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Segment Information (Tables)
3 Months Ended
Mar. 31, 2024
Segment Reporting [Abstract]  
Financial Information by Segment

The following tables present financial information by segment:

Three Months Ended

March 31, 

    

2024

    

2023

Net revenue:

 

  

 

  

Products & Healthcare Services

$

1,974,837

$

1,915,489

Patient Direct

 

637,843

 

607,360

Consolidated net revenue

$

2,612,680

$

2,522,849

Operating income:

 

  

 

  

Products & Healthcare Services

$

11,486

$

1,820

Patient Direct

 

45,879

 

45,849

Acquisition-related charges and intangible amortization

 

(20,313)

 

(22,188)

Exit and realignment charges, net

(27,356)

(15,674)

Consolidated operating income

$

9,696

$

9,807

Depreciation and amortization:

 

  

 

  

Products & Healthcare Services

$

23,366

$

18,566

Patient Direct

 

50,729

 

52,360

Consolidated depreciation and amortization

$

74,095

$

70,926

Share-based compensation:

Products & Healthcare Services

$

4,769

$

4,498

Patient Direct

 

1,407

 

1,852

Other(1)

690

113

Consolidated share-based compensation

$

6,866

$

6,463

Capital expenditures:

 

  

 

  

Products & Healthcare Services

$

8,250

$

6,332

Patient Direct

 

41,158

 

45,158

Consolidated capital expenditures

$

49,408

$

51,490

(1)Other share-based compensation expense is captured within exit and realignment charges, net or acquisition-related charges for the three months ended March 31, 2024 and 2023.
Consolidated Total Assets

    

March 31, 2024

    

December 31, 2023

Total assets:

 

  

 

  

Products & Healthcare Services

$

2,456,341

$

2,359,825

Patient Direct

2,506,786

2,490,460

Segment assets

4,963,127

4,850,285

Cash and cash equivalents

 

244,866

 

243,037

Consolidated total assets

$

5,207,993

$

5,093,322

Financial Information by Geographic Area

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

March 31, 

    

2024

    

2023

Net revenue:

 

  

 

  

United States

$

2,550,610

$

2,452,936

International

 

62,070

 

69,913

Consolidated net revenue

$

2,612,680

$

2,522,849