Business combinations - Oncacare Acquisition (Details) - USD ($) $ in Thousands |
12 Months Ended | ||||
|---|---|---|---|---|---|
Apr. 20, 2023 |
Dec. 31, 2025 |
Dec. 31, 2024 |
Dec. 31, 2023 |
Dec. 31, 2022 |
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| Business Combination [Line Items] | |||||
| Goodwill | $ 8,731,689 | $ 9,051,410 | $ 9,022,075 | $ 8,971,670 | |
| Acquisition-related gain | $ 0 | $ 0 | $ 6,160 | ||
| Oncacare | |||||
| Business Combination [Line Items] | |||||
| Majority voting share capital acquired (in percent) | 51.00% | ||||
| Business combination, consideration transferred | $ 5,100 | ||||
| Goodwill | 13,400 | ||||
| Acquisition-related gain | $ 6,200 | ||||
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- Definition Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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- Definition Percentage of voting equity interest acquired in business combination. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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- Definition In a business combination in which the amount of net identifiable assets acquired and liabilities assumed exceeds the aggregate consideration transferred or to be transferred (as defined), this element represents the amount of gain recognized by the entity. Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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- Definition Amount of consideration transferred, consisting of acquisition-date fair value of assets transferred by the acquirer, liabilities incurred by the acquirer, and equity interest issued by the acquirer. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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- Definition Amount, after accumulated impairment loss, of asset representing future economic benefit arising from other asset acquired in business combination or from joint venture formation or both, that is not individually identified and separately recognized. Reference 1: http://www.xbrl.org/2003/role/exampleRef
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- Details
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