v3.26.3
Revenues and Trade Accounts Receivable (Tables)
9 Months Ended
Sep. 30, 2026
Revenue from Contract with Customer [Abstract]  
Disaggregation of Revenue
Three Months Ended
September 30, 2026
Nine Months Ended
September 30, 2026
(in millions)HSFSP&RCMTTotalHSFSP&RCMTTotal
Revenues
Geography:
North America$1,319 $1,279 $961 $699 $4,258 $3,937 $3,718 $2,795 $1,987 $12,437 
United Kingdom63 179 162 128 532 180 515 477 361 1,533 
Continental Europe165 161 160 39 525 497 494 492 107 1,590 
Europe - Total228 340 322 167 1,057 677 1,009 969 468 3,123 
Rest of World 40 148 88 73 349 124 417 250 207 998 
Total$1,587 $1,767 $1,371 $939 $5,664 $4,738 $5,144 $4,014 $2,662 $16,558 
Service line:
Consulting and technology services$948 $1,280 $926 $446 $3,600 $2,786 $3,720 $2,727 $1,376 $10,609 
Outsourcing services639 487 445 493 2,064 1,952 1,424 1,287 1,286 5,949 
Total$1,587 $1,767 $1,371 $939 $5,664 $4,738 $5,144 $4,014 $2,662 $16,558 
Type of contract:
Time and materials$488 $878 $537 $498 $2,401 $1,449 $2,506 $1,575 $1,387 $6,917 
Fixed-price797 826 759 371 2,753 2,406 2,459 2,190 1,112 8,167 
Transaction or volume-based302 63 75 70 510 883 179 249 163 1,474 
Total$1,587 $1,767 $1,371 $939 $5,664 $4,738 $5,144 $4,014 $2,662 $16,558 
Three Months Ended
September 30, 2025
Nine Months Ended
September 30, 2025
(in millions)HSFSP&RCMTTotalHSFSP&RCMTTotal
Revenues
Geography:
North America$1,331 $1,115 $978 $604 $4,028 $3,959 $3,254 $2,807 $1,774 $11,794 
United Kingdom56 166 156 125 503 156 478 441 367 1,442 
Continental Europe174 164 167 34 539 500 471 479 102 1,552 
Europe - Total230 330 323 159 1,042 656 949 920 469 2,994 
Rest of World 43 133 82 87 345 111 384 240 252 987 
Total$1,604 $1,578 $1,383 $850 $5,415 $4,726 $4,587 $3,967 $2,495 $15,775 
Service line:
Consulting and technology services$929 $1,118 $981 $466 $3,494 $2,707 $3,237 $2,786 $1,379 $10,109 
Outsourcing services675 460 402 384 1,921 2,019 1,350 1,181 1,116 5,666 
Total$1,604 $1,578 $1,383 $850 $5,415 $4,726 $4,587 $3,967 $2,495 $15,775 
Type of contract:
Time and materials$506 $829 $589 $446 $2,370 $1,482 $2,405 $1,725 $1,334 $6,946 
Fixed-price791 697 704 355 2,547 2,332 2,035 1,976 1,027 7,370 
Transaction or volume-based307 52 90 49 498 912 147 266 134 1,459 
Total$1,604 $1,578 $1,383 $850 $5,415 $4,726 $4,587 $3,967 $2,495 $15,775 
Capitalized Costs to Fulfill Contract with Customer
The following table shows significant movements in the capitalized costs to fulfill for the nine months ended September 30:
(in millions)20262025
Beginning balance$161 $209 
Costs capitalized94 31 
Amortization expense(44)(59)
Impairment charges(2)(7)
Ending balance$209 $174 
Costs to obtain contracts were immaterial for the periods disclosed.
Contract with Customer, Asset and Liability The table below shows significant movements in contract assets (current and noncurrent) for the nine months ended September 30:
(in millions)20262025
Beginning balance$466 $386 
Revenues recognized during the period but not billed659 482 
Amounts reclassified to trade accounts receivable(435)(351)
Ending balance$690 $517 
The table below shows significant movements in the deferred revenue balances (current and noncurrent) for the nine months ended September 30:
(in millions)20262025
Beginning balance$538 $480 
Amounts billed but not recognized as revenues337 299 
Revenues recognized related to the beginning balance of deferred revenue(431)(360)
Ending balance$444 $419 
Reinsurance Recoverable, Allowance for Credit Loss
The following table presents the activity in the allowance for credit losses for trade accounts receivable for the nine months ended September 30:
(in millions)20262025
Beginning balance$23 $26 
Credit loss expense (1)
3 12 
Write-offs charged against the allowance(4)(12)
Ending balance$22 $26 
(1)Reported in "Selling, general and administrative expenses" in our unaudited consolidated statements of operations.