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Acquisitions - Narrative (Details) - USD ($) $ in Thousands | 3 Months Ended |
--- | --- | ---
Mar. 31, 2023 | Mar. 31, 2022 | Dec. 31, 2022
Business Acquisition [Line Items] |  |  |
Goodwill | $ 3,545,361 |  | $ 3,545,297
Home Medical Equipment Provider Acquired In 2023 |  |  |
Business Acquisition [Line Items] |  |  |
Percentage of interest acquired | 100.00% |  |
Cash payment | $ 400 |  |
Deferred payment | 100 |  |
Equipment and other fixed assets | 300 |  |
Goodwill | 100 |  |
Inventory | $ 100 |  |
Home Medical Equipment Provider Acquired In 2022 |  |  |
Business Acquisition [Line Items] |  |  |
Percentage of interest acquired |  | 100.00% |
Significant Acquisitions In 2021 |  |  |
Business Acquisition [Line Items] |  |  |
Receipt of working capital adjustment from prior year acquisitions |  | $ 500 |

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