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Goodwill (Tables) | 12 Months Ended
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Dec. 31, 2019
Summary of Changes in the Carrying Amount of Goodwill by Segment | The changes in the carrying amount of goodwill for the years ended December 31, 2019 and 2018 were as follows :
|  | North America |  |  | Europe |  |  | International Market |  |  | Other |  |  | Total |
|  | (U.S. $ in millions) |
Balance as of January 1, 201 8 (1) |  |  | 11,144 |  |  |  | 9,001 |  |  |  | 5,404 |  |  |  | 2,865 |  |  |  | 28,414 |
Changes during the year: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Goodwill impairment (2) |  |  | — |  |  |  | — |  |  |  | (2,834 | ) |  |  | (193 | ) |  |  | (3,027 | )
Goodwill disposal (3) |  |  | — |  |  |  | (65 | ) |  |  | (14 | ) |  |  | — |  |  |  | (79 | )
Goodwill reclassified as assets to held for sale |  |  | — |  |  |  | (3 | ) |  |  | — |  |  |  | (17 | ) |  |  | (20 | )
Translation differences and Other |  |  | (46 | ) |  |  | (280 | ) |  |  | (77 | ) |  |  | 32 |  |  |  | (371 | )
Balance as of December 31, 201 8 (1) |  | $ | 11,098 |  |  | $ | 8,653 |  |  | $ | 2,479 |  |  | $ | 2,687 |  |  | $ | 24,917 |
Changes during the year: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Goodwill disposal |  |  | (23 | ) |  |  | (5 | ) |  |  | — |  |  |  | — |  |  |  | (28 | )
Translation differences and Other |  |  | 16 |  |  |  | (112 | ) |  |  | 53 |  |  |  | — |  |  |  | (43 | )
Balance as of December 31, 201 9 (1) |  | $ | 11,091 |  |  | $ | 8,536 |  |  | $ | 2,532 |  |  | $ | 2,687 |  |  | $ | 24,846 |
(1) | Accumulated goodwill impairment as of December 31, 2019, December 31, 2018 and January 1, 2018 was approximately $21.0 billion, $21.0 billion and $18.0 b illion, respectively.
(2) | Goodwill impairment mainly attributable to the International Markets segment , Mexico and Medis.
( 3 ) | Mainly due to the divestment of the women’s health business, the sale of Actavis Brazil and other activities.

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- Definition Tabular disclosure of goodwill by reportable segment and in total which includes a rollforward schedule. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 1 -URI http://asc.fasb.org/extlink&oid=108376223&loc=d3e13816-109267 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 350 -SubTopic 20 -Section 50 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=108376223&loc=d3e13854-109267 + Details
Name: | us-gaap_ScheduleOfGoodwillTextBlock
Namespace Prefix: | us-gaap_
Data Type: | nonnum:textBlockItemType
Balance Type: | na
Period Type: | duration