Acquisitions Foreign Infusion Systems Supplier (Details) $ in Thousands	12 Months Ended
	Dec. 31, 2021 USD ($)
Business Acquisition [Line Items]
Short-term contingent consideration-gross	$ 1,000
Long-term contingent consideration-gross	1,500
Foreign Infusion System Supplier
Business Combination and Asset Acquisition [Abstract]
contingent consideration gross	2,500
Business Acquisition [Line Items]
contingent consideration gross	2,500
Payments to Acquire Businesses, Gross	15,400
business combination consideration - cash holdback	$ 500