v3.24.1.u1
Segment Information
3 Months Ended
Mar. 31, 2024
Segment Reporting [Abstract]  
Segment Information

Note 11—Segment Information

We periodically evaluate our application of accounting guidance for reportable segments and disclose information about reportable segments based on the way management organizes the enterprise for making operating decisions and assessing performance. We report our business under two segments: Products & Healthcare Services and Patient Direct. The Products & Healthcare Services segment includes our U.S. distribution division (Medical Distribution), including our outsourced logistics and value-added services businesses, and our Global Products division which manufactures and sources medical surgical products through our production and kitting operations. The Patient Direct segment includes our home healthcare divisions (Byram and Apria).

We evaluate the performance of our segments based on their operating income excluding acquisition-related charges and intangible amortization and exit and realignment charges, net, along with other adjustments, that, either as a result of their nature or size, would not be expected to occur as part of our normal business operations on a regular basis. Segment assets exclude inter-segment account balances as we believe their inclusion would be misleading and not meaningful.

The following tables present financial information by segment:

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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

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​

​

​

​

​

​

Operating income:

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​

 

  

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

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​

(27,356)

​

​

(15,674)

Consolidated operating income

​

$

9,696

​

$

9,807

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​

​

​

​

​

​

Depreciation and amortization:

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Products & Healthcare Services

​

$

23,366

​

$

18,566

Patient Direct

​

 

50,729

​

 

52,360

Consolidated depreciation and amortization

​

$

74,095

​

$

70,926

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​

​

​

​

​

​

Share-based compensation:

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​

Products & Healthcare Services

​

$

4,769

​

$

4,498

Patient Direct

​

 

1,407

​

 

1,852

Other(1)

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​

690

​

​

113

Consolidated share-based compensation

​

$

6,866

​

$

6,463

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​

​

​

​

​

Capital expenditures:

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Products & Healthcare Services

​

$

8,250

​

$

6,332

Patient Direct

​

 

41,158

​

 

45,158

Consolidated capital expenditures

​

$

49,408

​

$

51,490

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(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.

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March 31, 2024

    

December 31, 2023

Total assets:

 

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Products & Healthcare Services

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$

2,456,341

​

$

2,359,825

Patient Direct

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​

2,506,786

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​

2,490,460

Segment assets

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​

4,963,127

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​

4,850,285

Cash and cash equivalents

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244,866

​

 

243,037

Consolidated total assets

​

$

5,207,993

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$

5,093,322

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For the three months ended March 31, 2024 and 2023, non-cash adjustments to merchandise inventories valued at the lower of cost or market, with the approximate cost determined by the last-in, first-out (LIFO) method for distribution inventories in the U.S. within our Products & Healthcare Services segment were $5.4 million and $4.9

million. The net book value of patient service equipment dispositions were $9.6 million and $9.0 million for the three months ended March 31, 2024 and 2023, within the Patient Direct segment.

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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

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​

March 31, 

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2024

    

2023

Net revenue:

 

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United States

​

$

2,550,610

​

$

2,452,936

International

​

 

62,070

​

 

69,913

Consolidated net revenue

​

$

2,612,680

​

$

2,522,849

​