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Equipment and Other Fixed Assets (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2023
Sep. 30, 2022
Sep. 30, 2023
Sep. 30, 2022
Dec. 31, 2022
Property, Plant and Equipment [Line Items]          
Gross carrying value $ 932,811   $ 932,811   $ 870,267
Less accumulated depreciation (442,758)   (442,758)   (383,188)
Equipment and other fixed assets, net 490,053   490,053   487,079
Depreciation expense 90,300 $ 82,400 263,400 $ 218,900  
Patient medical equipment          
Property, Plant and Equipment [Line Items]          
Gross carrying value 776,366   776,366   747,985
Computers and Software          
Property, Plant and Equipment [Line Items]          
Gross carrying value 92,208   92,208   70,897
Delivery vehicles          
Property, Plant and Equipment [Line Items]          
Gross carrying value 43,078   43,078   35,326
Other          
Property, Plant and Equipment [Line Items]          
Gross carrying value $ 21,159   $ 21,159   $ 16,059