v3.26.3
Goodwill and Other Intangible Assets - Schedule of Goodwill (Details) - USD ($)
$ in Thousands
 9 Months Ended 12 Months Ended
Sep. 30, 2026
Dec. 31, 2025
Goodwill [Roll Forward]    
Beginning, balance of period $ 595,470 $ 597,436
Goodwill acquired during the period 179,478  
Currency translation (2,475) (1,966)
Ending, balance of period 772,473 595,470
Affordable Medicines    
Goodwill [Roll Forward]    
Beginning, balance of period 159,693 161,659
Goodwill acquired during the period 179,478  
Currency translation (2,475) (1,966)
Ending, balance of period 336,696 159,693
Specialty    
Goodwill [Roll Forward]    
Beginning, balance of period 366,312 366,312
Goodwill acquired during the period 0  
Currency translation 0 0
Ending, balance of period 366,312 366,312
AvKARE    
Goodwill [Roll Forward]    
Beginning, balance of period 69,465 69,465
Goodwill acquired during the period 0  
Currency translation 0 0
Ending, balance of period $ 69,465 $ 69,465