ACCENDRA HEALTH INC/VA/ 10-Q

Item 1. Financial Statements Owens & Minor, Inc. and Subsidiaries Consolidated Statements of Operations (unaudited) Three Months Ended June 30, Six Months Ended June 30, (in thousands, except per share data) 2022 2021 2022 2021 Net revenue $ 2,500,015 $ 2,489,460 $ 4,906,967 $ 4,815,994 Cost of goods sold 1,967,510 2,089,392 4,001,014 3,973,175 Gross margin 532,505 400,068 905,953 842,819 Distribution, selling and administrative expenses 452,813 294,096 732,553 586,796 Acquisition-related and exit and realignment charges 7,602 8,624 41,150 14,587 Other operating (income) expense, net ( 2,995 ) 464 ( 3,894 ) ( 2,141 ) Operating income 75,085 96,884 136,144 243,577 Interest expense, net 35,839 11,540 47,858 25,212 Loss on extinguishment of debt — — — 40,433 Other expense, net 783 1,028 1,565 1,598 Income before income taxes 38,463 84,316 86,721 176,334 Income tax provision 9,859 18,420 18,837 40,848 Net income $ 28,604 $ 65,896 $ 67,884 $ 135,486 Net income per common share: Basic $ 0.38 $ 0.90 $ 0.92 $ 1.87 Diluted $ 0.37 $ 0.87 $ 0.89 $ 1.80 See accompanying notes to consolidated financial statements. 3 Table of Contents Owens & Minor, Inc. and Subsidiaries Consolidated Statements of Comprehensive Income (unaudited) Three Months Ended June 30, Six Months Ended June 30, (in thousands) 2022 2021 2022 2021 Net income $ 28,604 $ 65,896 $ 67,884 $ 135,486 Other comprehensive income (loss), net of tax: Currency translation adjustments ( 18,831 ) ( 2,448 ) ( 19,618 ) ( 14,710 ) Change in unrecognized net periodic pension costs 297 36 486 157 Change in gains and losses on derivative instruments 2,764 — 2,764 20,044 Total other comprehensive income (loss), net of tax ( 15,770 ) ( 2,412 ) ( 16,368 ) 5,491 Comprehensive income $ 12,834 $ 63,484 $ 51,516 $ 140,977 See accompanying notes to consolidated financial statements. 4 Table of Contents Owens & Minor, Inc. and Subsidiaries Consolidated Balance Sheets (unaudited) June 30, December 31, (in thousands, except per share data) 2022 2021 Assets Current assets Cash and cash equivalents $ 56,406 $ 55,712 Accounts receivable, net of allowances of $ 14,922 and $ 18,003 743,853 681,564 Merchandise inventories 1,525,331 1,495,972 Other current assets 108,612 88,564 Total current assets 2,434,202 2,321,812 Property and equipment, net of accumulated depreciation of $ 373,954 and $ 334,500 595,888 317,235 Operating lease assets 278,291 194,006 Goodwill 1,656,308 390,185 Intangible assets, net 462,444 209,745 Other assets, net 128,145 103,568 Total assets $ 5,555,278 $ 3,536,551 Liabilities and equity Current liabilities Accounts payable $ 1,137,337 $ 1,001,959 Accrued payroll and related liabilities 97,829 115,858 Other current liabilities 334,198 226,204 Total current liabilities 1,569,364 1,344,021 Long-term debt, excluding current portion 2,565,613 947,540 Operating lease liabilities, excluding current portion 220,504 162,241 Deferred income taxes 107,181 35,310 Other liabilities 133,957 108,938 Total liabilities 4,596,619 2,598,050 Commitments and contingencies Equity Common stock, par value $ 2 per share; authorized - 200,000 shares; issued and outstanding - 76,171 shares and 75,433 shares 152,343 150,865 Paid-in capital 407,773 440,608 Retained earnings 455,502 387,619 Accumulated other comprehensive loss ( 56,959 ) ( 40,591 ) Total equity 958,659 938,501 Total liabilities and equity $ 5,555,278 $ 3,536,551 See accompanying notes to consolidated financial statements. 5 Table of Contents Owens & Minor, Inc. and Subsidiaries Consolidated Statements of Cash Flows (unaudited) Six Months Ended June 30, (in thousands) 2022 2021 Operating activities: Net income $ 67,884 $ 135,486 Adjustments to reconcile net income to cash provided by operating activities: Depreciation and amortization 97,286 45,501 Share-based compensation expense 11,210 13,040 Loss on extinguishment of debt — 40,433 Provision for losses on accounts receivable 4,512 15,777 Deferred income tax expense (benefit) 1,601 ( 11,293 ) Changes in operating lease right-of-use assets and lease liabilities 606 826 Loss on sale and dispositions of property and equipment 226 — Changes in operating assets and liabilities: Accounts receivable 16,275 ( 57,256 ) Merchandise inventories ( 24,438 ) ( 298,294 ) Accounts payable 12,349 127,473 Net change in other assets and liabilities ( 23,945 ) ( 3,363 ) Other, net 5,958 4,076 Cash provided by operating activities 169,524 12,406 Investing activities: Acquisition, net of cash acquired ( 1,684,607 ) — Additions to property and equipment ( 62,236 ) ( 14,630 ) Additions to computer software ( 3,463 ) ( 4,051 ) Proceeds from sale of property and equipment 5,846 22 Other, net ( 839 ) — Cash used for investing activities ( 1,745,299 ) ( 18,659 ) Financing activities: Proceeds from issuance of debt 1,691,000 500,000 Borrowings under revolving credit facility, net and accounts receivable securitization program 30,000 5,000 Repayments of debt ( 1,500 ) ( 523,140 ) Borrowings under amended accounts receivable securitization program 347,800 — Repayments under amended accounts receivable securitization program ( 402,800 ) — Financing costs paid ( 41,479 ) ( 12,868 ) Cash dividends paid — ( 364 ) Payment for termination of interest rate swaps — ( 15,434 ) Other, net ( 42,388 ) ( 17,982 ) Cash provided by (used for) financing activities 1,580,633 ( 64,788 ) Effect of exchange rate changes on cash, cash equivalents and restricted cash ( 3,864 ) ( 1,718 ) Net increase (decrease) in cash, cash equivalents and restricted cash 994 ( 72,759 ) Cash, cash equivalents and restricted cash at beginning of period 72,035 134,506 Cash, cash equivalents and restricted cash at end of period $ 73,029 $ 61,747 Supplemental disclosure of cash flow information: Income taxes paid, net of refunds $ 25,782 $ 68,030 Interest paid $ 32,417 $ 17,768 Noncash investing activity: Unpaid purchases of property and equipment at end of period $ 56,429 $ — See accompanying notes to consolidated financial statements. 6 Table of Contents Owens & Minor, Inc. and Subsidiaries Consolidated Statements of Changes in Equity (unaudited) (in thousands, except per share data) Common Shares Outstanding Common Stock ($ 2 par value ) Paid-In Capital Retained Earnings Accumulated Other Comprehensive Loss Total Equity Balance, December 31, 2021 75,433 $ 150,865 $ 440,608 $ 387,619 $ ( 40,591 ) $ 938,501 Net income 39,279 39,279 Other comprehensive loss ( 598 ) ( 598 ) Share-based compensation expense, exercises and other 653 1,307 ( 30,867 ) ( 29,560 ) Balance, March 31, 2022 76,086 152,172 409,741 426,898 ( 41,189 ) 947,622 Net income 28,604 28,604 Other comprehensive loss ( 15,770 ) ( 15,770 ) Share-based compensation expense, exercises and other 85 171 ( 1,968 ) ( 1,797 ) Balance, June 30, 2022 76,171 $ 152,343 $ 407,773 $ 455,502 $ ( 56,959 ) $ 958,659 Balance, December 31, 2020 73,472 $ 146,944 $ 436,597 $ 167,022 $ ( 38,509 ) $ 712,054 Net income 69,589 69,589 Other comprehensive income 7,903 7,903 Dividends declared ($ 0.0025 per share) ( 434 ) ( 434 ) Share-based compensation expense, exercises and other 1,628 3,256 ( 6,107 ) ( 2,851 ) Balance, March 31, 2021 75,100 150,200 430,490 236,177 ( 30,606 ) 786,261 Net income 65,896 65,896 Other comprehensive loss ( 2,412 ) ( 2,412 ) Dividends declared ($ 0.0025 per share) ( 187 ) ( 187 ) Share-based compensation expense, exercises and other 295 591 ( 2,130 ) ( 1,539 ) Balance, June 30, 2021 75,395 $ 150,791 $ 428,360 $ 301,886 $ ( 33,018 ) $ 848,019 See accompanying notes to consolidated financial statements. 7 Table of Contents Owens & Minor, Inc. and Subsidiaries Notes to Consolidated Financial Statements (unaudited) (in thousands, except per share data, unless otherwise indicated) Note 1— Summary of Significant Accounting Policies Basis of Presentation The accompanying unaudited consolidated financial statements include the accounts of Owens & Minor, Inc. and the subsidiaries it controls (we, us, our or the Company) and contain all adjustments (which are comprised only of normal recurring accruals and use of estimates) necessary to conform with U.S. generally accepted accounting principles (GAAP). All significant intercompany accounts and transactions have been eliminated. The results of operations for interim periods are not necessarily indicative of the results expected for the full year. To better reflect how we go to market as well as certain changes to the leadership team, organizational structure, budgeting and financial reporting processes which drive changes to segment reporting, we have organized our business into two distinct segments: Products & Healthcare Services and Patient Direct. Products & Healthcare Services provides distribution, outsourced logistics and value-added services, and manufactures and sources medical surgical products through our production and kitting operations. Patient Direct expands our business along the continuum of care through delivery of disposable medical supplies sold directly to patients and home health agencies and is a leading provider of integrated home healthcare equipment and related services in the United States. Beginning with the quarter ended March 31, 2022, we now report financial results using this two segment structure and have recast prior year segment results on the same basis. On March 29, 2022, we completed the acquisition of 100 % of Apria, Inc. pursuant to the Agreement and Plan of Merger dated January 7, 2022, in exchange for approximately $ 1.7 billion, net of cash acquired. Refer to Note 3 for additional details. Reclassifications Certain prior year amounts have been reclassified to conform to the current year presentation. Use of Estimates The preparation of consolidated financial statements in conformity with GAAP requires us to make assumptions and estimates that affect reported amounts and related disclosures. Actual results may differ from these estimates. Cash, Cash Equivalents and Restricted Cash Cash, cash equivalents and restricted cash includes cash and marketable securities with an original maturity or maturity at acquisition of three months or less. Cash, cash equivalents and restricted cash are stated at cost. Nearly all of our cash, cash equivalents and restricted cash are held in cash depository accounts in major banks in the United States, Europe, and Asia. Cash that is held by a major bank and has restrictions on its availability to us is classified as restricted cash. Restricted cash included in Other assets, net as of June 30, 2022 and December 31, 2021 primarily represents cash held in an escrow account as required by the Centers for Medicare & Medicaid Services (CMS) in conjunction with the Bundled Payments for Care Improvement (BPCI) initiatives related to wind-down costs of Fusion5. The following table provides a reconciliation of cash, cash equivalents and restricted cash reported within the accompanying consolidated balance sheets that sum to the total of those same amounts presented in the accompanying consolidated statements of cash flows. June 30, 2022 December 31, 2021 Cash and cash equivalents $ 56,406 $ 55,712 Restricted cash included in Other assets, net 16,623 16,323 Total cash, cash equivalents, and restricted cash $ 73,029 $ 72,035 Property and Equipment, net Property and equipment are stated at cost less accumulated depreciation. Depreciation and amortization expense for financial reporting purposes is computed on a straight-line method over the estimated useful lives of the assets or, for capital leases and leasehold improvements, over the term of the lease, if shorter. In general, the estimated useful lives for computing depreciation and amortization are three to 15 years for machinery and equipment, five to 40 years for buildings, one to 10 years for patient equipment, and up to 15 years for leasehold and land improvements. Straight-line and accelerated methods of 8 Table of Contents depreciation are used for income tax purposes. Normal maintenance and repairs are expensed as incurred, and renovations and betterments are capitalized. We suspend depreciation and amortization on assets that are held for sale. In addition, we record capital-related government grants earned as reductions to the cost of property and equipment; and associated unpaid liabilities and grant proceeds receivable are considered non-cash changes in such balances for purposes of preparation of our consolidated statements of cash flows. Patient equipment consists of medical equipment rented to patients on a month-to-month basis. Patient equipment depreciation is classified in our consolidated statements of operations within cost of goods sold as the equipment is rented to patients as part of our primary operations within the Patient Direct segment. Revenue Recognition Our revenue is primarily generated from sales contracts with customers. Under most of our distribution and product sales arrangements, our performance obligations are limited to delivery of products to a customer upon receipt of a purchase order. For these arrangements, we recognize revenue at the point in time when shipment is completed, as control passes to the customer upon product receipt. Revenue for activity-based fees and other services is recognized over time as activities are performed. Depending on the specific contractual provisions and nature of the performance obligation, revenue from services may be recognized on a straight-line basis over the term of the service, on a proportional performance model, based on level of effort, or when final deliverables have been provided. Our contracts sometimes allow for forms of variable consideration including rebates, discounts, performance guarantees, and implicit price concessions. In these cases, we estimate the amount of consideration to which we will be entitled in exchange for transferring the product or service to the customer. Rebates and customer discounts are estimated based on contractual terms or historical experience and we maintain an accrual for rebates or discounts that have been earned but are unpaid. When we have implicit price concessions, we determine the variable consideration under the expected value method as part of determining the sales transaction price using historical reimbursement experience, historical sales returns, and other operating trends. In most cases, we record revenue gross, as we are the primary obligor. When we act as an agent in a sales arrangement and do not bear a significant portion of inventory risks, primarily for our outsourced logistics business, we record revenue net of product cost. Sales taxes collected from customers and remitted to governmental authorities are excluded from revenues. Within our Patient Direct segment, revenues are recognized under fee-for-service arrangements for equipment we rent to patients and sales of equipment, supplies and other items we sell to patients. Revenue that is generated from equipment that we rent to patients is primarily recognized over the noncancelable rental period, typically one month, and commences on delivery of the equipment to the patients. Revenues are recorded at amounts estimated to be received under reimbursement arrangements with third-party payors, including private insurers, prepaid health plans, Medicare, Medicaid and patients. Rental revenue, less estimated adjustments, is recognized as earned on a straight-line basis over the noncancellable lease term. We recorded $ 144 million and $ 151 million in revenue related to equipment we rent to patients for the three and six months ended June 30, 2022. Equipment rental revenue was not material in the prior year. Note 2— Fair Value The carrying amounts of cash and cash equivalents, accounts receivable, accounts payable, and accrued payroll and related liabilities reported in the consolidated balance sheets approximate fair value due to the short-term nature of these instruments. The carrying amount of restricted cash also approximates fair value due to its nature. The fair value of debt is estimated based on quoted market prices or dealer quotes for the identical liability when traded as an asset in an active market (Level 1) or, if quoted market prices or dealer quotes are not available, on the borrowing rates currently available for loans with similar terms, credit ratings, and average remaining maturities (Level 2). See Note 6 for the fair value of debt. The fair value of our derivative contracts is determined based on the present value of expected future cash flows considering the risks involved, including non-performance risk, and using discount rates appropriate for the respective maturities. Observable Level 2 inputs are used to determine the present value of expected future cash flows. See Note 8 for the fair value of derivatives. Note 3— Acquisition On March 29, 2022 (the Acquisition Date), we completed the acquisition of 100 % of Apria, Inc. (Apria) pursuant to the Agreement and Plan of Merger (Apria Acquisition) dated January 7, 2022, in exchange for approximately $ 1.7 billion, net of $ 144 million of cash acquired. The purchase was funded with a combination of debt and cash on hand. At the time of the Apria Acquisition, each share of Apria’s common stock was converted into the right to receive $ 37.50 in cash. Apria is a leading provider of integrated home healthcare equipment and related services in the United States. This business is reported as part of the Patient Direct segment. 9 Table of Contents The following table presents the preliminary estimated fair value of the assets acquired and liabilities assumed recognized as of the Acquisition Date. The fair value and useful lives of tangible and intangible assets acquired have been estimated based on a review of publicly available data for transactions involving companies deemed comparable to the Company. The allocation of purchase price to assets and liabilities acquired is not yet complete, as valuations of tangible and intangible assets and liabilities are still in process. Preliminary Fair Value Originally Estimated as of Acquisition Date (1) Differences Between Prior and the Current Periods Preliminary Fair Value Estimate Preliminary Fair Value Currently Estimated as of Acquisition Date Assets acquired: Current assets $ 142,136 $ ( 2,209 ) $ 139,927 Goodwill 1,267,079 2,808 1,269,887 Intangible assets 295,466 — 295,466 Other non-current assets 371,320 1,468 372,788 Total assets 2,076,001 2,067 2,078,068 Liabilities assumed: Current liabilities 241,266 2,741 244,007 Noncurrent liabilities 150,128 ( 674 ) 149,454 Total liabilities 391,394 2,067 393,461 Fair value of net assets acquired, net of cash $ 1,684,607 $ — $ 1,684,607 (1) As previously reported in our first quarter 2022 Form 10-Q . Current assets acquired includes $ 89.3 million in fair value of receivables, which reflects the approximate amount contractually owed. We are amortizing the preliminary fair value of acquired intangible assets, primarily customer contracts, trade names and payor and capitated relationships, over their estimated weighted average useful lives of two to 15 years. Goodwill of $ 1.3 billion, which we assigned to our Patient Direct segment, consists largely of expected opportunities to expand into new markets and further develop a presence in the home healthcare business. None of the goodwill recognized is expected to be deductible for income tax purposes. The following table provides pro forma results of net revenue and net (loss) income for the three and six months ended June 30, 2022 and 2021 as if Apria was acquired on January 1, 2021. The pro forma results below are not necessarily indicative of the results that would have been if the acquisition had occurred on the dates indicated, nor are the pro forma results indicative of results which may occur in the future. Three Months Ended June 30, Six Months Ended June 30, 2022 2021 2022 2021 Net revenue $ 2,500,015 $ 2,775,739 $ 5,184,080 $ 5,377,547 Net income (loss) $ 28,604 $ 86,472 $ ( 61,578 ) $ 160,606 Pro forma net loss of $ 61.6 million for the six months ended June 30, 2022 includes pro forma adjustments for interest expense of $ 20.8 million and amortization of intangible assets of $ 20.3 million. The pro forma net loss also includes $ 39.4 million in seller transaction expenses and stock compensation expense associated with $ 108 million owed to the holders of Apria stock awards in connection with the Apria Acquisition. Revenue and net loss of Apria since the Acquisition Date included in the consolidated statement of operations for the six months ended June 30, 2022 were $ 310 million and $ 30.3 million, respectively. 10 Table of Contents Note 4— Goodwill and Intangible Assets In connection with our new segment structure, which began in the first quarter of 2022, goodwill is now reported as part of Products & Healthcare Services or Patient Direct. There was no change to our underlying reporting units as part of that segment change and therefore no reallocation of goodwill. The following table summarizes the goodwill balances by segment and the changes in the carrying amount of goodwill through June 30, 2022: Products & Healthcare Services Patient Direct Consolidated Carrying amount of goodwill, December 31, 2021 $ 106,280 $ 283,905 $ 390,185 Acquisition — 1,269,887 1,269,887 Currency translation adjustments ( 3,764 ) — ( 3,764 ) Carrying amount of goodwill, June 30, 2022 $ 102,516 $ 1,553,792 $ 1,656,308 Intangible assets subject to amortization at June 30, 2022 and December 31, 2021 were as follows: June 30, 2022 December 31, 2021 Customer Relationships Tradenames Other Intangibles Customer Relationships Tradenames Other Intangibles Gross intangible assets $ 273,030 $ 156,936 $ 271,518 $ 275,526 $ 90,000 $ 43,189 Accumulated amortization ( 157,804 ) ( 39,238 ) ( 41,998 ) ( 146,168 ) ( 33,242 ) ( 19,560 ) Net intangible assets $ 115,226 $ 117,698 $ 229,520 $ 129,358 $ 56,758 $ 23,629 Weighted average useful life 10 years 11 years 5 years 10 years 11 years 8 years At June 30, 2022 and December 31, 2021, $ 150 million and $ 164 million in net intangible assets were held in the Products & Healthcare Services segment and $ 313 million and $ 45.7 million were held in the Patient Direct segment. Amortization expense for intangible assets was $ 30.9 million and $ 10.0 million for the three months ended June 30, 2022 and 2021 and $ 41.2 million and $ 20.1 million for the six months ended June 30, 2022 and 2021. At June 30, 2022, other intangibles includes preliminary estimated fair values of payor relationships, customer list and other intangible assets acquired as part of the Apria Acquisition. Based on the current carrying value of intangible assets subject to amortization, estimated amortization expense is approximately $ 63 million for the remainder of 2022, $ 126 million for 2023, $ 67 million for 2024, $ 42 million for 2025, $ 41 million for 2026 and $ 38 million for 2027. Note 5— Exit and Realignment Costs We periodically incur exit and realignment and other charges associated with optimizing our operations which includes the consolidation of certain distribution and outsourced logistics centers, administrative offices and warehouses, our client engagement center and IT restructuring charges. These charges also include costs associated with our strategic organizational realignment which include leadership reorganization costs, certain professional fees, costs to streamline administrative functions and processes and divestiture related costs. 11 Table of Contents Exit and realignment charges by segment for the three and six months ended June 30, 2022 and 2021 were as follows: Three Months Ended June 30, Six Months Ended June 30, 2022 2021 2022 2021 Products & Healthcare Services $ 1,214 $ 7,879 $ 2,413 $ 13,842 Patient Direct — 745 483 745 Total exit and realignment charges $ 1,214 $ 8,624 $ 2,896 $ 14,587 The following table summarizes the activity related to exit and realignment cost accruals through June 30, 2022 and 2021: Total Accrued exit and realignment costs, December 31, 2021 $ 8,306 Provision for exit and realignment activities: Severance 811 Other 871 Cash payments ( 6,903 ) Accrued exit and realignment costs, March 31, 2022 3,085 Provision for exit and realignment activities: Severance 246 Other 968 Cash payments ( 3,477 ) Accrued exit and realignment costs, June 30, 2022 $ 822 Accrued exit and realignment costs, December 31, 2020 $ 3,146 Provision for exit and realignment activities: Information system restructuring costs 1,029 Lease obligations 347 Other 781 Cash payments ( 2,915 ) Accrued exit and realignment costs, March 31, 2021 2,388 Provision for exit and realignment activities: Information system restructuring costs 1,611 Lease obligations ( 126 ) Other 989 Cash payments ( 2,302 ) Accrued exit and realignment costs, June 30, 2021 $ 2,560 In addition to the exit and realignment accruals in the preceding table, we also incurred $ 6.2 million and $ 10.0 million of costs that were expensed as incurred for the three and six months ended June 30, 2021, which primarily includes $ 4.9 million and $ 8.0 million related to an increase in reserves associated with certain retained assets of Fusion5 for the three and six months ended June 30, 2021. Acquisition-related charges within acquisition-related and exit and realignment charges presented in our consolidated statements of operations were $ 6.4 million and $ 38.3 million for the three and six months ended June 30, 2022, which consisted primarily of costs related to the Apria acquisition. There were no acquisition-related charges included within acquisition-related and exit and realignment charges presented in our consolidated statements of operations for the three and six months ended June 30, 2021. We do not expect material additional costs in 2022 for activities that were initiated through June 30, 2022. 12 Table of Contents Note 6— Debt Debt consists of the following: June 30, 2022 December 31, 2021 Carrying Amount Estimated Fair Value Carrying Amount Estimated Fair Value Receivables Securitization Program $ 171,503 $ 175,000 $ 197,026 $ 200,000 4.375 % Senior Notes, due December 2024 245,361 241,739 245,086 263,263 Term Loan A 489,789 500,000 — — 4.500 % Senior Notes, due March 2029 492,176 406,660 491,656 515,225 Term Loan B 577,746 595,508 — — 6.625 % Senior Notes, due March 2030 584,432 550,782 — — Finance leases and other 15,421 15,421 15,809 15,809 Total debt 2,576,428 2,485,110 949,577 994,297 Less current maturities ( 10,815 ) ( 10,815 ) ( 2,037 ) ( 2,037 ) Long-term debt $ 2,565,613 $ 2,474,295 $ 947,540 $ 992,260 We have $ 246 million, excluding deferred financing costs and third party fees, of 4.375 % senior notes due in 2024 (the 2024 Notes), with interest payable semi-annually. The 2024 Notes were sold at 99.6 % of the principal amount with an effective yield of 4.422 %. We have the option to redeem the 2024 Notes in part or in whole prior to maturity at a redemption price equal to the greater of 100 % of the principal amount or the present value of the remaining scheduled payments discounted at the applicable Benchmark Treasury Rate (as defined) plus 30 basis points. In March 2021, we issued $ 500 million, excluding deferred financing costs and third party fees, of 4.500 % senior unsecured notes due in 2029 (the 2029 Unsecured Notes), with interest payable semi-annually (the Notes Offering). The 2029 Unsecured Notes were sold at 100 % of the principal amount with an effective yield of 4.500 %. We may redeem all or part of the 2029 Unsecured Notes prior to March 31, 2024, at a price equal to 100 % of the principal amount of the 2029 Unsecured Notes redeemed, plus accrued and unpaid interest, if any, to, but not including, the redemption date, plus a “make-whole” premium, as described in the Indenture dated March 10, 2021 (the Indenture). On or after March 31, 2024, we may redeem all or part of the 2029 Unsecured Notes at the applicable redemption prices described in the Indenture, plus accrued and unpaid interest, if any, to, but not including, the redemption date. We may also redeem up to 40 % of the aggregate principal amount of the 2029 Unsecured Notes at any time prior to March 31, 2024, at a redemption price equal to 104.5 % with an amount equal to or less than the net cash proceeds from certain equity offerings, plus accrued and unpaid interest, if any, to, but excluding, the redemption date. On March 29, 2022, we completed the sale of $ 600 million in aggregate principal amount of our 6.625 % senior notes due in 2030 (the 2030 Unsecured Notes), with interest payable semi-annually. The 2030 Unsecured Notes were sold at 100 % of the principal amount with an effective yield of 6.625 %. We may redeem all or part of the 2030 Unsecured Notes, prior to April 1, 2025, at a price equal to 100 % of the principal amount of the 2030 Unsecured Notes to be redeemed, plus accrued and unpaid interest, if any, to, but excluding, the redemption date, plus a “make-whole” premium, as described in the Indenture dated March 29, 2022 (the New Indenture). From and after April 1, 2025, we may redeem all or part of the 2030 Unsecured Notes at the applicable redemption prices described in the New Indenture, plus accrued and unpaid interest, if any, to, but excluding, the redemption date. We may also redeem up to 40 % of the aggregate principal amount of 2030 Unsecured Notes at any time prior to April 1, 2025, at a redemption price equal to 106.625 % with an amount equal to or less than the net cash proceeds from certain equity offerings, plus accrued and unpaid interest, if any, to, but excluding, the redemption date. The 2029 Unsecured Notes and 2030 Unsecured Notes are effectively subordinated to any of our secured indebtedness, including indebtedness under our credit agreements. On March 29, 2022, we entered into a term loan credit agreement with an administrative agent and collateral agent and a syndicate of financial institutions, as lenders (the Credit Agreement) that provides for two new credit facilities (i) a $ 500 million Term Loan A facility (the Term Loan A), and (ii) a $ 600 million Term Loan B facility (the Term Loan B). The interest rate on the Term Loan A is based on either the Term SOFR or the Base Rate plus an Applicable Rate which varies depending on the current Debt Ratings or Total Leverage Ratio, determined as to whichever shall result in more favorable pricing to the Borrowers (each as defined in the Credit Agreement). The interest rate on the Term Loan B is based on either the 13 Table of Contents Term SOFR or the Base Rate plus an Applicable Rate. The Term Loan A will mature in March 2027 and the Term Loan B will mature in March 2029. On March 29, 2022, we entered into an amendment to our revolving credit agreement, dated as of March 10, 2021 with an administrative agent and collateral agent and a syndicate of financial institutions, as lenders (Revolving Credit Agreement). The amendment (i) increased the aggregate revolving credit commitments under the Revolving Credit Agreement by $ 150 million, to an aggregate amount of $ 450 million and (ii) replaced the Eurocurrency Rate with the Adjusted Term SOFR Rate (each as defined in the Revolving Credit Agreement). The Revolving Credit Agreement matures in March 2027. At June 30, 2022, we had no borrowings and letters of credit of $ 28.0 million under our revolving credit facility. At December 31, 2021, we had no borrowings and letters of credit of $ 9.4 million outstanding under our revolving credit facility. At June 30, 2022 and December 31, 2021, we had $ 422 million and $ 291 million available for borrowing under our revolving credit facility. We also had letters of credit and bank guarantees, which were issued outside of the revolving credit facility for $ 2.1 million and $ 2.2 million as of June 30, 2022 and December 31, 2021, which supports certain leased facilities as well as other normal business activities in the United States and Europe. On March 29, 2022, we entered into a Security Agreement Supplement pursuant to which the Security and Pledge Agreement (the Security Agreement), dated March 10, 2021 was supplemented to grant collateral on behalf of the holders of the 2024 Notes, and the parties secured under the credit agreements (the Secured Parties) including first priority liens and security interests in (a) all present and future shares of capital stock owned by the Grantors (as defined in the Security Agreement) in the Grantors’ present and future subsidiaries, subject to certain customary exceptions, and (b) all present and future personal property and assets of the Grantors, subject to certain exceptions. On March 29, 2022, we entered into an amendment to our accounts receivable securitization program (the Receivables Financing Agreement). Pursuant to the amended Receivables Financing Agreement, the aggregate principal amount of the loans made by the Lenders (as defined) will not exceed $ 450 million outstanding at any time. The interest rate under the Receivables Financing Agreement is based on a spread over a benchmark SOFR rate (as described in the Fourth Amendment to the Receivables Financing Agreement). Under the Receivables Financing Agreement, certain of our subsidiaries sell substantially all of their accounts receivable balances to our wholly owned special purpose entity, O&M Funding LLC. The Receivables Financing Agreement matures in March 2025. The Revolving Credit Agreement, Term Loan A, Term Loan B, Receivables Financing Agreement, 2024 Notes, 2029 Unsecured Notes, and 2030 Unsecured Notes contain cross-default provisions which could result in the acceleration of payments due in the event of default of any of the related agreements. The terms of the credit agreements also require us to maintain ratios for leverage and interest coverage, including on a pro forma basis in the event of an acquisition or divestiture. We were in compliance with our debt covenants at June 30, 2022. As of June 30, 2022, scheduled future principal payments of debt, excluding finance leases and other, were $ 3.0 million in 2022, $ 15.4 million in 2023, $ 274 million in 2024, $ 215 million in 2025, $ 43.5 million in 2026, $ 403 million in 2027, $ 6.0 million in 2028, $ 1.1 billion in 2029, and $ 600 million in 2030. Current maturities at June 30, 2022 include $ 3.1 million in principal payments on our Term Loan A, $ 6.0 million in principal payments on our Term Loan B and $ 1.7 million in current portion of finance leases. Note 7— Retirement Plans We have a frozen noncontributory, unfunded retirement plan for certain retirees in the United States (U.S. Retirement Plan). As of June 30, 2022 and December 31, 2021, the accumulated benefit obligation of the U.S. Retirement Plan was $ 49.0 million and $ 50.2 million. Certain of our foreign subsidiaries also have defined benefit pension plans covering substantially all of their respective teammates. The components of net periodic benefit cost for the three and six months ended June 30, 2022 and 2021 were as follows: Three Months Ended June 30, Six Months Ended June 30, 2022 2021 2022 2021 Service cost $ 617 $ 709 $ 1,250 $ 1,413 Interest cost 519 448 1,042 894 Recognized net actuarial loss 267 354 534 707 Net periodic benefit cost $ 1,403 $ 1,511 $ 2,826 $ 3,014 14 Table of Contents Note 8— Derivatives We are directly and indirectly affected by changes in foreign currency, which may adversely impact our financial performance and are referred to as “market risks.” When deemed appropriate, we use derivatives as a risk management tool to mitigate the potential impact of certain market risks. We do not enter into derivative financial instruments for trading purposes. We enter into foreign currency contracts to manage our foreign exchange exposure related to certain balance sheet items that do not meet the requirements for hedge accounting. These derivative instruments are adjusted to fair value at the end of each period through earnings. The gain or loss recorded on these instruments is substantially offset by the remeasurement adjustment on the foreign currency denominated asset or liability. We pay interest on our Credit Agreement which fluctuates based on changes in our benchmark interest rates. In order to mitigate the risk of increases in benchmark rates, we entered into an interest rate swap agreement whereby we agree to exchange with the counterparty, at specified intervals, the difference between fixed and variable amounts calculated by reference to the notional amount. The interest rate swaps were designated as cash flow hedges. Cash flows related to the interest rate swap agreement are included in interest expense. We determine the fair value of our foreign currency derivatives and interest rate swaps based on observable market-based inputs or unobservable inputs that are corroborated by market data. We do not view the fair value of our derivatives in isolation, but rather in relation to the fair values or cash flows of the underlying exposure. All derivatives are carried at fair value in our consolidated balance sheets in other current assets and other current liabilities. We consider the risk of counterparty default to be minimal. We report cash flows from our hedging instruments in the same cash flow statement category as the hedged items. The following table summarizes the terms and fair value of our outstanding derivative financial instruments as of June 30, 2022: Derivative Assets Derivative Liabilities Notional Amount Maturity Date Classification Fair Value Classification Fair Value Cash flow hedges Interest rate swaps $ 400,000 March 2027 Other assets $ 3,736 Other liabilities $ — Economic (non-designated) hedges Foreign currency contracts $ 61,077 July 2022 Other current assets $ 5 Other current liabilities $ 227 In March 2021, we terminated the remaining $ 300 million in notional value of interest rate swaps concurrent with the debt financing transaction. The remaining balance of the fair value adjustments of $ 25.1 million, which related to these terminated interest rate swaps, within Accumulated other comprehensive loss was reclassified to Loss on extinguishment of debt within our consolidated statements of operations for the six months ended June 30, 2021. The following table summarizes the terms and fair value of our outstanding derivative financial instruments as of December 31, 2021: Derivative Assets Derivative Liabilities Notional Amount Maturity Date Classification Fair Value Classification Fair Value Economic (non-designated) hedges Foreign currency contracts $ 9,700 January 2022 Other current assets $ 81 Other current liabilities $ — 15 Table of Contents The following table summarizes the effect of cash flow hedge accounting on our consolidated statements of operations for the three and six months ended June 30, 2022: Amount of Gain Recognized in Other Comprehensive Income (Loss) Location of Loss Reclassified from Accumulated Other Comprehensive Loss into Income Total Amount of Expense Line Items Presented in the Consolidated Statement of Operations in Which the Effects are Recorded Amount of Loss Reclassified from Accumulated Other Comprehensive Loss into Income Three months ended June 30, 2022 Six months ended June 30, 2022 Three months ended June 30, 2022 Six months ended June 30, 2022 Three months ended June 30, 2022 Six months ended June 30, 2022 Interest rate swaps $ 2,044 $ 2,044 Interest expense, net $ ( 35,839 ) $ ( 47,858 ) $ ( 1,692 ) $ ( 1,692 ) The following table summarizes the effect of cash flow hedge accounting on our consolidated statements of operations for the three and six months ended June 30, 2021: Amount of Gain Recognized in Other Comprehensive Income (Loss) Location of Loss Reclassified from Accumulated Other Comprehensive Loss into Income Total Amount of Expense Line Items Presented in the Consolidated Statement of Operations in Which the Effects are Recorded Amount of Loss Reclassified from Accumulated Other Comprehensive Loss into Income Three months ended June 30, 2021 Six months ended June 30, 2021 Three months ended June 30, 2021 Six months ended June 30, 2021 Three months ended June 30, 2021 Six months ended June 30, 2021 Interest rate swaps $ — $ 2,426 Loss on extinguishment of debt $ — $ ( 40,433 ) $ — $ ( 25,518 ) The amount of ineffectiveness associated with these contracts was immaterial for the periods presented. For the three and six months ended June 30, 2022 we recognized losses of $ 1.3 million and $ 1.4 million associated with our economic (non-designated) foreign currency contracts. For the three and six months ended June 30, 2021 we recognized losses of $ 0.6 million and $ 1.6 million associated with our economic (non-designated) foreign currency contracts. We recorded the change in fair value of derivative instruments and the remeasurement adjustment of the foreign currency denominated asset or liability in other operating income, net for our foreign exchange contracts. Note 9— Leases The components of lease expense were as follows: Three Months Ended June 30, Six Months Ended June 30, Classification 2022 2021 2022 2021 Operating lease cost DS&A Expenses $ 24,501 $ 14,705 $ 40,601 $ 28,791 Finance lease cost: Amortization of lease assets DS&A Expenses 295 182 626 421 Interest on lease liabilities Interest expense, net 304 294 611 601 Total finance lease cost 599 476 1,237 1,022 Short-term lease cost DS&A Expenses 1,039 225 1,155 483 Variable lease cost DS&A Expenses 9,299 4,343 14,028 8,660 Total lease cost $ 35,438 $ 19,749 $ 57,021 $ 38,956 Variable lease cost consists primarily of taxes, insurance, and common area or other maintenance costs for our leased facilities which are paid as incurred. 16 Table of Contents Supplemental balance sheet information is as follows: Classification June 30, 2022 December 31, 2021 Assets: Operating lease assets Operating lease assets $ 278,291 $ 194,006 Finance lease assets Property and equipment, net 8,468 8,896 Total lease assets $ 286,759 $ 202,902 Liabilities: Current Operating Other current liabilities $ 69,650 $ 41,817 Finance Other current liabilities 1,691 2,037 Noncurrent Operating Operating lease liabilities, excluding current portion 220,504 162,241 Finance Long-term debt, excluding current portion 11,429 11,314 Total lease liabilities $ 303,274 $ 217,409 The gross value recorded under finance leases was $ 17.9 million and $ 20.6 million with associated accumulated amortization of $ 9.4 million and $ 11.7 million as of June 30, 2022 and December 31, 2021. Operating lease assets include $ 77.8 million in right-of-use assets and $ 79.6 million of operating lease liabilities associated with Apria as of June 30, 2022. Other information related to leases was as follows: Six Months Ended June 30, 2022 2021 Supplemental cash flow information Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating and finance leases $ 39,256 $ 28,471 Financing cash flows from finance leases $ 744 $ 423 Right-of-use assets obtained in exchange for new operating and finance lease liabilities $ 49,641 $ 54,640 Weighted average remaining lease term (years) Operating leases 4.5 5.2 Finance leases 6.1 7.7 Weighted average discount rate Operating leases 6.8 % 8.8 % Finance leases 10.8 % 12.4 % Maturities of lease liabilities as of June 30, 2022 were as follows: 17 Table of Contents Operating Leases Finance Leases Total 2022 $ 45,195 $ 1,351 $ 46,546 2023 88,720 2,693 91,413 2024 74,905 2,641 77,546 2025 54,017 2,588 56,605 2026 37,149 2,506 39,655 Thereafter 54,088 4,774 58,862 Total lease payments 354,074 16,553 370,627 Less: Interest ( 63,920 ) ( 3,433 ) ( 67,353 ) Present value of lease liabilities $ 290,154 $ 13,120 $ 303,274 As of June 30, 2022, we had an estimated net $ 50 million cancellable commitment, which includes a potential lease, associated with a future site of a center of excellence for medical supplies and logistics in Morgantown, West Virginia. Note 10— Income Taxes The effective tax rate was 25.6 % and 21.7 % for the three and six months ended June 30, 2022, compared to 21.8 % and 23.2 % in the same periods of 2021. The change in these rates resulted primarily from the mixture of income and losses in jurisdictions in which we operate, offset by the incremental income tax benefit associated with the vesting of restricted stock recorded in the six months ended June 30, 2022. The liability for unrecognized tax benefits was $ 21.7 million at June 30, 2022 and $ 21.4 million at December 31, 2021. Included in the liability at June 30, 2022 and December 31, 2021 were $ 2.7 million of tax positions for which ultimate deductibility is highly certain but for which there is uncertainty about the timing of such deductibility. On August 26, 2020, we received a Notice of Proposed Adjustment (NOPA) from the Internal Revenue Service (IRS) regarding our 2015 and 2016 consolidated income tax returns. On June 30, 2021, we received a NOPA from the IRS regarding our 2017 and 2018 consolidated income tax returns. Within the NOPAs, the IRS has asserted that our taxable income for the aforementioned years should be higher based on their assessment of the appropriate amount of taxable income that we should report in the United States in connection with our sourcing of products by our foreign subsidiaries for sale in the United States by our domestic subsidiaries. Our amount of taxable income in the United States is based on our transfer pricing methodology, which has been consistently applied through the current date. We strongly disagree with the IRS position and will pursue all available administrative and judicial remedies, including those available under the U.S. - Ireland Income Tax Treaty to alleviate double taxation. We regularly assess the likelihood of adverse outcomes resulting from examinations such as this to determine the adequacy of our tax reserves. We believe that we have adequately reserved for this matter and that the final adjudication of this matter will not have a material impact on our consolidated financial position, results of operations or cash flows. However, the ultimate outcome of disputes of this nature is uncertain, and if the IRS were to prevail on its assertions, the additional tax, interest, and any potential penalties could have a material adverse impact on our financial position, results of operations or cash flows. 18 Table of Contents Note 11— Net Income per Common Share The following summarizes the calculation of net income per common share attributable to common shareholders for the three and six months ended June 30, 2022 and 2021: Three Months Ended June 30, Six Months Ended June 30, (in thousands, except per share data) 2022 2021 2022 2021 Net income $ 28,604 $ 65,896 $ 67,884 $ 135,486 Weighted average shares outstanding - basic 74,710 72,818 74,158 72,474 Dilutive shares 1,587 2,987 2,011 2,791 Weighted average shares outstanding - diluted 76,297 75,805 76,169 75,265 Net income per common share: Basic $ 0.38 $ 0.90 $ 0.92 $ 1.87 Diluted $ 0.37 $ 0.87 $ 0.89 $ 1.80 Note 12— Shareholders' Equity In May 2020, we entered into an equity distribution agreement, pursuant to which we may offer and sell, from time to time, shares of our common stock having an aggregate offering price of up to $ 50.0 million. We intend to use the net proceeds from the sale of our securities offered by this program for the repayment of indebtedness and/or for general corporate and working capital purposes. As of June 30, 2022, no shares were issued and $ 50.0 million of common stock remained available under the at-the-market equity financing program. Note 13— Accumulated Other Comprehensive Loss The following table shows the changes in accumulated other comprehensive loss by component for the three and six months ended June 30, 2022 and 2021: Retirement Plans Currency Translation Adjustments Derivatives Total Accumulated other comprehensive loss, March 31, 2022 $ ( 14,408 ) $ ( 26,781 ) $ — $ ( 41,189 ) Other comprehensive (loss) income before reclassifications — ( 18,831 ) 2,044 ( 16,787 ) Income tax — — ( 532 ) ( 532 ) Other comprehensive (loss) income before reclassifications, net of tax — ( 18,831 ) 1,512 ( 17,319 ) Amounts reclassified from accumulated other comprehensive loss 386 — 1,692 2,078 Income tax ( 89 ) — ( 440 ) ( 529 ) Amounts reclassified from accumulated other comprehensive loss, net of tax 297 — 1,252 1,549 Other comprehensive (loss) income 297 ( 18,831 ) 2,764 ( 15,770 ) Accumulated other comprehensive (loss) gain, June 30, 2022 $ ( 14,111 ) $ ( 45,612 ) $ 2,764 $ ( 56,959 ) 19 Table of Contents Retirement Plans Currency Translation Adjustments Derivatives Total Accumulated other comprehensive loss, March 31, 2021 $ ( 18,326 ) $ ( 12,280 ) $ — $ ( 30,606 ) Other comprehensive loss before reclassifications — ( 2,448 ) — ( 2,448 ) Income tax — — — — Other comprehensive loss before reclassifications, net of tax — ( 2,448 ) — ( 2,448 ) Amounts reclassified from accumulated other comprehensive loss 48 — — 48 Income tax ( 12 ) — — ( 12 ) Amounts reclassified from accumulated other comprehensive loss, net of tax 36 — — 36 Other comprehensive income (loss) 36 ( 2,448 ) — ( 2,412 ) Accumulated other comprehensive loss, June 30, 2021 $ ( 18,290 ) $ ( 14,728 ) $ — $ ( 33,018 ) Retirement Plans Currency Translation Adjustments Derivatives Total Accumulated other comprehensive loss, December 31, 2021 $ ( 14,597 ) $ ( 25,994 ) $ — $ ( 40,591 ) Other comprehensive (loss) income before reclassifications — ( 19,618 ) 2,044 ( 17,574 ) Income tax — — ( 532 ) ( 532 ) Other comprehensive (loss) income before reclassifications, net of tax — ( 19,618 ) 1,512 ( 18,106 ) Amounts reclassified from accumulated other comprehensive loss 635 — 1,692 2,327 Income tax ( 149 ) — ( 440 ) ( 589 ) Amounts reclassified from accumulated other comprehensive loss, net of tax 486 — 1,252 1,738 Other comprehensive (loss) income 486 ( 19,618 ) 2,764 ( 16,368 ) Accumulated other comprehensive (loss) gain, June 30, 2022 $ ( 14,111 ) $ ( 45,612 ) $ 2,764 $ ( 56,959 ) Retirement Plans Currency Translation Adjustments Derivatives Total Accumulated other comprehensive loss, December 31, 2020 $ ( 18,447 ) $ ( 18 ) $ ( 20,044 ) $ ( 38,509 ) Other comprehensive (loss) income before reclassifications — ( 14,710 ) 2,426 ( 12,284 ) Income tax — — ( 611 ) ( 611 ) Other comprehensive (loss) income before reclassifications, net of tax — ( 14,710 ) 1,815 ( 12,895 ) Amounts reclassified from accumulated other comprehensive loss 204 — 25,518 25,722 Income tax ( 47 ) — ( 7,289 ) ( 7,336 ) Amounts reclassified from accumulated other comprehensive loss, net of tax 157 — 18,229 18,386 Other comprehensive income (loss) 157 ( 14,710 ) 20,044 5,491 Accumulated other comprehensive loss, June 30, 2021 $ ( 18,290 ) $ ( 14,728 ) $ — $ ( 33,018 ) We include amounts reclassified out of accumulated other comprehensive loss related to defined benefit pension plans as a component of net periodic pension cost recorded in Other expense, net. 20 Table of Contents Note 14— Segment Information We periodically evaluate our application of accounting guidance for reportable segments and disclose information about reportable segments based on the way management organizes the enterprise for making operating decisions and assessing performance. We report our business under two segments: Products & Healthcare Services and Patient Direct. The Products & Healthcare Services segment includes our United States distribution business (Medical Distribution), outsourced logistics and value-added services business, and Global Products which manufactures and sources medical surgical products through our production and kitting operations. The Patient Direct segment includes our home healthcare businesses (Byram and Apria). We evaluate the performance of our segments based on their operating income excluding intangible amortization and acquisition-related and exit and realignment charges that, either as a result of their nature or size, would not be expected to occur as part of our normal business operations on a regular basis. Segment assets exclude inter-segment account balances as we believe their inclusion would be misleading and not meaningful. The following tables present financial information by segment: Three Months Ended June 30, Six Months Ended June 30, 2022 2021 2022 2021 Net revenue: Products & Healthcare Services $ 1,927,388 $ 2,255,820 $ 4,061,429 $ 4,365,265 Patient Direct 572,627 233,640 845,538 450,729 Consolidated net revenue $ 2,500,015 $ 2,489,460 $ 4,906,967 $ 4,815,994 Operating income: Products & Healthcare Services $ 61,243 $ 101,229 $ 150,325 $ 251,647 Patient Direct 52,332 14,305 68,125 26,569 Intangible amortization ( 30,888 ) ( 10,026 ) ( 41,156 ) ( 20,052 ) Acquisition-related and exit and realignment charges ( 7,602 ) ( 8,624 ) ( 41,150 ) ( 14,587 ) Consolidated operating income $ 75,085 $ 96,884 $ 136,144 $ 243,577 Depreciation and amortization: Products & Healthcare Services $ 19,209 $ 18,847 $ 38,203 $ 38,007 Patient Direct 53,952 3,753 59,083 7,494 Consolidated depreciation and amortization $ 73,161 $ 22,600 $ 97,286 $ 45,501 Capital expenditures: Products & Healthcare Services $ 18,418 $ 11,806 $ 29,061 $ 18,270 Patient Direct 36,320 252 36,638 411 Consolidated capital expenditures $ 54,738 $ 12,058 $ 65,699 $ 18,681 June 30, 2022 December 31, 2021 Total assets: Products & Healthcare Services $ 2,968,089 $ 3,012,303 Patient Direct 2,530,783 468,536 Segment assets 5,498,872 3,480,839 Cash and cash equivalents 56,406 55,712 Consolidated total assets $ 5,555,278 $ 3,536,551 The following table presents net revenue by geographic area, which were attributed based on the location from which 21 Table of Contents we ship products or provide services. Three Months Ended June 30, Six Months Ended June 30, 2022 2021 2022 2021 Net revenue: United States $ 2,376,573 $ 2,336,673 $ 4,638,592 $ 4,519,428 International 123,442 152,787 268,375 296,566 Consolidated net revenue $ 2,500,015 $ 2,489,460 $ 4,906,967 $ 4,815,994 Note 15— Recent Accounting Pronouncements On June 16, 2016, the FASB issued ASU No. 2016-13 Financial Instruments - Credit Losses, Measurement of Credit Losses on Financial Instruments, which changes the way entities measure credit losses for most financial assets and certain other instruments that are not measured at fair value through net earnings. This standard will be effective for fiscal years beginning after December 15, 2022, including interim periods within those fiscal years. Early adoption is permitted. We are still evaluating the impact the adoption of ASU No. 2016-13 will have on our consolidated financial statements and related disclosures; however, we do not expect this to have a material impact. Subsequent to the issuance of ASU No. 2016-13, the FASB issued ASU 2018-19, Codification Improvements to Topic 326, Financial Instruments - Credit Losses and ASU No. 2019-05, Financial Instruments - Credit Losses (Topic 326) Targeted Transition Relief. These ASUs do not change the core principle of the guidance in ASU No. 2016-13. Instead these amendments are intended to clarify and improve operability of certain topics included within the credit losses standard. These ASUs will have the same effective date and transition requirements as ASU No. 2016-13. In March 2020, the FASB issued ASU No. 2020-04, Reference Rate Reform (Topic 848): Facilitation of the Effects of Reference Rate Reform on Financial Reporting, which provides optional expedients and exceptions for applying GAAP to contracts, hedging relationships, and other transactions affected by reference rate reform if certain criteria are met. The amendments apply only to contracts, hedging relationships, and other transactions that reference LIBOR or another reference rate expected to be discontinued because of reference rate reform. The amendments are effective for all entities as of March 12, 2020 through December 31, 2022. Our material debt agreements no longer reference LIBOR as a benchmark rate. The transition did not have a material impact on our consolidated financial statements. In October 2020, the FASB issued ASU No. 2020-10, Codification Improvements, to improve consistency by amending the FASB Accounting Standards Codification (the Codification) to include all disclosure guidance in the appropriate disclosure sections. This ASU also clarifies application of various provisions in the Codification by amending and adding new headings, cross referencing to other guidance, and refining or correcting terminology. The amendments in this ASU do not change GAAP and, therefore, are not expected to result in a significant change in practice. We adopted ASU No. 2020-10 effective beginning January 1, 2021. Its adoption did not have a material impact on our consolidated financial statements. In October 2021, the FASB issued ASU No. 2021-08, Business Combinations (Topic 805): Accounting for Contract Assets and Contract Liabilities from Contracts with Customers. ASU 2021-08 requires the company acquiring contract assets and contract liabilities obtained in a business combination to recognize and measure them in accordance with ASC 606, Revenue from Contracts with Customers. At the acquisition date, the company acquiring the business should record related revenue, as if it had originated the contract. Before the update such amounts were recognized by the acquiring company at fair value. The amendments in this ASU are effective for fiscal years beginning after December 15, 2022, including interim periods within those fiscal years. Early adoption is permitted, including in interim periods, for any financial statements that have not yet been issued. We adopted ASU 2021-08 prospectively, effective beginning January 1, 2022. Its adoption did not have a material impact on our consolidated financial statements. In November 2021, the FASB issued ASU 2021-10, Government Assistance (Topic 832): Disclosures by Business Entities about Government Assistance, which requires certain annual disclosures about transactions with a government that are accounted for by applying a grant or contribution accounting model by analogy. We adopted ASU No. 2021-10 effective beginning January 1, 2022. Its adoption did not have a material impact on our consolidated financial statements.