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Summary of Significant Accounting Policies - Advertising Costs, Cost of Net Revenue, General and Administrative Expenses (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Accounting Policies [Abstract]      
Advertising costs $ 22,500 $ 22,800 $ 19,200
Cost of products and supplies 1,288,162 1,310,213 1,202,895
Salaries, labor and benefits 730,597 716,531 703,720
Patient equipment depreciation 320,289 325,696 286,288
Rent and occupancy 71,874 68,375 65,979
Other operating expenses 168,960 155,295 131,598
Total 2,579,882 2,576,110 2,390,480
Salaries and benefits expenses $ 157,200 $ 146,300 $ 134,100