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v3.25.2

Subsequent Events (Details) - USD ($) $ in Thousands |  |  | 3 Months Ended | 6 Months Ended |
--- | --- | --- | --- | --- | ---
Aug. 01, 2025 | Jul. 17, 2025 | Jun. 30, 2025 | Jun. 30, 2025 | Jun. 30, 2024 | Dec. 31, 2024
Subsequent Event [Line Items] |  |  |  |  |  |
Cash paid to acquire businesses |  |  |  | $ 10,596 | $ 157,783 |
Subsequent Event | Fresenius Medical Care AG |  |  |  |  |  |
Subsequent Event [Line Items] |  |  |  |  |  |
Cash paid to acquire businesses | $ 94,000 |  |  |  |  |
Subsequent Event | Term Loan B-2 |  |  |  |  |  |
Subsequent Event [Line Items] |  |  |  |  |  |
Debt Instrument, Issuance Date |  | Jul. 17, 2025 |  |  |  |
Debt Instrument Quarterly Payment Start Date |  | Sep. 30, 2025 |  |  |  |
Debt Instrument, Quarterly Payment, % of Beginning Balance Outstanding |  | 0.25% |  |  |  |
Debt Instrument, Maturity Date |  | May 09, 2031 |  |  |  |
Debt Instrument, Increase (Decrease), Net |  | $ 250,000 |  |  |  |
Secured Debt |  | 1,877,949 |  |  |  |
Subsequent Event | Term Loan A-1 |  |  |  |  |  |
Subsequent Event [Line Items] |  |  |  |  |  |
Debt Instrument, Increase (Decrease), Net |  | (250,000) |  |  |  |
Term Loan B-2 | Subsequent Event |  |  |  |  |  |
Subsequent Event [Line Items] |  |  |  |  |  |
Debt Instrument, Periodic Payment Terms, Balloon Payment to be Paid |  | $ 1,769,967 |  |  |  |
Term Loan A-1 |  |  |  |  |  |
Subsequent Event [Line Items] |  |  |  |  |  |
Debt Instrument, Maturity Date |  |  |  | Apr. 28, 2028 |  |
Secured Debt |  |  | $ 2,199,840 | $ 2,199,840 |  | $ 2,259,295
Term Loan B-1 |  |  |  |  |  |
Subsequent Event [Line Items] |  |  |  |  |  |
Debt Instrument, Maturity Date |  |  |  | May 09, 2031 |  |
Secured Debt |  |  | $ 1,627,949 | $ 1,627,949 |  | $ 1,636,150
Term Loan B-1 | SOFR |  |  |  |  |  |
Subsequent Event [Line Items] |  |  |  |  |  |
Debt Instrument, Description of Variable Rate Basis |  |  | SOFR + 2.00% |  |  |
Minimum | Subsequent Event | Term Loan B-2 |  |  |  |  |  |
Subsequent Event [Line Items] |  |  |  |  |  |
Debt Instrument, Variable Rate |  | 0.00% |  |  |  |
Base Rate Loans | Adjusted Rate | Term Loan B-1 |  |  |  |  |  |
Subsequent Event [Line Items] |  |  |  |  |  |
Debt Instrument, Basis Spread on Variable Rate |  | 1.00% |  |  |  |
Base Rate Loans | Adjusted Rate | Subsequent Event | Term Loan B-2 |  |  |  |  |  |
Subsequent Event [Line Items] |  |  |  |  |  |
Debt Instrument, Basis Spread on Variable Rate |  | 0.75% |  |  |  |
Base Rate Loans | Maximum | Prime Rate | Subsequent Event | Term Loan B-2 |  |  |  |  |  |
Subsequent Event [Line Items] |  |  |  |  |  |
Debt Instrument, Description of Variable Rate Basis |  | prime commercial lending rate |  |  |  |
Base Rate Loans | Maximum | Fed Funds Effective Rate Overnight Index Swap Rate | Subsequent Event | Term Loan B-2 |  |  |  |  |  |
Subsequent Event [Line Items] |  |  |  |  |  |
Debt Instrument, Basis Spread on Variable Rate |  | 0.50% |  |  |  |
Base Rate Loans | Maximum | 1-Month SOFR | Subsequent Event | Term Loan B-2 |  |  |  |  |  |
Subsequent Event [Line Items] |  |  |  |  |  |
Debt Instrument, Basis Spread on Variable Rate |  | 1.00% |  |  |  |
SOFR Loans | SOFR | Term Loan B-1 |  |  |  |  |  |
Subsequent Event [Line Items] |  |  |  |  |  |
Debt Instrument, Basis Spread on Variable Rate |  | 2.00% |  |  |  |
SOFR Loans | SOFR | Subsequent Event | Term Loan B-2 |  |  |  |  |  |
Subsequent Event [Line Items] |  |  |  |  |  |
Debt Instrument, Basis Spread on Variable Rate |  | 1.75% |  |  |  |

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