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Goodwill and Other Intangible Assets
3 Months Ended
Mar. 31, 2023
Goodwill and Intangible Assets Disclosure [Abstract]  
GOODWILL AND OTHER INTANGIBLE ASSETS
NOTE C – GOODWILL AND OTHER INTANGIBLE ASSETS

The gross carrying amount of goodwill and other intangible assets and the related accumulated amortization for intangible assets subject to amortization and accumulated goodwill impairment charges are as follows:
As of March 31, 2023As of December 31, 2022
(in millions)Gross Carrying AmountAccumulated Amortization/ Write-offsGross Carrying AmountAccumulated Amortization/ Write-offs
Technology-related$12,707 $(7,553)$12,397 $(7,378)
Patents473 (381)486 (394)
Other intangible assets2,005 (1,422)1,960 (1,400)
Amortizable intangible assets$15,185 $(9,357)$14,843 $(9,173)
    
Goodwill$23,169 $(9,900)$22,820 $(9,900)
IPR&D$112 $112 
Technology-related120 120 
Indefinite-lived intangible assets$232 $232 

The increase in our balance of goodwill and amortizable intangible assets is related primarily to our acquisition of a majority stake investment in Acotec completed in the first quarter of 2023.

The following represents a roll-forward of our goodwill balance by global reportable segment:
(in millions)MedSurgCardiovascularTotal
As of December 31, 2022$4,237 $8,684 $12,920 
Goodwill acquired— 336 336 
Impact of foreign currency fluctuations and purchase price adjustments— 13 13 
As of March 31, 2023$4,237 $9,032 $13,269 

Goodwill and Intangible Asset Impairments
We did not record any goodwill impairment charges in the first quarters 2023 or 2022. Refer to Note A – Significant Accounting Policies to our audited financial statements contained in Item 8 of our most recent Annual Report on Form 10-K for further discussion of our annual goodwill and intangible asset impairment testing.