Equipment and Other Fixed Assets (Details) - USD ($) $ in Thousands	12 Months Ended
Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Equipment and Other Fixed Assets
Gross carrying value	$ 992,732	$ 932,082
Less accumulated depreciation	(518,176)	(436,981)
Equipment and other fixed assets, net	474,556	495,101
Depreciation and amortization, including patient equipment depreciation	343,100	350,200	$ 311,200
Patient medical equipment
Equipment and Other Fixed Assets
Gross carrying value	843,198	791,349
Computers and software
Equipment and Other Fixed Assets
Gross carrying value	92,664	85,509
Delivery vehicles
Equipment and Other Fixed Assets
Gross carrying value	33,637	35,021
Other
Equipment and Other Fixed Assets
Gross carrying value	$ 23,233	$ 20,203

The amount of expense recognized in the current period that reflects the allocation of the cost of tangible assets over the assets' useful lives. Includes production and non-production related depreciation.

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Amount of accumulated depreciation and amortization from plant, property, and equipment and right-of-use asset from finance lease.

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Amount, after accumulated depreciation and amortization, of property, plant, and equipment and finance lease right-of-use asset.

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Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.

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