v3.25.4
Income Taxes (Schedule of Reconciliation of U.S. Statutory Income Tax Rate to Company's Effective Income Tax Rate from Continuing Operations 2025) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Amount      
United States federal statutory rate $ 948    
State and Local Income Taxes, Net of Federal Income Tax Effect 173    
Effect of Cross-Border Tax Laws      
Direct foreign tax credits (90)    
Global intangible low-taxed income 70    
Tax Credits      
Research and development tax credits (53)    
Nontaxable or Nondeductible Items      
Spinal Implants divestiture (51)    
Transfers of intellectual property 405    
Changes in unrecognized Tax Benefits 17    
Total income tax expense $ 1,268 $ 499 $ 508
Percent      
United States federal statutory rate 21.00% 21.00% 21.00%
State and Local Income Taxes, Net of Federal Income Tax Effect 3.80% 1.10% 1.10%
Statutory tax rate difference   (4.10%) (6.80%)
Other   (0.50%) 1.80%
Effect of Cross-Border Tax Laws      
Direct foreign tax credits (2.00%)    
Global intangible low-taxed income 1.60%    
Tax Credits      
United States research and development credits (1.20%) (1.40%) (1.20%)
Nontaxable or Nondeductible Items      
Spinal Implants divestiture (1.10%)    
Transfers of intellectual property 9.00%    
Changes in unrecognized Tax Benefits 0.40%    
Effective income tax rate 28.10% 14.30% 13.80%
Ireland      
Amount      
Statutory tax rate difference $ (177)    
Other $ 17    
Percent      
Statutory tax rate difference (3.90%)    
Other 0.40%    
Puerto Rico      
Amount      
Statutory tax rate difference $ (49)    
Other (4)    
Withholding Tax 60    
Expiration of credits carryforward 78    
Change in valuation allowance $ (78)    
Percent      
Statutory tax rate difference (1.10%)    
Other (0.10%)    
Withholding Tax 1.30%    
Expiration of credits carryforward 1.70%    
Change in valuation allowance (1.70%)    
Other foreign jurisdictions      
Amount      
Other $ 20    
Percent      
Other 0.40%    
United States      
Amount      
Other $ (18)    
Change in valuation allowance 0    
Effect of changes in tax laws or rates enacted in the current period $ 0    
Percent      
Other (0.40%)    
Change in valuation allowance 0.00%    
Effect of changes in tax laws or rates enacted in the current period 0.00%