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General and Summary of Significant Accounting Policies Goodwill (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2021
Dec. 31, 2020
Dec. 31, 2019
Goodwill [Roll Forward]      
GOODWILL $ 33,001 $ 31,245 $ 11,195
Goodwill, Acquired During Period 10,626   20,026
Goodwill, Purchase Accounting Adjustments     24
Goodwill, Foreign Currency Translation Gain (Loss) (188) 1,756  
GOODWILL 43,439 33,001 31,245
Pursuit Vascular LLC      
Goodwill [Roll Forward]      
Goodwill, Acquired During Period     19,100
Goodwill, Purchase Accounting Adjustments   $ 1,300  
Foreign Distibutor [Member]      
Goodwill [Roll Forward]      
Goodwill, Acquired During Period     $ 900
Foreign Infusion System Supplier      
Goodwill [Roll Forward]      
Goodwill, Acquired During Period $ 10,600