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Goodwill and Other Intangible Assets
12 Months Ended
Dec. 31, 2024
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 December 31, 2024As of December 31, 2023
(in millions)Gross Carrying AmountAccumulated
Amortization/
Write-offs
Gross Carrying AmountAccumulated
Amortization/
Write-offs
Technology-related$14,327 $(8,605)$13,207 $(8,101)
Patents481 (381)480 (387)
Other intangible assets2,380 (1,612)2,130 (1,500)
Amortizable intangible assets$17,188 $(10,598)$15,817 $(9,988)
Goodwill$26,989 $(9,900)$24,287 $(9,900)
IPR&D94 54 
Technology-related— 120 
Indefinite-lived intangible assets$94 $174 

The increase in our balance of goodwill and amortizable intangible assets is related primarily to our acquisitions of Silk Road Medical and Axonics in the third and fourth quarters of 2024, respectively.

Intangible asset impairment charges were $386 million in 2024, $58 million in 2023 and $132 million in 2022. The impairment charges recorded in 2024 were primarily associated with amortizable intangible assets established in connection with our acquisitions of Cryterion Medical, Inc. (Cryterion) and Devoro Medical, Inc. (Devoro), which were integrated into our Electrophysiology and Peripheral Interventions business units, respectively. Intangible assets acquired from Cryterion were impaired due to strong commercial adoption of our Farapulse™ Pulsed Field Ablation System in our Electrophysiology business unit and the resulting lower revenue projections and cannibalization of our cryoablation business. Intangible assets acquired from Devoro were impaired following management's decision to cancel the related program in the second quarter of 2024. The impairment charges recorded in 2023 were primarily associated with the cancellation of an IPR&D program due to the incremental time and cost to complete the program and bring the technology to market.

During the third quarter of 2024, we performed our annual IPR&D impairment test and evaluated our indefinite-lived intangible assets for impairment and concluded the assets were not impaired. We also reclassified our indefinite-lived technology-related intangible assets to amortizable intangible assets after determining they no longer have an indefinite useful life and verified that the classification of IPR&D projects recognized within our unaudited consolidated balance sheets continues to be appropriate.

The following represents a roll forward of our goodwill balance by reportable segment:
(in millions)MedSurgCardiovascularTotal
Balance as of December 31, 2022$4,237 $8,684 $12,920 
Goodwill acquired1,110 337 1,447 
Impact of foreign currency fluctuations and other changes— 20 20 
Balance as of December 31, 2023$5,347 $9,041 $14,387 
Goodwill acquired2,172 615 2,787 
Impact of foreign currency fluctuations and purchase price and other adjustments(35)(51)(86)
Balance as of December 31, 2024$7,483 $9,606 $17,089 

In the second quarter of 2024, we performed our annual goodwill impairment test utilizing both the qualitative and quantitative approach described in FASB ASC Topic 350. The qualitative approach was used for testing reporting units where fair value has historically exceeded carrying value by greater than 100 percent, and all other reporting units were tested using the quantitative approach. For the reporting units tested using the quantitative approach, we determined that the fair value of the reporting units exceeded the carrying value and concluded that goodwill was not impaired or at risk of impairment.
Refer to Note A – Significant Accounting Policies for further discussion of our goodwill and intangible asset impairment testing.

Estimated Amortization expense for each of the five succeeding fiscal years based upon our amortizable intangible asset portfolio, consisting of intangible assets acquired in a business combination or asset acquisition, as well as internally developed patents, as of December 31, 2024 is as follows:
Fiscal Year(in millions)
2025$893 
2026874 
2027835 
2028787 
2029769 

These estimates do not include amortization expense associated with future acquisitions that have been announced but not yet completed as of December 31, 2024.