v3.25.3
Segment Information (Tables)
9 Months Ended
Sep. 30, 2025
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information

The following tables set forth information about the Company’s reportable segments, along with the items necessary to reconcile the segment information to the totals reported in the Company’s unaudited condensed consolidated statements of operations as follows (in thousands):

 

 

For the Three Months Ended September 30, 2025

 

 

Pharmacy Solutions

 

 

Provider Services

 

 

Total Segments

 

Products revenue

$

2,966,966

 

 

$

—

 

 

$

2,966,966

 

Services revenue

 

—

 

 

 

367,140

 

 

 

367,140

 

Cost of drugs

 

2,541,723

 

 

 

—

 

 

 

2,541,723

 

Cost of services

 

—

 

 

 

220,784

 

 

 

220,784

 

Other direct costs (1)

 

179,591

 

 

 

—

 

 

 

179,591

 

Segment selling, general, and administrative expenses (2)

 

131,116

 

 

 

93,027

 

 

 

224,143

 

Segment depreciation and amortization expense (3)

 

26,451

 

 

 

7,340

 

 

 

33,791

 

Segment EBITDA

$

140,987

 

 

$

60,669

 

 

$

201,656

 

 

 

For the Three Months Ended September 30, 2024

 

 

Pharmacy Solutions

 

 

Provider Services

 

 

Total Segments

 

Products revenue

$

2,265,697

 

 

$

—

 

 

$

2,265,697

 

Services revenue

 

—

 

 

 

335,532

 

 

 

335,532

 

Cost of drugs

 

1,920,089

 

 

 

—

 

 

 

1,920,089

 

Cost of services

 

—

 

 

 

201,016

 

 

 

201,016

 

Other direct costs (1)

 

157,032

 

 

 

—

 

 

 

157,032

 

Segment selling, general, and administrative expenses (2)

 

117,336

 

 

 

88,507

 

 

 

205,843

 

Segment depreciation and amortization expense (3)

 

27,913

 

 

 

6,270

 

 

 

34,183

 

Segment EBITDA

$

99,153

 

 

$

52,279

 

 

$

151,432

 

 

 

For the Nine Months Ended September 30, 2025

 

 

Pharmacy Solutions

 

 

Provider Services

 

 

Total Segments

 

Products revenue

$

8,289,238

 

 

$

—

 

 

$

8,289,238

 

Services revenue

 

—

 

 

 

1,070,695

 

 

 

1,070,695

 

Cost of drugs

 

7,066,776

 

 

 

—

 

 

 

7,066,776

 

Cost of services

 

—

 

 

 

648,773

 

 

 

648,773

 

Other direct costs (1)

 

539,155

 

 

 

—

 

 

 

539,155

 

Segment selling, general, and administrative expenses (2)

 

382,894

 

 

 

275,000

 

 

 

657,894

 

Segment depreciation and amortization expense (3)

 

80,992

 

 

 

21,283

 

 

 

102,275

 

Segment EBITDA

$

381,405

 

 

$

168,205

 

 

$

549,610

 

 

 

For the Nine Months Ended September 30, 2024

 

 

Pharmacy Solutions

 

 

Provider Services

 

 

Total Segments

 

Products revenue

$

6,357,223

 

 

$

—

 

 

$

6,357,223

 

Services revenue

 

—

 

 

 

968,026

 

 

 

968,026

 

Cost of drugs

 

5,356,206

 

 

 

—

 

 

 

5,356,206

 

Cost of services

 

—

 

 

 

581,509

 

 

 

581,509

 

Other direct costs (1)

 

459,775

 

 

 

—

 

 

 

459,775

 

Segment selling, general, and administrative expenses (2)

 

341,803

 

 

 

254,779

 

 

 

596,582

 

Segment depreciation and amortization expense (3)

 

82,384

 

 

 

17,963

 

 

 

100,347

 

Segment EBITDA

$

281,823

 

 

$

149,701

 

 

$

431,524

 

 

(1)
Other direct costs primarily includes direct labor costs, delivery costs, insurance, and depreciation and amortization expense that relates to revenue-generating assets.
(2)
Segment selling, general, and administrative expense includes direct labor costs, depreciation and amortization, insurance, rent, lease, supplies, professional services, maintenance, repairs, utilities, and communications expense.
(3)
Total segment depreciation and amortization expense is presented in other direct costs, costs of services, and segment general and administrative expenses, based on the associated asset.

 

 

For the Three Months Ended

 

 

For the Nine Months Ended

 

 

 

September 30,

 

 

September 30,

 

 

2025

 

 

2024

 

 

2025

 

 

2024

 

Reconciliation of income or loss:

 

 

 

 

 

 

 

 

 

 

 

 

Total Segment EBITDA

 

$

201,656

 

 

$

151,432

 

 

$

549,610

 

 

$

431,524

 

Segment depreciation and amortization

 

 

33,791

 

 

 

34,183

 

 

 

102,275

 

 

 

100,347

 

Expenses not allocated at segment level:

 

 

 

 

 

 

 

 

 

 

 

 

Selling, general, and administrative expenses

 

 

73,060

 

 

 

81,802

 

 

 

239,047

 

 

 

259,640

 

Depreciation and amortization

 

 

6,962

 

 

 

6,350

 

 

 

21,149

 

 

 

19,122

 

Loss on extinguishment of debt

 

 

—

 

 

 

—

 

 

 

—

 

 

 

12,726

 

Interest expense, net

 

 

38,235

 

 

 

46,614

 

 

 

118,776

 

 

 

144,366

 

Income tax expense (benefit)

 

 

12,120

 

 

 

8,155

 

 

 

13,118

 

 

 

(31,464

)

Net income (loss) from continuing operations

 

$

37,488

 

 

$

(25,672

)

 

$

55,245

 

 

$

(73,213

)