Exit and Realignment Costs - Exit and realignment charges by segment (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Restructuring Cost and Reserve [Line Items]
Exit and realignment charges	$ 6,897	$ 31,109	$ 25,932
Products & Healthcare Services
Restructuring Cost and Reserve [Line Items]
Exit and realignment charges	6,414	28,760	25,622
Patient Direct
Restructuring Cost and Reserve [Line Items]
Exit and realignment charges	$ 483	$ 2,349	$ 310