,000
Purchases of treasury stock       $ 32
Remaining value available under stock repurchase programs   $ 1,300    
Preferred stock authorized (in shares)   100,000,000    
Preferred stock, no par value (in dollars per share)   $ 0    
Preferred stock (in shares)   0 0  
2024 Q1 Dividends        
Stockholders Equity Note [Line Items]        
Cash dividends declared per common share (in dollars per share)   $ 0.29    
2024 Q2 Dividends        
Stockholders Equity Note [Line Items]        
Cash dividends declared per common share (in dollars per share)   0.29    
2024 Q3 Dividends        
Stockholders Equity Note [Line Items]        
Cash dividends declared per common share (in dollars per share)   $ 0.29    
Subsequent Event | Common Class A        
Stockholders Equity Note [Line Items]        
Cash dividends declared per common share (in dollars per share) $ 0.17      
Cash dividends paid per common share (in dollars per share) $ 0.17      
Common stock in treasury        
Stockholders Equity Note [Line Items]        
Purchases of common stock (in shares)       0
Purchases of treasury stock       $ 32
Employee Stock Purchase Plan        
Stockholders Equity Note [Line Items]        
Employee purchase price, percent   85.00%    
Shares available for future awards under the stock-based compensation plans (in shares)   8,000,000    
Share issued, ESPP (in shares)   1,400,000   900,000
v3.25.0.1
ACCUMULATED OTHER COMPREHENSIVE INCOME (LOSS) - Summary of Changes in AOCI by Component (Detail) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]      
Beginning of year $ 8,468 $ 5,895 $ 9,121
Total other comprehensive income (loss) from continuing operations, net of tax (472) 276 (458)
End of year 7,024 8,468 5,895
CTA      
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]      
Beginning of year (2,985) (3,386) (2,907)
Other comprehensive income (loss) before reclassifications (445) 216 (544)
Amounts reclassified from AOCI 0 185 65
Total other comprehensive income (loss) from continuing operations, net of tax (445) 401 (479)
End of year (3,430) (2,985) (3,386)
Pension and OPEB plans      
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]      
Beginning of year (452) (331) (347)
Other comprehensive income (loss) before reclassifications (19) (106) (9)
Amounts reclassified from AOCI (4) (15) 25
Total other comprehensive income (loss) from continuing operations, net of tax (23) (121) 16
End of year (475) (452) (331)
Hedging activities      
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]      
Beginning of year (120) (119) (126)
Other comprehensive income (loss) before reclassifications 10 5 22
Amounts reclassified from AOCI 2 (6) (15)
Total other comprehensive income (loss) from continuing operations, net of tax 12 (1) 7
End of year (108) (120) (119)
Available-for-sale debt securities      
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]      
Beginning of year 3 3 0
Other comprehensive income (loss) before reclassifications 0 0 3
Amounts reclassified from AOCI 0 0 0
Total other comprehensive income (loss) from continuing operations, net of tax 0 0 3
End of year 3 3 3
Accumulated Other Comprehensive Income (Loss)      
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]      
Beginning of year (3,554) (3,833) (3,380)
Other comprehensive income (loss) before reclassifications (454) 115 (528)
Amounts reclassified from AOCI (2) 164 75
Total other comprehensive income (loss) from continuing operations, net of tax (456) 279 (453)
End of year $ (4,010) $ (3,554) $ (3,833)
v3.25.0.1
ACCUMULATED OTHER COMPREHENSIVE INCOME (LOSS) - Summary of Amounts Reclassification from AOCI to Net Income (Detail) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2024
Sep. 30, 2024
Jun. 30, 2024
Mar. 31, 2024
Dec. 31, 2023
Sep. 30, 2023
Jun. 30, 2023
Mar. 31, 2023
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items]                      
Income (loss) from discontinued operations, net of tax $ (22) $ 83 $ (406) $ 33 $ 27 $ 2,474 $ (112) $ 93 $ (312) $ 2,482 $ 692
Reclassifications, Income tax expense (benefit)                 (37) (61) 135
Total reclassifications for the period $ (512) $ 140 $ (314) $ 37 $ 245 $ 2,508 $ (141) $ 44 (649) 2,656 (2,433)
Amortization of net losses and prior service costs or credits                 38 (26) (9)
Settlement charges                 0 (1) 0
Cost of sales                 (6,652) (6,210) (6,508)
Interest expense, net                 (341) (439) (394)
Reclassification out of Accumulated Other Comprehensive Income                      
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items]                      
Total reclassifications for the period                 2 (164) (75)
CTA | Reclassification out of Accumulated Other Comprehensive Income                      
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items]                      
Income (loss) from discontinued operations, net of tax                 0 (185) 0
Total reclassifications for the period, before tax                 0 (185) (65)
Reclassifications, Income tax expense (benefit)                 0 0 0
Total reclassifications for the period                 0 (185) (65)
Amortization of net losses and prior service costs or credits                 0 0 (65)
Amortization of pension and other employee benefits items | Reclassification out of Accumulated Other Comprehensive Income                      
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items]                      
Income (loss) from discontinued operations, net of tax                 0 4 0
Total reclassifications for the period, before tax                 6 20 (31)
Reclassifications, Income tax expense (benefit)                 (2) (5) 6
Total reclassifications for the period                 4 15 (25)
Amortization of net losses and prior service costs or credits                 6 18 (30)
Settlement charges                 0 (2) (1)
Hedging activities | Reclassification out of Accumulated Other Comprehensive Income                      
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items]                      
Total reclassifications for the period, before tax                 (3) 7 20
Reclassifications, Income tax expense (benefit)                 1 (1) (5)
Total reclassifications for the period                 (2) 6 15
Hedging activities | Reclassification out of Accumulated Other Comprehensive Income | Foreign exchange contracts                      
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items]                      
Cost of sales                 8 16 26
Hedging activities | Reclassification out of Accumulated Other Comprehensive Income | Interest rate contracts                      
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items]                      
Interest expense, net                 (6) (6) (6)
Hedging activities | Reclassification out of Accumulated Other Comprehensive Income | Fair value hedges                      
Reclassification Adjustment out of Accumulated Other Comprehensive Income [Line Items]                      
Amortization of net losses and prior service costs or credits                 $ (5) $ (3) $ 0
v3.25.0.1
REVENUES - Additional Information (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2021
Disaggregation of Revenue [Line Items]      
Net trade accounts receivable $ 1,540 $ 1,540  
Contract liability, revenue recognized $ 103 $ 117 $ 110
Minimum | Software sales      
Disaggregation of Revenue [Line Items]      
Revenue recognized, contract period (years) 1 year    
Minimum | Consumable Medical Products      
Disaggregation of Revenue [Line Items]      
Revenue recognized, contract period (years) 1 year    
Maximum | Software sales      
Disaggregation of Revenue [Line Items]      
Revenue recognized, contract period (years) 5 years    
Maximum | Consumable Medical Products      
Disaggregation of Revenue [Line Items]      
Revenue recognized, contract period (years) 7 years    
Maximum | Contract manufacturing services      
Disaggregation of Revenue [Line Items]      
Revenue recognized, contract period (years) 90 days    
v3.25.0.1
REVENUES - Summary of Contract Assets and Contract Liabilities (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Disaggregation of Revenue [Line Items]    
Contract assets $ 133 $ 165
Contract liabilities 171 169
Revenue From Contract With Customer [Roll Forward]    
Balance at beginning of period 169 173
New revenue deferrals 554 478
Revenue recognized upon satisfaction of performance obligations (555) (484)
Currency translation 3 2
Balance at end of period 171 169
Contract manufacturing services    
Disaggregation of Revenue [Line Items]    
Contract assets 2 4
Software sales    
Disaggregation of Revenue [Line Items]    
Contract assets 44 45
Bundled equipment and consumable medical products contracts    
Disaggregation of Revenue [Line Items]    
Contract assets 87 116
Prepaid expenses and other current assets    
Disaggregation of Revenue [Line Items]    
Contract assets 51 53
Other non-current assets    
Disaggregation of Revenue [Line Items]    
Contract assets 82 112
Accrued expenses and other current liabilities    
Disaggregation of Revenue [Line Items]    
Contract liabilities 131 128
Revenue From Contract With Customer [Roll Forward]    
Balance at beginning of period 128  
Balance at end of period 131 128
Other non-current liabilities    
Disaggregation of Revenue [Line Items]    
Contract liabilities 40 41
Revenue From Contract With Customer [Roll Forward]    
Balance at beginning of period 41  
Balance at end of period $ 40 $ 41
v3.25.0.1
BUSINESS OPTIMIZATION CHARGES - Additional Information (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Restructuring Cost and Reserve [Line Items]      
Expected additional pre-tax cash costs $ 4    
Restructuring charges 146 $ 141 $ 144
Inventory write-down 9    
Streamline Of Manufacturing Footprint      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges 46    
COGS      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges 62 30 15
Integration Activities | Hillrom      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges     85
Employee termination costs      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges 98 121 112
Employee termination costs | Streamline Of Manufacturing Footprint      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges 2 81  
Employee termination costs | Restructuring Within HST Segment      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges 14    
Employee termination costs | Restructuring Within HST Segment | Kidney Care      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges 45    
Employee termination costs | COGS      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges 20 20 15
Employee termination costs | Hillrom      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges     55
Contract termination and other costs      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges 9 2 22
Contract termination and other costs | COGS      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges 3 (1) 0
Contract termination and other costs | Hillrom      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges     22
Asset Impairment      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges 39 18 10
Asset Impairment | Streamline Of Manufacturing Footprint      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges 21    
Asset Impairment | COGS      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges $ 39 $ 11 0
Asset Impairment | Hillrom      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges     $ 8
v3.25.0.1
BUSINESS OPTIMIZATION CHARGES - Schedule of Business Optimization Charges (Detail) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Restructuring and Related Activities [Abstract]      
Restructuring charges $ 146 $ 141 $ 144
Costs to implement business optimization programs 16 33 49
Total business optimization charges $ 162 $ 174 $ 193
v3.25.0.1
BUSINESS OPTIMIZATION CHARGES - Components of Restructuring Costs (Detail) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Restructuring Cost and Reserve [Line Items]      
Restructuring charges $ 146 $ 141 $ 144
Restructuring Charges, Statement of Income or Comprehensive Income [Extensible Enumeration] Total reportable segment operating income Total reportable segment operating income Total reportable segment operating income
Employee termination costs      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges $ 98 $ 121 $ 112
Contract termination and other costs      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges 9 2 22
Asset impairments      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges 39 18 10
COGS      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges $ 62 $ 30 $ 15
Restructuring Charges, Statement of Income or Comprehensive Income [Extensible Enumeration] Total reportable segment operating income Total reportable segment operating income Total reportable segment operating income
COGS | Employee termination costs      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges $ 20 $ 20 $ 15
COGS | Contract termination and other costs      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges 3 (1) 0
COGS | Asset impairments      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges 39 11 0
SG&A      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges $ 54 $ 101 $ 126
Restructuring Charges, Statement of Income or Comprehensive Income [Extensible Enumeration] Total reportable segment operating income Total reportable segment operating income Total reportable segment operating income
SG&A | Employee termination costs      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges $ 48 $ 91 $ 94
SG&A | Contract termination and other costs      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges 6 3 22
SG&A | Asset impairments      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges 0 7 10
R&D      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges $ 30 $ 10 $ 3
Restructuring Charges, Statement of Income or Comprehensive Income [Extensible Enumeration] Total reportable segment operating income Total reportable segment operating income Total reportable segment operating income
R&D | Employee termination costs      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges $ 30 $ 10 $ 3
R&D | Contract termination and other costs      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges 0 0 0
R&D | Asset impairments      
Restructuring Cost and Reserve [Line Items]      
Restructuring charges $ 0 $ 0 $ 0
v3.25.0.1
BUSINESS OPTIMIZATION CHARGES - Summary of Activity in Reserves related to Business Optimization Initiatives (Detail) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Restructuring Reserve [Roll Forward]      
Restructuring charges $ 146 $ 141 $ 144
Restructuring Charges, Statement of Income or Comprehensive Income [Extensible Enumeration] Total reportable segment operating income Total reportable segment operating income Total reportable segment operating income
Severance and Other Employee Related Costs      
Restructuring Reserve [Roll Forward]      
Reserve, beginning balance $ 95 $ 86 $ 75
Restructuring charges 116 146 152
Payments (80) (101) (118)
Reserve adjustments (9) (23) (18)
Currency translation 0 (13) (5)
Reserve, ending balance $ 122 $ 95 $ 86
v3.25.0.1
PENSION AND OTHER POSTRETIREMENT BENEFIT PROGRAMS - Reconciliation of Pension and OPEB Plan Obligations, Assets and Funded Status (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Benefit obligations      
End of period $ 2,749    
Fair value of plan assets      
End of period 2,228    
Amounts recognized in the consolidated balance sheets      
Noncurrent asset 56 $ 46  
Pension benefits      
Benefit obligations      
Beginning of period 2,901 2,665  
Service cost 11 19 $ 71
Interest cost 136 148 94
Participant contributions 3 4  
Actuarial (gain) loss (129) 169  
Benefit payments (133) (133)  
Settlements (8) (14)  
Acquisitions 0 2  
Plan Amendments 0 3  
Foreign exchange and other (33) 38  
End of period 2,748 2,901 2,665
Fair value of plan assets      
Beginning of period 2,350 2,161  
Actual return on plan assets (4) 268  
Employer contributions 46 27  
Participant contributions 3 4  
Benefit payments (133) (133)  
Settlements (8) (14)  
Foreign exchange and other (26) 37  
End of period 2,228 2,350 2,161
Funded status (520) (551)  
Amounts recognized in the consolidated balance sheets      
Noncurrent asset 56 46  
Current liability (23) (20)  
Noncurrent liability (553) (577)  
Net liability recognized (520) (551)  
OPEB      
Benefit obligations      
Beginning of period 154 160  
Service cost 0 0 1
Interest cost 8 8 4
Participant contributions 0 0  
Actuarial (gain) loss (3) 5  
Benefit payments (15) (19)  
Settlements 0 0  
Acquisitions 0 0  
Plan Amendments (2) 0  
Foreign exchange and other (1) 0  
End of period 141 154 160
Fair value of plan assets      
Beginning of period 0 0  
Actual return on plan assets 0 0  
Employer contributions 15 19  
Participant contributions 0 0  
Benefit payments (15) (19)  
Settlements 0 0  
Foreign exchange and other 0 0  
End of period 0 0 $ 0
Funded status (141) (154)  
Amounts recognized in the consolidated balance sheets      
Noncurrent asset 0 0  
Current liability (16) (17)  
Noncurrent liability (125) (137)  
Net liability recognized $ (141) $ (154)  
v3.25.0.1
PENSION AND OTHER POSTRETIREMENT BENEFIT PROGRAMS - Additional Information (Details)
$ in Millions
12 Months Ended
Dec. 31, 2024
USD ($)
Defined Benefit Plan Disclosure [Line Items]  
Allowed variance from target allocation of plan assets 6.65%
General investment portfolio limits on holdings, description 5.00%
United States  
Defined Benefit Plan Disclosure [Line Items]  
Defined benefit plan, expected future employer contributions, next fiscal year $ 26
International plans  
Defined Benefit Plan Disclosure [Line Items]  
Defined benefit plan, expected future employer contributions, next fiscal year 7
OPEB  
Defined Benefit Plan Disclosure [Line Items]  
Defined benefit plan, expected future employer contributions, next fiscal year $ 16
Return-Seeking Investments  
Defined Benefit Plan Disclosure [Line Items]  
Allowed variance from target allocation of plan assets 50.00%
Liability Hedging Investments  
Defined Benefit Plan Disclosure [Line Items]  
Allowed variance from target allocation of plan assets 50.00%
v3.25.0.1
PENSION AND OTHER POSTRETIREMENT BENEFIT PROGRAMS - Information Relating to Individual Plans in Funded Status Table above that have ABO in Excess of Plan Assets (Details) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Information relating to the individual plans in the funded status table above that have an ABO in excess of plan assets    
ABO $ 2,403 $ 2,502
Fair value of plan assets $ 1,843 $ 1,919
v3.25.0.1
PENSION AND OTHER POSTRETIREMENT BENEFIT PROGRAMS - Information Relating to Individual Plans in Funded Status Table that have PBO in Excess of Plan Assets (Details) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Information relating to the individual plans in the funded status table above that have a PBO in excess of plan assets    
PBO $ 2,419 $ 2,561
Fair value of plan assets $ 1,843 $ 1,961
v3.25.0.1
PENSION AND OTHER POSTRETIREMENT BENEFIT PROGRAMS - Expected Net Pension and OPEB Plan Payments for Next 10 Years (Details)
$ in Millions
Dec. 31, 2024
USD ($)
Pension benefits  
Expected Net Pension and OPEB Plan Payments for the Next 10 Years  
2025 $ 156
2026 160
2027 172
2028 179
2029 183
2030 through 2034 973
Total expected net benefit payments for next 10 years 1,823
OPEB  
Expected Net Pension and OPEB Plan Payments for the Next 10 Years  
2025 17
2026 15
2027 14
2028 14
2029 13
2030 through 2034 55
Total expected net benefit payments for next 10 years $ 128
v3.25.0.1
PENSION AND OTHER POSTRETIREMENT BENEFIT PROGRAMS - Summary of Pre-Tax losses Included in AOCI (Details) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Pension benefits    
Summary of the pre-tax losses included in AOCI    
Actuarial loss (gain) $ 642 $ 615
Prior service credit and transition obligation 11 11
Total pre-tax loss (gain) recognized in AOCI 653 626
OPEB    
Summary of the pre-tax losses included in AOCI    
Actuarial loss (gain) (42) (50)
Prior service credit and transition obligation (10) (16)
Total pre-tax loss (gain) recognized in AOCI $ (52) $ (66)
v3.25.0.1
PENSION AND OTHER POSTRETIREMENT BENEFIT PROGRAMS - Summary of Net-of-Tax Amounts Recorded in OCI Relating to Pension and OPEB Plans (Details) - USD ($)
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Summary of the net-of-tax amounts recorded in OCI relating to pension and OPEB plans      
Gain (loss) arising during the year, net of tax of $(6) in 2024, $31 in 2023 and $4 in 2022 $ (15,000,000) $ (103,000,000) $ (61,000,000)
Amortization of gain (loss) to earnings, net of tax of zero in 2024, $(5) in 2023 and $6 in 2022 (4,000,000) 13,000,000 21,000,000
Settlement charges, net of tax of zero in 2024, $(1) in 2023 and zero 2022 0 (2,000,000) 1,000,000
Pension and other employee benefits (19,000,000) (92,000,000) (39,000,000)
Gain (loss) arising during the year, tax expense (benefit) (6,000,000) 31,000,000 4,000,000
Amortization of loss to earnings, tax benefit 0 (5,000,000) 6,000,000
Settlement, tax benefit $ 0 $ (1,000,000) $ 0
v3.25.0.1
PENSION AND OTHER POSTRETIREMENT BENEFIT PROGRAMS - Net Periodic Benefit Cost - Continuing Operations (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Net periodic benefit cost      
Defined Benefit Plan Net Periodic Benefit Cost Credit Settlement Gain Loss Statement Of Income Or Comprehensive Income Extensible List Not Disclosed Flag Settlement charges Settlement charges Settlement charges
Settlement charges $ 0 $ (1) $ 0
Pension benefits      
Net periodic benefit cost      
Service cost 11 19 71
Interest cost 136 148 94
Expected return on plan assets (179) (187) (156)
Amortization of net losses and other deferred amounts 15 6 41
Curtailment gain 0 0 (12)
Other 0 1 1
Net periodic benefit cost (17) (12) 39
OPEB      
Net periodic benefit cost      
Service cost 0 0 1
Interest cost 8 8 4
Curtailment gain 0 (1) 0
Amortization of net losses and prior service credit (19) (24) (14)
Net periodic benefit cost $ (11) $ (17) $ (9)
v3.25.0.1
PENSION AND OTHER POSTRETIREMENT BENEFIT PROGRAMS - Weighted-Average Assumptions Used in Determining (Details)
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Pension benefits | United States      
Defined Benefit Plan Disclosure [Line Items]      
Discount rate 5.71% 5.20%  
Rate of compensation increase 3.00% 2.60%  
Discount rate 5.20% 5.55% 3.01%
Expected return on plan assets 6.65% 6.43% 5.00%
Rate of compensation increase 2.60% 2.93% 3.68%
Pension benefits | International plans      
Defined Benefit Plan Disclosure [Line Items]      
Discount rate 3.67% 1.76%  
Rate of compensation increase 3.07% 2.59%  
Discount rate 3.41% 4.11% 1.55%
Expected return on plan assets 4.86% 4.93% 3.89%
Rate of compensation increase 3.32% 3.43% 3.17%
OPEB      
Defined Benefit Plan Disclosure [Line Items]      
Annual rate of increase in the per-capita cost 6.75% 6.25%  
Rate decreased to 5.00% 5.00%  
Annual rate of increase in the per-capita cost 6.75% 6.25% 6.50%
Rate decreased to 5.00% 5.00% 5.00%
OPEB | United States      
Defined Benefit Plan Disclosure [Line Items]      
Discount rate 5.54% 5.11%  
Discount rate 5.11% 5.46% 2.76%
v3.25.0.1
PENSION AND OTHER POSTRETIREMENT BENEFIT PROGRAMS - Fair Value of Pension Plan Assets and Liabilities (Details) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets $ 2,228 $ 2,350  
Quoted prices in active markets for identical assets (Level 1)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 561 548  
Significant other observable inputs (Level 2)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 750 831  
Significant unobservable inputs (Level 3)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 127 155  
Fair Value, Measured at NAV      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 738 756  
Cash      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 52 60  
Cash equivalents      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 179 399  
Cash equivalents | Quoted prices in active markets for identical assets (Level 1)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 0 0  
Cash equivalents | Significant other observable inputs (Level 2)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 179 399  
Cash equivalents | Significant unobservable inputs (Level 3)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 0 0  
Cash equivalents | Fair Value, Measured at NAV      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 0 0  
U.S. government and government agency issues      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 135 95  
U.S. government and government agency issues | Quoted prices in active markets for identical assets (Level 1)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 0 0  
U.S. government and government agency issues | Significant other observable inputs (Level 2)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 135 95  
U.S. government and government agency issues | Significant unobservable inputs (Level 3)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 0 0  
U.S. government and government agency issues | Fair Value, Measured at NAV      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 0 0  
Corporate bonds      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 357 265  
Corporate bonds | Quoted prices in active markets for identical assets (Level 1)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 0 0  
Corporate bonds | Significant other observable inputs (Level 2)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 357 265  
Corporate bonds | Significant unobservable inputs (Level 3)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 0 0  
Corporate bonds | Fair Value, Measured at NAV      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 0 0  
Common stock      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 353 344  
Common stock | Quoted prices in active markets for identical assets (Level 1)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 353 344  
Common stock | Significant other observable inputs (Level 2)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 0 0  
Common stock | Significant unobservable inputs (Level 3)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 0 0  
Common stock | Fair Value, Measured at NAV      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 0 0  
Mutual funds      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 199 192  
Mutual funds | Quoted prices in active markets for identical assets (Level 1)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 199 192  
Mutual funds | Significant other observable inputs (Level 2)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 0 0  
Mutual funds | Significant unobservable inputs (Level 3)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 0 0  
Mutual funds | Fair Value, Measured at NAV      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 0 0  
Common/collective trust funds      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 540 540  
Common/collective trust funds | Quoted prices in active markets for identical assets (Level 1)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 0 0  
Common/collective trust funds | Significant other observable inputs (Level 2)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 0 0  
Common/collective trust funds | Significant unobservable inputs (Level 3)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 0 0  
Common/collective trust funds | Fair Value, Measured at NAV      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 540 540  
Partnership investments      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 198 216  
Partnership investments | Quoted prices in active markets for identical assets (Level 1)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 0 0  
Partnership investments | Significant other observable inputs (Level 2)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 0 0  
Partnership investments | Significant unobservable inputs (Level 3)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 0 0  
Partnership investments | Fair Value, Measured at NAV      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 198 216  
Other holdings      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 215 239  
Other holdings | Quoted prices in active markets for identical assets (Level 1)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 9 12  
Other holdings | Significant other observable inputs (Level 2)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 79 72  
Other holdings | Significant unobservable inputs (Level 3)      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets 127 155 $ 7
Other holdings | Fair Value, Measured at NAV      
Defined Benefit Plan Disclosure [Line Items]      
Fair value of pension plan assets $ 0 $ 0  
v3.25.0.1
PENSION AND OTHER POSTRETIREMENT BENEFIT PROGRAMS - Changes in Fair Value Measurements that Used Significant Unobservable Inputs (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Defined Benefit Plan, Change in Fair Value of Plan Assets, Level 3 Reconciliation [Roll Forward]    
Beginning of period $ 2,350  
End of period 2,228 $ 2,350
Significant unobservable inputs (Level 3)    
Defined Benefit Plan, Change in Fair Value of Plan Assets, Level 3 Reconciliation [Roll Forward]    
Beginning of period 155  
End of period 127 155
Other holdings    
Defined Benefit Plan, Change in Fair Value of Plan Assets, Level 3 Reconciliation [Roll Forward]    
Beginning of period 239  
End of period 215 239
Other holdings | Significant unobservable inputs (Level 3)    
Defined Benefit Plan, Change in Fair Value of Plan Assets, Level 3 Reconciliation [Roll Forward]    
Beginning of period 155 7
Purchases 3 148
Unrealized gains (losses) (24)  
Sales (7)  
End of period 127 $ 155
Other holdings | Significant unobservable inputs (Level 3) | United Kingdom    
Defined Benefit Plan, Change in Fair Value of Plan Assets, Level 3 Reconciliation [Roll Forward]    
Purchases $ 148  
v3.25.0.1
PENSION AND OTHER POSTRETIREMENT BENEFIT PROGRAMS - Funded Status Percentage of Company's Pension Plans (Details)
$ in Millions
Dec. 31, 2024
USD ($)
Funded status percentage of the company's pension plans  
Fair value of plan assets $ 2,228
PBO $ 2,749
Funded status percentage 81.00%
Qualified Pension Plan | United States  
Funded status percentage of the company's pension plans  
Fair value of plan assets $ 1,763
PBO $ 2,015
Funded status percentage 87.00%
Qualified Pension Plan | International plans  
Funded status percentage of the company's pension plans  
Fair value of plan assets $ 465
PBO $ 518
Funded status percentage 90.00%
Non Qualified Pension Plan | United States  
Funded status percentage of the company's pension plans  
PBO $ 183
Non Qualified Pension Plan | International plans  
Funded status percentage of the company's pension plans  
PBO $ 33
v3.25.0.1
PENSION AND OTHER POSTRETIREMENT BENEFIT PROGRAMS - Pension Plan Amendments (Details) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
May 31, 2022
Defined Benefit Plan Disclosure [Line Items]      
Accumulated benefit obligation of company's pension plans $ 2,710 $ 3,060  
Projected benefit obligation     $ 11
v3.25.0.1
PENSION AND OTHER POSTRETIREMENT BENEFIT PROGRAMS - U.S. Defined Contribution Plan (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Retirement Benefits [Abstract]      
Defined contribution plan, contributions by employer $ 119 $ 116 $ 96
v3.25.0.1
INCOME TAXES - Income From Continuing Operations Before Income Tax Expense by Category (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Income Tax Disclosure [Abstract]      
United States $ (1,499) $ (1,057) $ (3,858)
International 1,210 1,299 610
Income (loss) from continuing operations before income taxes $ (289) $ 242 $ (3,248)
v3.25.0.1
INCOME TAXES - Income Tax Expense Related To Continuing Operations (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Current      
Federal $ 19 $ 1 $ 9
State and local 21 9 0
International 259 307 116
Current income tax expense (benefit) 299 317 125
Deferred      
Federal (197) (123) (264)
State and local (21) (25) (49)
International (44) (108) 53
Deferred income tax expense (benefit) (262) (256) (260)
Income tax expense (benefit) $ 37 $ 61 $ (135)
v3.25.0.1
INCOME TAXES - Deferred Tax Assets and Liabilities (Detail) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Deferred tax assets        
Accrued liabilities and other $ 310 $ 282    
Pension and other postretirement benefits 131 135    
Tax credit and net operating loss carryforwards 750 723    
Swiss tax reform net asset basis step-up 92 157    
Operating lease liabilities 139 140    
Valuation allowances (536) (584) $ (631) $ (326)
Total deferred tax assets 886 853    
Deferred tax liabilities        
Subsidiaries’ unremitted earnings 21 81    
Long-lived assets and other 632 783    
Operating lease right-of-use assets 132 131    
Total deferred tax liabilities 785 995    
Net deferred tax asset (liability)   $ (142)    
Net deferred tax asset (liability) $ 101      
v3.25.0.1
INCOME TAXES - Additional Information (Details)
$ / shares in Units, $ in Millions
12 Months Ended
Dec. 31, 2024
USD ($)
segment
operation
$ / shares
Dec. 31, 2023
USD ($)
$ / shares
Dec. 31, 2022
USD ($)
$ / shares
Dec. 31, 2019
USD ($)
Income Taxes [Line Items]        
Valuation allowance $ 536 $ 584    
Net asset basis step-up       $ 863
Swiss tax reform net asset basis step-up 92 157    
Deferred tax asset, swiss tax reform net asset basis step-up, valuation allowance 42 90    
Decrease in valuation allowance 34      
Tax expense 25      
Decrease in deferred tax asset 59      
Net tax benefit after valuation allowances from notional interest deductions   50    
Net tax benefit, offset by non-deductible income tax costs and shortfalls 19 17 $ 8  
Notional interest deduction expense (benefit) (37) 31 (306)  
One time transitional tax expense $ 607      
Number of segments | segment 3      
Expense (benefit), would be incurred if earnings remitted $ 70      
Unrecognized interest and penalties expense 21 17    
Unrecognized tax benefits that, if recognized, would impact effective tax rate 51 47 $ 31  
Expected reduction in gross unrecognized tax benefits 13      
Gross unrecognized tax benefit liability 39 33    
Non-US | Subsidiaries        
Income Taxes [Line Items]        
Notional interest deduction expense (benefit)   47    
Tax Year No Expiration        
Income Taxes [Line Items]        
Operating loss carryforwards 14      
State and Local Jurisdiction        
Income Taxes [Line Items]        
Operating loss carryforwards 58      
Domestic Tax Jurisdiction        
Income Taxes [Line Items]        
Operating loss carryforwards 13      
Tax credit carryforwards 282      
Foreign tax credit carryforward 184      
Foreign Tax Jurisdiction        
Income Taxes [Line Items]        
Operating loss carryforwards 74      
Tax credit carryforwards 14      
Valuation allowance $ 131 $ 130    
Number of segments | operation 3      
Impact on earnings from continuing operations per diluted shares | $ / shares $ 0.34 $ 0.39 $ 0.31  
Foreign Tax Jurisdiction | Tax Year No Expiration        
Income Taxes [Line Items]        
Operating loss carryforwards $ 50      
v3.25.0.1
INCOME TAXES - Summary of Valuation Allowance (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Deferred Tax Valuation Allowance [Roll Forward]      
Balance at beginning of period $ 584 $ 631 $ 326
Balance at end of period 536 584 631
Charged to income tax expense      
Deferred Tax Valuation Allowance [Roll Forward]      
Increase (decrease) in valuation allowance 48 87 313
Deductions      
Deferred Tax Valuation Allowance [Roll Forward]      
Increase (decrease) in valuation allowance (73) (139) (1)
Currency translation adjustments      
Deferred Tax Valuation Allowance [Roll Forward]      
Increase (decrease) in valuation allowance $ (23) $ 5 $ (7)
v3.25.0.1
INCOME TAXES - Income Tax Expense Reconciliation (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Income Tax Expense Reconciliation      
Income tax expense (benefit) at U.S. statutory rate $ (61) $ 51 $ (682)
Tax incentives (176) (200) (156)
State and local taxes, net of federal benefit (9) (2) (27)
Impact of foreign taxes 137 190 78
Non-deductible goodwill impairments 86 0 591
Notional interest deduction expense (benefit) (37) 31 (306)
Valuation allowances (25) (51) 312
Stock compensation (windfall) shortfall tax expense (benefit) 9 10 (4)
Research and development tax credits (19) (17) (8)
Uncertain tax positions 9 6 (7)
Unutilized foreign tax credits 15 32 32
Subpart F income 18 26 11
Foreign tax credits (5) (7) 4
Pillar Two taxes 11 0 0
Revaluation of Swiss basis step-up deferred tax asset 58 0 0
Tax law changes on Section 987 17 0 0
Other, net 9 (8) 27
Income tax expense (benefit) $ 37 $ 61 $ (135)
v3.25.0.1
INCOME TAXES - Reconciliation of Company's Unrecognized Tax Benefits (Detail) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Reconciliation Of Unrecognized Tax Benefits Excluding Amounts Pertaining To Examined Tax Returns      
Balance at beginning of the year $ 89 $ 87 $ 106
Increase associated with tax positions taken during the current year 10 9 11
Increase (decrease) associated with tax positions taken during a prior year 5 3 14
Settlements (1) (2) (7)
Decrease associated with lapses in statutes of limitations (7) (8) (37)
Balance at end of the year $ 96 $ 89 $ 87
v3.25.0.1
EARNINGS (LOSS) PER SHARE - Schedule of Earnings Per Share (Details) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2024
Sep. 30, 2024
Jun. 30, 2024
Mar. 31, 2024
Dec. 31, 2023
Sep. 30, 2023
Jun. 30, 2023
Mar. 31, 2023
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Earnings Per Share [Abstract]                      
Income (loss) from continuing operations $ (488) $ 61 $ 95 $ 6 $ 219 $ 37 $ (27) $ (48) $ (326) $ 181 $ (3,113)
Less: Net income attributable to noncontrolling interests included in continuing operations                 0 0 1
Less: Net income attributable to noncontrolling interest included in discontinued operations                 11 7 11
Income (loss) from continuing operations attributable to Baxter stockholders                 (326) 181 (3,114)
Income (loss) from discontinued operations, net of tax (22) 83 (406) 33 27 2,474 (112) 93 (312) 2,482 692
Net income (loss) attributable to Baxter stockholders included in discontinued operations                 (323) 2,475 681
Net income (loss) attributable to Baxter stockholders $ (512) $ 140 $ (314) $ 37 $ 245 $ 2,508 $ (141) $ 44 $ (649) $ 2,656 $ (2,433)
v3.25.0.1
EARNINGS (LOSS) PER SHARE - Reconciliation of Basic Shares to Diluted Shares (Details) - shares
shares in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Reconciliation of Basic Shares to Diluted Shares      
Basic (in shares) 510 506 504
Effect of dilutive securities (in shares) 0 2 0
Diluted (in shares) 510 508 504
v3.25.0.1
EARNINGS (LOSS) PER SHARE - Additional Information (Details) - shares
shares in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Earnings Per Share [Abstract]      
Anti-dilutive securities excluded from computation of EPS (in shares) 25 19 22
v3.25.0.1
DERIVATIVES AND HEDGING ACTIVITIES - Additional Information (Details)
€ in Millions
12 Months Ended
Dec. 31, 2024
USD ($)
Dec. 31, 2023
USD ($)
Dec. 31, 2022
USD ($)
Oct. 31, 2023
USD ($)
Oct. 31, 2023
EUR (€)
May 31, 2019
EUR (€)
May 31, 2017
EUR (€)
Derivative Instruments and Hedging Activities Disclosures [Line Items]              
Derivative, notional amount   $ 0 $ 0        
Derivative, fair value hedges, terminated $ 0 0 0        
Derivative, net investment terminated $ 0   $ 0        
1.30% Senior Notes due May 2025              
Derivative Instruments and Hedging Activities Disclosures [Line Items]              
Senior notes | €             € 600
Senior notes, coupon rates             1.30%
0.40% Senior Notes due May 2024              
Derivative Instruments and Hedging Activities Disclosures [Line Items]              
Senior notes | €         € 750 € 750  
Senior notes, coupon rates 0.40%     0.40% 0.40% 0.40%  
1.3% Senior Notes due May 2029              
Derivative Instruments and Hedging Activities Disclosures [Line Items]              
Senior notes | €           € 750  
Senior notes, coupon rates 1.30%         1.30%  
Designated as Hedging Instrument              
Derivative Instruments and Hedging Activities Disclosures [Line Items]              
Derivative, notional amount $ 0            
Not Designated as Hedging Instrument              
Derivative Instruments and Hedging Activities Disclosures [Line Items]              
Derivative, notional amount 389,000,000 305,000,000          
Net investment hedge              
Derivative Instruments and Hedging Activities Disclosures [Line Items]              
Accumulated pre-tax unrealized translation losses in AOCI related to euro-denominated senior notes 124,000,000            
Foreign exchange contracts              
Derivative Instruments and Hedging Activities Disclosures [Line Items]              
Derivative, notional amount $ 99,000,000 340,000,000          
Maximum length of time hedge in cash flow hedge 11 months            
Interest rate contracts | Cash Flow Hedges              
Derivative Instruments and Hedging Activities Disclosures [Line Items]              
Derivative, notional amount $ 0 0          
Interest rate contracts | Foreign exchange contracts              
Derivative Instruments and Hedging Activities Disclosures [Line Items]              
Derivative, notional amount $ 0 $ 0          
Foreign exchange contracts              
Derivative Instruments and Hedging Activities Disclosures [Line Items]              
Derivative, notional amount       $ 798,000,000      
v3.25.0.1
DERIVATIVES AND HEDGING ACTIVITIES - Summary of Gains and Losses on Derivative Instruments (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Derivative Instruments, Gain (Loss) [Line Items]      
Total, gain (loss) recognized in OCI $ 101 $ (47) $ 169
Derivative, Gain (Loss), Statement of Income or Comprehensive Income [Extensible Enumeration] Amortization of net losses and prior service costs or credits Amortization of net losses and prior service costs or credits Amortization of net losses and prior service costs or credits
Total, gain (loss) reclassified from AOCI into income $ (3) $ 6 $ 20
Total gain (loss) on derivative, net (37) 40 (16)
Foreign exchange contracts | Other (income) expense, net      
Derivative Instruments, Gain (Loss) [Line Items]      
Gain (loss) recognized in income, undesignated derivative instruments (13) 2 (16)
Cash Flow Hedges | Interest rate contracts      
Derivative Instruments, Gain (Loss) [Line Items]      
Gain (loss) recognized in OCI 0 0 0
Cash Flow Hedges | Interest rate contracts | Interest expense, net      
Derivative Instruments, Gain (Loss) [Line Items]      
Gain (loss) reclassified from AOCI into income (6) (6) (6)
Cash Flow Hedges | Foreign exchange contracts      
Derivative Instruments, Gain (Loss) [Line Items]      
Gain (loss) recognized in OCI 17 15 28
Cash Flow Hedges | Foreign exchange contracts | Cost of sales      
Derivative Instruments, Gain (Loss) [Line Items]      
Gain (loss) reclassified from AOCI into income 8 15 26
Net investment hedge      
Derivative Instruments, Gain (Loss) [Line Items]      
Net investment hedges 87 (58) 141
Net investment hedge | Other (income) expense, net      
Derivative Instruments, Gain (Loss) [Line Items]      
Net investment hedges 0 0 0
Foreign exchange contracts      
Derivative Instruments, Gain (Loss) [Line Items]      
Gain (loss) recognized in OCI, foreign exchange contracts (3) (4) 0
Foreign exchange contracts | Other (income) expense, net      
Derivative Instruments, Gain (Loss) [Line Items]      
Gain (loss) reclassed into income, foreign exchange contracts (5) (3) 0
Gain (loss) recognized in income, fair value hedge $ (24) $ 38 $ 0
v3.25.0.1
DERIVATIVES AND HEDGING ACTIVITIES - Net of Tax Activity in Accumulated Other Comprehensive Income Related to Cash Flow Hedges (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
AOCI Attributable to Parent, Net of Tax [Roll Forward]      
Accumulated other comprehensive income (loss) balance at beginning of year $ (3,554)    
Accumulated other comprehensive income (loss) balance at end of year (4,010) $ (3,554)  
Deferred, net after-tax gains on derivative instruments 1    
Continuing Operations      
AOCI Attributable to Parent, Net of Tax [Roll Forward]      
Accumulated other comprehensive income (loss) balance at beginning of year (120) (119) $ (126)
(Loss) gain in fair value of derivatives during the year 10 5 22
Amount reclassified to earnings during the year 2 (6) (15)
Accumulated other comprehensive income (loss) balance at end of year $ (108) $ (120) $ (119)
v3.25.0.1
DERIVATIVES AND HEDGING ACTIVITIES - Classification and Fair Value Amounts of Derivative Instruments (Detail) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Derivatives, Fair Value [Line Items]    
Derivative asset, fair value $ 7 $ 45
Derivative liability, fair value 2 5
Designated as Hedging Instrument | Foreign exchange contracts | Prepaid expenses and other current assets    
Derivatives, Fair Value [Line Items]    
Derivative asset, fair value 6 41
Designated as Hedging Instrument | Foreign exchange contracts | Accrued expenses and other current liabilities    
Derivatives, Fair Value [Line Items]    
Derivative liability, fair value 0 0
Not Designated as Hedging Instrument | Foreign exchange contracts | Prepaid expenses and other current assets    
Derivatives, Fair Value [Line Items]    
Derivative asset, fair value 1 4
Not Designated as Hedging Instrument | Foreign exchange contracts | Accrued expenses and other current liabilities    
Derivatives, Fair Value [Line Items]    
Derivative liability, fair value $ 2 $ 5
v3.25.0.1
DERIVATIVES AND HEDGING ACTIVITIES - Derivative Positions Presented On Net Basis (Details) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Derivative Instruments and Hedging Activities Disclosure [Abstract]    
Derivative asset, fair value $ 7 $ 45
Gross amount subject to offset in master netting arrangements not offset in the consolidated balance sheet, asset (1) (4)
Total, Asset 6 41
Derivative liability, fair value 2 5
Gross amount subject to offset in master netting arrangements not offset in the consolidated balance sheet, liability (1) (4)
Total, Liability $ 1 $ 1
v3.25.0.1
DERIVATIVES AND HEDGING ACTIVITIES - Amounts Recorded on Condensed Consolidated Balance Sheet Related to Fair Value Hedges (Details) - Long-term debt - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Derivatives, Fair Value [Line Items]    
Carrying amount of hedged items $ 99 $ 100
Cumulative amount of fair value hedging adjustment included in the carrying amount of the hedged item $ 2 $ 3
v3.25.0.1
FAIR VALUE MEASUREMENTS - Summary of Financial Assets and Liabilities Measured at Fair Value on Recurring Basis (Details) - Fair Value, Measurements, Recurring - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Foreign exchange contracts $ 7 $ 45
Available-for-sale debt securities 1 1
Marketable equity securities 13 44
Total assets 21 90
Foreign exchange contracts 2 5
Contingent payments related to acquisitions 12 14
Total liabilities 14 19
Quoted prices in active markets for identical assets (Level 1)    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Foreign exchange contracts 0 0
Available-for-sale debt securities 0 0
Marketable equity securities 13 44
Total assets 13 44
Foreign exchange contracts 0 0
Contingent payments related to acquisitions 0 0
Total liabilities 0 0
Significant other observable inputs (Level 2)    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Foreign exchange contracts 7 45
Available-for-sale debt securities 0 0
Marketable equity securities 0 0
Total assets 7 45
Foreign exchange contracts 2 5
Contingent payments related to acquisitions 0 0
Total liabilities 2 5
Significant Unobservable Inputs (Level 3)    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Foreign exchange contracts 0 0
Available-for-sale debt securities 1 1
Marketable equity securities 0 0
Total assets 1 1
Foreign exchange contracts 0 0
Contingent payments related to acquisitions 12 14
Total liabilities $ 12 $ 14
v3.25.0.1
FAIR VALUE MEASUREMENTS - Additional Information (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Financial Instruments and Fair Value [Line Items]      
Cash and cash equivalents $ 1,764 $ 3,078 $ 1,621
Available-For-Sale, Debt Securities      
Financial Instruments and Fair Value [Line Items]      
Transfers out of Level 3 0 5  
Other Assets      
Financial Instruments and Fair Value [Line Items]      
Other equity investments without readily determinable fair values 37 33  
Fair Value, Inputs, Level 2      
Financial Instruments and Fair Value [Line Items]      
Cash and cash equivalents 1,760 3,080  
Money market funds, at carrying value $ 583 $ 1,630  
v3.25.0.1
FAIR VALUE MEASUREMENTS - Reconciliation of Fair Value Measurements that Use Significant Unobservable Inputs (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Available-For-Sale, Debt Securities    
Available-for-sale debt securities    
Fair value at beginning of period $ 1 $ 27
Change in fair value recognized in earnings 0 (21)
Payments 0 0
Transfers out of Level 3 0 (5)
Fair value at end of period 1 1
Acquisition-related Costs    
Contingent payments related to acquisitions    
Fair value at beginning of period 14 84
Change in fair value recognized in earnings 0 (19)
Payments (2) (51)
Transfers out of Level 3 0 0
Fair value at end of period $ 12 $ 14
v3.25.0.1
FAIR VALUE MEASUREMENTS - Book Values and Fair Values of Financial Instruments (Details) - USD ($)
$ in Millions
Dec. 31, 2024
Dec. 31, 2023
Book values    
Fair Value And Carrying Value By Balance Sheet Grouping [Line Items]    
Short-term debt $ 2,126 $ 0
Current maturities of long-term debt and finance lease obligations 626 2,667
Long-term debt and finance lease obligations 10,374 11,089
Fair values    
Fair Value And Carrying Value By Balance Sheet Grouping [Line Items]    
Short-term debt 2,126 0
Current maturities of long-term debt and finance lease obligations 619 2,621
Long-term debt and finance lease obligations $ 9,295 $ 10,026
v3.25.0.1
SEGMENT AND GEOGRAPHIC INFORMATION - Additional Information (Details)
Dec. 31, 2024
segment
Segment Reporting [Abstract]  
Number geographical segments 3
v3.25.0.1
SEGMENT AND GEOGRAPHIC INFORMATION - Financial Information of Segments (Details) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2024
Sep. 30, 2024
Jun. 30, 2024
Mar. 31, 2024
Dec. 31, 2023
Sep. 30, 2023
Jun. 30, 2023
Mar. 31, 2023
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Segment Reporting Information [Line Items]                      
Net sales $ 2,753 $ 2,699 $ 2,694 $ 2,490 $ 2,729 $ 2,599 $ 2,591 $ 2,441 $ 10,636 $ 10,360 $ 10,057
United States                      
Segment Reporting Information [Line Items]                      
Net sales                 5,850 5,802 5,769
Non-US                      
Segment Reporting Information [Line Items]                      
Net sales                 4,786 4,558 4,288
Other | Revision of Prior Period, Adjustment                      
Segment Reporting Information [Line Items]                      
Net sales               2     37
BPS | Revision of Prior Period, Adjustment                      
Segment Reporting Information [Line Items]                      
Net sales               $ (2)     (37)
Operating Segments | Medical Products & Therapies                      
Segment Reporting Information [Line Items]                      
Net sales                 5,207 5,011 4,815
Operating Segments | Healthcare Systems & Technologies                      
Segment Reporting Information [Line Items]                      
Net sales                 2,951 3,013 2,939
Operating Segments | Pharmaceuticals                      
Segment Reporting Information [Line Items]                      
Net sales                 2,411 2,249 2,126
Operating Segments | United States | Medical Products & Therapies                      
Segment Reporting Information [Line Items]                      
Net sales                 2,882 2,809 2,815
Operating Segments | United States | Healthcare Systems & Technologies                      
Segment Reporting Information [Line Items]                      
Net sales                 2,154 2,168 2,135
Operating Segments | United States | Pharmaceuticals                      
Segment Reporting Information [Line Items]                      
Net sales                 780 759 682
Operating Segments | Non-US | Medical Products & Therapies                      
Segment Reporting Information [Line Items]                      
Net sales                 2,325 2,202 2,000
Operating Segments | Non-US | Healthcare Systems & Technologies                      
Segment Reporting Information [Line Items]                      
Net sales                 797 845 804
Operating Segments | Non-US | Pharmaceuticals                      
Segment Reporting Information [Line Items]                      
Net sales                 1,631 1,490 1,444
Operating Segments | Infusion Therapies & Technologies | Medical Products & Therapies                      
Segment Reporting Information [Line Items]                      
Net sales                 4,103 3,960 3,817
Operating Segments | Infusion Therapies & Technologies | United States | Medical Products & Therapies                      
Segment Reporting Information [Line Items]                      
Net sales                 2,279 2,227 2,241
Operating Segments | Infusion Therapies & Technologies | Non-US | Medical Products & Therapies                      
Segment Reporting Information [Line Items]                      
Net sales                 1,824 1,733 1,576
Operating Segments | Advanced Surgery | Medical Products & Therapies                      
Segment Reporting Information [Line Items]                      
Net sales                 1,104 1,051 998
Operating Segments | Advanced Surgery | United States | Medical Products & Therapies                      
Segment Reporting Information [Line Items]                      
Net sales                 603 582 574
Operating Segments | Advanced Surgery | Non-US | Medical Products & Therapies                      
Segment Reporting Information [Line Items]                      
Net sales                 501 469 424
Operating Segments | Care and Connectivity Solutions | Healthcare Systems & Technologies                      
Segment Reporting Information [Line Items]                      
Net sales                 1,814 1,800 1,791
Operating Segments | Care and Connectivity Solutions | United States | Healthcare Systems & Technologies                      
Segment Reporting Information [Line Items]                      
Net sales                 1,311 1,263 1,295
Operating Segments | Care and Connectivity Solutions | Non-US | Healthcare Systems & Technologies                      
Segment Reporting Information [Line Items]                      
Net sales                 503 537 496
Operating Segments | Front Line Care | Healthcare Systems & Technologies                      
Segment Reporting Information [Line Items]                      
Net sales                 1,137 1,213 1,148
Operating Segments | Front Line Care | United States | Healthcare Systems & Technologies                      
Segment Reporting Information [Line Items]                      
Net sales                 843 905 840
Operating Segments | Front Line Care | Non-US | Healthcare Systems & Technologies                      
Segment Reporting Information [Line Items]                      
Net sales                 294 308 308
Operating Segments | Injectables and Anesthesia | Pharmaceuticals                      
Segment Reporting Information [Line Items]                      
Net sales                 1,373 1,347 1,305
Operating Segments | Injectables and Anesthesia | United States | Pharmaceuticals                      
Segment Reporting Information [Line Items]                      
Net sales                 780 759 682
Operating Segments | Injectables and Anesthesia | Non-US | Pharmaceuticals                      
Segment Reporting Information [Line Items]                      
Net sales                 593 588 623
Operating Segments | Drug Compounding | Pharmaceuticals                      
Segment Reporting Information [Line Items]                      
Net sales                 1,038 902 821
Operating Segments | Drug Compounding | United States | Pharmaceuticals                      
Segment Reporting Information [Line Items]                      
Net sales                 0 0 0
Operating Segments | Drug Compounding | Non-US | Pharmaceuticals                      
Segment Reporting Information [Line Items]                      
Net sales                 1,038 902 821
Other                      
Segment Reporting Information [Line Items]                      
Net sales                 67 87 177
Other | United States                      
Segment Reporting Information [Line Items]                      
Net sales                 34 66 137
Other | Non-US                      
Segment Reporting Information [Line Items]                      
Net sales                 $ 33 $ 21 $ 40
v3.25.0.1
SEGMENT AND GEOGRAPHIC INFORMATION - Geographic Information (Details) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2024
Sep. 30, 2024
Jun. 30, 2024
Mar. 31, 2024
Dec. 31, 2023
Sep. 30, 2023
Jun. 30, 2023
Mar. 31, 2023
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Revenues from External Customers and Long-Lived Assets [Line Items]                      
Net sales $ 2,753 $ 2,699 $ 2,694 $ 2,490 $ 2,729 $ 2,599 $ 2,591 $ 2,441 $ 10,636 $ 10,360 $ 10,057
Total property, plant and equipment and operating lease right-of-use assets, net 3,176       3,207       3,176 3,207  
United States                      
Revenues from External Customers and Long-Lived Assets [Line Items]                      
Net sales                 5,850 5,802 5,769
Total property, plant and equipment and operating lease right-of-use assets, net 1,654       1,615       1,654 1,615  
Emerging markets                      
Revenues from External Customers and Long-Lived Assets [Line Items]                      
Net sales                 1,350 1,343 1,253
Total property, plant and equipment and operating lease right-of-use assets, net 793       829       793 829  
Rest of world                      
Revenues from External Customers and Long-Lived Assets [Line Items]                      
Net sales                 3,436 3,215 $ 3,035
Total property, plant and equipment and operating lease right-of-use assets, net $ 729       $ 763       $ 729 $ 763  
v3.25.0.1
SEGMENT AND GEOGRAPHIC INFORMATION - Segment Information Of Net Sales And Operating Income (Details) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2024
Sep. 30, 2024
Jun. 30, 2024
Mar. 31, 2024
Dec. 31, 2023
Sep. 30, 2023
Jun. 30, 2023
Mar. 31, 2023
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Segment Reporting Information [Line Items]                      
Net sales $ 2,753 $ 2,699 $ 2,694 $ 2,490 $ 2,729 $ 2,599 $ 2,591 $ 2,441 $ 10,636 $ 10,360 $ 10,057
Cost of sales                 6,652 6,210 6,508
Selling, general and administrative expenses                 2,967 2,953 3,097
Research and Development Expense                 590 518 450
Total reportable segment operating income                 14 707 (2,845)
Operating Segments | Medical Products & Therapies                      
Segment Reporting Information [Line Items]                      
Net sales                 5,207 5,011 4,815
Cost of sales                 2,867 2,720 2,584
Selling, general and administrative expenses                 1,176 1,097 1,069
Research and Development Expense                 216 222 202
Other segment items                 (2) 0 (2)
Total reportable segment operating income                 950 972 962
Operating Segments | Healthcare Systems & Technologies                      
Segment Reporting Information [Line Items]                      
Net sales                 2,951 3,013 2,939
Cost of sales                 1,464 1,532 1,463
Selling, general and administrative expenses                 836 822 827
Research and Development Expense                 184 176 155
Other segment items                 (1) 0 0
Total reportable segment operating income                 468 483 494
Operating Segments | Pharmaceuticals                      
Segment Reporting Information [Line Items]                      
Net sales                 2,411 2,249 2,126
Cost of sales                 1,612 1,400 1,293
Selling, general and administrative expenses                 396 363 361
Research and Development Expense                 91 86 81
Other segment items                 (1) (1) 0
Total reportable segment operating income                 313 401 391
Other                      
Segment Reporting Information [Line Items]                      
Net sales                 $ 67 $ 87 $ 177
v3.25.0.1
SEGMENT AND GEOGRAPHIC INFORMATION - Operating Income to Income from Continuing Operations Reconciliation (Details) - USD ($)
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]      
Total reportable segment operating income $ 14,000,000 $ 707,000,000 $ (2,845,000,000)
Intangible asset amortization expense 625,000,000 590,000,000 679,000,000
Long-lived asset impairments 50,000,000 0 344,000,000
Goodwill impairments 425,000,000 0 2,812,000,000
Loss on subsidiary liquidation 0 0 (21,000,000)
Interest expense, net 341,000,000 439,000,000 394,000,000
Other (income) expense, net (38,000,000) 26,000,000 9,000,000
Income (loss) from continuing operations before income taxes (289,000,000) 242,000,000 (3,248,000,000)
Total depreciation expense 372,000,000 394,000,000 393,000,000
Reportable Segment      
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]      
Total reportable segment operating income 14,000,000 707,000,000 (2,845,000,000)
Interest expense, net 341,000,000 439,000,000 394,000,000
Other (income) expense, net (38,000,000) 26,000,000 9,000,000
Income (loss) from continuing operations before income taxes (289,000,000) 242,000,000 (3,248,000,000)
Operating Segments      
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]      
Goodwill impairments 425,000,000    
Operating Segments | Medical Products & Therapies      
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]      
Total reportable segment operating income 950,000,000 972,000,000 962,000,000
Goodwill impairments 0    
Total depreciation expense 201,000,000 232,000,000 217,000,000
Operating Segments | Healthcare Systems & Technologies      
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]      
Total reportable segment operating income 468,000,000 483,000,000 494,000,000
Goodwill impairments 425,000,000    
Total depreciation expense 109,000,000 108,000,000 117,000,000
Operating Segments | Pharmaceuticals      
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]      
Total reportable segment operating income 313,000,000 401,000,000 391,000,000
Goodwill impairments 0    
Total depreciation expense 62,000,000 54,000,000 59,000,000
Operating Segments | Reportable Segment      
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]      
Total reportable segment operating income 1,731,000,000 1,856,000,000 1,847,000,000
Segment Reporting, Reconciling Item, Excluding Corporate Nonsegment | Reportable Segment      
Segment Reporting, Reconciling Item for Operating Profit (Loss) from Segment to Consolidated [Line Items]      
Other 18,000,000 18,000,000 77,000,000
Unallocated corporate costs (275,000,000) (355,000,000) (367,000,000)
Intangible asset amortization expense (625,000,000) (590,000,000) (679,000,000)
Business optimization items (162,000,000) (174,000,000) (193,000,000)
European Medical Devices Regulation (33,000,000) (41,000,000) (42,000,000)
Long-lived asset impairments (50,000,000) 0 (344,000,000)
Legal matters (17,000,000) (7,000,000) 0
Acquisition and integration items (23,000,000) 0 (213,000,000)
Product-related items (15,000,000) 0 (44,000,000)
Hurricane Helene Costs (110,000,000) 0 0
Loss on product divestiture arrangement 0 0 (54,000,000)
Goodwill impairments (425,000,000) 0 (2,812,000,000)
Loss on subsidiary liquidation $ 0 $ 0 $ (21,000,000)
v3.25.0.1
QUARTERLY FINANCIAL DATA (UNAUDITED) - Quarterly Financial Results and Market for Company's Stock (Details) - USD ($)
3 Months Ended 12 Months Ended
Sep. 29, 2023
Dec. 31, 2024
Sep. 30, 2024
Jun. 30, 2024
Mar. 31, 2024
Dec. 31, 2023
Sep. 30, 2023
Jun. 30, 2023
Mar. 31, 2023
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Effect of Fourth Quarter Events [Line Items]                        
Net sales   $ 2,753,000,000 $ 2,699,000,000 $ 2,694,000,000 $ 2,490,000,000 $ 2,729,000,000 $ 2,599,000,000 $ 2,591,000,000 $ 2,441,000,000 $ 10,636,000,000 $ 10,360,000,000 $ 10,057,000,000
Gross margin   959,000,000 1,033,000,000 1,031,000,000 961,000,000 1,100,000,000 1,056,000,000 1,030,000,000 964,000,000 3,984,000,000 4,150,000,000 3,549,000,000
Income (loss) from continuing operations   (488,000,000) 61,000,000 95,000,000 6,000,000 219,000,000 37,000,000 (27,000,000) (48,000,000) (326,000,000) 181,000,000 (3,113,000,000)
Income (loss) from discontinued operations, net of tax   (22,000,000) 83,000,000 (406,000,000) 33,000,000 27,000,000 2,474,000,000 (112,000,000) 93,000,000 (312,000,000) 2,482,000,000 692,000,000
Income (loss) from continuing operations   (510,000,000) 144,000,000 (311,000,000) 39,000,000 246,000,000 2,511,000,000 (139,000,000) 45,000,000 (638,000,000) 2,663,000,000 (2,421,000,000)
Net income (loss) attributable to Baxter stockholders   $ (512,000,000) $ 140,000,000 $ (314,000,000) $ 37,000,000 $ 245,000,000 $ 2,508,000,000 $ (141,000,000) $ 44,000,000 $ (649,000,000) $ 2,656,000,000 $ (2,433,000,000)
Income (loss) from continuing operations per common share                        
Basic (in dollars per share)   $ (0.95) $ 0.12 $ 0.19 $ 0.01 $ 0.43 $ 0.07 $ (0.05) $ (0.10) $ (0.64) $ 0.36 $ (6.18)
Diluted (in dollars per share)   (0.95) 0.12 0.19 0.01 0.43 0.07 (0.05) (0.10) (0.64) 0.36 (6.18)
Income (loss) from discontinued operations per common share                        
Basic (in dollars per share)   (0.05) 0.15 (0.81) 0.06 0.05 4.88 (0.23) 0.19 (0.63) 4.89 1.35
Diluted (in dollars per share)   (0.05) 0.15 (0.81) 0.06 0.05 4.86 (0.23) 0.19 (0.63) 4.87 1.35
Net Income (loss) per common share                        
Basic (in dollars per share)   (1.00) 0.27 (0.62) 0.07 0.48 4.95 (0.28) 0.09 (1.27) 5.25 (4.83)
Diluted (in dollars per share)   $ (1.00) $ 0.27 $ (0.62) $ 0.07 $ 0.48 $ 4.93 $ (0.28) $ 0.09 $ (1.27) $ 5.23 $ (4.83)
Other long-lived asset impairments     $ 267,000,000             $ 44,000,000 $ (11,000,000) $ 9,000,000
Goodwill impairments                   425,000,000 0 2,812,000,000
Healthcare Systems & Technologies | Front Line Care                        
Net Income (loss) per common share                        
Goodwill impairments   $ 425,000,000               425,000,000    
Manufacturing Facility                        
Net Income (loss) per common share                        
Other long-lived asset impairments       $ 243,000,000                
Kidney Care                        
Net Income (loss) per common share                        
Goodwill impairments       $ 430,000,000                
Discontinued Operations, Disposed of by Sale                        
Effect of Fourth Quarter Events [Line Items]                        
Income (loss) from discontinued operations, net of tax                   (312,000,000) 2,482,000,000 692,000,000
Net Income (loss) per common share                        
Goodwill impairments                   430,000,000 0 0
Discontinued Operations, Disposed of by Sale | BioPharma Solutions                        
Effect of Fourth Quarter Events [Line Items]                        
Income (loss) from discontinued operations, net of tax                   0 2,732,000,000 233,000,000
Net Income (loss) per common share                        
Pre-tax gain on sale $ 2,880,000,000                      
Goodwill impairments                   0 0 0
Discontinued Operations, Disposed of by Sale | Kidney Care                        
Effect of Fourth Quarter Events [Line Items]                        
Income (loss) from discontinued operations, net of tax                   (312,000,000) (250,000,000) 459,000,000
Net Income (loss) per common share                        
Goodwill impairments                   $ 430,000,000 $ 0 $ 0