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Goodwill
3 Months Ended
Mar. 31, 2026
Goodwill and Intangible Assets Disclosure [Abstract]  
Goodwill Goodwill
The following is a summary of goodwill by reportable segment for the three months ended March 31, 2026:
(in millions)Commercial SolutionsResearch & Development SolutionsConsolidated
Balance as of January 1, 2026$12,987 $3,629 $16,616 
Business combinations26 30 
Impact of foreign currency fluctuations and other(91)(11)(102)
Balance as of March 31, 2026$12,922 $3,622 $16,544 
In the first quarter of 2026, the Company reorganized its reportable segments as further detailed in Note 14. As a result, the former Contract Sales & Medical Solutions segment, which had a goodwill balance of $167 million at the time of the reorganization, was incorporated into the Technology & Analytics Solutions segment, which was renamed Commercial Solutions. Additionally, Real-World Late Phase and certain other Real-World offerings were moved from the Technology & Analytics Solutions segment to the Research & Development Solutions segment. Goodwill balances as of January 1, 2026 have been recast using the relative fair value approach to conform to this new presentation. In addition, the Company performed a goodwill impairment test, and the results of the analysis indicated that the fair values for all of its reporting units were in excess of their carrying values, indicating no impairment.