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Segment Information (Tables)

12 Months Ended

Dec. 31, 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 consolidated statements of operations as follows (in thousands):

	For the Year Ended December 31, 2025
	Pharmacy Solutions				Provider Services				Total Segments
Product revenue	$	11,445,777			$	—			$	11,445,777
Service revenue		—				1,464,787				1,464,787
Cost of drugs		9,782,109				—				9,782,109
Cost of services		—				885,356				885,356
Other direct costs (1)		725,322				—				725,322
Segment selling, general, and administrative expenses (2)		502,042				374,256				876,298
Segment depreciation and amortization expense (3)		107,198				27,479				134,677
Segment EBITDA	$	543,502			$	232,654			$	776,156

	For the Year Ended December 31, 2024
	Pharmacy Solutions				Provider Services				Total Segments
Product revenue	$	8,754,282			$	—			$	8,754,282
Service revenue		—				1,317,932				1,317,932
Cost of drugs		7,368,426				—				7,368,426
Cost of services		—				797,286				797,286
Other direct costs (1)		640,075				—				640,075
Segment selling, general, and administrative expenses (2)		462,219				340,034				802,253
Segment depreciation and amortization expense (3)		111,103				24,675				135,778
Segment EBITDA	$	394,665			$	205,287			$	599,952

	For the Year Ended December 31, 2023
	Pharmacy Solutions				Provider Services				Total Segments
Product revenue	$	6,522,450			$	—			$	6,522,450
Service revenue		—				1,168,566				1,168,566
Cost of drugs		5,291,630				—				5,291,630
Cost of services		—				711,304				711,304
Other direct costs (1)		549,086				—				549,086
Segment selling, general, and administrative expenses (2)		426,521				310,747				737,268
Segment depreciation and amortization expense (3)		115,749				22,897				138,646
Segment EBITDA	$	370,962			$	169,412			$	540,374

(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 expenses includes indirect 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 Years Ended December 31,
		2025				2024				2023
Reconciliation of income or loss:
Total Segment EBITDA		$	776,156			$	599,952			$	540,374
Segment depreciation and amortization			134,677				135,778				138,646
Expenses not allocated at segment level:
Selling, general, and administrative expenses			317,956				329,854				321,692
Depreciation and amortization			28,271				26,366				21,911
Loss on extinguishment of debt			—				12,726				—
Interest expense, net			157,311				190,546				271,899
Income tax expense (benefit)			33,145				(26,387	)			(31,508	)
Net income (loss) from continuing operations		$	104,796			$	(68,931	)		$	(182,266	)

X

- Definition

Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 25
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482810/280-10-50-25

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 22
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482810/280-10-50-22

Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
-Name Accounting Standards Codification
-Topic 280
-SubTopic 10
-Section 50
-Paragraph 30
-Publisher FASB
-URI https://asc.fasb.org/1943274/2147482810/280-10-50-30

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- References

No definition available.

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