Goodwill and Identifiable Intangible Assets (Tables)

12 Months Ended

Dec. 31, 2025

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, 2025 and 2024 was as follows (in thousands):

	Sleep Health		Respiratory Health		Diabetes Health		Wellness at Home		Total
Balance at December 31, 2023									$	2,724,958
Goodwill impairment									(13,078)
Write-off from sale of assets									(4,598)
Reallocation adjustment (1)	1,581,039		676,747		211,796		237,700		2,707,282
Goodwill classified as assets held for sale	—		—		—		(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
Goodwill from acquisitions (note 3)	12,893		5,039		—		15,328		33,260
Write-off from dispositions (note 4)	—		—		—		(41,319)		(41,319)
Other (2)	1,151		225		—		940		2,316
Goodwill impairment	—		—		(127,995)		—		(127,995)
Balance at December 31, 2025 (3)	$	1,595,083	$	682,011	$	83,801	$	180,533	$	2,541,428

(1)    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.

(2)    The Company is a member of a joint venture subsidiary which includes another member who has a noncontrolling interest in such subsidiary. During the year ended December 31, 2025, the noncontrolling interest member contributed certain assets to the joint venture totaling $3.0 million, of which $2.3 million was attributed to goodwill. This transaction was treated as a business combination under ASC 805.

(3)    On a consolidated basis, gross and net goodwill as of December 31, 2025 was $3.5 billion and $2.5 billion, respectively. The total amount of accumulated impairment charges as of December 31, 2025 was $1.0 billion.

Schedule of identifiable intangible assets

Identifiable intangible assets consisted of the following at December 31, 2025 and 2024 (in thousands):

	December 31, 2025
			Weighted-Average Remaining Life (Years)
Tradenames, net of accumulated amortization of $61,564	$	47,737	4.9
Payor contracts, net of accumulated amortization of $44,616	37,384		4.6
Identifiable intangible assets, net	$	85,121

	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

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,
2026	$	18,913
2027	17,650
2028	17,626
2029	17,626
2030	12,728
Thereafter	578
Total	$	85,121