Revenue Performance - Revenues for the nine months ended September 30, 2024, were 9,679.5million,anincreaseof6.09,128.3 million during the same period in 2023[89]. - Total revenues for the three months ended September 30, 2024, were 3,282.0million,anincreaseof7.43,056.8 million in the third quarter of 2023[90]. - Dx revenues for the three months ended September 30, 2024, were 2,553.5million,anincreaseof8.92,344.7 million in the third quarter of 2023[91]. - BLS revenues for the three months ended September 30, 2024, were 737.7million,anincreaseof2.6719.1 million in the third quarter of 2023[91]. - Revenues for the nine months ended September 30, 2024, increased by 6.0% to 9,679.5million,drivenbyorganicrevenuegrowthof3.47,558.1 million, reflecting a 6.9% increase from 7,068.3millioninthesameperiodof2023[104].OrganicGrowth−TheincreaseinorganicrevenueforthethreemonthsendedSeptember30,2024,was4.22,377.6 million for the three months ended September 30, 2024, compared to 2,205.6millioninthesameperiodof2023,withcostofrevenuesasapercentageofrevenuesrisingto72.4568.6 million for the three months ended September 30, 2024, compared to 525.5millioninthesameperiodof2023,withexpensesasapercentageofrevenuesincreasingto17.36,951.4 million, with cost of revenues as a percentage of revenues decreasing to 71.8% from 72.1%[106]. - Selling, general and administrative expenses increased to 1,634.8millionfortheninemonthsendedSeptember30,2024,from1,488.5 million in 2023, reflecting a change of 9.8%[107]. - Amortization of intangibles and other assets rose by 15.8% to 186.0millionfortheninemonthsendedSeptember30,2024,comparedto160.6 million in 2023[107]. - Restructuring and other charges increased by 138.9% to 18.0millionforthethreemonthsendedSeptember30,2024,comparedto7.5 million in the same period of 2023[96]. - Restructuring and other charges increased by 12.3% to 34.6millionfortheninemonthsendedSeptember30,2024,from30.8 million in 2023[110]. Operating Income - Total operating income for the three months ended September 30, 2024, was 254.1million,aslightincreaseof0.7252.3 million in the same period of 2023[102]. - Operating income for the Dx segment was 1,246.8million,aslightincreaseof0.71,237.5 million in the same period of 2023[121]. - BLS segment operating income increased by 14.2% to 328.2millionfortheninemonthsendedSeptember30,2024,comparedto287.2 million in 2023[121]. Cash Flow and Financing - Net cash provided by operating activities from continuing operations was 808.6millionfortheninemonthsendedSeptember30,2024,upfrom622.7 million in 2023[122]. - Net cash used for investing activities increased to 1,157.2millionin2024from816.2 million in 2023, primarily due to increased business acquisitions[125]. - Net cash provided by financing activities was 1,326.6millionfortheninemonthsendedSeptember30,2024,comparedtonetcashusedof1,112.5 million in 2023[126]. - On September 23, 2024, the Company issued 2,000.0millioninSeniorNoteswithinterestratesof4.351,517.3 million in cash and 1,000.0millionavailableunderitsrevolvingcreditfacility,whichmaturesin2026[128].−TheCompanyauthorizedanewsharerepurchaseplanforupto1,000.0 million, with a total outstanding authorization of 1,355.4millionasofSeptember30,2024[129].−FortheninemonthsendedSeptember30,2024,theCompanypaid183.0 million in common stock dividends and announced a cash dividend of 0.72pershareforQ42024,totalingapproximately61.0 million[129]. Foreign Exchange and Interest Rate Management - Approximately 13.6% of the Company's revenues for the nine months ended September 30, 2024, were denominated in foreign currencies, impacting financial results due to exchange rate fluctuations[133]. - A hypothetical 10% change in average exchange rates would have impacted income before income taxes by approximately 20.8millionfortheninemonthsendedSeptember30,2024[134].−TheCompanyhad9openforeignexchangeforwardcontractswithatotalnotionalvalueofapproximately382.0 million as of September 30, 2024[135]. - The Company entered into fixed-to-variable interest rate swap agreements for 500.0millionof2.70155.9 million, expected to close in early 2025[125]. - The AR Facility with PNC Bank allows for purchases of accounts receivable up to 300.0million,potentiallyincreasingto700.0 million, with $300.0 million received under this facility during Q3 2024[127].