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LEASES
9 Months Ended
Sep. 30, 2019
Leases [Abstract]  
LEASES LEASES
    
The Company determines if an arrangement is or contains a lease at contract inception. The Company leases office space, patient service centers, clinical laboratories, warehouses, logistic hubs and equipment primarily through operating leases with a limited number of finance leases. A right-of-use asset, representing the underlying asset during the lease term, and a lease liability, representing the payment obligation arising from the lease, are recognized on the balance sheet at lease commencement based on the present value of the payment obligation. For operating leases, expense is recognized on a straight-line basis over the lease term. For finance leases, interest expense on the lease liability is recognized using the effective interest method and amortization of the right-of-use asset is recognized on a straight-line basis over the shorter of the estimated useful life of the asset or the lease term. Short-term leases with an initial term of 12 months or less are not recorded on the balance sheet; the Company recognizes lease expense for these leases on a straight-line basis over the lease term.

The Company primarily uses its incremental borrowing rate in determining the present value of lease payments as the Company's leases generally do not provide an implicit rate.

The Company has lease agreements with (i) right-of-use asset payments and (ii) non-lease components (i.e. payments related to maintenance fees, utilities, etc,) which have generally been combined and accounted for as a single lease component.

The Company's leases have remaining terms of less than 1 year to 15 years, some of which include options to extend the leases for up to 15 years. The Company's lease terms may include renewal options that are reasonably certain to be exercised and termination options that are reasonably certain not to be exercised. Certain leases also include options to purchase the leased property.

Certain of the Company's lease agreements include rental payments adjusted periodically for inflation or a market rate which are included in the lease liabilities.

Leases
 
Balance Sheet Classification
 
September 30, 2019
Assets
 
 
 
 
Operating
 
Operating lease right-of-use assets
 
$
508

Finance
 
Property, plant and equipment, net (a)
 
37

Total lease assets
 
 
 
$
545

 
 
 
 
 
Liabilities
 
 
 
 
Current:
 
 
 
 
Operating
 
Current portion of long-term operating lease liabilities
 
$
147

Finance
 
Current portion of long-term debt
 
3

Non-current:
 
 
 
 
Operating
 
Long-term operating lease liabilities
 
405

Finance
 
Long-term debt
 
31

Total lease liabilities
 
 
 
$
586


(a) Finance lease assets were recorded net of accumulated amortization of $23 million as of September 30, 2019.








Components of lease cost for the three and nine months ended September 30, 2019 were as follows:
Lease cost
 
Three Months Ended September 30, 2019
 
Nine Months Ended September 30, 2019
 
 
 
 
 
Operating lease cost (a)
 
$
75

 
$
221

Finance lease cost:
 
 
 
 
Amortization of leased assets
 
1

 
5

Interest on lease liabilities
 

 
2

Net lease cost
 
$
76

 
$
228


(a) Includes short-term leases and variable lease costs (primarily maintenance fees and utilities related to real estate leases and certain equipment-related and vehicle-related costs) of $32 million and $90 million for the three and nine months ended September 30, 2019, respectively.

Rental expense for real estate, laboratory equipment and vehicles under operating leases amounted to $55 million and $167 million for the three and nine months ended September 30, 2018, respectively.

The maturity of the Company's lease liabilities as of September 30, 2019 is as follows:
Maturity of lease liabilities
 
Operating leases
 
Finance leases
 
Total
Remainder of 2019
 
$
32

 
$
1

 
$
33

2020
 
155

 
6

 
161

2021
 
118

 
5

 
123

2022
 
93

 
5

 
98

2023
 
74

 
3

 
77

Thereafter
 
138

 
35

 
173

Total lease payments
 
610

 
55

 
665

Less: Interest (a)
 
58

 
21

 
79

Present value of lease liabilities
 
$
552

 
$
34

 
$
586


(a) Primarily calculated using the Company's incremental borrowing rate.

Minimum rental commitments under noncancelable operating leases, primarily real estate, in effect as of December 31, 2018 are as follows:
Year Ending December 31,
 
2019
$
181

2020
143

2021
106

2022
79

2023
60

Thereafter
122

Minimum lease payments
$
691









Lease term and discount rate as of September 30, 2019 were as follows:
Lease term and discount rate
 
Weighted-average remaining lease term (years):
 
Operating leases
5

Finance leases
12

 
 
Weighted-average discount rate:
 
Operating leases
3.3
%
Finance leases
8.7
%

    
See Note 12 for cash flow information on cash paid for amounts included in the measurement of lease liabilities, leased assets obtained in exchange for new operating lease liabilities, and leased assets obtained in exchange for new finance lease liabilities for the three and nine months ended September 30, 2019.

LEASES LEASES
    
The Company determines if an arrangement is or contains a lease at contract inception. The Company leases office space, patient service centers, clinical laboratories, warehouses, logistic hubs and equipment primarily through operating leases with a limited number of finance leases. A right-of-use asset, representing the underlying asset during the lease term, and a lease liability, representing the payment obligation arising from the lease, are recognized on the balance sheet at lease commencement based on the present value of the payment obligation. For operating leases, expense is recognized on a straight-line basis over the lease term. For finance leases, interest expense on the lease liability is recognized using the effective interest method and amortization of the right-of-use asset is recognized on a straight-line basis over the shorter of the estimated useful life of the asset or the lease term. Short-term leases with an initial term of 12 months or less are not recorded on the balance sheet; the Company recognizes lease expense for these leases on a straight-line basis over the lease term.

The Company primarily uses its incremental borrowing rate in determining the present value of lease payments as the Company's leases generally do not provide an implicit rate.

The Company has lease agreements with (i) right-of-use asset payments and (ii) non-lease components (i.e. payments related to maintenance fees, utilities, etc,) which have generally been combined and accounted for as a single lease component.

The Company's leases have remaining terms of less than 1 year to 15 years, some of which include options to extend the leases for up to 15 years. The Company's lease terms may include renewal options that are reasonably certain to be exercised and termination options that are reasonably certain not to be exercised. Certain leases also include options to purchase the leased property.

Certain of the Company's lease agreements include rental payments adjusted periodically for inflation or a market rate which are included in the lease liabilities.

Leases
 
Balance Sheet Classification
 
September 30, 2019
Assets
 
 
 
 
Operating
 
Operating lease right-of-use assets
 
$
508

Finance
 
Property, plant and equipment, net (a)
 
37

Total lease assets
 
 
 
$
545

 
 
 
 
 
Liabilities
 
 
 
 
Current:
 
 
 
 
Operating
 
Current portion of long-term operating lease liabilities
 
$
147

Finance
 
Current portion of long-term debt
 
3

Non-current:
 
 
 
 
Operating
 
Long-term operating lease liabilities
 
405

Finance
 
Long-term debt
 
31

Total lease liabilities
 
 
 
$
586


(a) Finance lease assets were recorded net of accumulated amortization of $23 million as of September 30, 2019.








Components of lease cost for the three and nine months ended September 30, 2019 were as follows:
Lease cost
 
Three Months Ended September 30, 2019
 
Nine Months Ended September 30, 2019
 
 
 
 
 
Operating lease cost (a)
 
$
75

 
$
221

Finance lease cost:
 
 
 
 
Amortization of leased assets
 
1

 
5

Interest on lease liabilities
 

 
2

Net lease cost
 
$
76

 
$
228


(a) Includes short-term leases and variable lease costs (primarily maintenance fees and utilities related to real estate leases and certain equipment-related and vehicle-related costs) of $32 million and $90 million for the three and nine months ended September 30, 2019, respectively.

Rental expense for real estate, laboratory equipment and vehicles under operating leases amounted to $55 million and $167 million for the three and nine months ended September 30, 2018, respectively.

The maturity of the Company's lease liabilities as of September 30, 2019 is as follows:
Maturity of lease liabilities
 
Operating leases
 
Finance leases
 
Total
Remainder of 2019
 
$
32

 
$
1

 
$
33

2020
 
155

 
6

 
161

2021
 
118

 
5

 
123

2022
 
93

 
5

 
98

2023
 
74

 
3

 
77

Thereafter
 
138

 
35

 
173

Total lease payments
 
610

 
55

 
665

Less: Interest (a)
 
58

 
21

 
79

Present value of lease liabilities
 
$
552

 
$
34

 
$
586


(a) Primarily calculated using the Company's incremental borrowing rate.

Minimum rental commitments under noncancelable operating leases, primarily real estate, in effect as of December 31, 2018 are as follows:
Year Ending December 31,
 
2019
$
181

2020
143

2021
106

2022
79

2023
60

Thereafter
122

Minimum lease payments
$
691









Lease term and discount rate as of September 30, 2019 were as follows:
Lease term and discount rate
 
Weighted-average remaining lease term (years):
 
Operating leases
5

Finance leases
12

 
 
Weighted-average discount rate:
 
Operating leases
3.3
%
Finance leases
8.7
%

    
See Note 12 for cash flow information on cash paid for amounts included in the measurement of lease liabilities, leased assets obtained in exchange for new operating lease liabilities, and leased assets obtained in exchange for new finance lease liabilities for the three and nine months ended September 30, 2019.