v3.26.1
Summary of Significant Accounting Policies - Revenue Recognition (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2026
Jun. 30, 2025
Jun. 30, 2026
Jun. 30, 2025
Revenue Recognition        
Net revenue $ 613,234 $ 681,917 $ 1,241,014 $ 1,355,801
Revenue related to sales of equipment and supplies 482,000 511,000 963,000 1,000,000
Revenue generated from equipment that is rented to patients 132,000 171,000 278,000 341,000
Capitation agreements        
Revenue Recognition        
Net revenue 4,400 61,000 37,000 121,000
Diabetes        
Revenue Recognition        
Net revenue 198,820 191,056 384,606 378,416
Sleep therapy        
Revenue Recognition        
Net revenue 148,575 181,622 315,497 363,481
Home respiratory therapy        
Revenue Recognition        
Net revenue 90,996 109,526 188,175 218,132
Ostomy        
Revenue Recognition        
Net revenue 55,675 51,893 107,011 101,392
Wound care        
Revenue Recognition        
Net revenue 40,193 46,822 79,595 93,468
Urology        
Revenue Recognition        
Net revenue 31,295 28,696 61,085 56,839
Other        
Revenue Recognition        
Net revenue 47,680 72,302 105,045 144,073
Commercial payors        
Revenue Recognition        
Net revenue 478,207 550,828 971,412 1,094,356
Medicare        
Revenue Recognition        
Net revenue 128,206 121,724 253,922 242,054
Medicaid        
Revenue Recognition        
Net revenue $ 6,821 $ 9,365 $ 15,680 $ 19,391