Acquisitions - Net Assets Acquired (Details) - USD ($) $ in Thousands	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Business Acquisition [Line Items]
Goodwill	$ 2,541,428	$ 2,675,166	$ 2,724,958
Home Medical Equipment Providers Acquired In 2025
Business Acquisition [Line Items]
Cash	379
Accounts receivable	779
Inventory	1,155
Equipment and other fixed assets	8,436
Other Long Term Assets	38
ROU Asset	2,522
Goodwill	33,260
Accounts payable and accrued expenses	(625)
Operating lease liabilities	(2,522)
Deferred Tax Liabilities	(309)
Net assets acquired	$ 43,113
Significant Acquisitions In 2024
Business Acquisition [Line Items]
Inventory		192
Equipment and other fixed assets		249
Goodwill		9,095
Net assets acquired		$ 9,536
Significant Acquisitions In 2023
Business Acquisition [Line Items]
Cash			256
Accounts receivable			1,264
Inventory			1,483
Prepaid and other current assets			10
Equipment and other fixed assets			9,011
Operating lease right-of-use assets			5,506
Finance lease right-of-use assets			200
Goodwill			9,616
Accounts payable and accrued expenses			(713)
Operating lease liabilities			(5,506)
Finance lease liabilities			(200)
Other current liabilities			(847)
Net assets acquired			$ 20,080