Goodwill and Intangible Assets (Tables)

9 Months Ended

Sep. 30, 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 September 30, 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		—		3,350		3,350
Carrying amount of goodwill, September 30, 2024	$	1,535,252	$	106,944	$	1,642,196

Intangible Assets

Intangible assets subject to amortization, which exclude indefinite-lived intangible assets at September 30, 2024 and December 31, 2023 were as follows:

	September 30, 2024						December 31, 2023
	Customer				Other		Customer				Other
	Relationships		Tradenames		Intangibles		Relationships		Tradenames		Intangibles
Gross intangible assets	$	332,811	$	202,000	$	73,055	$	433,750	$	202,000	$	73,958
Accumulated amortization		(163,350)		(84,324)		(48,908)		(236,791)		(69,655)		(41,427)
Net intangible assets	$	169,461	$	117,676	$	24,147	$	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 September 30, 2024, based on the current carrying value of intangible assets subject to amortization, estimated amortization expense were as follows:

Year
2024 (remainder)	$	13,680
2025		54,716
2026		50,364
2027		42,015
2028		32,117
Thereafter		118,392
Total future amortization	$	311,284