Goodwill and other intangible assets (Tables)

12 Months Ended

Dec. 31, 2024

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Goodwill

The changes in the carrying amounts of goodwill were as follows (in millions):

	December 31,
	2024		2023
Beginning balance	$	18,629	$	15,529
Changes to goodwill resulting from acquisitions, net(1)	25		3,089
Foreign currency translation adjustments	(17)		11
Ending balance	$	18,637	$	18,629

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(1)    For 2024, changes to Goodwill consisted of measurement-period adjustments related to our Horizon acquisition. For 2023, changes to Goodwill primarily consisted of goodwill resulting from our Horizon acquisition. See Note 4, Acquisitions and divestitures.

Schedule of Other Intangible Assets

Other intangible assets consisted of the following (in millions):

	December 31,
	2024						2023
	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	$	48,611	$	(22,594)	$	26,017	$	48,631	$	(18,049)	$	30,582
Licensing rights	3,875		(3,392)		483		3,865		(3,265)		600
Marketing-related rights	1,202		(1,202)		—		1,339		(1,264)		75
R&D technology rights	1,374		(1,235)		139		1,394		(1,228)		166
Total finite-lived intangible assets	55,062		(28,423)		26,639		55,229		(23,806)		31,423
Indefinite-lived intangible assets:
In-process research and development	1,060		—		1,060		1,218		—		1,218
Total other intangible assets	$	56,122	$	(28,423)	$	27,699	$	56,447	$	(23,806)	$	32,641