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Goodwill and Intangible Assets (Tables)
6 Months Ended
Jun. 30, 2023
Goodwill and Intangible Assets Disclosure [Abstract]  
Schedule of Changes in Carrying Amount of Goodwill
The following table summarizes the goodwill balances by segment and the changes in the carrying amount of goodwill through June 30, 2023:
Patient DirectProducts & Healthcare ServicesConsolidated
Carrying amount of goodwill, December 31, 2022$1,533,670 $103,035 $1,636,705 
Acquisition adjustment1,582 — 1,582 
Currency translation adjustments— (1,138)(1,138)
Carrying amount of goodwill, June 30, 2023$1,535,252 $101,897 $1,637,149 
Schedule of Intangible Assets
Intangible assets subject to amortization at June 30, 2023 and December 31, 2022 were as follows:

June 30, 2023December 31, 2022
Customer
Relationships
TradenamesOther
Intangibles
Customer
Relationships
TradenamesOther
Intangibles
Gross intangible assets$446,344 $202,000 $73,184 $447,107 $202,000 $73,181 
Accumulated amortization(224,154)(59,874)(34,480)(197,540)(50,094)(29,612)
Net intangible assets$222,190 $142,126 $38,704 $249,567 $151,906 $43,569 
Weighted average useful life13 years10 years6 years13 years10 years6 years
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense
As of June 30, 2023, based on the current carrying value of intangible assets subject to amortization, estimated amortization expense were as follows:
Year 
2023 (remainder)$41,489 
202465,285 
202555,157 
202653,721 
202746,878 
202828,867