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v3.25.4

Segment Information - Schedule of Reportable Segments Reconcile of Segment Information (Details) - Operating Segments - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2025 | Dec. 31, 2024 | Dec. 31, 2023
Segment Reporting Information [Line Items] |  |  |
Cost of drugs | $ 9,782,109 | $ 7,368,426 | $ 5,291,630
Cost of services | 885,356 | 797,286 | 711,304
Other direct costs | 725,322 | 640,075 | 549,086
Segment selling, general, and administrative expenses | 876,298 | 802,253 | 737,268
Segment depreciation and amortization expense | 134,677 | 135,778 | 138,646
Segment EBITDA | 776,156 | 599,952 | 540,374
Products |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenues | 11,445,777 | 8,754,282 | 6,522,450
Services |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenues | 1,464,787 | 1,317,932 | 1,168,566
Pharmacy Solutions |  |  |
Segment Reporting Information [Line Items] |  |  |
Cost of drugs | 9,782,109 | 7,368,426 | 5,291,630
Other direct costs | 725,322 | 640,075 | 549,086
Segment selling, general, and administrative expenses | 502,042 | 462,219 | 426,521
Segment depreciation and amortization expense | 107,198 | 111,103 | 115,749
Segment EBITDA | 543,502 | 394,665 | 370,962
Pharmacy Solutions | Products |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenues | 11,445,777 | 8,754,282 | 6,522,450
Provider Services |  |  |
Segment Reporting Information [Line Items] |  |  |
Cost of services | 885,356 | 797,286 | 711,304
Segment selling, general, and administrative expenses | 374,256 | 340,034 | 310,747
Segment depreciation and amortization expense | 27,479 | 24,675 | 22,897
Segment EBITDA | 232,654 | 205,287 | 169,412
Provider Services | Services |  |  |
Segment Reporting Information [Line Items] |  |  |
Revenues | $ 1,464,787 | $ 1,317,932 | $ 1,168,566

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