Financial Performance - For the three months ended June 30, 2024, net revenue increased by 107.8million,or4.22.67 billion compared to the same period in 2023[85]. - The Products & Healthcare Services segment operating income rose to 11.5millionforthethreemonthsendedJune30,2024,comparedto2.9 million in the prior year, driven by a revenue growth of 4.1%[80]. - The Patient Direct segment reported operating income of 64.8millionforthethreemonthsendedJune30,2024,reflectingarevenuegrowthof4.4544.2 million, representing a 4.8% increase from the prior year, with a gross profit margin of 20.37%[91]. - Operating expenses for the three months ended June 30, 2024, increased by 14.3million,or3.12.13 billion, reflecting an increase of 83.1million,or4.1(0.42), compared to (0.37)forthesameperiodin2023[79].AcquisitionandInvestments−ThecompanyenteredintoanagreementtoacquireRotechHealthcareHoldingsInc.for1.36 billion, with a net purchase price of approximately 1.32billionafteranticipatedtaxbenefits[77].−ThecompanyexpectstheacquisitionofRotechtoclosebytheendof2024,subjecttocustomaryclosingconditions[77].−Cashusedforinvestingactivitiesinthefirstsixmonthsof2024includedcapitalexpendituresof95.2 million, compared to 101millionin2023[107].−Thecompanyhas48.4 million in legally binding lease commitments for a center of excellence for medical supplies and logistics[121]. Tax and Interest - The income tax provision for the three months ended June 30, 2024, was 15.1million,asignificantincreaseof655.4(2.7) million in 2023, primarily due to a one-time income tax charge of 17.2million[102].−Interestexpense,netdecreasedto35.9 million for the three months ended June 30, 2024, down 11.9% from 40.7millionin2023,andforthesixmonths,itdecreasedby13.771.6 million from 82.9million[100].CashFlowandWorkingCapital−CashprovidedbyoperatingactivitiesforthesixmonthsendedJune30,2024,was63.2 million, a decrease from 471.5millioninthesameperiodof2023[105].−Thecompanybelievescashgeneratedfromoperatingactivitiesandavailablefinancingsourceswillbesufficienttomeetitsworkingcapitalneeds[119].AccountsReceivableandInventory−Accountsreceivable,netincreasedto662.4 million as of June 30, 2024, from 598.3millionattheendof2023,withDSOincreasingto22.1daysfrom20.5days[104].−Merchandiseinventoriesroseto1.23 billion as of June 30, 2024, compared to 1.11billionattheendof2023,withinventorydaysincreasingto52.7daysfrom49.0days[104].−TotalaccountsreceivablesoldundertheReceivablesPurchaseAgreement(RPA)were573 million and 1.1billionforthethreeandsixmonthsendedJune30,2024,withnetcashproceedsof569 million and 1.1billionrespectively[116].LiabilitiesandCompliance−TotalliabilitiesfortheGuarantorGrouprosefrom4,243,230 thousand at December 31, 2023 to 4,521,706thousandatJune30,2024[124].−ThecompanymaintainedcompliancewithitsdebtcovenantsasofJune30,2024[115].OtherFinancialMetrics−Thecompanyexperiencedaforeigncurrencytranslationimpactof(1.9) million on net revenue for the three months ended June 30, 2024, compared to the prior year[86]. - Intangible amortization was 16.3millionand36.5 million for the three and six months ended June 30, 2024, compared to 20.9millionand41.8 million for the same periods in 2023, reflecting a reduction of 4.7millionand5.3 million as certain intangible assets are fully amortized[96]. - Exit and realignment charges, net were 29.3millionand56.6 million for the three and six months ended June 30, 2024, primarily related to the Operating Model Realignment Program, which incurred 22.9millionand56.4 million in costs[97]. - Losses on the sale of accounts receivable were 3.9millionand2.9 million for the three months ended June 30, 2024 and 2023 respectively[117]. - The Guarantor Group reported net revenue of 5,201,722thousandandanetlossof58,636 thousand for the six months ended June 30, 2024[123]. - Total current assets for the Collateral Group increased from 1,280,045thousandatDecember31,2023to1,495,870 thousand at June 30, 2024[125]. - Cash and cash equivalents held by foreign subsidiaries totaled 21.8millionand22.0 million at June 30, 2024 and December 31, 2023 respectively[120]. - The company is permanently reinvested in its foreign subsidiaries as of June 30, 2024[120].