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Goodwill and Intangible Assets - Narrative (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2025
Jun. 30, 2025
Sep. 30, 2024
Jun. 30, 2024
Sep. 30, 2025
Sep. 30, 2024
Dec. 31, 2024
Dec. 31, 2023
GoodwillLineItems                
Impairment of goodwill $ 0 $ 263,400 $ 0   $ 263,394 $ 105,302 $ 105,302  
Goodwill 416,858   680,252   416,858 680,252 680,252 $ 785,554
Accumulated impairment losses 647,800       647,800   384,400 279,100
Personal Care and Remote Patient Monitoring                
GoodwillLineItems                
Goodwill 281,600       281,600   545,000  
Monitoring                
GoodwillLineItems                
Impairment of goodwill   51,600 0 $ 105,300 51,614 105,302 105,302  
Goodwill 77,978   129,592   77,978 129,592 129,592 234,894
Accumulated impairment losses               45,769
PCS                
GoodwillLineItems                
Impairment of goodwill   $ 211,800 0   211,780 0 0  
Goodwill $ 203,664   $ 415,444   $ 203,664 $ 415,444 $ 415,444 415,444
Accumulated impairment losses               $ 137,331