Goodwill and Intangible Assets (Tables)

3 Months Ended

Mar. 31, 2024

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Goodwill

The following table summarizes the goodwill balances by segment and the changes in the carrying amount of goodwill at March 31, 2024:

			Products &
			Healthcare
	Patient Direct		Services		Consolidated
Carrying amount of goodwill, December 31, 2023	$	1,535,252	$	103,594	$	1,638,846
Currency translation adjustments		—		(3,478)		(3,478)
Carrying amount of goodwill, March 31, 2024	$	1,535,252	$	100,116	$	1,635,368

Intangible Assets

Intangible assets subject to amortization, which exclude indefinite-lived intangible assets, at March 31, 2024 and December 31, 2023 were as follows:

	March 31, 2024						December 31, 2023
	Customer				Other		Customer				Other
	Relationships		Tradenames		Intangibles		Relationships		Tradenames		Intangibles
Gross intangible assets	$	397,193	$	202,000	$	73,055	$	433,750	$	202,000	$	73,958
Accumulated amortization		(213,793)		(74,544)		(43,318)		(236,791)		(69,655)		(41,427)
Net intangible assets	$	183,400	$	127,456	$	29,737	$	196,959	$	132,345	$	32,531
Weighted average useful life		14 years		10 years		6 years		13 years		10 years		6 years

Schedule of estimated amortization expense

As of March 31, 2024, based on the current carrying value of intangible assets subject to amortization, estimated amortization expense were as follows:

Year
2024 (remainder)	$	44,080
2025		54,389
2026		50,036
2027		41,687
2028		32,008
Thereafter		118,393
Total future amortization	$	340,593