Goodwill and Intangible Assets (Tables)

9 Months Ended

Sep. 30, 2023

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Changes in Carrying Amount of Goodwill

The following table summarizes the goodwill balances by segment and the changes in the carrying amount of goodwill through September 30, 2023:

	Patient Direct		Products & Healthcare Services		Consolidated
Carrying amount of goodwill, December 31, 2022	$	1,533,670	$	103,035	$	1,636,705
Acquisition adjustment	1,582		—		1,582
Currency translation adjustments	—		(3,277)		(3,277)
Carrying amount of goodwill, September 30, 2023	$	1,535,252	$	99,758	$	1,635,010

Schedule of Intangible Assets

Intangible assets subject to amortization at September 30, 2023 and December 31, 2022 were as follows:

	September 30, 2023							December 31, 2022
		Customer Relationships		Tradenames		Other Intangibles			Customer Relationships		Tradenames		Other Intangibles
Gross intangible assets		$	444,943	$	202,000	$	73,180		$	447,107	$	202,000	$	73,181
Accumulated amortization		(236,421)		(64,765)		(37,380)			(197,540)		(50,094)		(29,612)
Net intangible assets		$	208,522	$	137,235	$	35,800		$	249,567	$	151,906	$	43,569
Weighted average useful life		13 years		10 years		6 years			13 years		10 years		6 years

Schedule of Finite-Lived Intangible Assets, Future Amortization Expense

As of September 30, 2023, based on the current carrying value of intangible assets subject to amortization, estimated amortization expense were as follows:

Year
2023 (remainder)	$	20,456
2024	64,569
2025	54,441
2026	50,088
2027	41,787
2028	32,039