Exit and Realignment Costs (Tables)

12 Months Ended

Dec. 31, 2022

Restructuring and Related Activities [Abstract]

Schedule of Exit and Realignment Charges by Segment

Exit and realignment charges by segment for the years ended December 31, 2022, 2021 and 2020 were as follows:

Year ended December 31,	2022		2021		2020
Products & Healthcare Services	$	6,414	$	28,760	$	25,622
Patient Direct	483		2,349		310
Total exit and realignment charges	$	6,897	$	31,109	$	25,932

Schedule of Exit and Realignment Cost Accrual Activity

The following table summarizes the activity related to exit and realignment cost accruals through December 31, 2022:        

	Total
Accrued exit and realignment charges, December 31, 2019	$	8,162
Provision for exit and realignment activities:
Severance	5,623
Information system restructuring costs	2,119
Lease obligations	1,051
Other	6,519
Cash payments	(20,328)
Accrued exit and realignment charges, December 31, 2020	3,146
Provision for exit and realignment activities:
Severance	9,191
Information system restructuring costs	4,752
Lease obligations	440
Other	5,564
Cash payments	(14,787)
Accrued exit and realignment charges, December 31, 2021	8,306
Provision for exit and realignment activities:
Severance	2,018
Other	4,147
Cash payments	(13,502)
Accrued exit and realignment charges, December 31, 2022	$	969