XML 72 R54.htm IDEA: XBRL DOCUMENT v3.24.0.1
BUSINESS ACQUISITIONS (Details) - USD ($)
12 Months Ended
Jun. 20, 2023
Apr. 17, 2023
Feb. 01, 2022
Dec. 13, 2021
Jun. 01, 2021
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Jun. 30, 2023
Business Acquisition [Line Items]                  
Total consideration           $ 699,000,000 $ 162,000,000 $ 346,000,000  
Contingent consideration             18,000,000 15,000,000 $ 88,000,000
Goodwill acquired during the year           511,000,000 121,000,000    
Goodwill deductible for tax purposes           244,000,000 103,000,000 221,000,000  
Cash consideration           612,000,000 148,000,000 331,000,000  
Goodwill           7,733,000,000 7,220,000,000 7,095,000,000  
Cash acquired from acquisition           1,000,000 4,000,000    
Goodwill acquired, before adjustments             121,000,000 236,000,000  
Finite-lived intangibles             45,000,000 107,000,000  
Business acquisitions, net of cash acquired           611,000,000 $ 144,000,000 $ 331,000,000  
Customer - related                  
Business Acquisition [Line Items]                  
Finite-lived intangibles           $ 63,000,000      
Finite-lived intangible asset, useful life           17 years      
Technology-Based Intangible Assets                  
Business Acquisition [Line Items]                  
Finite-lived intangibles           $ 145,000,000      
Finite-lived intangible asset, useful life           15 years      
New York-Presbyterian                  
Business Acquisition [Line Items]                  
Goodwill deductible for tax purposes   $ 222,000,000              
Cash consideration   275,000,000              
Goodwill   222,000,000              
New York-Presbyterian | Customer - related                  
Business Acquisition [Line Items]                  
Finite-lived intangibles   $ 53,000,000              
Finite-lived intangible asset, useful life   15 years              
Haystack Oncology, Inc.                  
Business Acquisition [Line Items]                  
Total consideration $ 392,000,000                
Contingent consideration 88,000,000                
Cash consideration 304,000,000                
Goodwill 267,000,000                
Cash acquired from acquisition 1,000,000                
Deferred tax liabilities 23,000,000                
Operating lease right-of-use assets 8,000,000                
Property, plant and equipment, net 3,000,000                
Operating lease liabilities 8,000,000                
Haystack Oncology, Inc. | Additional, Reimbursement Coverage                  
Business Acquisition [Line Items]                  
Contingent consideration arrangements, range of outcomes, value, high 50,000,000                
Haystack Oncology, Inc. | Technology-Based Intangible Assets                  
Business Acquisition [Line Items]                  
Finite-lived intangibles $ 145,000,000                
Finite-lived intangible asset, useful life 15 years                
Pack Health, LLC                  
Business Acquisition [Line Items]                  
Total consideration     $ 123,000,000            
Contingent consideration     18,000,000            
Goodwill deductible for tax purposes     78,000,000            
Finite-lived intangibles     30,000,000            
Goodwill     96,000,000            
Cash acquired from acquisition     4,000,000            
Operating lease right-of-use assets     5,000,000            
Business acquisitions, net of cash acquired     105,000,000            
Operating lease liabilities     5,000,000            
Working capital     $ (3,000,000)            
Pack Health, LLC | Customer - related                  
Business Acquisition [Line Items]                  
Finite-lived intangible asset, useful life     15 years            
Mercy Health                  
Business Acquisition [Line Items]                  
Goodwill deductible for tax purposes         $ 171,000,000        
Cash consideration         225,000,000        
Mercy Health | Customer - related                  
Business Acquisition [Line Items]                  
Finite-lived intangibles         $ 54,000,000        
Finite-lived intangible asset, useful life         15 years        
Labtech Diagnostics, LLC                  
Business Acquisition [Line Items]                  
Total consideration       $ 95,000,000          
Contingent consideration       15,000,000          
Goodwill deductible for tax purposes       33,000,000          
Cash consideration       80,000,000          
Goodwill       48,000,000          
Operating lease right-of-use assets       6,000,000          
Property, plant and equipment, net       11,000,000          
Operating lease liabilities       6,000,000          
Finance lease liabilities       9,000,000          
Inventories       1,000,000          
Labtech Diagnostics, LLC | Customer - related                  
Business Acquisition [Line Items]                  
Finite-lived intangibles       $ 44,000,000          
Finite-lived intangible asset, useful life       15 years