Business Segment Information (Tables)

9 Months Ended

Jun. 30, 2022

Segment Reporting [Abstract]

Schedule of segment revenue

The following illustrates reportable and operating segment disaggregated revenue as required by Accounting Standards Codification 606 for the periods indicated:

	Three months ended June 30,				Nine months ended June 30,
(in thousands)	2022		2021		2022		2021
U.S. Healthcare Solutions:
Human Health	$	52,168,130	$	49,182,311	$	153,721,040	$	146,671,516
Animal Health	1,221,215		1,193,531		3,590,715		3,442,494
Total U.S. Healthcare Solutions	53,389,345		50,375,842		157,311,755		150,114,010
International Healthcare Solutions:
Alliance Healthcare	5,492,656		1,924,858		16,658,799		1,924,858
Other Healthcare Solutions	1,184,070		1,105,911		3,445,400		3,039,254
Total International Healthcare Solutions	6,676,726		3,030,769		20,104,199		4,964,112
Intersegment eliminations	(1,470)		(916)		(3,097)		(1,700)
Revenue	$	60,064,601	$	53,405,695	$	177,412,857	$	155,076,422

Schedule of segment operating income

The following illustrates reportable segment operating income for the periods indicated:

	Three months ended June 30,				Nine months ended June 30,
(in thousands)	2022		2021		2022		2021
U.S. Healthcare Solutions	$	579,927	$	529,790	$	1,878,556	$	1,750,432
International Healthcare Solutions	176,272		100,831		543,400		203,663
Total segment operating income	$	756,199	$	630,621	$	2,421,956	$	1,954,095

Schedule of reconciliation of total segment operating income to income (loss) from operations before income taxes

The following reconciles total segment operating income to income before income taxes for the periods indicated:

	Three months ended June 30,				Nine months ended June 30,
(in thousands)	2022		2021		2022		2021
Total segment operating income	$	756,199	$	630,621	$	2,421,956	$	1,954,095
Gains from antitrust litigation settlements	—		147,432		1,835		147,432
LIFO (expense) credit	(23,070)		113,920		37,668		160,565
Turkey highly inflationary impact	(27,618)		—		(27,618)		—
Acquisition-related intangibles amortization	(74,408)		(44,282)		(231,866)		(94,289)
Employee severance, litigation, and other	(67,870)		(226,964)		(209,234)		(375,501)
Impairment of assets	—		—		(4,946)		—
Goodwill impairment	(75,936)		—		(75,936)		—
Operating income	487,297		620,727		1,911,859		1,792,302
Other (income) loss, net	(41,888)		(4,141)		(48,008)		4,901
Interest expense, net	52,862		51,338		159,150		119,478
Income before income taxes	$	476,323	$	573,530	$	1,800,717	$	1,667,923