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Summary of Significant Accounting Policies - Revenue Recognition (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2025	Jun. 30, 2024	Jun. 30, 2025	Jun. 30, 2024
Revenue Recognition
Net revenue	$ 681,917	$ 660,401	$ 1,355,801	$ 1,298,244
Revenue related to sales of equipment and supplies	511,000	491,000	1,000,000	960,000
Revenue generated from equipment that is rented to patients	171,000	170,000	341,000	338,000
Capitation agreements
Revenue Recognition
Net revenue	61,000	59,000	121,000	119,000
Commercial payors
Revenue Recognition
Net revenue	550,828	535,626	1,094,356	1,053,039
Medicare Advantage Payors
Revenue Recognition
Net revenue	178,000	172,000	349,000	337,000
Medicare
Revenue Recognition
Net revenue	121,724	114,573	242,054	225,042
Medicaid
Revenue Recognition
Net revenue	9,365	10,202	19,391	20,163
Diabetes
Revenue Recognition
Net revenue	191,056	194,361	378,416	374,351
Sleep therapy
Revenue Recognition
Net revenue	181,622	170,237	363,481	342,274
Home respiratory therapy
Revenue Recognition
Net revenue	109,526	109,687	218,132	218,495
Ostomy
Revenue Recognition
Net revenue	51,893	47,059	101,392	91,626
Wound care
Revenue Recognition
Net revenue	46,822	47,156	93,468	90,393
Urology
Revenue Recognition
Net revenue	28,696	25,645	56,839	50,634
Other
Revenue Recognition
Net revenue	$ 72,302	$ 66,256	$ 144,073	$ 130,471

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