Intangible assets - Schedule of Finite-Lived Intangible Assets (Details) - USD ($) $ in Thousands |
Sep. 30, 2026 |
Dec. 31, 2025 |
|---|---|---|
| Cost | ||
| Total cost | $ 4,967,381 | $ 5,207,518 |
| Accumulated amortization | (1,867,115) | (1,873,663) |
| Impairment | 0 | (86,737) |
| Net book value | 3,100,266 | 3,247,118 |
| Customer relationships | ||
| Cost | ||
| Total cost | 4,114,252 | 4,134,478 |
| Order backlog | ||
| Cost | ||
| Total cost | 544,514 | 546,054 |
| Trade names & brands | ||
| Cost | ||
| Total cost | 189,686 | 204,721 |
| Patient database | ||
| Cost | ||
| Total cost | 2,463 | 170,511 |
| Technology assets | ||
| Cost | ||
| Total cost | $ 116,466 | $ 151,754 |
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- Definition Finite-Lived Intangible Assets, Accumulated Impairment No definition available.
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- Definition Amount of accumulated amortization of finite-lived intangible asset. Excludes goodwill and capitalized cost for software to be sold, leased, or marketed. Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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- Definition Amount, before accumulated amortization, of finite-lived intangible asset. Excludes goodwill and capitalized cost for software to be sold, leased, or marketed. Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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- Definition Amount, after accumulated amortization, of finite-lived intangible asset. Excludes goodwill and capitalized cost for software to be sold, leased, or marketed. Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef
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