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Goodwill (Tables) | 12 Months Ended
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Dec. 31, 2024
Summary of Changes in the Carrying Amount of Goodwill by Segment | Changes in the carrying amount of goodwill for the years ended December 31, 2024 and 2023 were as follows:
|  |  |  |  |  |  |  |  |  |  |  |  |  | Other |  |  |  |
|  | North America |  |  | United States |  |  | Europe |  |  | International Markets |  |  | Teva’s API |  |  | Medis |  |  | Total |
|  | (U.S. $ in millions) |  |  |  |
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 |
Goodwill allocation related to the shift of Canada to International Markets |  |  | (6,459 | ) |  |  | 5,813 |  |  |  | — |  |  |  | 646 |  |  |  | — |  |  |  | — |  |  |  | — |
Balance as of January 1, 2024 |  | $ | — |  |  | $ | 5,813 |  |  | $ | 8,466 |  |  | $ | 1,321 |  |  | $ | 1,313 |  |  | $ | 265 |  |  | $ | 17,177 |
Other changes during the period: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Goodwill impairment |  |  | — |  |  |  | — |  |  |  | — |  |  |  | — |  |  |  | (1,280 | ) |  |  | — |  |  |  | (1,280 | )
Goodwill reclassified as assets held for sale |  |  | — |  |  |  | (81 | ) |  |  | (98 | ) |  |  | (50 | ) |  |  | — |  |  |  | (7 | ) |  |  | (236 | )
Translation differences and other |  |  | — |  |  |  | — |  |  |  | (293 | ) |  |  | (161 | ) |  |  | (33 | ) |  |  | (26 | ) |  |  | (513 | )
Balance as of December 31, 2024 (1) |  | $ | — |  |  | $ | 5,732 |  |  | $ | 8,075 |  |  | $ | 1,110 |  |  | $ | — |  |  | $ | 232 |  |  | $ | 15,147 |
(1) | Cumulative goodwill impairment as of December 31, 2024, December 31, 2023 and December 31, 2022 was approximately $29.58 billion, $28.3 billion and $27.6 billion, respectively.

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