Equipment and Other Fixed Assets (Details) - USD ($) $ in Thousands	12 Months Ended
Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Equipment and Other Fixed Assets
Gross carrying value	$ 1,034,104	$ 992,732
Less accumulated depreciation	(524,148)	(518,176)
Equipment and other fixed assets, net	509,956	474,556
Depreciation and amortization, including patient equipment depreciation	361,600	343,100	$ 350,200
Patient medical equipment
Equipment and Other Fixed Assets
Gross carrying value	922,912	843,198
Computers and software
Equipment and Other Fixed Assets
Gross carrying value	72,177	92,664
Delivery vehicles
Equipment and Other Fixed Assets
Gross carrying value	14,498	33,637
Other
Equipment and Other Fixed Assets
Gross carrying value	$ 24,517	$ 23,233

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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