Revenue Recognition and Accounts Receivable (Tables)

9 Months Ended

Sep. 30, 2024

Revenue from Contract with Customer [Abstract]

Schedule of composition of net revenues by payor type and core service lines

The composition of net revenue by payor type for the three and nine months ended September 30, 2024 and 2023 are as follows (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2024		2023		2024		2023
Insurance	$	490,072	$	486,136	$	1,461,224	$	1,397,748
Government	208,309		220,351		617,653		618,860
Patient pay	107,477		97,544		325,453		325,335
Net revenue	$	805,858	$	804,031	$	2,404,330	$	2,341,943

The composition of net revenue by core product lines for the three and nine months ended September 30, 2024 and 2023 are as follows (in thousands):

	Three Months Ended September 30,				Nine Months Ended September 30,
	2024		2023		2024		2023
Net sales revenue:
Sleep	$	237,537	$	227,005	$	696,424	$	656,311
Diabetes	137,099		157,328		431,339		464,893
Supplies to the home	43,534		48,349		132,447		143,227
Respiratory	8,148		8,164		23,723		24,284
HME	24,331		27,095		75,916		82,895
Other	60,044		64,184		173,389		174,403
Total net sales revenue	$	510,693	$	532,125	$	1,533,238	$	1,546,013
Net revenue from fixed monthly equipment reimbursements:
Sleep	$	81,530	$	88,387	$	244,273	$	256,092
Diabetes	2,438		2,609		7,099		10,326
Respiratory	140,930		142,919		417,061		423,531
HME	24,551		25,087		70,472		71,402
Other	12,866		12,904		36,074		34,579
Total net revenue from fixed monthly equipment reimbursements	$	262,315	$	271,906	$	774,979	$	795,930
Net revenue from capitated revenue arrangements:
Sleep	$	7,380	$	—	$	21,408	$	—
Diabetes	1,535		$	—	4,679		—
Supplies to the home	3,246		$	—	9,536		—
Respiratory	14,939		$	—	44,521		—
HME	4,115		$	—	11,325		—
Other	1,635		$	—	4,644		—
Total net revenue from capitated revenue arrangements	$	32,850	$	—	$	96,113	$	—
Total net revenue:
Sleep	$	326,447	$	315,392	$	962,105	$	912,403
Diabetes	141,072		159,937		443,117		475,219
Supplies to the home	46,780		48,349		141,983		143,227
Respiratory	164,017		151,083		485,305		447,815
HME	52,997		52,182		157,713		154,297
Other	74,545		77,088		214,107		208,982
Total net revenue	$	805,858	$	804,031	$	2,404,330	$	2,341,943