The aggregate expense charged against earnings to allocate the cost of intangible assets (nonphysical assets not used in production) in a systematic and rational manner to the periods expected to benefit from such assets. As a noncash expense, this element is added back to net income when calculating cash provided by or used in operations using the indirect method.

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Goodwill and Intangible Assets - Narrative (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021	Dec. 31, 2021
Finite-Lived Intangible Assets [Line Items]
Intangible assets, net	$ 464,077		$ 464,077		$ 209,745
Amortization expense for intangible assets	14,300	$ 10,000	55,500	$ 30,100
Estimated amortization expense for the remainder of 2022	22,000		22,000
Estimated amortization expense for 2023	82,000		82,000
Estimated amortization expense for 2024	65,000		65,000
Estimated amortization expense for 2025	55,000		55,000
Estimated amortization expense for 2026	54,000		54,000
Estimated amortization expense for 2027	47,000		47,000
Products & Healthcare Services
Finite-Lived Intangible Assets [Line Items]
Intangible assets, net	142,000		142,000		164,000
Patient Direct
Finite-Lived Intangible Assets [Line Items]
Intangible assets, net	$ 322,000		$ 322,000		$ 45,700