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Segment Information
 6 Months Ended
Jun. 30, 2020
Segment Reporting [Abstract]  
Segment Information 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: Global Solutions and Global Products. The Global Solutions segment includes our United States distribution, outsourced logistics and value-added services business. Global Products manufactures and sources medical surgical products through our production and kitting operations.
We evaluate the performance of our segments based on their operating income excluding intangible amortization, acquisition-related and exit and realignment charges, certain purchase price fair value adjustments, and other substantive items 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. We believe all inter-segment sales are at prices that approximate market.
The following tables present financial information by segment:
Three Months Ended June 30,Six Months Ended June 30,
2020201920202019
Net revenue:
Global Solutions$1,548,639  $2,134,469  $3,396,233  $4,258,068  
Global Products370,401  363,889  761,593  710,974  
Total segment net revenue1,919,040  2,498,358  4,157,826  4,969,042  
Inter-segment revenue
Global Products(111,321) (121,653) (227,414) (241,498) 
       Total inter-segment revenue(111,321) (121,653) (227,414) (241,498) 
Consolidated net revenue$1,807,719  $2,376,705  $3,930,412  $4,727,544  
Operating income:
Global Solutions$(10,141) $17,734  $(2,450) $39,375  
Global Products51,774  17,949  70,345  25,673  
Inter-segment eliminations(2,772) (729) (1,603) 1,017  
Intangible amortization(10,611) (12,756) (21,221) (22,781) 
Acquisition-related and exit and realignment charges(6,054) (5,390) (12,118) (10,254) 
Other (1)
—  (909) —  (529) 
Consolidated operating income$22,196  $15,899  $32,953  $32,501  
Depreciation and amortization:
Global Solutions$11,065  $9,715  $21,701  $20,215  
Global Products13,826  15,246  27,103  27,853  
Discontinued operations—  5,221  —  10,834  
Consolidated depreciation and amortization$24,891  $30,182  $48,804  $58,902  
Capital expenditures:
Global Solutions$2,931  $1,196  $3,963  $4,537  
Global Products2,135  3,880  5,152  6,783  
Discontinued operations1,363  6,176  3,027  14,211  
Consolidated capital expenditures$6,429  $11,252  $12,142  $25,531  
(1) 2019 included interest cost and net actuarial losses related to the U.S. Retirement Plan as well as Software as a Service (SaaS) implementation costs associated with the upgrading of our global IT platforms in connection with the redesign of our global information system strategy.
June 30, 2020December 31, 2019
Total assets:
Global Solutions$2,057,125  $2,205,134  
Global Products979,385  930,937  
Segment assets3,036,510  3,136,071  
Discontinued operations—  439,983  
Cash and cash equivalents101,276  67,030  
Consolidated total assets$3,137,786  $3,643,084  
The following table presents net revenue by geographic area, which were attributed based on the location from which we ship products or provide services.
Three Months Ended June 30,Six Months Ended June 30,
2020201920202019
Net revenue:
United States$1,737,615  $2,270,768  $3,771,069  $4,574,680  
International70,104  105,937  159,343  152,864  
Consolidated net revenue$1,807,719  $2,376,705  $3,930,412  $4,727,544