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GOODWILL AND INTANGIBLE ASSETS | 12 Months Ended
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Dec. 31, 2025
Goodwill and Intangible Assets Disclosure [Abstract] |
GOODWILL AND INTANGIBLE ASSETS | GOODWILL AND INTANGIBLE ASSETS The balances, net of impairment, and changes in the carrying amount of goodwill were as follows:
| Dx |  | BLS |  | Total
| December 31, 2025 |  | December 31, 2024 |  | December 31, 2025 |  | December 31, 2024 |  | December 31, 2025 |  | December 31, 2024
Beginning Balance | $ | 5,102.5 |  |  | $ | 4,813.9 |  |  | $ | 1,267.2 |  |  | $ | 1,328.6 |  |  | $ | 6,369.7 |  |  | $ | 6,142.5 |
Goodwill acquired, excluding measurement period adjustments | 287.8 |  |  | 390.5 |  |  | — |  |  | — |  |  | 287.8 |  |  | 390.5 |
Foreign currency impact and other adjustments to goodwill | 44.5 |  |  | (101.9) |  |  | 87.5 |  |  | (61.4) |  |  | 132.0 |  |  | (163.3) |
Ending Balance | $ | 5,434.8 |  |  | $ | 5,102.5 |  |  | $ | 1,354.7 |  |  | $ | 1,267.2 |  |  | $ | 6,789.5 |  |  | $ | 6,369.7 |
During 2025, the Company recorded $0.0 and $16.0 of goodwill and intangible assets impairment charges, respectively. These intangible asset impairment charges are associated with the restructuring of ED and are reflected in Restructuring and other charges in the Consolidated Statements of Operations. During 2024, the Company did not record goodwill or intangible asset impairment charges. During 2023, the Company recorded goodwill and other asset impairment charges of $349.0 which was primarily comprised of goodwill impairment for the ED reporting unit and the impairment of a technology intangible asset, which are reflected in Goodwill and other asset impairments in the Consolidated Statements of Operations. The cumulative goodwill impairment for the Company at December 31, 2025, and 2024 was $648.5 and primarily represents the goodwill of the Company’s ED reporting unit within the BLS segment. The components of identifiable intangible assets were as follows:
| Range of Useful Lives (in Years) |  | December 31, 2025 |  | December 31, 2024
|  | Gross Carrying Amount |  | Accumulated Amortization |  | Net Carrying Amount |  | Gross Carrying Amount |  | Accumulated Amortization |  | Net Carrying Amount
Definite-lived intangible assets: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Customer relationships | 10 | - | 36 |  | $ | 4,525.3 |  |  | $ | (1,816.3) |  |  | $ | 2,709.0 |  |  | $ | 4,114.7 |  |  | $ | (1,540.7) |  |  | $ | 2,574.0 |
Patents, licenses, and technology | 3 | - | 15 |  | 548.7 |  |  | (337.5) |  |  | 211.2 |  |  | 541.0 |  |  | (298.3) |  |  | 242.7 |
Non-compete agreements | 3 | - | 5 |  | 213.5 |  |  | (108.0) |  |  | 105.5 |  |  | 180.2 |  |  | (83.9) |  |  | 96.3 |
Other | 1 | - | 15 |  | 40.0 |  |  | (28.9) |  |  | 11.1 |  |  | 39.9 |  |  | (21.5) |  |  | 18.4 |
Total definite-lived intangible assets |  |  |  |  | $ | 5,327.5 |  |  | $ | (2,290.7) |  |  | $ | 3,036.8 |  |  | $ | 4,875.8 |  |  | $ | (1,944.4) |  |  | $ | 2,931.4 |
Indefinite-lived intangible assets: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |
Canadian and other licenses |  |  |  |  | 559.2 |  |  | N/A |  | 559.2 |  |  | 557.5 |  |  | N/A |  | 557.5 |
Total intangible assets |  |  |  |  | $ | 5,886.7 |  |  | $ | (2,290.7) |  |  | $ | 3,596.0 |  |  | $ | 5,433.3 |  |  | $ | (1,944.4) |  |  | $ | 3,488.9 |
Amortization of intangible assets was $280.0, $256.4 and $219.8 in 2025, 2024, and 2023, respectively. Amortization expense of intangible assets is estimated to be $290.0 in 2026, $277.2 in 2027, $269.4 in 2028, $256.3 in 2029, $247.0 in 2030, and $1,696.9 thereafter.

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- Definition The entire disclosure for goodwill and intangible assets. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 350 -SubTopic 30 -Name Accounting Standards Codification -Publisher FASB -URI https://asc.fasb.org/350-30/tableOfContent Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 350 -SubTopic 20 -Name Accounting Standards Codification -Publisher FASB -URI https://asc.fasb.org/350-20/tableOfContent + Details
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