Acquisitions Foreign Infusion Systems Supplier (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2023	Dec. 31, 2021
Business Acquisition [Line Items]
Short-term contingent consideration-gross	$ 1,000	$ 1,000
Long-term contingent consideration-gross	1,500
Foreign Infusion System Supplier
Business Acquisition [Line Items]
Payments to Acquire Businesses, Gross		15,400
business combination consideration - cash holdback		500
contingent consideration gross	2,500	2,500
Short-term contingent consideration-gross		1,000
Long-term contingent consideration-gross		1,500
Business Combination, Contingent Consideration, Liability	$ 1,500	$ 1,500