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Leases (Tables)
 9 Months Ended
Sep. 30, 2022
Leases [Abstract]  
Schedule of Components of Lease Expense The components of lease expense were as follows:
Three Months Ended
 September 30,		Nine Months Ended
 September 30,
Classification2022202120222021
Operating lease costDS&A Expenses$24,231 $15,307 $64,832 $44,098 
Finance lease cost:
Amortization of lease assetsDS&A Expenses318 254 944 675 
Interest on lease liabilitiesInterest expense, net304 315 915 916 
Total finance lease cost622 569 1,859 1,591 
Short-term lease costDS&A Expenses, Cost of goods sold1,207 225 2,363 708 
Variable lease costDS&A Expenses, Cost of goods sold10,390 4,349 24,418 13,009 
Total lease cost$36,450 $20,450 $93,472 $59,406 
    Other information related to leases was as follows:
Nine Months Ended
September 30,
20222021
Supplemental cash flow information
Cash paid for amounts included in the measurement of lease liabilities:
Operating cash flows from operating and finance leases$63,488$43,687 
Financing cash flows from finance leases$1,115$726 
Right-of-use assets obtained in exchange for new operating and finance lease liabilities$64,325$76,960 
Weighted average remaining lease term (years)
Operating leases4.35.2
Finance leases5.96.9
Weighted average discount rate
Operating leases6.9%8.6%
Finance leases10.8%11.0%
Schedule of Supplemental Balance Sheet Information Supplemental balance sheet information is as follows:
ClassificationSeptember 30, 2022December 31, 2021
Assets:
Operating lease assetsOperating lease assets$275,833 $194,006 
Finance lease assetsProperty and equipment, net10,754 8,896 
Total lease assets$286,587 $202,902 
Liabilities:
Current
OperatingOther current liabilities$72,990 $41,817 
FinanceOther current liabilities2,470 2,037 
Noncurrent
OperatingOperating lease liabilities, excluding current portion215,022 162,241 
FinanceLong-term debt, excluding current portion13,023 11,314 
Total lease liabilities$303,505 $217,409 
Schedule of Maturities of Finance Lease Liabilities
Maturities of lease liabilities as of September 30, 2022 were as follows:
Operating Leases (1)
Finance LeasesTotal
2022$24,060 $675 $24,735 
202393,913 2,693 96,606 
202480,267 2,641 82,908 
202558,612 2,588 61,200 
202641,058 2,506 43,564 
Thereafter49,224 4,774 53,998 
Total lease payments347,134 15,877 363,011 
Less: Interest(59,122)(384)(59,506)
Present value of lease liabilities$288,012 $15,493 $303,505 
(1) Operating lease payments exclude $40.2 million of legally binding lease payments for the Morgantown, West Virginia center of excellence for medical supplies and logistics lease signed, but not yet commenced.
Schedule of Maturities of Operating Lease Liabilities
Maturities of lease liabilities as of September 30, 2022 were as follows:
Operating Leases (1)
Finance LeasesTotal
2022$24,060 $675 $24,735 
202393,913 2,693 96,606 
202480,267 2,641 82,908 
202558,612 2,588 61,200 
202641,058 2,506 43,564 
Thereafter49,224 4,774 53,998 
Total lease payments347,134 15,877 363,011 
Less: Interest(59,122)(384)(59,506)
Present value of lease liabilities$288,012 $15,493 $303,505 
(1) Operating lease payments exclude $40.2 million of legally binding lease payments for the Morgantown, West Virginia center of excellence for medical supplies and logistics lease signed, but not yet commenced.