Summary of Significant Accounting Policies - Advertising Costs, Cost of Net Revenue, General and Administrative Expenses (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Accounting Policies [Abstract]
Advertising costs	$ 21,500	$ 22,500	$ 22,800
Cost of products and supplies	1,294,423	1,288,162	1,310,213
Salaries, labor and benefits	750,309	730,597	716,531
Patient equipment depreciation	341,287	320,289	325,696
Rent and occupancy	74,391	71,874	68,375
Other operating expenses	175,248	168,960	155,295
Total	2,635,658	2,579,882	2,576,110
Salaries and benefits expenses	$ 165,800	$ 157,200	$ 146,300