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GOODWILL AND INTANGIBLE ASSETS
 12 Months Ended
Dec. 31, 2024
Goodwill and Intangible Assets Disclosure [Abstract]  
GOODWILL AND INTANGIBLE ASSETS GOODWILL AND INTANGIBLE ASSETS
    The changes in goodwill for the years ended December 31, 2024 and 2023 were as follows:

20242023
Balance, beginning of year$7,733 $7,220 
Goodwill acquired during the year1,146 511 
Adjustments to goodwill(23)2 
Balance, end of year$8,856 $7,733 

    Principally all of the Company’s goodwill as of December 31, 2024 and 2023 was associated with its DIS business.

    For the year ended December 31, 2024, goodwill acquired was principally associated with the acquisitions of LifeLabs, the laboratory business of three physician groups in New York, select assets of the outreach laboratory services business of Allina Health, select assets of the outreach laboratory services business of OhioHealth and the outreach laboratory services business of University Hospitals (see Note 6). For the year ended December 31, 2024, adjustments to goodwill related to foreign currency translation.

    For the year ended December 31, 2023, goodwill acquired was principally associated with the acquisitions of Haystack and select assets of the laboratory services business of New York-Presbyterian (see Note 6). For the year ended December 31, 2023, adjustments to goodwill related to foreign currency translation.
    
    Intangible assets as of December 31, 2024 and 2023 consisted of the following:
Weighted
Average
Amortization
Period (in years)		20242023
CostAccumulated
Amortization		NetCostAccumulated
Amortization		Net
Amortizing intangible assets:
Customer-related18$2,274 $(1,030)$1,244 $1,656 $(924)$732 
Technology-related15282 (108)174 284 (90)194 
Trade names15143 (52)91 50 (49)1 
Non-competition agreements515 — 15 — — — 
Other1064 (61)3 64 (61)3 
Total2,778 (1,251)1,527 2,054 (1,124)930 
Intangible assets not subject to amortization:
    
Trade names
 235 — 235 235 — 235 
Other 1 — 1 1 — 1 
Total intangible assets
$3,014 $(1,251)$1,763 $2,290 $(1,124)$1,166 
        
    During the year ended December 31, 2023, the Company recorded a $29 million impairment charge on certain long-lived assets related to the shutdown of a business. Such charge principally related to customer-related intangible assets. See Note 5 for further discussion.    

    The estimated amortization expense related to amortizable intangible assets for each of the five succeeding fiscal years and thereafter as of December 31, 2024 is as follows:

Year Ending December 31, 
2025$154 
2026148 
2027138 
2028125 
2029118 
Thereafter844 
Total$1,527