| Jan 1,
2023 | Dec 31,
2023 |
|---|
| Net (loss) income | 549 | -10 |
|---|
| Depreciation and amortization | 284 | 457 |
|---|
| Stock-based compensation expense | 48 | 52 |
|---|
| Change in operating lease right-of-use assets and liabilities | 18 | - |
|---|
| Payment of accreted interest on contingent and deferred consideration | 10 | 10 |
|---|
| Loss on extinguishment of debt | -24 | - |
|---|
| Unwind inventory fair value adjustment | 61 | - |
|---|
| Other non-cash, net | -35 | -14 |
|---|
| Accounts receivable | -150 | -160 |
|---|
| Inventories | 117 | 212 |
|---|
| Prepaid expenses and other current and non-current assets | 26 | 27 |
|---|
| Accounts payable | 24 | 3 |
|---|
| Accrued payroll and related expenses | 18 | -54 |
|---|
| Income taxes payable | -27 | -60 |
|---|
| Other current and non-current liabilities | -75 | -6 |
|---|
| Net cash provided by operating activities | 885 | 280 |
|---|
| Acquisitions of property, equipment, investments and intangibles | 141 | 209 |
|---|
| Acquisition of businesses, net of cash and restricted cash acquired | 1,511 | - |
|---|
| Proceeds from Contribution in Aid of Construction | 18 | 14 |
|---|
| Purchases of marketable securities | 64 | 60 |
|---|
| Proceeds from sale of marketable securities | 53 | 78 |
|---|
| Net cash used for investing activities | -1,644 | -188 |
|---|
| Other payments | - | 10 |
|---|
| Net cash used for investing activities | -1,644 | -188 |
|---|
| Proceeds from issuance of common stock | 26 | 12 |
|---|
| Proceeds from Debt, Net of Issuance Costs | 2,735 | - |
|---|
| Short-term borrowings, net | - | 2 |
|---|
| Payments on long-term borrowings and extinguishment costs | 2,388 | 228 |
|---|
| Proceeds from Debt, Net of Issuance Costs | 2,735 | - |
|---|
| Payments of tax withholdings related to vesting of stock-based awards | 9 | 14 |
|---|
| Payments on long-term borrowings and extinguishment costs | 2,388 | 228 |
|---|
| Repurchases of common stock | 74 | 7 |
|---|
| Payments of tax withholdings related to vesting of stock-based awards | 9 | 14 |
|---|
| Principal payments of acquisition contingent consideration | 4 | - |
|---|
| Repurchases of common stock | 74 | 7 |
|---|
| Principal payments of deferred consideration | 34 | 30 |
|---|
| Principal payments of acquisition contingent consideration | 4 | - |
|---|
| Principal payments of deferred consideration | 34 | 30 |
|---|
| Net cash (used for) provided by financing activities | 252 | -266 |
|---|
| Effect of exchange rates on cash | -2 | -1 |
|---|
| Net (decrease) increase in cash, cash equivalents and restricted cash | -509 | -174 |
|---|
| Cash paid during the period for interest | 95 | 150 |
|---|
| Income Taxes Paid | 265 | 87 |
|---|
| Noncash or Part Noncash Acquisition, Fixed Assets Acquired | 40 | 41 |
|---|
| Transfer of instrument inventories to fixed assets | 74 | 155 |
|---|
| Transfer of instrument inventories to fixed assets | 74 | 155 |
|---|
| Receivable For Stock Option Exercises | 5 | 2 |
|---|
| Receivable For Stock Option Exercises | 5 | 2 |
|---|