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Labcorp Quarterly Cash Flow Statements Chart

Quarterly
 | 
Annual
 
 Operating Cash Flow  
 Investing Cash Flow  
 Financing Cash Flow  
 Free Cash Flow  
 Capital Expenditure  
20191231 20200930 20210331 20210630 20210930 20211231 20220331 20220630 20220930 20221231 20230331 20230630 20230930 20231231 20240331 20240630 20240930 20241231 20250331 20250630 -0.170.020.210.40.590.780.971.16Billion

Labcorp Quarterly Cash Flow Statements Table

Quarterly
 | 
Annual
 
Unit: USD2025-06-30 2025-03-31 2024-12-31 2024-09-30 2024-06-30 2024-03-31 2023-12-31 2023-09-30 2023-06-30 2023-03-31 2022-12-31 2022-09-30 2022-06-30 2022-03-31 2021-12-31 2021-09-30 2021-06-30 2021-03-31 2020-09-30 2019-12-31 2019-09-30 2019-06-30 2019-03-31 2018-12-31 2018-09-30 2018-06-30 2018-03-31 2017-12-31 2017-09-30 2017-06-30 2017-03-31 2016-12-31 2016-09-30 2016-06-30 2016-03-31 2015-12-31 2015-09-30 2015-06-30 2015-03-31 2014-12-31 2014-09-30 2014-06-30 2014-03-31 2013-12-31 2013-09-30 2013-06-30 2013-03-31 2012-12-31 2012-09-30 2012-06-30 2012-03-31 2011-12-31 2011-09-30 2011-06-30 2011-03-31 2010-12-31 2010-09-30 2010-06-30 2010-03-31 2009-12-31 2009-09-30 2009-06-30 2009-03-31 
                                                                 
  cash flows from operating activities:                                                               
  net earnings238,300,000 213,000,000 143,600,000 169,600,000 205,600,000 228,300,000 -166,800,000 183,600,000 189,100,000 213,300,000 76,400,000 353,200,000 358,900,000 492,100,000 553,600,000 587,800,000 468,000,000 770,100,000 703,700,000 227,300,000 221,000,000 190,700,000 185,900,000 158,200,000 319,100,000 234,100,000 172,500,000 709,200,000 183,400,000 188,900,000 192,500,000 184,600,000 189,600,000 198,800,000 160,200,000 114,500,000 153,200,000 169,300,000 1,000,000 119,900,000 137,500,000 141,700,000 113,500,000 126,700,000 148,700,000 152,400,000 147,600,000 120,600,000 148,400,000 153,800,000 162,000,000 138,200,000 137,600,000 126,700,000 130,600,000 135,100,000 143,100,000 157,200,000 136,200,000 145,800,000 134,600,000 139,400,000 135,800,000 
  adjustments to reconcile net earnings to net cash from operating activities:                                                               
  depreciation and amortization170,300,000 166,800,000 170,600,000 161,500,000 156,900,000 154,500,000 146,400,000 145,900,000 119,100,000 165,900,000 156,200,000 157,100,000 159,100,000 161,500,000 188,000,000 186,100,000 187,100,000 183,900,000 152,300,000 155,800,000 144,300,000 139,800,000 137,300,000 137,700,000 133,100,000 138,500,000 142,800,000 145,000,000 133,100,000 127,000,000 128,100,000 130,300,000 121,100,000 125,400,000 122,400,000 113,300,000 121,400,000 118,400,000 104,700,000 63,500,000 58,500,000 62,800,000 60,700,000 59,800,000 57,900,000 56,900,000 55,500,000 59,400,000 57,600,000 56,100,000 56,700,000 57,800,000 57,700,000 57,800,000 58,100,000 52,900,000 50,600,000 50,100,000 50,000,000 49,800,000 49,500,000 48,500,000 47,300,000 
  stock compensation34,100,000 32,800,000 27,300,000 27,000,000 30,800,000 31,600,000 27,000,000 34,400,000 26,700,000 40,600,000 30,200,000 36,300,000 39,400,000 38,200,000 42,100,000 59,000,000 23,900,000 28,700,000 27,200,000 23,500,000 31,500,000 26,500,000 25,500,000 20,800,000 18,800,000 26,200,000 25,800,000 23,900,000 33,100,000 25,000,000 27,700,000 27,700,000 24,300,000 25,800,000 31,800,000 24,400,000 23,700,000 27,700,000 26,300,000 10,600,000 11,500,000 11,900,000 11,700,000 8,400,000 6,800,000 10,800,000 11,300,000 5,900,000 11,100,000 11,900,000 11,800,000 11,700,000 11,700,000 12,400,000 13,100,000 10,500,000 10,100,000 10,700,000 8,700,000 10,300,000 9,300,000 9,600,000 7,200,000 
  operating lease right-of-use asset expense50,800,000 48,600,000 48,600,000 48,100,000 44,500,000 44,100,000 39,500,000 43,400,000 37,300,000 47,800,000 48,700,000 48,000,000 48,800,000 48,900,000 49,600,000 49,000,000 48,000,000 48,300,000 46,800,000 50,000,000 50,100,000                                           
  goodwill and other asset impairments  2,800,000 2,500,000 333,800,000 10,200,000 2,800,000 2,200,000 270,300,000 1,200,000     23,500,000                                             
  deferred income taxes-6,100,000 -6,100,000 38,500,000 -19,500,000 -19,600,000 -19,500,000 -59,900,000 -34,400,000 14,400,000 1,800,000 69,900,000 -16,100,000 -16,500,000 -19,000,000 26,100,000 -16,500,000 -57,700,000 -27,800,000 -19,100,000 5,900,000 8,100,000 -1,900,000 17,100,000 10,100,000 -23,900,000 36,000,000 -525,700,000 4,500,000 -23,300,000 18,700,000 49,500,000 -38,100,000 25,100,000 18,200,000 -17,400,000 -11,100,000 -22,300,000 17,400,000 31,200,000 -2,400,000 -11,200,000 10,100,000 27,900,000 18,000,000 10,300,000 8,400,000 11,600,000 12,700,000 20,600,000 13,200,000 8,500,000 -18,500,000 -1,000,000 15,000,000 -5,600,000 -6,500,000 10,000,000 -300,000 1,600,000 -2,000,000 10,300,000 
  other38,000,000 8,100,000 16,100,000 9,400,000 39,600,000 -3,000,000 35,000,000 800,000 -2,700,000 5,800,000 21,400,000 -8,600,000 7,300,000 -3,600,000 17,000,000 -43,300,000 5,500,000 -3,200,000 -200,000                                             
  change in assets and liabilities                                                               
  increase in accounts receivable30,900,000 -170,800,000 90,900,000 49,000,000 -5,100,000 -187,100,000         86,400,000 -129,400,000   -422,700,000 80,200,000 -53,200,000 -300,000 -90,800,000    -53,600,000 80,900,000 -47,600,000 -7,500,000 -27,900,000 23,700,000 -9,600,000 6,200,000 -105,800,000 18,100,000 -36,100,000 -13,500,000 -40,300,000 28,600,000 -11,700,000 -8,800,000 -39,200,000 28,000,000 4,200,000 -23,900,000 -75,800,000 49,800,000 -14,200,000 15,500,000 -50,500,000 28,800,000 -7,500,000 10,100,000 -68,500,000 23,700,000 -12,000,000 1,400,000 -38,400,000 60,000,000 36,200,000 16,200,000 -38,400,000 
  decrease in unbilled services900,000 3,900,000  -4,000,000 -37,100,000 63,900,000                                                          
  increase in supplies inventory     -600,000   -6,100,000 -10,000,000  -11,800,000 1,700,000 -37,400,000  11,000,000 -12,800,000 -4,700,000 -49,100,000                                             
  decrease in prepaid expenses and other                                    8,600,000      12,200,000    7,000,000  -8,000,000 1,700,000 9,800,000  -14,200,000 8,000,000 16,700,000  400,000 6,000,000 5,000,000  -5,200,000 2,900,000 13,700,000 
  decrease in accounts payable67,000,000 -147,600,000  -86,500,000 69,400,000 -121,100,000    -56,400,000    -5,500,000   -27,400,000 -16,900,000   80,800,000 -80,200,000 -28,800,000       -1,000,000 -28,000,000  -2,000,000 -20,200,000 -34,100,000  9,500,000 15,100,000 -48,900,000          3,900,000 9,000,000 -32,300,000    -42,600,000         
  decrease in unearned revenue200,000 -8,900,000                                                              
  decrease in accrued expenses and other-4,700,000 -174,700,000 46,900,000 6,900,000 -9,500,000 -156,900,000 -10,000,000 -40,400,000 -66,200,000 -206,600,000  -167,800,000          -22,200,000 -136,600,000   -33,000,000 -83,500,000 39,900,000 -43,500,000 28,000,000 -39,400,000 -35,700,000 15,700,000 -19,600,000 -47,000,000          15,000,000                18,700,000   
  net cash from operating activities620,600,000 18,500,000 777,200,000 277,300,000 561,100,000 -29,800,000 579,600,000 275,500,000 351,400,000 121,200,000 653,600,000 373,800,000 572,500,000 356,000,000 697,500,000 767,300,000 487,200,000 1,157,600,000 786,200,000 569,800,000 455,600,000 253,500,000 165,800,000 486,400,000 297,000,000 367,300,000 154,700,000 564,000,000 350,900,000 310,700,000 233,800,000 448,900,000 260,400,000 343,600,000 123,000,000 384,600,000 288,000,000 396,700,000 -86,900,000 213,700,000 175,600,000 207,400,000 142,300,000 248,700,000 234,200,000 137,600,000 198,200,000 254,200,000 203,800,000 186,300,000 197,100,000 278,600,000 176,800,000 184,900,000 215,300,000 259,200,000 176,200,000 216,200,000 232,000,000 224,700,000 246,400,000 182,400,000 208,900,000 
  cash flows from investing activities:                                                               
  capital expenditures-77,900,000 -126,000,000 -112,100,000 -115,800,000 -128,200,000 -133,800,000 -167,200,000 -104,900,000 -87,600,000 -93,900,000 -117,900,000 -103,500,000 -143,300,000 -117,200,000 -150,000,000 -117,800,000 -97,200,000 -95,400,000 -77,200,000 -128,200,000 -92,600,000 -85,200,000 -94,200,000 -122,200,000 -97,900,000 -87,200,000 -72,500,000 -96,100,000 -75,300,000 -69,300,000 -72,200,000 -74,300,000 -66,200,000 -67,000,000 -71,400,000 -85,100,000 -67,800,000 -69,100,000 -33,800,000 -46,300,000 -52,600,000 -48,100,000 -56,500,000 -59,600,000 -52,100,000 -48,800,000 -41,700,000 -61,400,000 -44,100,000 -34,100,000 -34,200,000 -30,100,000 -40,400,000 -45,800,000 -29,400,000 -32,800,000 -34,300,000 -34,500,000 -24,500,000 -37,600,000 -22,700,000 -23,700,000 -30,700,000 
  free cash flows542,700,000 -107,500,000 665,100,000 161,500,000 432,900,000 -163,600,000 412,400,000 170,600,000 263,800,000 27,300,000 535,700,000 270,300,000 429,200,000 238,800,000 547,500,000 649,500,000 390,000,000 1,062,200,000 709,000,000 441,600,000 363,000,000 168,300,000 71,600,000 364,200,000 199,100,000 280,100,000 82,200,000 467,900,000 275,600,000 241,400,000 161,600,000 374,600,000 194,200,000 276,600,000 51,600,000 299,500,000 220,200,000 327,600,000 -120,700,000 167,400,000 123,000,000 159,300,000 85,800,000 189,100,000 182,100,000 88,800,000 156,500,000 192,800,000 159,700,000 152,200,000 162,900,000 248,500,000 136,400,000 139,100,000 185,900,000 226,400,000 141,900,000 181,700,000 207,500,000 187,100,000 223,700,000 158,700,000 178,200,000 
  proceeds from sale of assets1,900,000 500,000 1,400,000 400,000 100,000 100,000 300,000 100,000 100,000 100,000 200,000 100,000 100,000 1,000,000 83,800,000 800,000 100,000 2,600,000 -6,100,000 1,900,000 1,600,000 300,000 3,900,000 49,400,000 600,000 100,000 4,300,000 200,000 200,000 800,000 6,900,000 2,600,000 18,800,000 2,500,000 100,000 200,000 300,000 500,000 600,000 100,000 200,000 500,000 200,000 200,000 200,000 300,000 1,400,000 1,000,000 500,000 100,000 500,000 2,700,000 400,000 900,000 1,500,000 800,000 1,600,000 700,000   
  proceeds from sale of business  1,600,000 13,500,000          -700,000                                                
  proceeds from sale or distribution of equity affiliates or other investments                                                               
  purchase of equity affiliates or other investments                                                               
  acquisition of businesses, net of cash acquired-10,000,000 -53,500,000 -87,800,000 -458,100,000 -33,900,000 -259,200,000 -154,800,000 -379,800,000 -137,100,000 200,000 -150,400,000 -458,700,000 -99,800,000 -455,100,000 -170,900,000 -291,900,000 -34,100,000 -197,500,000 -23,100,000 -149,200,000 -656,400,000 -47,300,000 -38,700,000   -83,300,000 -1,231,300,000 -416,200,000 -151,800,000 -151,800,000 -252,700,000 -50,800,000 -93,300,000 -43,300,000 -8,300,000 -62,200,000 -3,622,200,000 -94,100,000 400,000 -65,700,000 -50,500,000 -4,800,000 -88,800,000 -15,400,000 -49,100,000 -257,900,000   -91,000,000 -1,300,000 -29,600,000 -15,400,000 -961,600,000 -44,800,000 -142,700,000 -32,200,000 -44,600,000 -160,500,000 -1,600,000 -5,900,000 
  net cash from investing activities-94,100,000 -336,000,000 -209,600,000 -579,100,000 -185,000,000 -393,100,000 -330,600,000 -487,600,000 -253,600,000 -99,700,000 -273,300,000 -563,300,000 -242,500,000 -573,100,000 -254,500,000 -407,300,000 -90,400,000 -132,400,000 -285,200,000 -152,100,000 -239,700,000 -750,800,000 -140,500,000 -146,900,000 549,900,000 -122,000,000 -74,300,000 -178,300,000 -1,313,500,000 -491,400,000 -245,500,000 -219,600,000 -317,700,000 -106,800,000 -151,600,000 -128,600,000 -82,700,000 -132,300,000 -3,651,300,000 -147,300,000 -55,600,000 -39,100,000 -108,100,000 -112,800,000 -47,200,000 -138,100,000 -61,500,000 -121,900,000 -310,700,000 -65,400,000 -36,200,000 -121,300,000 -41,700,000 -72,800,000 -44,500,000 -995,000,000 -88,600,000 -177,400,000 -56,500,000 -84,200,000 -182,900,000 -25,600,000 -41,300,000 
  cash flows from financing activities:                                                               
  payments on senior notes-1,000,000,000 -400,000,000                       -100,000    -129,700,000   -250,000,000 -250,000,000                         
  proceeds from revolving credit facilities64,800,000 1,511,800,000 698,700,000 253,200,000 519,700,000 547,600,000 593,000,000 827,900,000         22,000,000 53,500,000 286,300,000 133,200,000 18,000,000 54,500,000 165,000,000 229,700,000 68,500,000 574,000,000 520,000,000 229,700,000     60,000,000     157,000,000 225,000,000 30,000,000 220,000,000   795,000,000 85,000,000 65,000,000 30,000,000 65,000,000     
  payments on revolving credit facilities-64,800,000 -1,531,600,000 -721,300,000 -210,800,000 -609,300,000 -458,000,000 -593,000,000 -827,900,000         -22,000,000 -88,500,000 -251,300,000 -133,200,000 -18,000,000 -54,500,000 -180,000,000 -214,700,000 -68,500,000 -883,000,000 -307,000,000 -133,700,000           -372,000,000 -10,000,000   -670,000,000 -95,000,000 -100,000,000 -235,000,000 -40,000,000 -45,000,000 -65,000,000 -30,000,000 -20,000,000 -120,000,000     
  proceeds from accounts receivable securitization225,000,000                                                             
  net share settlement tax payments from issuance of stock to employees-3,500,000 -25,500,000 -7,700,000 -900,000 -23,100,000 -14,700,000 -200,000 -900,000 -18,200,000 -20,500,000 -6,000,000 -7,200,000 -10,100,000 -27,300,000 -3,000,000 -1,400,000 -14,900,000 -28,100,000 -500,000 -200,000 -300,000 -20,700,000 -19,400,000 -1,800,000                                        
  net proceeds from issuance of stock to employees25,700,000 3,200,000 26,300,000 26,700,000 26,800,000 27,600,000 31,500,000 900,000 18,200,000 900,000 24,200,000 1,900,000 24,700,000 21,800,000 5,700,000 25,100,000 9,200,000 24,700,000 1,700,000 24,400,000 14,600,000 28,400,000 8,400,000 33,800,000 4,400,000 27,000,000 3,200,000 26,700,000 28,800,000 11,900,000 9,700,000 33,200,000 25,500,000 30,500,000 8,600,000 47,300,000 42,500,000 16,400,000 25,400,000 17,500,000 102,300,000 28,800,000 10,700,000 31,700,000 17,200,000 26,200,000 7,100,000 8,400,000 64,200,000 38,700,000 39,000,000 7,700,000 18,600,000 18,100,000 6,700,000 9,900,000 2,500,000 5,700,000 
  dividends paid-59,900,000 -61,600,000 -60,100,000 -60,500,000 -60,400,000 -62,100,000 -61,100,000 -63,900,000 -64,600,000 -64,400,000 -63,600,000 -64,900,000                                                    
  purchase of common stock  -75,100,000 -75,000,000   9,000,000    -300,000,000 -400,000,000   -1,000,000,000 -300,000,000 -300,000,000 -68,500,000 -50,000,000 -100,000,000 -199,900,000 -100,100,000 -400,000,000 -150,000,000 -75,000,000 -75,000,000 -40,000,000 -42,100,000 -108,000,000 -148,000,000         -39,100,000 -65,700,000 -56,500,000 -107,700,000 -250,100,000 -286,300,000 -365,300,000 -113,900,000 -136,000,000 -127,900,000 -130,300,000 -122,300,000 -175,100,000 -146,000,000 -60,500,000 -262,300,000 -121,900,000 -115,900,000 -100,300,000 -113,900,000    
  net cash from financing activities-267,400,000 -839,700,000 -546,700,000 1,548,300,000 -210,000,000 -11,700,000 -446,500,000 -1,097,200,000 1,545,000,000 -60,600,000 -372,600,000 -452,200,000 -479,700,000 -17,700,000 -1,008,600,000 -281,700,000 -325,400,000 -450,100,000 -396,700,000 -449,400,000 -115,000,000 414,900,000 -103,200,000 -802,900,000 -174,000,000 -373,000,000 -40,000,000 -479,400,000 1,064,400,000 106,700,000 -59,800,000 -348,100,000 -3,800,000 -301,800,000 3,900,000 -239,600,000 -86,700,000 -118,800,000 3,629,700,000 -58,800,000 -18,400,000 -25,400,000 -98,000,000 95,400,000 -126,800,000 -74,100,000 -412,800,000 -130,700,000 446,600,000 -125,100,000 -191,600,000 -83,400,000 -166,700,000 -187,800,000 -207,100,000 868,900,000 -95,200,000 -105,500,000 -152,900,000 -118,800,000 -164,100,000 -304,900,000 -13,100,000 
  effect of exchange rate changes on cash and cash equivalents18,800,000 7,900,000 -19,500,000 5,700,000 -300,000 -2,900,000 6,400,000 -2,800,000 3,300,000 3,000,000 12,400,000 -17,200,000 -15,000,000 -4,400,000 1,800,000 -5,000,000 1,000,000 -5,100,000 5,900,000 8,100,000 -5,200,000 -1,000,000 -100,000 -2,400,000 -1,700,000 -12,600,000 4,700,000 1,100,000 7,600,000 8,400,000 3,400,000 -15,200,000 -10,900,000 8,300,000 4,600,000 -13,000,000 -24,600,000 27,000,000 -25,100,000 -3,300,000 -5,400,000 -2,300,000 -1,300,000 -1,400,000 2,600,000 100,000 -4,900,000 -800,000   1,300,000 -400,000 -1,500,000 -800,000 1,000,000 700,000 700,000 -1,700,000 1,100,000 800,000 1,500,000 -1,000,000 
  net decrease in cash and cash equivalents277,900,000 -1,149,300,000    -437,500,000    -36,100,000                   109,400,000 -65,600,000 -68,100,000    -20,100,000    -133,600,000    -65,100,000       -5,500,000 -29,400,000  -33,100,000           
  cash and cash equivalents at beginning of period1,518,700,000 536,800,000 430,000,000 1,472,700,000 1,320,800,000 426,800,000  -100,000 316,700,000  433,600,000  716,400,000  580,000,000 404,000,000 466,800,000 159,300,000 230,700,000 148,500,000 219,700,000 
  cash and cash equivalents at end of period277,900,000 369,400,000 1,400,000 1,252,200,000 165,800,000 99,300,000 -191,100,000 -1,202,700,000 1,536,700,000 393,900,000 20,100,000 -658,900,000 -164,700,000 1,233,500,000 -563,800,000 73,300,000 72,400,000 1,890,800,000 110,200,000 -23,600,000 95,700,000 -83,400,000 348,800,000  671,200,000 -140,400,000 361,800,000  109,400,000 -65,600,000 365,500,000  -72,000,000 -56,700,000 696,300,000  94,000,000 172,600,000 446,400,000 4,300,000 96,200,000 140,600,000 338,900,000 229,900,000 62,800,000 -74,500,000 185,800,000 800,000 341,600,000 -5,500,000 129,900,000 73,500,000 -33,100,000 -76,500,000 195,400,000 133,800,000 -6,900,000 -68,400,000 172,200,000 21,700,000 -99,800,000 -146,600,000 373,200,000 
  decrease (increase) in supplies inventory 8,400,000                                                              
  decrease (increase) in prepaid expenses and other 45,000,000                   -10,300,000 8,900,000 7,200,000                                         
  investments in equity affiliates -157,000,000  -5,600,000 -23,000,000 -13,700,000  -9,700,000 -4,300,000 -6,100,000  -1,400,000 -2,500,000 -2,200,000  -8,100,000 -6,400,000 -5,500,000 -7,500,000  -5,500,000 -12,500,000 -3,300,000 -8,000,000 -7,000,000 -5,400,000 -1,900,000 -3,000,000 -7,100,000 -5,000,000 -21,100,000 -400,000 -2,200,000 -7,800,000 -2,100,000 -300,000 -6,600,000 -1,200,000 -3,600,000 -7,300,000 -4,400,000 -7,400,000 -1,100,000 -3,200,000 -1,000,000 -2,300,000 -11,100,000 -10,000,000              
  earnings from discontinued operations                                                               
  decrease (increase) in unbilled services       29,300,000 -17,500,000 91,600,000                                                      
  increase in prepaid expenses and other  -14,700,000   -24,900,000 49,100,000 -44,700,000 29,600,000 -59,800,000 -189,100,000 -41,900,000 15,200,000 -41,100,000 4,200,000 -41,400,000 20,900,000 -51,900,000      -17,800,000 -12,900,000 6,600,000 -33,800,000 3,500,000 -3,800,000 1,900,000 -21,900,000 -1,000,000   -22,500,000    -7,700,000 -14,600,000 -22,600,000   -27,000,000 -4,400,000                   
  increase in accounts payable      146,200,000 -28,300,000   172,000,000 3,200,000            123,200,000 11,400,000 -31,500,000 -59,800,000 56,000,000            -5,000,000 9,500,000 1,400,000 -27,100,000 35,600,000 8,300,000 6,800,000 10,100,000         59,000,000 -18,000,000 23,900,000 -14,800,000 8,400,000 8,500,000 -9,200,000 15,100,000 
  increase in unearned revenue  3,300,000 2,900,000 10,800,000 -41,600,000  15,900,000 32,300,000 2,500,000  -4,500,000 -3,300,000 -2,900,000  46,100,000 5,900,000 31,800,000 15,200,000   -10,600,000 5,600,000   -17,900,000 26,200,000 9,000,000 8,900,000 -7,200,000 8,300,000 6,500,000 -9,300,000 12,900,000 19,800,000  -900,000 -11,500,000 14,100,000                         
  net cash from continuing operating activities  777,200,000 277,300,000 561,100,000 -29,800,000 579,600,000 275,500,000                                                        
  net cash from discontinued operating activities                                                             
  purchase of investments                                                               
  proceeds from sale or distribution of investments         4,500,000 300,000 400,000 2,800,000                                                
  proceeds from exit from swaps          -100,000                                                    
  net cash from continuing investing activities  -209,600,000 -579,100,000 -185,000,000 -393,100,000 -330,600,000 -487,600,000                                                        
  net cash from discontinued investing activities                                                             
  proceeds from senior note offerings                                  2,900,000,000                         
  net cash from continuing financing activities  -546,700,000 1,548,300,000 -210,000,000 -11,700,000 -446,500,000 -987,800,000                                                        
  net cash from discontinued financing activities      -109,400,000                                                        
  net increase in cash and cash equivalents  1,400,000 1,252,200,000   -191,100,000 -1,312,100,000   20,100,000 -658,900,000 -164,700,000 -239,200,000 -563,800,000 73,300,000 72,400,000 570,000,000 110,200,000 -23,600,000   -78,000,000 -465,800,000 671,200,000 -140,300,000 45,100,000     -134,000,000 -72,000,000   3,400,000 94,000,000   4,300,000 96,200,000   229,900,000   -281,000,000 800,000       -35,300,000   -68,400,000 23,700,000   -146,600,000 153,500,000 
  less cash and cash equivalents of discontinued operations at the end of the period                                                               
  earnings from discontinued operations, net of tax                                                              
  decrease in supplies inventory                                                               
  less: cash and cash equivalents of discontinued operations at end of period                                                               
  increase in unbilled services          27,600,000 -3,700,000 -39,400,000 -84,500,000 6,700,000 -85,600,000 -57,800,000 -42,500,000 -58,900,000 500,000 7,900,000 -41,000,000 -26,400,000  31,000,000 -13,700,000 -22,800,000 32,200,000 16,100,000 -26,600,000 -30,000,000 26,300,000 -9,300,000 -35,700,000 -14,700,000 6,100,000 1,700,000 800,000 -25,500,000                         
  increase in inventory                                                               
  increase in deferred revenue                                                               
  payments on term loan              -375,000,000  -752,000,000     -443,000,000        -125,000,000 -85,000,000 -75,000,000                         
  decrease (increase) in accounts receivable       -66,000,000 9,900,000 -117,500,000                                                      
  less: cash and cash equivalents of discontinued operations as of end of period                                                               
  less: cash and cash equivalents of discontinued operations as of beginning of period                                                               
  increase in accrued expenses and other             -212,300,000 -201,900,000 65,600,000 -234,700,000 95,100,000      -11,000,000             13,600,000 84,500,000 -145,000,000 -23,000,000 -500,000 7,400,000 5,400,000    35,200,000 15,900,000 -5,800,000 -70,200,000 13,700,000 -5,700,000 -36,100,000 8,700,000 102,700,000 -12,800,000 5,900,000 -24,500,000 65,200,000    6,500,000 
  decrease in accounts receivable           30,400,000 1,000,000 20,400,000    146,700,000                                              
  loss on sale of business                                                               
  proceeds from senior notes offerings                                                               
  proceeds from term loan                                1,000,000,000                         
  decrease (increase) in accrued expenses and other                                                               
  gain on sale of business                   1,300,000                                            
  purchases of investments                                                               
  proceeds from sale or distributions of investments                                                               
  proceeds from exit of swaps                                                               
  acquisition of licensing technology                           -200,000 -1,100,000 -1,200,000                 -400,000 -100,000 -1,000,000 -1,000,000           
  payment of debt issuance costs                           -1,700,000        400,000 -37,100,000 -24,000,000          -3,100,000 -500,000         
  cash and cash equivalents included in assets held for sale                                                               
  gain on sale of assets                    -8,300,000             500,000 -8,400,000 1,700,000 3,000,000 1,200,000 -1,300,000            200,000             
  contingent consideration adjustments                                                               
  accreted interest on zero-coupon subordinated notes                           100,000 200,000                      700,000 1,100,000 1,400,000 1,400,000 1,500,000 1,400,000 1,500,000 1,500,000 1,400,000 2,600,000 2,800,000 
  earnings less distributions deficit from equity method investments                                                               
  asset impairment                       3,000,000 2,300,000 8,400,000       24,900,000 14,800,000                         
  proceeds from sale of investments                                                               
  payments on zero-coupon subordinated notes                    -5,200,000    -100,000 -2,600,000 -400,000 -30,800,000 -22,200,000 -17,800,000       -2,100,000 -900,000 -9,000,000 -6,900,000 -200,000 -8,400,000 -12,900,000 -5,700,000 -2,300,000 -200,000 -4,500,000 -1,500,000 -142,800,000 -6,300,000 -6,400,000 -700,000     
  noncontrolling interest distributions                    -300,000 -300,000 -200,000 -300,000 -200,000 -300,000 -5,600,000 -200,000 -300,000 -200,000 -300,000 -400,000 -100,000 -300,000 -1,300,000     -300,000 -300,000 -300,000 -300,000 -300,000 -200,000 -100,000 -300,000 -300,000 -200,000 -400,000 -300,000 -1,600,000 -3,100,000 -900,000 -1,800,000 -4,100,000 -2,700,000 -3,000,000 -2,800,000 -3,600,000 -2,700,000 -3,000,000 -2,000,000 
  deferred payments on acquisitions                    -300,000       -1,000,000 -100,000 -100,000 -1,400,000    -9,800,000   -1,500,000 -1,700,000 -3,400,000 -100,000 -3,600,000 300,000 -2,300,000 -200,000 -1,200,000 -1,500,000 -300,000 -500,000 -100,000 -100,000 -1,500,000 -1,000,000 -600,000 -1,400,000 -2,000,000 -400,000 -500,000 -400,000 
  payments on other long-term obligations                    -4,200,000                                           
  earnings less distributions (excess)/deficit from equity method investments                                                               
  increase in inventories                       -10,100,000 -4,100,000   -10,000,000 -5,700,000           1,000,000 -4,700,000 500,000 2,900,000 -9,700,000 100,000 -2,500,000 -3,200,000 -2,000,000 -1,000,000   -5,200,000 1,800,000       -7,600,000 -8,600,000 4,200,000 7,700,000 
  proceeds from sale of investment                     3,000,000 400,000          800,000 12,700,000  8,000,000  400,000 16,300,000 15,000,000                     
  net proceeds from sale of held for sale assets                                                               
  loss on sale of assets                      6,000,000    1,700,000                   500,000 200,000 200,000 -1,100,000   6,000,000 800,000   1,700,000 1,100,000 800,000 500,000 1,100,000 900,000 300,000 300,000 
  amortization of operating lease right-of-use assets                      61,200,000                                         
  cumulative earnings more than distributions from equity method investments                      -800,000                                         
  decrease in inventories                      3,400,000    1,400,000    4,900,000    2,400,000   5,300,000 4,200,000            3,900,000    5,600,000  -1,500,000 -3,900,000 7,700,000     
  payments on long-term lease obligations                      -3,000,000 -2,500,000 -1,700,000 -2,300,000 -2,800,000 -1,700,000 -1,700,000 -2,000,000 -2,300,000 -2,400,000 -3,000,000 -1,500,000 -1,500,000 -1,000,000 -1,100,000 -1,000,000 -1,200,000 -800,000 -400,000                       
  (gain) loss on sale of assets                       8,100,000 -1,600,000                              -400,000         
  gain on disposition of businesses                                                               
  accrued interest on zero-coupon subordinated notes                               300,000 400,000 400,000 500,000 500,000 500,000 500,000 500,000 500,000 400,000 600,000 500,000 500,000 600,000 600,000 600,000 700,000 700,000 600,000 700,000             
  cumulative earnings (in excess) less than distributions from equity method investments                                                               
  proceeds from disposition of businesses                                                               
  proceeds from sale of held for sale assets                                                               
  proceeds from exit of cross currency swaps                                                               
  cash and cash equivalents at beginning of year                                                               
  cash and cash equivalents at end of year                                                               
  cumulative earnings less (more) than distributions from equity method investments                                                               
  cumulative earnings less than distributions from equity method investments                         -800,000 -500,000 900,000 3,600,000 -4,100,000 100,000                                 
  proceeds from bridge loan                                   400,000,000                         
  payments on bridge loan                                   -400,000,000                         
  excess tax benefits from stock based compensation                                 5,900,000 4,600,000 3,000,000 6,200,000 1,400,000 2,500,000 400,000 3,300,000 1,600,000 600,000 2,300,000 800,000 5,500,000 2,400,000 600,000 1,900,000 700,000 5,000,000 600,000 200,000 5,800,000 3,800,000 2,700,000        
  loss/(gain) on sale of assets                            1,700,000 100,000 500,000                                 
  cumulative earnings less than (in excess of) distributions from equity method investments                               800,000 300,000 -100,000 200,000               -3,800,000 500,000             
  (gain)/loss on sale of assets                                         -9,100,000 -7,100,000 400,000                    
  increase in supplies inventories                                                               
  deferred acquisition costs                                900,000                               
  decrease in supplies inventories                                                               
  payments on long-term debt                                           -350,000,000     -100,000           
  earnings in excess of distributions from equity method investments                                    800,000 -1,400,000 -1,200,000  -100,000 -1,900,000 -1,300,000  2,000,000 -3,100,000 -600,000                 
  decrease (increase) in inventories                                                               
  net tax impact of conversion of zero-coupon convertible debt                                              3,100,000                 
  principal payments on term loan                                                   -318,800,000 -18,700,000 -18,800,000 -18,700,000 -12,500,000 -12,500,000 -12,500,000 -12,500,000 -12,500,000 -12,500,000 -12,500,000 -12,500,000 
  cash paid to acquire an interest in a consolidated subsidiary                                                       -137,500,000     
  payments on vendor-financed equipment                                                       -1,300,000   
  proceeds from sale of interest in a consolidated subsidiary                                                               
  cumulative earnings in excess of distributions from equity method investments                                                               
  increase in bank overdraft                                                              
  decrease in bank overdraft                                                             -1,100,000 -3,900,000 
  adjustments to reconcile net earnings to net cash provided by                                                               
  operating activities:                                                               
  cumulative earnings less than (in excess of) distribution                                                               
  from equity method investments                                                    -700,000 800,000 -400,000         
  cumulative earnings less than distribution                                                               
  adjustments to reconcile net earnings to net cash                                                               
  provided by operating activities:                                                               
  cumulative earnings less than                                                               
  distribution from equity method investments                                                               
  change in assets and liabilities (net of effects                                                               
  of acquisitions):                                                               
  purchases of short-term investments                                                               
  proceeds from sale of short-term investments                                                               
  from joint venture partnerships                                                          400,000    600,000 
  proceeds from sale of interest in consolidated subsidiary                                                        137,500,000     
  investment in equity affiliate                                                           -4,300,000 
  tax benefit adjustments related to stock based compensation                                                         1,600,000 900,000   100,000 -400,000 
  cumulative earnings less than (in excess of) distribution from joint venture partnerships                                                               
  cumulative earnings in excess of distribution from joint venture partnerships                                                               

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