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Employee Retirement Plans (Notes)
12 Months Ended
Dec. 31, 2020
Retirement Benefits [Abstract]  
Compensation and Employee Benefit Plans [Text Block]
NOTE S – EMPLOYEE RETIREMENT PLANS

Defined Benefit Pension Plans

Domestic Retirement Plans

Following our 2006 acquisition of Guidant, we assumed the Guidant Supplemental Retirement Plan, a frozen, non-qualified defined benefit plan for certain former officers and employees of Guidant. The Guidant Supplemental Retirement Plan was partially funded through a Rabbi Trust that contains segregated company assets within restricted cash used to pay the benefit obligations related to the plan.

We also maintain an Executive Retirement Plan, a defined benefit plan covering executive officers and division presidents. Participants may retire with benefits once retirement conditions have been satisfied.

U.K. Plan

As a result of our acquisition of BTG, we assumed a benefit obligation related to a defined benefit pension plan sponsored by BTG for eligible United Kingdom (U.K.) employees (U.K. Plan). The U.K. Plan was closed to new entrants as of June 1, 2004. Prior to the acquisition close date of August 19, 2019, the Trustees of the U.K. Plan executed buy-in arrangements (Buy-in Contracts), which effectively, as structured under the Buy-in Contracts, are intended to provide payments designed to equal all future designated contractual benefit payments to covered participants. The benefit obligation of the pension plan is not transferred to the insurers, and we remain responsible for paying pension benefits. We do not anticipate any additional material contributions or payments to the U.K. Plan or the insurer.
In connection with the final purchase price allocation of BTG, we recorded the assets acquired and liabilities assumed at their respective fair values as of the acquisition date. The following assumptions were used to measure the fair value of the benefit obligation and associated plan assets as of the August 19, 2019 measurement date:
Discount RateExpected Return on Plan AssetsRate of Compensation Increase
U.K. Plan0.4%0.4%3.4%

As of the measurement date of August 19, 2019, the funded status was as follows:
(in millions)
Fair value of plan assets$213 
Benefit obligation(216)
Funded status$(3)

Refer to Note B – Acquisitions and Strategic Investments for additional information on our acquisition of BTG.

Information about the U.K. Plan presented below are as of the December 31, 2020 and 2019 measurement dates.

Other International Retirement Plans

In addition, we maintain retirement plans covering certain international employees.

We use a December 31 measurement date for these plans and record the net unfunded and underfunded portion as a liability within non-current liabilities, with the current portion within accrued expenses, on the consolidated balance sheets, recognizing changes primarily through OCI. As of December 31, 2020 and 2019, the funded status of our plans were unfunded or underfunded in aggregate. The outstanding obligation is as follows:
 As of December 31, 2020
(in millions)
Accumulated Benefit Obligation (ABO)Projected
Benefit
Obligation (PBO)
Fair value of Plan AssetsUnfunded/Underfunded
PBO Recognized
Domestic Retirement Plans$54 $58 $— $58 
U.K. Plan226 226 223 
Other International Retirement Plans225 247 132 115 
 $506 $532 $355 $177 

 As of December 31, 2019
(in millions)
Accumulated Benefit Obligation (ABO)Projected
Benefit
Obligation (PBO)
Fair value of Plan AssetsUnfunded/Underfunded PBO Recognized
Domestic Retirement Plans$50 $54 $— $54 
U.K. Plan212 212 209 
Other International Retirement Plans204 223 123 100 
 $466 $488 $332 $156 
A rollforward of the changes in the PBO for our retirement plans is as follows:
 Year Ended December 31,
(in millions)20202019
Beginning obligations$488 $232 
Acquired plans— 216 
Service costs19 15 
Interest costs
Actuarial (gain) loss22 — 
Plan amendments and assumption changes(5)11 
Benefits paid(23)(10)
Impact of foreign currency fluctuations26 19 
Ending obligation$532 $488 

The critical assumptions associated with our employee retirement plans for 2020 are as follows:
Weighted Average Discount RateWeighted Average Expected Return on Plan
Weighted Average Rate of Compensation Increase(1)
Domestic Retirement Plans1.90%n/a1.50%
U.K. Plan0.10%0.10%n/a
Other International Retirement Plans0.67%1.98%2.40%
(1)    Rates of compensation increase were not weighted by the relative fair value of the instruments. As such, the amount represents the median of the inputs and is not a weighted average.

The critical assumptions associated with our employee retirement plans for 2019 are as follows:
Weighted Average Discount RateWeighted Average Expected Return on Plan
Weighted Average Rate of Compensation Increase(1)
Domestic Retirement Plans2.94%n/a1.50%
U.K. Plan0.60%0.60%3.00%
Other International Retirement Plans0.75%2.05%2.65%
(1)    Rates of compensation increase were not weighted by the relative fair value of the instruments. As such, the amount represents the median of the inputs and is not a weighted average.

A rollforward of the changes in the fair value of plan assets for our funded retirement plans is as follows:
 Year Ended December 31,
(in millions)20202019
Beginning fair value$332 $107 
Acquired plans— 213 
Actual return on plan assets
Employer contributions12 13 
Participant contributions
Actuarial gain (loss)14 (20)
Benefits paid(23)(10)
Impact of foreign currency fluctuations16 19 
Ending fair value$355 $332 

For our defined benefit plans excluding our U.K. Plan, we base our discount rate on the rates of return available on high-quality bonds with maturities approximating the expected period over which benefits will be paid. The rate of compensation increase is based on historical and expected rate increases. We base our rate of expected return on plan assets on historical experience, our
investment guidelines and expectations for long-term rates of return. Our assets are invested in a variety of securities, primarily equity securities and government bonds. These securities are considered Level 1 and Level 2 investments.

For our U.K. Plan, we utilize the insurance buy-in methodology and base our discount rate on a yield curve reflective of the market pricing obtained in the most recent buy-in transaction, which occurred prior to the acquisition of BTG, and movements in market-observed buy-in pricing as of December 31, 2020. We believe this is a reasonable proxy for an effective settlement rate of the buy-in assets. The discount rate is calculated as the single equivalent assumption that gives the same value of the liabilities as if the figures were calculated using the full yield curve. We assume that all pension increases will continue to be linked to the Retail Price Inflation (RPI), both before and after retirement, for all members, with the exception of post-88 Guaranteed Minimum Pensions (GMP), which will be based on Consumer Price Inflation (CPI). We base our rate of expected return on plan assets as equal to the discount rate used to value the buy-in assets. The U.K. Plan assets' investment policy is to invest in fully matching assets. This has been achieved through the purchase of two buy-in policies (Buy-in contracts), which provide payments designed to equal all future benefit payments due from the fund. As of December 31, 2020, the Buy-in contracts represented 100% of the total plan assets, as compared to the target percentage of 100 percent, and are considered Level 3 investments. As of December 31, 2019, the Buy-in contracts represented 99 percent of the total plan assets, as compared to the target percentage of 100 percent, and are considered Level 3 investments.

The following table presents the fair value hierarchy of the U.K. Plan assets measured at fair value as of December 31, 2020:
As of
December 31, 2020
(in millions)Level 1Level 2Level 3Total
Buy-in contracts$— $— $223 $223 
Total assets$ $ $223 $223 

The following table presents the fair value hierarchy of the U.K. Plan assets measured at fair value as of December 31, 2019:
As of
As of December 31, 2019
(in millions)Level 1Level 2Level 3Total
Buy-in contracts$— $— $207 $207 
Cash— — 
Total assets$1 $ $207 $209 

Changes in the fair value of the U.K. Plan Level 3 assets were as follows:
(in millions)Buy-in Contracts
Balance as of December 31, 2019$209 
Actual return on plan assets
Actuarial gain (loss)15 
Transfers out for benefits paid(9)
Impact of foreign currency fluctuations
Balance as of December 31, 2020$223 


Defined Contribution Plan

We also sponsor a voluntary 401(k) Retirement Savings Plan for eligible employees. We match 200 percent of employee elective deferrals for the first two percent of employee eligible compensation and 50 percent of employee elective deferrals greater than two percent, but not exceeding six percent, of employee eligible compensation. Total expense for our matching contributions to the plan was $102 million in 2020, $98 million in 2019 and $87 million in 2018.