v3.26.1
Summary of Significant Accounting Policies - Revenue Recognition (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2026
Mar. 31, 2025
Revenue Recognition    
Net revenue $ 627,780 $ 673,884
Revenue related to sales of equipment and supplies 481,000 504,000
Revenue generated from equipment that is rented to patients 146,000 170,000
Capitation agreements    
Revenue Recognition    
Net revenue 32,000 60,000
Diabetes    
Revenue Recognition    
Net revenue 185,786 187,360
Sleep therapy    
Revenue Recognition    
Net revenue 166,922 181,859
Home respiratory therapy    
Revenue Recognition    
Net revenue 97,179 108,606
Ostomy    
Revenue Recognition    
Net revenue 51,336 49,499
Wound care    
Revenue Recognition    
Net revenue 39,402 46,646
Urology    
Revenue Recognition    
Net revenue 29,790 28,143
Other    
Revenue Recognition    
Net revenue 57,365 71,771
Commercial payors    
Revenue Recognition    
Net revenue 493,206 543,528
Medicare    
Revenue Recognition    
Net revenue 125,715 120,330
Medicaid    
Revenue Recognition    
Net revenue $ 8,859 $ 10,026