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Revenue Recognition and Accounts Receivable (Tables)
 9 Months Ended
Sep. 30, 2025
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, 2025 and 2024 are as follows (in thousands):
Three Months Ended September 30,Nine Months Ended September 30,
2025202420252024
Insurance$503,640 $490,072 $1,433,627 $1,461,224 
Government217,684 208,309 623,656 617,653 
Patient pay98,990 107,477 341,285 325,453 
Net revenue$820,314 $805,858 $2,398,568 $2,404,330 
The composition of net revenue by segment for the three and nine months ended September 30, 2025 and 2024 are as follows (in thousands):
Three Months Ended September 30,Nine Months Ended September 30,
2025202420252024
Net sales revenue:
Sleep Health$265,995 $246,895 $761,759 $727,013 
Respiratory Health8,997 8,307 25,084 24,245 
Diabetes Health145,316 137,099 420,246 431,338 
Wellness at Home85,974 118,392 299,430 350,642 
Total net sales revenue$506,282 $510,693 $1,506,519 $1,533,238 
Net revenue from fixed monthly equipment reimbursements:
Sleep Health$81,792 $81,530 $222,625 $244,273 
Respiratory Health154,228 140,930 445,229 417,060 
Diabetes Health3,275 2,437 9,101 7,099 
Wellness at Home43,194 37,418 119,656 106,547 
Total net revenue from fixed monthly equipment reimbursements$282,489 $262,315 $796,611 $774,979 
Net revenue from capitated revenue arrangements:
Sleep Health$7,049 $7,379 $21,492 $21,407 
Respiratory Health13,771 14,942 42,614 44,523 
Diabetes Health1,484 1,536 4,533 4,680 
Wellness at Home9,239 8,993 26,799 25,503 
Total net revenue from capitated revenue arrangements$31,543 $32,850 $95,438 $96,113 
Total net revenue:
Sleep Health$354,836 $335,804 $1,005,876 $992,693 
Respiratory Health176,996 164,179 512,927 485,828 
Diabetes Health150,075 141,072 433,880 443,117 
Wellness at Home138,407 164,803 445,885 482,692 
Total net revenue$820,314 $805,858 $2,398,568 $2,404,330