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Goodwill and Identifiable Intangible Assets - Goodwill and post-closing adjustments (Details)
$ in Thousands
6 Months Ended
Jun. 30, 2022
USD ($)
Net carrying amount  
Beginning balance $ 3,512,567
Goodwill from acquisitions 4,591
Net cash receipts relating to prior acquisitions (898)
Net reduction (648)
Ending balance 3,515,612
Additional consideration from adjustment (898)
Solara Medical Supplies, LLC [Member]  
Net carrying amount  
Net cash receipts relating to prior acquisitions (900)
Additional consideration from adjustment $ (900)