Segment Information (Tables)

12 Months Ended

Dec. 31, 2022

Segment Reporting [Abstract]

Financial Information by Segment

The following tables present financial information by segment:

Year ended December 31,	2022		2021		2020
Net revenue:
Products & Healthcare Services	$	7,898,397	$	8,825,646	$	7,662,429
Patient Direct	2,057,078		959,669		817,748
Consolidated net revenue	$	9,955,475	$	9,785,315	$	8,480,177
Operating income:
Products & Healthcare Services	$	175,309	$	384,390	$	215,698
Patient Direct	193,748		57,966		67,662
Intangible amortization	(78,847)		(39,807)		(41,490)
Acquisition-related and exit and realignment charges	(55,022)		(34,076)		(37,752)
Inventory valuation adjustment(1)	(92,275)		—		—
Consolidated operating income	$	142,913	$	368,473	$	204,118
Depreciation and amortization:
Products & Healthcare Services	$	77,539	$	75,548	$	77,131
Patient Direct	151,128		15,073		16,205
Consolidated depreciation and amortization	$	228,667	$	90,621	$	93,336
Capital expenditures:
Products & Healthcare Services	$	49,824	$	48,282	$	55,110
Patient Direct	116,758		1,408		1,056
Discontinued operations	—		—		3,027
Consolidated capital expenditures	$	166,582	$	49,690	$	59,193

(1) Relates to an inventory valuation adjustment in our Products & Healthcare Services segment, primarily associated with PPE inventory built up and a subsequent decline in demand as a result of the COVID-19 pandemic.

Consolidated Total Assets

December 31,	2022		2021
Total assets:
Products & Healthcare Services	$	2,809,600	$	3,012,303
Patient Direct	2,507,216		468,536
Segment assets	5,316,816		3,480,839
Cash and cash equivalents	69,467		55,712
Consolidated total assets	$	5,386,283	$	3,536,551

Financial Information by Geographic Area

The following tables present information by geographic area. Net revenues were attributed to geographic areas based on the locations from which we ship products or provide services.

Year ended December 31,	2022		2021		2020
Net revenue:
United States	$	9,526,037	$	9,250,331	$	8,130,411
International	429,438		534,984		349,766
Consolidated net revenue	$	9,955,475	$	9,785,315	$	8,480,177

December 31,	2022		2021
Long-lived assets:
United States	$	1,226,108	$	641,630
International	116,524		113,363
Consolidated long-lived assets	$	1,342,632	$	754,993