GOODWILL AND INTANGIBLE ASSETS
    The changes in goodwill for the years ended December 31, 2025 and 2024 were as follows:

20252024
Balance, beginning of year$8,856 $7,733 
Goodwill acquired during the year80 1,146 
Adjustments to goodwill(23)
Balance, end of year$8,945 $8,856 

    Principally all of the Company’s goodwill as of December 31, 2025 and 2024 was associated with its DIS business.

    For the year ended December 31, 2025, goodwill acquired was principally associated with the acquisition of select clinical testing assets and select dialysis-related water testing assets of Fresenius Medical Care's wholly-owned Spectra Laboratories (see Note 6). For the year ended December 31, 2025, adjustments to goodwill principally related to foreign currency translation, partially offset by the finalization of the purchase price allocation for a 2024 acquisition.

    For the year ended December 31, 2024, goodwill acquired was principally associated with the acquisitions of LifeLabs, the laboratory business of three physician groups in New York, select assets of the outreach laboratory services business of Allina Health, select assets of the outreach laboratory services business of OhioHealth and the outreach laboratory services business of University Hospitals (see Note 6). For the year ended December 31, 2024, adjustments to goodwill related to foreign currency translation.
    
    
    Intangible assets as of December 31, 2025 and 2024 consisted of the following:
Weighted
Average
Amortization
Period (in years)
20252024
CostAccumulated
Amortization
NetCostAccumulated
Amortization
Net
Amortizing intangible assets:
Customer-related18$2,247 $(1,112)$1,135 $2,274 $(1,030)$1,244 
Technology-related15287 (129)158 282 (108)174 
Trade names15147 (58)89 143 (52)91 
Non-competition agreements515 (3)12 15 — 15 
Other1349 (42)64 (61)
Total2,745 (1,344)1,401 2,778 (1,251)1,527 
Intangible assets not subject to amortization:
    
Trade names
 235 — 235 235 — 235 
Other — — — — 
Total intangible assets
$2,980 $(1,344)$1,636 $3,014 $(1,251)$1,763 
        
    During the year ended December 31, 2025, the Company recorded a $29 million impairment charge on certain long-lived assets related to the exit of a business. Such charge principally related to customer-related intangible assets. See Note 5 for further discussion.    

    The estimated amortization expense related to amortizable intangible assets for each of the five succeeding fiscal years and thereafter as of December 31, 2025 is as follows:

Year Ending December 31, 
2026$149 
2027139 
2028127 
2029119 
2030109 
Thereafter758 
Total$1,401 

About Goodwill & Intangibles Disclosures

Goodwill and intangible asset disclosures reveal the premium paid in acquisitions and how management assesses whether that premium retains its value. Since goodwill is no longer amortized under US GAAP, the annual impairment test is the only mechanism that adjusts carrying values downward — making the assumptions behind that test critically important for investors.

Key signals: a history of goodwill impairments suggests management consistently overpays for acquisitions. Watch the gap between reporting unit fair value and carrying amount — when fair value exceeds carrying amount by less than 10-20%, a small decline in business performance could trigger a write-down. For finite-lived intangibles, examine useful life assumptions across customer relationships, technology, and trade names; aggressive estimates inflate near-term earnings. Compare total intangibles-to-total-assets ratios against peers to assess acquisition dependency. Rising goodwill as a percentage of equity can signal balance sheet fragility.