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Segment Reporting
9 Months Ended
Sep. 30, 2019
Segment Reporting [Abstract]  
SEGMENT REPORTING
NOTE K – SEGMENT REPORTING

We have three reportable segments comprised of MedSurg, Rhythm and Neuro, and Cardiovascular, which represent an aggregation of our operating segments.

Each of our reportable segments generates revenues from the sale of medical devices. We measure and evaluate our reportable segments based on reportable segment net sales, operating income of reportable segments, excluding intersegment profits, and reportable segment operating income as a percentage of reportable segment net sales. Reportable segment operating income as a percentage of reportable segment net sales is defined as operating income of reportable segments divided by reportable segment net sales. Our presentation of reportable segment net sales and operating income of reportable segments includes the impact of foreign currency fluctuations, since our chief operating decision maker (CODM) reviews operating results both including and excluding the impact of foreign currency fluctuations, and the following presentation more closely aligns to our unaudited condensed consolidated financial statements. We exclude from operating income of reportable segments certain corporate-related expenses and certain transactions or adjustments that our CODM considers to be non-operational, such as amounts related to amortization expense, intangible asset impairment charges, acquisition-related items, restructuring and restructuring-related items, litigation-related items and medical device regulation charges. Although we exclude these amounts from operating income of reportable segments, they are included in Income (loss) before income taxes on the unaudited condensed consolidated statements of operations and are included in the reconciliation below.

A reconciliation of the totals reported for the reportable segments to the applicable line items in our accompanying unaudited condensed consolidated statements of operations is as follows (in millions, except percentages):
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Net sales
2019
 
2018
 
2019
 
2018
MedSurg
$
845

 
$
746

 
$
2,429

 
$
2,207

Rhythm and Neuro
780

 
740

 
2,323

 
2,252

Cardiovascular
1,011

 
908

 
3,009

 
2,806

Reportable segment net sales
2,636

 
2,393

 
7,760

 
7,262

BTG Acquisition(1)
71

 
n/a

 
71

 
n/a

Net sales
$
2,707

 
$
2,393

 
$
7,831

 
$
7,262

 
 
 
 
 
 
 
 
 
Three Months Ended September 30,
 
Nine Months Ended September 30,
Income (loss) before income taxes
2019
 
2018
 
2019
 
2018
MedSurg
$
319

 
$
274

 
$
870

 
$
807

Rhythm and Neuro
166

 
168

 
488

 
481

Cardiovascular
281

 
268

 
857

 
858

Operating income of reportable segments
766

 
710

 
2,216

 
2,146

BTG Acquisition(1)
16

 
n/a

 
16

 
n/a

Corporate expenses, including hedging activities
(75
)
 
(97
)
 
(215
)
 
(297
)
Intangible asset impairment charges, acquisition/divestiture-related, restructuring- and restructuring-related, litigation-related net (charges) credits and medical device regulation charges
(146
)
 
(77
)
 
(210
)
 
(225
)
Amortization expense
(178
)
 
(148
)
 
(498
)
 
(437
)
Operating income (loss)
383

 
388

 
1,308

 
1,187

Other expense, net
(292
)
 
68

 
(615
)
 
(61
)
Income (loss) before income taxes
$
91

 
$
456

 
$
693

 
$
1,126

 
 
 
 
 
 
 
 
Reportable segment operating income as a percentage of reportable segment net sales
Three Months Ended September 30,
 
Nine Months Ended September 30,
2019
 
2018
 
2019
 
2018
MedSurg
37.8
%
 
36.8
%
 
35.8
%
 
36.6
%
Rhythm and Neuro
21.3
%
 
22.7
%
 
21.0
%
 
21.4
%
Cardiovascular
27.8
%
 
29.5
%
 
28.5
%
 
30.6
%

(1)
For the first nine months of 2019, there have been no changes to our internal reporting structure, and accordingly, we have not revised our segment reporting or geographic presentation. We will continue to integrate the BTG Acquisition into our operations in the fourth quarter and will reassess our operating and reportable segments as well as geographic presentation for any changes related to our internal reporting structure as well as to the information regularly reviewed by the CODM. To the extent any changes in our operating and reportable segments are identified, these will be reflected in our segment reporting information in the period in which the change occurs. Our results of operations include the results of BTG following the acquisition date of August 19, 2019. The BTG Acquisition reconciling item above excludes certain adjustments that our CODM considers to be non-operational, such as acquisition-related items.