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Segment Information (Tables)
9 Months Ended
Sep. 30, 2024
Segment Reporting [Abstract]  
Schedule of Financial Information by Segment

The following tables present financial information by segment:

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

​

Three Months Ended

​

Nine Months Ended

​

​

September 30, 

​

September 30, 

​

    

2024

    

2023

    

2024

    

2023

Net revenue:

 

​

  

 

​

  

 

​

  

 

​

  

Products & Healthcare Services

​

$

2,034,279

​

$

1,943,467

​

$

6,019,721

​

$

5,789,679

Patient Direct

​

 

686,846

​

 

648,275

​

 

1,985,089

​

 

1,888,138

Consolidated net revenue

​

$

2,721,125

​

$

2,591,742

​

$

8,004,810

​

$

7,677,817

​

​

​

​

​

​

​

​

​

​

​

​

​

Operating income:

​

 

  

​

 

  

​

 

  

​

 

  

Products & Healthcare Services

​

$

4,233

​

$

19,803

​

$

27,187

​

$

24,564

Patient Direct

​

 

79,932

​

 

64,435

​

 

190,598

​

 

169,349

Acquisition-related charges and intangible amortization

​

 

(21,097)

​

 

(30,217)

​

 

(61,395)

​

 

(74,609)

Exit and realignment charges, net

​

​

(28,880)

​

​

(30,180)

​

​

(85,530)

​

​

(74,817)

Litigation and related charges(1)

​

 

(9,984)

​

 

—

​

 

(16,662)

​

 

—

Consolidated operating income

​

$

24,204

​

$

23,841

​

$

54,198

​

$

44,487

​

​

​

​

​

​

​

​

​

​

​

​

​

Depreciation and amortization:

​

 

  

​

 

  

​

 

  

​

 

  

Products & Healthcare Services

​

$

18,382

​

$

20,021

​

$

60,832

​

$

57,360

Patient Direct

​

 

43,232

​

 

53,631

​

 

138,756

​

 

159,280

Consolidated depreciation and amortization

​

$

61,614

​

$

73,652

​

$

199,588

​

$

216,640

​

​

​

​

​

​

​

​

​

​

​

​

​

Share-based compensation:

​

​

​

​

​

​

​

​

​

​

​

​

Products & Healthcare Services

​

$

4,141

​

$

2,917

​

$

13,696

​

$

10,649

Patient Direct

​

​

1,198

​

​

1,699

​

​

4,131

​

​

5,113

Other(2)

​

​

341

​

​

1,126

​

​

1,454

​

​

1,655

Consolidated share-based compensation

​

$

5,680

​

$

5,742

​

$

19,281

​

$

17,417

​

​

​

​

​

​

​

​

​

​

​

​

​

Capital expenditures:

​

 

  

​

 

  

​

 

  

​

 

  

Products & Healthcare Services

​

$

17,763

​

$

5,023

​

$

29,130

​

$

17,957

Patient Direct

​

 

43,755

​

 

45,565

​

 

127,596

​

 

133,610

Consolidated capital expenditures

​

$

61,518

​

$

50,588

​

$

156,726

​

$

151,567

​

(1) Litigation and related charges includes settlement costs and related fees of legal matters within our Apria division, which do not occur in the ordinary course of our business, are non-recurring/infrequent and are inherently

unpredictable in timing and amount. These charges are reported within Other operating expense, net in our Statements of Operations for the three and nine months ended September 30, 2024.

​

(2) Other share-based compensation expense is captured within Exit and realignment charges, net or Acquisition-related charges for the three and nine months ended September 30, 2024 and 2023.

Schedule of Consolidated Total Assets

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​

​

​

​

​

​

​

​

​

September 30, 2024

​

December 31, 2023

Total assets:

 

​

  

 

​

  

Products & Healthcare Services

​

$

2,519,690

​

$

2,359,825

Patient Direct

​

​

2,516,138

​

​

2,490,460

Segment assets

​

​

5,035,828

​

​

4,850,285

Cash and cash equivalents

​

 

45,454

​

 

243,037

Consolidated total assets

​

$

5,081,282

​

$

5,093,322

Schedule of 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:

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​

​

​

​

​

​

​

​

​

​

​

​

​

​

    

Three Months Ended

​

Nine Months Ended

​

​

September 30, 

​

September 30, 

​

​

2024

    

2023

    

2024

    

2023

Net revenue:

 

​

  

 

​

  

 

​

  

 

​

  

United States

​

$

2,661,469

​

$

2,518,952

​

$

7,821,088

​

$

7,470,424

International

​

 

59,656

​

 

72,790

​

 

183,722

​

 

207,393

Consolidated net revenue

​

$

2,721,125

​

$

2,591,742

​

$

8,004,810

​

$

7,677,817

​