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BUSINESS ACQUISITIONS
 6 Months Ended
Jun. 30, 2026
Business Combination [Abstract]  
BUSINESS ACQUISITIONS AND DISPOSITIONS BUSINESS ACQUISITIONS
During the six months ended June 30, 2026, the Company acquired various businesses and related assets for total consideration of $528.6, net of cash acquired and including measurement period adjustments. Total consideration included cash payments and, as applicable, contingent consideration payable by the Company primarily upon the achievement of specified future performance targets of the acquired businesses. The preliminary purchase considerations for these acquisitions were allocated under the acquisition method of accounting to the estimated fair market value of the net assets acquired. A residual amount of tax-deductible goodwill, including measurement period adjustments relating to prior acquisitions, of $262.1 was recorded during the six months ended June 30, 2026. The purchase price allocations for these acquisitions were preliminary at June 30, 2026. The valuation of acquired assets and assumed liabilities included the following:
Empire City Laboratories, Inc.Parkview Health Systems, Inc.Other Acquisitions Closed During the
Six Months Ended
June 30, 2026		Measurement Period AdjustmentsAmounts Acquired During the
Six Months Ended June 30, 2026
Cash and cash equivalents$— $— $0.4 $— $0.4 
Accounts receivable— — 3.6 — 3.6 
Property, plant, and equipment— — 2.8 — 2.8 
Goodwill117.5 77.5 68.1 (1.0)262.1 
Intangible assets132.5 87.5 68.2 (13.1)275.1 
Total assets acquired250.0 165.0 143.1 (14.1)544.0 
Accounts payable— — 2.5 — 2.5 
Accrued expenses and other— — 1.7 — 1.7 
Notes payable— — 0.9 — 0.9 
Deferred tax liability— — 7.5 — 7.5 
Lease liabilities— — 2.4 — 2.4 
Total liabilities acquired— — 15.0 — 15.0 
Net assets acquired250.0 165.0 128.1 (14.1)529.0 
Contingent consideration(85.0)— (4.8)14.1 (75.7)
2025 escrow payments— (5.0)(20.0)— (25.0)
Cash paid for acquisitions$165.0 $160.0 $103.3 $— $428.3 
Intangible assets recognized from business acquisitions that closed during the six months ended June 30, 2026, including any related measurement period adjustments, and their weighted-average amortization periods were as follows:
Amount
Weighted-average Amortization Period
(in Years)
Customer relationships$239.3 15.0
Non-compete agreements48.9 5.0
   Total
$288.2 
On June 28, 2026, the Company entered into an agreement to acquire select assets of an outreach laboratory services business for a purchase price of approximately $155.0. The transaction is anticipated to close in the third quarter of 2026, subject to customary closing conditions and applicable regulatory approvals for a transaction of this type.
Unaudited Supplemental Pro Forma Information
If the aggregate of the Company’s 2026 and 2025 acquisitions, that were accounted for as business combinations, had been completed at January 1, 2025, the Company’s pro forma results would have been as follows:
Three Months Ended June 30,Six Months Ended June 30,
2026202520262025
Revenues$3,734.1 $3,582.7 $7,296.3 $7,004.9 
Net earnings attributable to LHI$299.8 $245.4 $584.7 $472.4