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Goodwill and Other Intangible Assets (Tables)
12 Months Ended
Dec. 31, 2023
Goodwill and Intangible Assets Disclosure [Abstract]  
Rollforward of Goodwill
The following is a rollforward of the Company’s goodwill by segment ($ in millions):  
BiotechnologyLife SciencesDiagnosticsTotal
Balance, January 1, 2022$— $31,638 $7,044 $38,682 
Attributable to acquisitions (a)
— 157 — 157 
Adjustments due to finalization of purchase price adjustments— 26 (9)17 
Foreign currency translation and other— (2,676)(330)(3,006)
Balance, before resegmentation— 29,145 6,705 35,850 
Reallocation among new reporting units (a)
21,019 (21,019)— — 
Attributable to acquisitions176 43 13 232 
Adjustments due to finalization of purchase price allocations— (2)— (2)
Foreign currency translation and other892 147 157 1,196 
Balance, December 31, 202222,087 8,314 6,875 37,276 
Attributable to 2023 acquisitions— 3,851 — 3,851 
Adjustments due to finalization of purchase price allocations— 
Foreign currency translation and other388 51 35 474 
Balance, December 31, 2023$22,477 $12,221 $6,910 $41,608 
(a) A total of approximately $21.0 billion of goodwill was allocated to the Biotechnology reportable segment, of which $116 million is shown on the Attributable to acquisitions line before resegmentation as it relates to a 2022 acquisition that occurred prior to the allocation date.
Schedule of Finite-lived Intangible Assets and Indefinite-lived Intangible Assets by Major Class The following summarizes the gross carrying value and accumulated amortization for each major category of intangible assets as of December 31 ($ in millions): 
20232022
 Gross Carrying
Amount
Accumulated
Amortization
Gross Carrying
Amount
Accumulated
Amortization
Finite-lived intangibles:
Patents and technology$15,175 $(3,832)$13,366 $(2,907)
Customer relationships, trade names and other intangibles10,131 (4,303)9,466 (3,644)
Total finite-lived intangibles25,306 (8,135)22,832 (6,551)
Indefinite-lived intangibles:
Trademarks and trade names3,575 — 3,540 — 
Total intangibles$28,881 $(8,135)$26,372 $(6,551)