Business Combinations and Asset Acquisitions Smiths Medical Pro Forma (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2022	Jun. 30, 2021	Jun. 30, 2022	Jun. 30, 2021
Business Combination and Asset Acquisition [Abstract]
Business Acquisition, Pro Forma Revenue	$ 561,004	$ 625,942	$ 1,124,823	$ 1,227,502
Business Acquisition [Line Items]
Revenues	561,004	321,677	1,104,126	639,723
Net (Loss) Income	(7,474)	28,398	(45,542)	52,129
Business Acquisition, Pro Forma Net Income (Loss)	(7,474)	34,244	(59,425)	$ 31,447
Pro Forma Adjustment - Amortization	1,300	55,500
Pro Forma Adjustment - Finance Costs	800	25,400
Pro Forma Adjustment - Inventory		27,400
Pro Forma Adjustment - Related Party Loans	80,700	$ 45,000
Acquisition-related Costs
Business Acquisition [Line Items]
Business Acquisition, Transaction Costs	13,500		13,500
SmithsMedical
Business Acquisition [Line Items]
Revenues	222,900		437,800
Net (Loss) Income	$ 26,000		$ 65,500