Business Acquisitions (Details textual) - USD ($) $ in Thousands						12 Months Ended		24 Months Ended
	May 01, 2019	Mar. 04, 2019	Jan. 28, 2019	Oct. 16, 2018	Sep. 10, 2018	Dec. 31, 2020	Dec. 31, 2019	Apr. 30, 2021
Business Acquisition [Line Items]
Goodwill, Acquired During Period						$ 22,857	$ 469,446
Identifiable intangible assets						6,100	$ 159,700
Acyclica [Member]
Business Acquisition [Line Items]
Goodwill, Acquired During Period					$ 7,000
Identifiable intangible assets					2,700
Total purchase price					$ 9,700
SeaPilot [Member]
Business Acquisition [Line Items]
Goodwill, Acquired During Period				$ 3,000
Identifiable intangible assets				1,700
Total purchase price				$ 4,700
Aeryon Lab [Member]
Business Acquisition [Line Items]
Goodwill, Acquired During Period			$ 161,518
Net tangible assets						6,097
Identifiable intangible assets			44,292
Total purchase price			205,900			205,922
Aeryon [Member]
Business Acquisition [Line Items]
Identifiable intangible assets			$ 44,292
Endeavor [Member]
Business Acquisition [Line Items]
Goodwill, Acquired During Period		$ 271,365
Net tangible assets						14,915
Identifiable intangible assets		102,740
Total purchase price		$ 385,900				385,931
NEOS [Member]
Business Acquisition [Line Items]
Goodwill, Acquired During Period	$ 13,987
Net tangible assets						1,479
Identifiable intangible assets	6,400
Total purchase price	$ 21,900					21,881
Altavian [Member]
Business Acquisition [Line Items]
Goodwill, Acquired During Period						22,857
Net tangible assets						1,491
Identifiable intangible assets						6,075
Total purchase price						34,106
Payments of Merger Related Costs, Financing Activities						26,800
Business Combination, Contingent Consideration, Liability						$ 2,500
Subsequent Event [Member] | NEOS [Member]
Business Acquisition [Line Items]
Total purchase price								$ 12,000