Revenue Disaggregated Revenue by Product Line (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2023	Jun. 30, 2022	Jun. 30, 2023	Jun. 30, 2022
Disaggregation of Revenue [Line Items]
Revenues	$ 549,310	$ 561,004	$ 1,117,959	$ 1,104,126
Infusion Consumables [Member]
Disaggregation of Revenue [Line Items]
Revenues	236,976	240,995	473,098	481,184
Infusion Systems [Member]
Disaggregation of Revenue [Line Items]
Revenues	153,142	148,644	314,855	286,871
Vital Care
Disaggregation of Revenue [Line Items]
Revenues	$ 159,192	$ 171,365	$ 330,006	$ 336,071