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Goodwill (Tables)
 12 Months Ended
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.