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Goodwill and Intangible Assets (Tables)
3 Months Ended
Mar. 31, 2025
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, 2025:

    

    

Products &

    

Healthcare

Patient Direct

Services

Consolidated

Carrying amount of goodwill, December 31, 2024

$

1,228,140

$

103,141

$

1,331,281

Currency translation adjustments

 

 

650

 

650

Carrying amount of goodwill, March 31, 2025

$

1,228,140

$

103,791

$

1,331,931

Summary of intangible assets subject to amortization, which exclude indefinite-lived intangible assets

Intangible assets subject to amortization, which exclude indefinite-lived intangible assets, at March 31, 2025 and December 31, 2024 were as follows:

March 31, 2025

December 31, 2024

    

Customer

    

    

Other

    

Customer

    

    

Other

Relationships

Tradenames

 Intangibles

Relationships

Tradenames

Intangibles

Gross intangible assets

$

330,883

$

202,000

$

73,055

$

330,412

$

202,000

$

73,055

Accumulated amortization

 

(174,250)

 

(94,105)

 

(54,497)

 

(167,824)

 

(89,214)

 

(51,703)

Net intangible assets

$

156,633

$

107,895

$

18,558

$

162,588

$

112,786

$

21,352

Weighted average useful life

 

14 years

 

10 years

 

6 years

 

14 years

 

10 years

 

6 years

Schedule of estimated amortization expense

As of March 31, 2025, based on the current carrying value of intangible assets subject to amortization, estimated amortization expense were as follows:

Year

    

2025 (remainder)

$

40,833

2026

 

50,092

2027

 

41,743

2028

 

32,027

2029

 

25,881

Thereafter

92,510

Total future amortization

$

283,086