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Goodwill and other intangible assets (Tables)
12 Months Ended
Dec. 31, 2023
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Goodwill
The changes in the carrying amounts of goodwill were as follows (in millions):
December 31,
20232022
Beginning balance$15,529 $14,890 
Changes to goodwill resulting from acquisitions and divestitures, net(1)
3,089 651 
Currency translation adjustments11 (12)
Ending balance$18,629 $15,529 
____________
(1)    For 2023, the increase to Goodwill was primarily due to goodwill resulting from the acquisition of Horizon. For 2022, the increase to goodwill was due to goodwill resulting from the acquisition of ChemoCentryx, changes to the acquisition date fair values of net assets acquired in the acquisition of Teneobio and the nonstrategic Gensenta divestiture. See Note 3, Acquisitions and divestitures.
Schedule of Identifiable Intangible Assets
Other intangible assets consisted of the following (in millions):
December 31,
 20232022
 Gross
carrying
amounts
Accumulated
amortization
Other intangible
assets, net
Gross
carrying
amounts
Accumulated
amortization
Other intangible
assets, net
Finite-lived intangible assets:
Developed-product-technology rights$48,631 $(18,049)$30,582 $29,028 $(15,045)$13,983 
Licensing rights3,865 (3,265)600 3,864 (3,123)741 
Marketing-related rights1,339 (1,264)75 1,326 (1,167)159 
R&D technology rights1,394 (1,228)166 1,378 (1,190)188 
Total finite-lived intangible assets55,229 (23,806)31,423 35,596 (20,525)15,071 
Indefinite-lived intangible assets:
IPR&D1,218 — 1,218 1,009 — 1,009 
Total other intangible assets$56,447 $(23,806)$32,641 $36,605 $(20,525)$16,080