v3.26.1
Equipment and Other Fixed Assets (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Dec. 31, 2025
Property, Plant and Equipment [Line Items]      
Gross carrying value $ 1,158,340   $ 1,034,104
Less accumulated depreciation (536,155)   (524,148)
Equipment and other fixed assets, net 622,185   509,956
Depreciation expense 101,600 $ 89,200  
Patient medical equipment      
Property, Plant and Equipment [Line Items]      
Gross carrying value 1,040,473   922,912
Computers and software      
Property, Plant and Equipment [Line Items]      
Gross carrying value 72,745   72,177
Delivery vehicles      
Property, Plant and Equipment [Line Items]      
Gross carrying value 17,652   14,498
Other      
Property, Plant and Equipment [Line Items]      
Gross carrying value $ 27,470   $ 24,517