Goodwill and Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2024

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of Goodwill

The following table summarizes the changes in the carrying amount of goodwill through December 31, 2024:

			Products &
			Healthcare
	Patient Direct		Services		Consolidated
Carrying amount of goodwill, December 31, 2022	$	1,533,670	$	103,035	$	1,636,705
Currency translation adjustments		1,582		—		1,582
Acquisition adjustment		—		559		559
Carrying amount of goodwill, December 31, 2023	$	1,535,252	$	103,594	$	1,638,846
Goodwill impairment charge		(307,112)		—		(307,112)
Currency translation adjustments		—		(453)		(453)
Carrying amount of goodwill, December 31, 2024	$	1,228,140	$	103,141	$	1,331,281

Intangible Assets

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

	2024						2023
	Customer				Other		Customer				Other
	Relationships		Tradenames		Intangibles		Relationships		Tradenames		Intangibles
Intangible assets, gross	$	330,412	$	202,000	$	73,055	$	433,750	$	202,000	$	73,958
Accumulated amortization		(167,824)		(89,214)		(51,703)		(236,791)		(69,655)		(41,427)
Intangible assets, net	$	162,588	$	112,786	$	21,352	$	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 December 31, 2024, based on the carrying value of intangible assets subject to amortization, estimated future amortization expense was as follows:

Year
2025	$	54,453
2026		50,100
2027		41,751
2028		32,029
2029		25,881
Thereafter		92,512
Total future amortization	$	296,726