Business Combinations and Asset Acquisitions Smiths Medical Pro Forma (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Business Combination and Asset Acquisition [Abstract]
Business Acquisition, Pro Forma Revenue			$ 1,124,823	$ 561,004
Business Acquisition [Line Items]
Revenues	$ 549,310	$ 561,004	1,117,959	1,104,126
Net (Loss) Income	(9,934)	(7,474)	(19,746)	(45,542)
Pro Forma Adjustment - Amortization		1,300		55,500
Pro Forma Adjustment - Finance Costs		800		25,400
Business Acquisition, Pro Forma Net Income (Loss)	$ (7,474)		$ (59,425)
Pro Forma Adjustment - Amortization		1,300		55,500
Pro Forma Adjustment - Finance Costs		800		25,400
SmithsMedical
Business Acquisition [Line Items]
Revenues		222,900		437,800
Net (Loss) Income		$ 26,000		$ 65,500