Goodwill and Identifiable Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2024

Goodwill and Intangible Assets Disclosure [Abstract]

Schedule of change in the carrying amount of goodwill

The change in the carrying amount of goodwill by reportable segment for the years ended December 31, 2024 and 2023 was as follows (in thousands):

	Sleep Health		Respiratory Health		Diabetes Health		Wellness at Home		Total
Balance at December 31, 2022									$	3,545,297
Goodwill from acquisitions									9,616
Net increase relating to measurement period adjustments									832
Goodwill impairment (1)									(830,787)
Balance at December 31, 2023									$	2,724,958
Goodwill impairment prior to change in segment reporting (1)									(13,078)
Write off from sale of assets									(4,598)
Reallocation adjustment (2)	$	1,581,039	$	676,747	$	211,796	$	237,700	$	2,707,282
Goodwill classified as assets held for sale (note 4)	—		—		—		(41,211)		(41,211)
Goodwill from acquisitions (note 3)	—		—		—		9,095		9,095
Balance at December 31, 2024	$	1,581,039	$	676,747	$	211,796	$	205,584	$	2,675,166

(1)    On a consolidated basis, gross and net goodwill as of December 31, 2024 was $3.6 billion and $2.7 billion, respectively. The goodwill impairment charge recognized during the year ended December 31, 2024 prior to the change in segment reporting relates to the disposition of certain immaterial custom rehab technology assets. The total amount of accumulated impairment charges as of December 31, 2024 was $0.8 billion, which was recognized prior to the change in segment reporting.

(2) Represents the reallocation of goodwill from one reportable segment to the Sleep Health, Respiratory Health, Diabetes Health, and Wellness at Home reportable segments, using a relative fair value approach, as a result of the change in reportable segments in the fourth quarter of 2024.

Schedule of identifiable intangible assets

Identifiable intangible assets consisted of the following at December 31, 2024 and 2023 (in thousands):

	December 31, 2024
			Weighted-Average Remaining Life (Years)
Tradenames, net of accumulated amortization of $49,736	$	59,964	5.6
Payor contracts, net of accumulated amortization of $36,416	45,584		5.6
Identifiable intangible assets, net	$	105,548

	December 31, 2023
			Weighted-Average Remaining Life (Years)
Tradenames, net of accumulated amortization of $38,314	$	74,486	6.6
Payor contracts, net of accumulated amortization of $28,216	53,784		6.6
Developed technology, net of accumulated amortization of $4,410	1,890		1.5
Identifiable intangible assets, net	$	130,160

Schedule of future amortization expense related to identifiable intangible assets

Future amortization expense related to identifiable intangible assets is estimated to be as follows (in thousands):

Twelve months ending December 31,
2025	$	20,388
2026	18,953
2027	17,650
2028	17,626
2029	17,626
Thereafter	13,305
Total	$	105,548