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SEGMENT INFORMATION | 6 Months Ended
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Jun. 30, 2024
Segment Reporting [Abstract] |
SEGMENT INFORMATION | SEGMENT INFORMATION In the third quarter of 2023, we completed the implementation of a new operating model intended to simplify and streamline our operations and better align our manufacturing and supply chain to our commercial activities. Under this new operating model, our business is comprised of four segments: Medical Products and Therapies, Healthcare Systems and Technologies, Pharmaceuticals, and Kidney Care (which we are planning to divest through either a sale or spinoff, as discussed in Note 1). Our segments were changed during the third quarter of 2023 to align with our new operating model and prior period segment disclosures have been revised to reflect the new segment presentation. The Medical Products and Therapies segment includes sales of our sterile IV solutions, infusion systems, administration sets, parenteral nutrition therapies and surgical hemostat, sealant, and adhesion prevention products. The Healthcare Systems and Technologies segment includes sales of our connected care solutions and collaboration tools, including smart bed systems, patient monitoring systems and diagnostic technologies, respiratory health devices, and advanced equipment for the surgical space, including operating room integration technologies, precision positioning devices, and other accessories. The Pharmaceuticals segment includes sales of specialty injectable pharmaceuticals, inhaled anesthesia, and drug compounding. The Kidney Care segment includes sales of chronic and acute dialysis therapies and services, including peritoneal dialysis, hemodialysis, continuous renal replacement therapies, and other organ support therapies. Other sales not allocated to a segment primarily include sales of products and services provided directly through certain of our manufacturing facilities and royalty income under a business development arrangement that ended in early 2023 when we acquired the related product rights. Disaggregation of Net Sales The following tables present our U.S. and International disaggregated net sales. Intersegment sales, which are eliminated in consolidation, are not presented in the table below.
| Three Months Ended June 30,
| 2024 |  | 2023
(in millions) | U.S. | International | Total |  | U.S. | International | Total
Infusion Therapies and Technologies | $ | 579 |  | $ | 466 |  | $ | 1,045 |  |  | $ | 570 |  | $ | 434 |  | $ | 1,004 |
Advanced Surgery | 150 |  | 127 |  | 277 |  |  | 150 |  | 122 |  | 272 |
Medical Products and Therapies | 729 |  | 593 |  | 1,322 |  |  | 720 |  | 556 |  | 1,276 |
Care and Connectivity Solutions | 332 |  | 120 |  | 452 |  |  | 311 |  | 125 |  | 436 |
Front Line Care | 218 |  | 78 |  | 296 |  |  | 227 |  | 80 |  | 307 |
Healthcare Systems and Technologies | 550 |  | 198 |  | 748 |  |  | 538 |  | 205 |  | 743 |
Injectables and Anesthesia | 197 |  | 144 |  | 341 |  |  | 182 |  | 150 |  | 332 |
Drug Compounding | — |  | 261 |  | 261 |  |  | — |  | 218 |  | 218 |
Pharmaceuticals | 197 |  | 405 |  | 602 |  |  | 182 |  | 368 |  | 550 |
Chronic Therapies 1 | 228 |  | 689 |  | 917 |  |  | 230 |  | 698 |  | 928 |
Acute Therapies 1 | 77 |  | 124 |  | 201 |  |  | 64 |  | 124 |  | 188 |
Kidney Care | 305 |  | 813 |  | 1,118 |  |  | 294 |  | 822 |  | 1,116 |
Other 1 | 16 |  | 6 |  | 22 |  |  | 16 |  | 6 |  | 22 |
Total Baxter | $ | 1,797 |  | $ | 2,015 |  | $ | 3,812 |  |  | $ | 1,750 |  | $ | 1,957 |  | $ | 3,707 |
| Six Months Ended June 30,
| 2024 |  | 2023
(in millions) | U.S. | International | Total |  | U.S. | International | Total
Infusion Therapies and Technologies | $ | 1,105 |  | $ | 906 |  | $ | 2,011 |  |  | $ | 1,084 |  | $ | 831 |  | $ | 1,915 |
Advanced Surgery | 297 |  | 243 |  | 540 |  |  | 294 |  | 224 |  | 518 |
Medical Products and Therapies | 1,402 |  | 1,149 |  | 2,551 |  |  | 1,378 |  | 1,055 |  | 2,433 |
Care and Connectivity Solutions | 610 |  | 244 |  | 854 |  |  | 609 |  | 256 |  | 865 |
Front Line Care | 413 |  | 148 |  | 561 |  |  | 448 |  | 161 |  | 609 |
Healthcare Systems and Technologies | 1,023 |  | 392 |  | 1,415 |  |  | 1,057 |  | 417 |  | 1,474 |
Injectables and Anesthesia | 388 |  | 281 |  | 669 |  |  | 355 |  | 282 |  | 637 |
Drug Compounding | — |  | 511 |  | 511 |  |  | — |  | 436 |  | 436 |
Pharmaceuticals | 388 |  | 792 |  | 1,180 |  |  | 355 |  | 718 |  | 1,073 |
Chronic Therapies 1 | 454 |  | 1,351 |  | 1,805 |  |  | 459 |  | 1,353 |  | 1,812 |
Acute Therapies 1 | 162 |  | 253 |  | 415 |  |  | 128 |  | 248 |  | 376 |
Kidney Care | 616 |  | 1,604 |  | 2,220 |  |  | 587 |  | 1,601 |  | 2,188 |
Other 1 | 27 |  | 11 |  | 38 |  |  | 40 |  | 12 |  | 52 |
Total Baxter | $ | 3,456 |  | $ | 3,948 |  | $ | 7,404 |  |  | $ | 3,417 |  | $ | 3,803 |  | $ | 7,220 |
1 In connection with our segment change in the third quarter of 2023, we reclassified $8 million and $16 million of sales for the three and six months ended June 30, 2023, respectively, from Chronic Therapies to Acute Therapies to conform to the current period presentation. Geographic Sales Information Our net sales are attributed to the following geographic regions based on the location of the customer.
| Three Months Ended June 30, |  | Six Months Ended June 30,
| 2024 | 2023 |  | 2024 | 2023
United States | $ | 1,797 |  | $ | 1,750 |  |  | $ | 3,456 |  | $ | 3,417 |
Emerging markets 1 | 844 |  | 839 |  |  | 1,622 |  | 1,596 |
Rest of world 2 | 1,171 |  | 1,118 |  |  | 2,326 |  | 2,207 |
Total Baxter | $ | 3,812 |  | $ | 3,707 |  |  | $ | 7,404 |  | $ | 7,220 |
1 Emerging markets includes sales from our operations in Eastern Europe, the Middle East, Africa, Latin America, and Asia (except for Japan). 2 Rest of world includes sales from our operations in Western Europe, Canada, Japan, Australia, and New Zealand. Segment Operating Income We use segment operating income to evaluate the performance of our segments and to make resource allocation decisions. Segment operating income represents income before income taxes, interest and other non-operating income or expense, unallocated corporate costs, intangible asset amortization, and other special items. Special items, which are presented below in our reconciliations of segment operating income to income from continuing operations before income taxes, are excluded from segment operating income because they are highly variable, difficult to predict and of a size that may substantially impact our reported results of operations for the period. Most global functional support costs, overhead costs and other shared costs that benefit our segments are allocated to those segments. Corporate costs that are not allocated to our segments, as well as any differences between actual corporate costs and the amounts allocated to our segments, are presented as unallocated corporate costs. The following table presents our segment operating income and reconciliations of segment operating income to income (loss) from continuing operations before income taxes.
| Three Months Ended June 30, |  | Six Months Ended June 30,
(in millions) | 2024 | 2023 |  | 2024 | 2023
Medical Products and Therapies | $ | 238 |  | $ | 264 |  |  | $ | 465 |  | $ | 461 |
Healthcare Systems and Technologies | 120 |  | 100 |  |  | 187 |  | 212 |
Pharmaceuticals | 75 |  | 89 |  |  | 153 |  | 176 |
Kidney Care | 83 |  | 55 |  |  | 242 |  | 112 |
Other | 9 |  | 6 |  |  | 13 |  | 13 |
Total | 525 |  | 514 |  |  | 1,060 |  | 974 |
Unallocated corporate costs | (3) |  | (25) |  |  | (23) |  | (46) |
Intangible asset amortization expense | (167) |  | (157) |  |  | (333) |  | (319) |
Goodwill impairment | (430) |  | — |  |  | (430) |  | — |
Business optimization items | (20) |  | (293) |  |  | (77) |  | (427) |
Acquisition and integration items | (6) |  | (7) |  |  | (11) |  | — |
Separation-related costs | (81) |  | (37) |  |  | (173) |  | (46) |
European Medical Devices Regulation | (10) |  | (12) |  |  | (18) |  | (24) |
Total operating income (loss) | (192) |  | (17) |  |  | (5) |  | 112 |
Interest expense, net | 85 |  | 124 |  |  | 163 |  | 241 |
Other (income) expense, net | (20) |  | 42 |  |  | (27) |  | 40 |
Loss from continuing operations before income taxes | $ | (257) |  | $ | (183) |  |  | $ | (141) |  | $ | (169) |
Our chief operating decision maker does not receive any asset information by reportable segment and, accordingly, we do not report asset information by reportable segment.

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- Definition The entire disclosure for reporting segments including data and tables. 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