Goodwill and Intangible Assets - Narrative (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2025	Mar. 31, 2024	Dec. 31, 2024
Acquired Finite-Lived Intangible Assets [Line Items]
Intangible amortization	$ 13,785	$ 20,289
Goodwill	1,331,931		$ 1,331,281
Intangible assets, net	285,086		298,726
Patient Direct
Acquired Finite-Lived Intangible Assets [Line Items]
Goodwill	1,228,140		1,228,140
Intangible assets, net	202,000		210,000
Products & Healthcare Services
Acquired Finite-Lived Intangible Assets [Line Items]
Goodwill	103,791		$ 103,141
Intangible assets, net	$ 83,000	$ 89,000