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BUSINESS ACQUISITIONS & DISPOSITIONS Business Acquisitions (Tables) | 12 Months Ended
--- | ---
Dec. 31, 2025 | Dec. 31, 2024 | Dec. 31, 2023
Business Combination [Abstract] |  |  |
Business Combination, Recognized Asset Acquired and Liability Assumed | The purchase price allocations for these acquisitions were preliminary at December 31, 2025. The valuation of acquired assets and assumed liabilities included the following:
| BioReference Health (2025) | Community Health Systems Inc. | Other Acquisitions Closed During the Year Ended December 31, 2025 | Measurement Period Adjustments | Amounts Acquired During Year Ended December 31, 2025
Cash and cash equivalents | $ | — |  | $ | — |  | $ | 0.2 |  | $ | — |  | $ | 0.2 |
Accounts receivable | — |  | — |  | 0.6 |  | — |  | 0.6 |
Inventories | — |  | — |  | 0.9 |  | — |  | 0.9 |
Property, plant, and equipment | — |  | — |  | 7.9 |  | (0.8) |  | 7.1 |
Goodwill | 105.8 |  | 91.4 |  | 90.6 |  | 10.4 |  | 298.2 |
Intangible assets | 119.2 |  | 103.1 |  | 100.8 |  | (23.3) |  | 299.8 |
Total assets acquired | 225.0 |  | 194.5 |  | 201.0 |  | (13.7) |  | 606.8 |
Accrued expenses and other | 32.5 |  | — |  | 25.3 |  | (20.6) |  | 37.2 |
Lease liabilities | — |  | — |  | 3.0 |  | — |  | 3.0 |
Other liabilities | — |  | — |  | 2.5 |  | 6.9 |  | 9.4 |
Total liabilities acquired | 32.5 |  | — |  | 30.8 |  | (13.7) |  | 49.6 |
Net assets acquired | 192.5 |  | 194.5 |  | 170.2 |  | — |  | 557.2 |
Escrow payments for pending acquisitions |  |  |  |  | 25.0 |
Cash paid for acquisitions | $ | 192.5 |  | $ | 194.5 |  | $ | 170.2 |  | $ | — |  | $ | 582.2 |
| The purchase price allocations for these acquisitions were preliminary at December 31, 2024. The valuation of acquired assets and assumed liabilities include the following:
| Baystate Medical Center | Providence Medical Foundation | Westpac Labs, Inc. | Invitae Corp. | BioReference Health (2024) | Other Acquisitions Closed During the Year Ended December 31, 2024 | Measurement Period Adjustments | Amounts Acquired During the Year Ended December 31, 2024
Inventories | $ | — |  | $ | — |  | $ | 1.8 |  | $ | 12.1 |  | $ | — |  | $ | — |  | $ | 2.0 |  | $ | 15.9 |
Prepaid expenses and other | — |  | — |  | — |  | — |  | — |  | — |  | 8.4 |  | 8.4 |
Property, plant, and equipment | 7.2 |  | 0.9 |  | — |  | 76.7 |  | 9.1 |  | 1.3 |  | 28.1 |  | 123.3 |
Goodwill | 70.7 |  | 25.9 |  | 45.1 |  | 100.4 |  | 107.4 |  | 41.0 |  | (90.6) |  | 299.9 |
Intangible assets | 79.8 |  | 29.2 |  | 50.8 |  | 113.2 |  | 121.1 |  | 46.2 |  | 44.3 |  | 484.6 |
Total assets acquired | 157.7 |  | 56.0 |  | 97.7 |  | 302.4 |  | 237.6 |  | 88.5 |  | (7.8) |  | 932.1 |
Accrued expenses and other | — |  | — |  | — |  | — |  | — |  | — |  | (3.9) |  | (3.9) |
Unearned revenue | — |  | — |  | — |  | 3.3 |  | — |  | — |  | (3.3) |  | — |
Lease liabilities | 7.2 |  | 0.9 |  | — |  | 58.3 |  | — |  | 0.6 |  | — |  | 67.0 |
Total liabilities acquired | 7.2 |  | 0.9 |  | — |  | 61.6 |  | — |  | 0.6 |  | (7.2) |  | 63.1 |
Net assets acquired | 150.5 |  | 55.1 |  | 97.7 |  | 240.8 |  | 237.6 |  | 87.9 |  | (0.6) |  | 869.0 |
Less 2023 escrow payment | 30.0 |  | — |  | — |  | — |  | — |  | — |  | — |  | 30.0 |
Cash paid for acquisitions | $ | 120.5 |  | $ | 55.1 |  | $ | 97.7 |  | $ | 240.8 |  | $ | 237.6 |  | $ | 87.9 |  | $ | (0.6) |  | $ | 839.0 |
| The purchase price allocations for these acquisitions were preliminary at December 31, 2023. The preliminary valuation of acquired assets and assumed liabilities, include the following:
| Jefferson Health | Enzo BioChem | Providence Health and Services - Oregon | Tufts Medicine | Legacy | Other Acquisitions Closed During the Year Ended December 31, 2023 | Measurement Period Adjustments | Amounts Acquired During the Year Ended December 31, 2023
Accounts receivable | $ | — |  | $ | (2.8) |  | $ | — |  | $ | — |  | $ | — |  | $ | 2.0 |  | $ | 0.2 |  | $ | (0.6) |
Inventories | — |  | — |  | 1.3 |  | — |  | — |  | — |  | — |  | 1.3 |
Prepaid expenses and other | — |  | 0.4 |  | — |  | — |  | 0.2 |  | 0.3 |  | 0.6 |  | 1.5 |
Property, plant, and equipment | — |  | — |  | 4.7 |  | — |  | 3.3 |  | 6.5 |  | (1.5) |  | 13.0 |
Goodwill | 50.8 |  | 54.1 |  | 50.7 |  | 73.8 |  | 49.0 |  | 18.5 |  | (29.4) |  | 267.5 |
Intangible assets | 57.2 |  | 61.1 |  | 57.2 |  | 83.2 |  | 55.2 |  | 26.9 |  | 19.5 |  | 360.3 |
Other assets | 2.2 |  | — |  | — |  | — |  | — |  | 17.9 |  | — |  | 20.1 |
Total assets acquired | 110.2 |  | 112.8 |  | 113.9 |  | 157.0 |  | 107.7 |  | 72.1 |  | (10.6) |  | 663.1 |
Accounts payable | — |  | — |  | — |  | — |  | — |  | 1.2 |  | — |  | 1.2 |
Accrued expenses and other | — |  | — |  | 3.9 |  | — |  | — |  | 1.2 |  | (8.3) |  | (3.2) |
Deferred income taxes | — |  | — |  | — |  | — |  | — |  | — |  | (2.3) |  | (2.3) |
Other liabilities | — |  | — |  | — |  | — |  | — |  | (4.1) |  | — |  | (4.1) |
Total liabilities acquired | — |  | — |  | 3.9 |  | — |  | — |  | (1.7) |  | (10.6) |  | (8.4) |
Net assets acquired | $ | 110.2 |  | $ | 112.8 |  | $ | 110.0 |  | $ | 157.0 |  | $ | 107.7 |  | $ | 73.8 |  | $ | — |  | $ | 671.5 |
Business Combination [Line Items] |  |  |
Business Combination, Pro Forma Information [Table Text Block] | Had the aggregate of the Company’s 2025 acquisitions, that were accounted for as business combinations, been completed at January 1, 2024, the Company’s pro forma results would have been as follows:
| Year Ended December 31,
| 2025 |  | 2024 |
Revenues | $ | 14,100.6 |  |  | $ | 13,213.1 |  |
Net earnings attributable to LHI | $ | 903.5 |  |  | $ | 782.5 |  |
| Had the aggregate of the Company’s 2024 acquisitions, that were accounted for as business combinations, been completed at January 1, 2023, the Company’s pro forma results would have been as follows:
| Year Ended December 31,
| 2024 |  | 2023 |
Revenues | $ | 13,353.6 |  |  | $ | 12,716.4 |  |
Net earnings attributable to LHI | $ | 761.8 |  |  | $ | 423.3 |  |
| Had the aggregate of the Company’s 2023 acquisitions, that were accounted for as business combinations, been completed at January 1, 2022, the Company’s pro forma results would have been as follows:
| Year Ended December 31,
| 2023 |  | 2022 |
Revenues | $ | 12,350.1 |  |  | $ | 12,126.3 |  |
Earnings from continuing operations | $ | 397.2 |  |  | $ | 1,030.3 |  |
Acquired amortizable intangible assets and their respective weighted average amortization periods | Intangible assets recognized from business acquisitions that closed during the year ended December 31, 2025, including the related measurement period adjustments, and their respective weighted-average amortization periods are as follows:
| Amount |  | Weighted-average Amortization Period (in Years)
Customer relationships | $ | 262.3 |  |  | 15.0
Non-compete agreements | 53.6 |  |  | 4.9
Total | $ | 315.9 |  |  |

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