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Segment Information -Narrative (Details) - USD ($)
$ in Thousands
Sep. 30, 2022
Apr. 02, 2022
Dec. 31, 2021
Segment Reporting Information [Line Items]      
Goodwill $ 1,959,795   $ 1,934,258
Assets 4,444,818   $ 8,515,912
Prevention and Recovery      
Segment Reporting Information [Line Items]      
Goodwill 1,100,000    
Assets   $ 2,800,000  
Reconstructive Segment      
Segment Reporting Information [Line Items]      
Goodwill $ 800,000    
Assets   $ 1,800,000