Business Combinations and Asset Acquisitions Foreign Infusion Distributor(Details) - USD ($) $ in Thousands	3 Months Ended	9 Months Ended
Sep. 30, 2022	Sep. 30, 2022
Business Acquisition [Line Items]
Payments to Acquire Businesses, Gross		$ 1,922,955
Contingent Consideration, Gross ST	$ 1,000
Contingent Consideration, Gross LT	1,500
Business Combination, Consideration, Holdback liability	500
Foreign Infusion System Supplier
Business Acquisition [Line Items]
Payments to Acquire Businesses, Gross	15,400
contingent consideration gross	2,500
Contingent Consideration, Gross ST	1,000
Contingent Consideration, Gross LT	$ 1,500
Business Combination, Consideration Transferred		$ 17,100

Amount of consideration transferred, consisting of acquisition-date fair value of assets transferred by the acquirer, liabilities incurred by the acquirer, and equity interest issued by the acquirer.

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 30
-Section 30
-Paragraph 8
-URI https://asc.fasb.org/extlink&oid=126966197&loc=d3e6613-128477

Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 30
-Section 50
-Paragraph 1
-Subparagraph (b)
-URI https://asc.fasb.org/extlink&oid=126975305&loc=d3e6927-128479

Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
-SubTopic 30
-Section 30
-Paragraph 7
-URI https://asc.fasb.org/extlink&oid=126966197&loc=d3e6578-128477

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Balance Type:	credit
Period Type:	duration