| REVENUES The Company’s Revenues by segment and by payer group were as follows: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Three Months Ended September 30, 2026 | | Three Months Ended September 30, 2025 | | North America | | Europe | | Other | | Total | | North America | | Europe | | Other | | Total | | Dx: | | | | | | | | | | | | | | | | | Clients | 23 | % | | — | % | | — | % | | 23 | % | | 23 | % | | — | % | | — | % | | 23 | % | | Patients | 10 | % | | — | % | | — | % | | 10 | % | | 10 | % | | — | % | | — | % | | 10 | % | | Medicare and Medicaid | 8 | % | | — | % | | — | % | | 8 | % | | 8 | % | | — | % | | — | % | | 8 | % | | Third party | 36 | % | | — | % | | — | % | | 36 | % | | 37 | % | | — | % | | — | % | | 37 | % | | Total Dx revenues | 77 | % | | — | % | | — | % | | 77 | % | | 78 | % | | — | % | | — | % | | 78 | % | | | | | | | | | | | | | | | | | | BLS: | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Pharmaceutical, biotechnology, medical device, diagnostic companies, and CROs | 9 | % | | 9 | % | | 5 | % | | 23 | % | | 9 | % | | 9 | % | | 4 | % | | 22 | % | | | | | | | | | | | | | | | | | Total Revenues | 86 | % | | 9 | % | | 5 | % | | 100 | % | | 87 | % | | 9 | % | | 4 | % | | 100 | % | | | | | | | | | | | | | | | | | | Nine Months Ended September 30, 2026 | | Nine Months Ended September 30, 2025 | | North America | | Europe | | Other | | Total | | North America | | Europe | | Other | | Total | | Dx: | | | | | | | | | | | | | | | | | Clients | 23 | % | | — | % | | — | % | | 23 | % | | 24 | % | | — | % | | — | % | | 24 | % | | Patients | 10 | % | | — | % | | — | % | | 10 | % | | 10 | % | | — | % | | — | % | | 10 | % | | Medicare and Medicaid | 8 | % | | — | % | | — | % | | 8 | % | | 8 | % | | — | % | | — | % | | 8 | % | | Third party | 37 | % | | — | % | | — | % | | 37 | % | | 36 | % | | — | % | | — | % | | 36 | % | | Total Dx revenues | 78 | % | | — | % | | — | % | | 78 | % | | 78 | % | | — | % | | — | % | | 78 | % | | | | | | | | | | | | | | | | | | BLS: | | | | | | | | | | | | | | | | | Pharmaceutical, biotechnology, medical device, diagnostic companies, and CROs | 9 | % | | 9 | % | | 4 | % | | 22 | % | | 9 | % | | 9 | % | | 4 | % | | 22 | % | | | | | | | | | | | | | | | | | | Total Revenues | 87 | % | | 9 | % | | 4 | % | | 100 | % | | 87 | % | | 9 | % | | 4 | % | | 100 | % |
Revenues in the U.S. were $3,169.0 (83.2%) and $2,968.5 (83.3%) for the three months ended September 30, 2026, and 2025, respectively, and were $9,178.5 (82.8%) and $8,713.9 (83.5%) for the nine months ended September 30, 2026, and 2025, respectively. Accounts Receivable, Unbilled Services, and Unearned Revenue The following table provides information about accounts receivable and unbilled services from contracts with customers: | | | | | | | | | | | | | September 30, 2026 | | December 31, 2025 | | Dx accounts receivable | $ | 1,624.7 | | | $ | 1,349.0 | | | BLS accounts receivable | 825.3 | | | 791.2 | | | Less: BLS allowance for credit losses | (37.1) | | | (36.4) | | | Accounts receivable, net | $ | 2,412.9 | | | $ | 2,103.8 | | | | | | | Gross unbilled services | $ | 148.7 | | | $ | 164.0 | | | Less: BLS allowance for credit losses | (2.9) | | | (7.1) | | | Unbilled services, net | $ | 145.8 | | | $ | 156.9 | |
Revenues recognized during the period that were included in the unearned revenue balance at the beginning of the period were $19.0 and $16.0 for the three months ended September 30, 2026, and 2025, respectively, and were $111.4 and $119.3 for the nine months ended September 30, 2026, and 2025, respectively. Allowance for Credit Losses BLS estimates future expected credit losses on Accounts receivable, net and Unbilled services, net over the remaining collection period of the underlying asset. The rollforward for the allowance for credit losses was as follows: | | | | | | | | | | | | | | | | | | | Accounts Receivable, net | | Unbilled Services, net | | Total | | Balance at December 31, 2025 | $ | 36.4 | | | $ | 7.1 | | | $ | 43.5 | | | Credit loss expense | 8.6 | | | — | | | 8.6 | | | Write-offs | (7.6) | | | (4.2) | | | (11.8) | | Foreign currency impact | (0.3) | | | — | | | (0.3) | | | Balance at September 30, 2026 | $ | 37.1 | | | $ | 2.9 | | | $ | 40.0 | |
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