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Goodwill (Tables) | 12 Months Ended
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Dec. 31, 2023
Summary of Changes in the Carrying Amount of Goodwill by Segment | Changes in the carrying amount of goodwill for the years ended December 31, 2023 and 2022 were as follows:
|  |  |  |  |  |  |  |  |  |  | Other |  |  |  |
|  | North America |  |  | Europe |  |  | International Markets |  |  | Teva’s API |  |  | Medis |  |  | Total |
|  | (U.S. $ in millions) |  |  |  |
Balance as of December 31, 2021 (1) |  | $ | 6,474 |  |  | $ | 8,544 |  |  | $ | 2,328 |  |  | $ | 2,417 |  |  | $ | 277 |  |  | $ | 20,040 |
Changes during the period: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Goodwill impairment |  |  | — |  |  |  | — |  |  |  | (979 | ) |  |  | (1,066 | ) |  |  | — |  |  |  | (2,045 | )
Goodwill acquired |  |  | — |  |  |  | — |  |  |  | — |  |  |  | 12 |  |  |  | — |  |  |  | 12 |
Translation differences |  |  | (24 | ) |  |  | (242 | ) |  |  | (10 | ) |  |  | (70 | ) |  |  | (28 | ) |  |  | (374 | )
Balance as of December 31, 2022 (1) |  | $ | 6,450 |  |  | $ | 8,302 |  |  | $ | 1,339 |  |  | $ | 1,293 |  |  | $ | 249 |  |  | $ | 17,633 |
Changes during the period: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Goodwill impairment |  |  | — |  |  |  | — |  |  |  | (700 | ) |  |  | — |  |  |  | — |  |  |  | (700 | )
Goodwill reclassified as assets held for sale |  |  | — |  |  |  | — |  |  |  | (30 | ) |  |  | — |  |  |  | — |  |  |  | (30 | )
Translation differences |  |  | 9 |  |  |  | 164 |  |  |  | 66 |  |  |  | 20 |  |  |  | 16 |  |  |  | 275 |
Balance as of December 31, 2023 (1) |  | $ | 6,459 |  |  | $ | 8,466 |  |  | $ | 675 |  |  | $ | 1,313 |  |  | $ | 265 |  |  | $ | 17,177 |
(1) | Cumulative goodwill impairment as of December 31, 2023, December 31, 2022 and December 31, 2021 was approximately $28.3 billion, $27.6 billion and $25.6 billion respectively.

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