Segment Information (Tables)

9 Months Ended

Sep. 30, 2023

Segment Reporting [Abstract]

Schedule of Financial Information by Segment

The following tables present financial information by segment:

	Three Months Ended  September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
Net revenue:
Products & Healthcare Services	$	1,943,467	$	1,903,356	$	5,789,679	$	5,964,784
Patient Direct	648,275		594,045		1,888,138		1,439,584
Consolidated net revenue	$	2,591,742	$	2,497,401	$	7,677,817	$	7,404,368
Operating income:
Products & Healthcare Services	$	19,803	$	23,781	$	24,564	$	174,108
Patient Direct	64,435		59,666		169,349		127,791
Acquisition-related charges and intangible amortization	(30,217)		(21,217)		(74,609)		(100,628)
Exit and realignment charges	(30,180)		(1,983)		(74,817)		(4,879)
Consolidated operating income	$	23,841	$	60,247	$	44,487	$	196,392
Depreciation and amortization:
Products & Healthcare Services	$	20,021	$	19,121	$	57,360	$	57,325
Patient Direct	53,631		39,030		159,280		98,113
Consolidated depreciation and amortization	$	73,652	$	58,151	$	216,640	$	155,438
Capital expenditures:
Products & Healthcare Services	$	5,023	$	9,743	$	17,957	$	38,804
Patient Direct	45,565		39,706		133,610		76,344
Consolidated capital expenditures	$	50,588	$	49,449	$	151,567	$	115,148

Schedule of Consolidated Total Assets

	September 30, 2023		December 31, 2022
Total assets:
Products & Healthcare Services	$	2,401,332	$	2,809,600
Patient Direct	2,507,540		2,507,216
Segment assets	4,908,872		5,316,816
Cash and cash equivalents	215,191		69,467
Consolidated total assets	$	5,124,063	$	5,386,283

Schedule of Revenue from External Customers and Long-lived Assets, by Geographical

The following table presents net revenue by geographic area, which were attributed based on the location from which we ship products or provide services:

	Three Months Ended  September 30,				Nine Months Ended September 30,
	2023		2022		2023		2022
Net revenue:
United States	$	2,518,952	$	2,410,790	$	7,470,424	$	7,049,382
International	72,790		86,611		207,393		354,986
Consolidated net revenue	$	2,591,742	$	2,497,401	$	7,677,817	$	7,404,368