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Goodwill and Other Intangible Assets (Tables) | 12 Months Ended
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Dec. 31, 2023
Goodwill and Intangible Assets Disclosure [Abstract] |
Rollforward of Goodwill | The following is a rollforward of the Company’s goodwill by segment ($ in millions):
| Biotechnology |  | Life Sciences |  | Diagnostics |  | Total
Balance, January 1, 2022 | $ | — |  |  | $ | 31,638 |  |  | $ | 7,044 |  |  | $ | 38,682 |
Attributable to acquisitions (a) | — |  |  | 157 |  |  | — |  |  | 157 |
Adjustments due to finalization of purchase price adjustments | — |  |  | 26 |  |  | (9) |  |  | 17 |
Foreign currency translation and other | — |  |  | (2,676) |  |  | (330) |  |  | (3,006) |
Balance, before resegmentation | — |  |  | 29,145 |  |  | 6,705 |  |  | 35,850 |
Reallocation among new reporting units (a) | 21,019 |  |  | (21,019) |  |  | — |  |  | — |
Attributable to acquisitions | 176 |  |  | 43 |  |  | 13 |  |  | 232 |
Adjustments due to finalization of purchase price allocations | — |  |  | (2) |  |  | — |  |  | (2) |
Foreign currency translation and other | 892 |  |  | 147 |  |  | 157 |  |  | 1,196 |
Balance, December 31, 2022 | 22,087 |  |  | 8,314 |  |  | 6,875 |  |  | 37,276 |
Attributable to 2023 acquisitions | — |  |  | 3,851 |  |  | — |  |  | 3,851 |
Adjustments due to finalization of purchase price allocations | 2 |  |  | 5 |  |  | — |  |  | 7 |
Foreign currency translation and other | 388 |  |  | 51 |  |  | 35 |  |  | 474 |
Balance, December 31, 2023 | $ | 22,477 |  |  | $ | 12,221 |  |  | $ | 6,910 |  |  | $ | 41,608 |
(a) A total of approximately $21.0 billion of goodwill was allocated to the Biotechnology reportable segment, of which $116 million is shown on the Attributable to acquisitions line before resegmentation as it relates to a 2022 acquisition that occurred prior to the allocation date.
Schedule of Finite-lived Intangible Assets and Indefinite-lived Intangible Assets by Major Class | The following summarizes the gross carrying value and accumulated amortization for each major category of intangible assets as of December 31 ($ in millions):
| 2023 |  | 2022
| Gross Carrying Amount |  | Accumulated Amortization |  | Gross Carrying Amount |  | Accumulated Amortization
Finite-lived intangibles: |  |  |  |  |  |  |
Patents and technology | $ | 15,175 |  |  | $ | (3,832) |  |  | $ | 13,366 |  |  | $ | (2,907) |
Customer relationships, trade names and other intangibles | 10,131 |  |  | (4,303) |  |  | 9,466 |  |  | (3,644) |
Total finite-lived intangibles | 25,306 |  |  | (8,135) |  |  | 22,832 |  |  | (6,551) |
Indefinite-lived intangibles: |  |  |  |  |  |  |
Trademarks and trade names | 3,575 |  |  | — |  |  | 3,540 |  |  | — |
Total intangibles | $ | 28,881 |  |  | $ | (8,135) |  |  | $ | 26,372 |  |  | $ | (6,551) |

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