v3.26.1
Goodwill and Other Intangible Assets
 9 Months Ended
Jun. 30, 2026
Intangible Asset, Goodwill and Other [Abstract]  
Goodwill and Other Intangible Assets Goodwill and Other Intangible Assets
In connection with the change in the Company’s reporting structure described in Note 1, the Company reallocated goodwill from the U.S. Healthcare Solutions reportable segment to Other based on the reporting units that were transferred. The following is a summary of the changes in the carrying value of goodwill, by reportable segment, for the nine months ended June 30, 2026:
(in thousands)U.S. Healthcare SolutionsInternational Healthcare SolutionsOtherTotal
Goodwill as of September 30, 2025$11,104,990 $2,571,530 $— $13,676,520 
Reallocated goodwill(1,421,428)— 1,421,428 — 
Goodwill recognized in connection with acquisitions4,229,009 69,508 — 4,298,517 
Purchase accounting adjustments3,793 — — 3,793 
Goodwill impairment— — (165,665)(165,665)
Goodwill reclassified to assets held for sale (Note 3)
— — (1,255,231)(1,255,231)
Foreign currency translation— (41,945)(532)(42,477)
Goodwill as of June 30, 2026$13,916,364 $2,599,093 $— $16,515,457 
The Company recorded a goodwill impairment of $165.7 million related to its U.S. Consulting Services business, which was divested in April 2026.
The following is a summary of other intangible assets:
June 30, 2026September 30, 2025
(in thousands)Weighted Average Remaining Useful LifeGross
Carrying
Amount		Accumulated
Amortization		Net
Carrying
Amount		Gross
Carrying
Amount		Accumulated
Amortization		Net
Carrying
Amount
Indefinite-lived trade names$17,000 $— $17,000 $17,000 $— $17,000 
Finite-lived:
Customer relationships12 years3,994,307 (1,375,141)2,619,166 5,250,912 (1,860,484)3,390,428 
Other intangible assets18 years4,155,371 (860,814)3,294,557 1,457,176 (1,090,423)366,753 
Total other intangible assets$8,166,678 $(2,235,955)$5,930,723 $6,725,088 $(2,950,907)$3,774,181 
Amortization expense for finite-lived intangible assets was $118.5 million and $125.9 million in the three months ended June 30, 2026 and 2025, respectively. Amortization expense for finite-lived intangible assets was $361.8 million and $429.7 million in the nine months ended June 30, 2026 and 2025, respectively. Amortization expense for finite-lived intangible assets is estimated to be $477.2 million in fiscal 2026, $448.6 million in fiscal 2027, $437.3 million in fiscal 2028, $423.0 million in fiscal 2029, $399.4 million in fiscal 2030, and $4,090.0 million thereafter.