GOODWILL AND INTANGIBLE ASSETS (Tables)

12 Months Ended

Dec. 31, 2023

Goodwill and Intangible Assets Disclosure [Abstract]

Changes in Carrying Amount of Goodwill

The changes in the carrying amount of goodwill (net of impairment) for the years ended December 31, 2023 and 2022 were as follows:

	Dx				BLS				Total
	December 31, 2023		December 31, 2022		December 31, 2023		December 31, 2022		December 31, 2023		December 31, 2022
Balance as of January 1	$	4,533.5	$	4,046.2	$	1,590.2	$	1,844.8	$	6,123.7	$	5,891.0
Goodwill acquired during the year	296.9		557.9		—		40.6		296.9		598.5
Impairment	—		—		(333.6)		(260.0)		(333.6)		(260.0)
Foreign currency impact and other adjustments to goodwill	(16.5)		(70.6)		72.0		(35.2)		55.5		(105.8)
Balance at end of year	$	4,813.9	$	4,533.5	$	1,328.6	$	1,590.2	$	6,142.5	$	6,123.7

Components of identifiable intangible assets

The components of identifiable intangible assets are as follows:

	December 31, 2023						December 31, 2022
	Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount		Gross Carrying Amount		Accumulated Amortization		Net Carrying Amount
Customer relationships	$	3,868.6	$	(1,367.2)	$	2,501.4	$	3,490.0	$	(1,169.7)	$	2,320.3
Patents, licenses and technology	526.6		(273.3)		253.3		520.4		(243.3)		277.1
Non-compete agreements	130.3		(60.4)		69.9		80.1		(46.8)		33.3
Trade names	16.4		(6.1)		10.3		16.4		(3.5)		12.9
Land use rights	3.5		(2.7)		0.8		3.5		(2.2)		1.3
Canadian licenses	498.8		—		498.8		468.7		—		468.7
Content	5.1		(4.7)		0.4		5.1		(4.2)		0.9
In process research and development	9.1		(2.0)		7.1		9.1		—		9.1
	$	5,058.4	$	(1,716.4)	$	3,342.0	$	4,593.3	$	(1,469.7)	$	3,123.6

Acquired amortizable intangible assets and their respective weighted average amortization periods

A summary of amortizable intangible assets acquired during 2023, and their respective weighted average amortization periods are as follows:

	Amount		Weighted Average Amortization Period
Customer relationships	$	260.6	12.5
Non-compete agreements	53.3		0.8
	$	313.9	13.3