Summary of Significant Accounting Policies - Revenue Recognition and Accounts Receivable (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Revenue Recognition
Net revenue	$ 3,260,975	$ 3,200,177	$ 2,970,595
Unbilled revenue	41,600	68,400
Sleep Health
Revenue Recognition
Net revenue	1,349,213	1,291,714	1,103,776
Respiratory Health
Revenue Recognition
Net revenue	651,150	614,563	554,141
Diabetes Health
Revenue Recognition
Net revenue	614,410	660,039	687,091
Wellness at Home
Revenue Recognition
Net revenue	646,202	633,861	625,587
Transferred at Point in Time
Revenue Recognition
Net revenue	2,090,771	2,131,302	2,015,680
Transferred at Point in Time | Sleep Health
Revenue Recognition
Net revenue	992,332	947,103	831,071
Transferred at Point in Time | Respiratory Health
Revenue Recognition
Net revenue	32,688	45,219	33,444
Transferred at Point in Time | Diabetes Health
Revenue Recognition
Net revenue	598,446	647,431	670,988
Transferred at Point in Time | Wellness at Home
Revenue Recognition
Net revenue	467,305	491,549	480,177
Transferred Over Time, Non-Capitated Arrangement
Revenue Recognition
Net revenue	1,040,057	1,068,875	954,915
Transferred Over Time, Non-Capitated Arrangement | Sleep Health
Revenue Recognition
Net revenue	327,729	344,611	272,705
Transferred Over Time, Non-Capitated Arrangement | Respiratory Health
Revenue Recognition
Net revenue	558,529	569,344	520,697
Transferred Over Time, Non-Capitated Arrangement | Diabetes Health
Revenue Recognition
Net revenue	9,704	12,608	16,103
Transferred Over Time, Non-Capitated Arrangement | Wellness at Home
Revenue Recognition
Net revenue	144,095	142,312	145,410
Transferred Over Time, Capitated Arrangement
Revenue Recognition
Net revenue	130,147	0	0
Transferred Over Time, Capitated Arrangement | Sleep Health
Revenue Recognition
Net revenue	29,152	0	0
Transferred Over Time, Capitated Arrangement | Respiratory Health
Revenue Recognition
Net revenue	59,933	0	0
Transferred Over Time, Capitated Arrangement | Diabetes Health
Revenue Recognition
Net revenue	6,260	0	0
Transferred Over Time, Capitated Arrangement | Wellness at Home
Revenue Recognition
Net revenue	34,802	0	0
Insurance
Revenue Recognition
Net revenue	1,998,722	1,933,440	1,808,633
Government
Revenue Recognition
Net revenue	842,552	852,789	781,975
Patient pay
Revenue Recognition
Net revenue	$ 419,701	$ 413,948	$ 379,987