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Goodwill and Intangible Assets - Narrative (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Dec. 31, 2023
Acquired Finite-Lived Intangible Assets [Line Items]          
Intangible assets, net $ 313,284   $ 313,284   $ 361,835
Intangible amortization 14,600 $ 20,800 51,200 $ 62,700  
Patient Direct          
Acquired Finite-Lived Intangible Assets [Line Items]          
Intangible assets, net 218,000   218,000   250,000
Products & Healthcare Services          
Acquired Finite-Lived Intangible Assets [Line Items]          
Intangible assets, net $ 96,000   $ 96,000   $ 112,000