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Changes in Other Comprehensive Income | 12 Months Ended
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Dec. 31, 2023
Other Comprehensive Income (Loss), Net of Tax, Period Change [Abstract] |
CHANGES IN OTHER COMPREHENSIVE INCOME | NOTE O – CHANGES IN OTHER COMPREHENSIVE INCOME The following table provides the reclassifications out of Other comprehensive income, net of tax attributable to Boston Scientific common stockholders:
(in millions) | Foreign Currency Translation Adjustments |  | Net Change in Derivative Financial Instruments |  |  |  | Net Change in Defined Benefit Pensions and Other Items |  | Total
Balance as of December 31, 2022 | $ | (1) |  |  | $ | 269 |  |  |  |  | $ | 1 |  |  | $ | 269 |
Other comprehensive income (loss) before reclassifications | (87) |  |  | 63 |  |  |  |  | (10) |  |  | (34) |
(Income) loss amounts reclassified from accumulated other comprehensive income | (8) |  |  | (178) |  |  |  |  | 1 |  |  | (185) |
Total other comprehensive income (loss) | (95) |  |  | (115) |  |  |  |  | (9) |  |  | (219) |
Balance as of December 31, 2023 | $ | (96) |  |  | $ | 154 |  |  |  |  | $ | (8) |  |  | $ | 49 |
(in millions) | Foreign Currency Translation Adjustments |  | Net Change in Derivative Financial Instruments |  |  |  | Net Change in Defined Benefit Pensions and Other Items |  | Total
Balance as of December 31, 2021 | $ | 93 |  |  | $ | 206 |  |  |  |  | $ | (36) |  |  | $ | 263 |
Other comprehensive income (loss) before reclassifications | (86) |  |  | 214 |  |  |  |  | 36 |  |  | 163 |
(Income) loss amounts reclassified from accumulated other comprehensive income | (8) |  |  | (150) |  |  |  |  | 1 |  |  | (157) |
Total other comprehensive income (loss) | (94) |  |  | 63 |  |  |  |  | 37 |  |  | 6 |
Balance as of December 31, 2022 | $ | (1) |  |  | $ | 269 |  |  |  |  | $ | 1 |  |  | $ | 269 |
Refer to Note D – Hedging Activities and Fair Value Measurements for further detail on our net investment hedges recorded in Foreign currency translation adjustment and our cash flow hedges recorded in Net change in derivative financial instruments. The gains and losses on defined benefit and pension items before reclassifications and gains and losses on defined benefit and pension items reclassified from Accumulated other comprehensive income (loss), net of tax were reduced by income tax impacts of approximately $5 million in 2023 and approximately $6 million in 2022.

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- Definition The entire disclosure for comprehensive income, which includes, but is not limited to, 1) the amount of income tax expense or benefit allocated to each component of other comprehensive income, including reclassification adjustments, 2) the reclassification adjustments for each classification of other comprehensive income and 3) the ending accumulated balances for each component of comprehensive income. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 944 -SubTopic 220 -Name Accounting Standards Codification -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-04(19)) -Publisher FASB -URI https://asc.fasb.org//1943274/2147483586/944-220-S99-1 Reference 2: http://www.xbrl.org/2003/role/disclosureRef -Topic 220 -SubTopic 10 -Name Accounting Standards Codification -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03(21)) -Publisher FASB -URI https://asc.fasb.org//1943274/2147483621/220-10-S99-2 Reference 3: http://www.xbrl.org/2003/role/disclosureRef -Topic 942 -SubTopic 220 -Name Accounting Standards Codification -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-04(23)) -Publisher FASB -URI https://asc.fasb.org//1943274/2147483589/942-220-S99-1 Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef -Topic 220 -Name Accounting Standards Codification -Publisher FASB -URI https://asc.fasb.org//220/tableOfContent + Details
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