Business Combinations and Asset Acquisitions Smiths Medical Pro Forma (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021
Business Combination and Asset Acquisition [Abstract]
Business Acquisition, Pro Forma Revenue	$ 597,857	$ 641,115	$ 1,722,357	$ 1,862,237
Business Acquisition [Line Items]
Revenues	597,857	336,060	1,701,983	975,783
Net (Loss) Income	(13,208)	31,081	(58,750)	83,210
Business Acquisition, Pro Forma Net Income (Loss)	(13,208)	(8,874)	(54,840)	$ 22,026
Pro Forma Adjustment - Amortization	1,900	1,900
Pro Forma Adjustment - Finance Costs	1,400	47,100
Pro Forma Adjustment - Inventory		$ 27,400
Acquisition-related Costs
Business Acquisition [Line Items]
Business Acquisition, Transaction Costs	11,600		11,600
SmithsMedical
Business Acquisition [Line Items]
Revenues	261,400		699,100
Net (Loss) Income	$ 13,600		$ 79,000