Revenue and Growth - For the year ended December 31, 2024, the Company's revenues were 13,008.9million,a7.012,161.6 million in 2023, driven by organic revenue growth of 3.9% and acquisitions contributing 2.8%[304] - The Dx segment revenues increased by 7.7% to 10,144.3million,withorganicrevenuegrowthof4.12,922.6 million, primarily due to organic growth of 4.3% and favorable foreign currency translation of 1.1%[311] - The Company expects continued growth driven by organic demand and strategic acquisitions, with a focus on enhancing operational efficiency[306] Expenses and Costs - Cost of revenues increased by 6.7% to 9,384.5million,whilethecostofrevenuesasapercentageofrevenuesdecreasedto72.12,230.0 million, with SG&A as a percentage of revenues increasing to 17.1% from 16.6%[313] - The Company recorded net restructuring charges of 46.0millionfor2024,adecreaseof6.349.1 million in 2023[316] Income and Cash Flow - Operating income for the Company increased by 49.8% to 1,086.7million,withsegmentoperatingincomerisingto2,065.2 million, a 3.9% increase[323] - Net cash provided by continuing operating activities was 1,585.8million,upfrom1,202.3 million in 2023, reflecting higher cash earnings[329] - Cash and cash equivalents at December 31, 2024, totaled 1,518.7million,comparedto536.8 million in 2023[328] Capital Expenditures and Financing - Capital expenditures for 2024 were 489.9million,representing3.8779.9 million, a significant improvement from cash used of 1,559.0millionin2023,drivenby2,000.0 million in new debt securities[332] - The Company issued 2,000.0millionindebtsecurities,including650.0 million of 4.35% senior notes due 2030, with net proceeds of approximately 1,983.0millionusedfordebtrepaymentandgeneralcorporatepurposes[333]ShareholderReturnsandDebt−TheCompanyauthorizedanewsharerepurchaseplanforupto1,000.0 million, with a total authorization of 1,280.4millionremainingasofDecember31,2024[339]−TheCompanypaid243.1 million in dividends for 2024 and announced a cash dividend of 0.72pershareforQ12025,totalingapproximately61.0 million[340] - Total future payments for debt instruments as of December 31, 2024, amounted to 6,373.9million,with1,000.4 million due within 12 months[346] Foreign Currency and Risk Management - Approximately 13.7% of the Company's revenues for the year ended December 31, 2024, were denominated in currencies other than the U.S. dollar (USD) compared to 12.9% in 2023[381] - A hypothetical change of 10% in average exchange rates would have impacted income before income taxes for 2024 by approximately 27.4million[381]−TheCompanylimitsforeigncurrencytransactionriskthroughexchangeratefluctuationprovisionsincontractsorhedgingwithforeigncurrencyforwardcontracts[382]−TheCompanymanagesinterestrateriskthroughamixoffixedandvariableratedebt,includingtheuseofinterestrateswaps[384]FinancialInstrumentsandAccounting−TheCompanyhad12openforeignexchangeforwardcontractswithanotionalvaluetotalingapproximately302.4 million as of December 31, 2024[382] - The Company is a party to USD to Swiss Franc cross-currency swap agreements with an aggregate notional amount of 1,200.0million[383]−TheCompanyaccountsforbusinesscombinationsundertheacquisitionmethod,recordingacquiredassetsattheirestimatedfairvaluesasoftheacquisitiondate[365]−TheCompanyassessesgoodwillandindefinite−livedintangibleassetsforimpairmentatleastannually,withthemostrecentassessmentindicatingfairvaluesgreaterthancarryingvalues[373]−Deferredtaxassetsandliabilitiesarerecognizedforfuturetaxconsequences,measuredusingenactedtaxratesexpectedtoapplytotaxableincome[366]−TheCompanyenteredintofixed−to−variableinterestrateswapagreementsforits2.70500.0 million[386] - The variable interest rates are based on three-month LIBOR, which transitioned to SOFR in 2023, plus 1.0706%[386]