Segment Information - Information By Segment (Details) - USD ($) $ in Thousands	3 Months Ended			12 Months Ended
	Sep. 30, 2024	Jun. 30, 2024	Mar. 31, 2024	Dec. 31, 2024	Dec. 31, 2023	Dec. 31, 2022
Segment Reporting Information [Line Items]
Total revenues				$ 2,440,837	$ 2,173,633	$ 1,795,564
Total cost of revenues				1,601,520	1,459,725	1,273,375
Gross profit				839,317	713,908	522,189
Sales, general and administrative				339,069	312,779	290,453
Research and development				215,034	208,688	185,098
Operating income (loss)				264,110	128,867	(7,439)
Total other income (expense)				20,421	(1,481)	(8,304)
Total income (loss) before income taxes	$ 82,425	$ 67,040	$ 65,216	284,531	127,386	(15,743)
Amortization of intangible assets				17,828	18,918	25,717
Gain (loss) on restructuring				2,679	43,989	(13,625)
Loss on sale of business				597	667	3,505
Goodwill impairment				0	0	38,480
Segment Reporting, Reconciling Item, Excluding Corporate Nonsegment
Segment Reporting Information [Line Items]
Total revenues	615,462	609,069	603,442	2,440,837	2,173,633	1,795,564
Total cost of revenues	405,864	398,609	398,063	1,601,520	1,459,725	1,273,375
Gross profit	209,598	210,460	205,379	839,317	713,908	522,189
Sales, general and administrative	13,871	14,178	14,307	57,129	54,329	47,139
Research and development	42,825	44,462	43,600	180,274	174,622	153,832
Segment Reporting, Other Segment Item, Amount	0	0	0	0	0	0
Total other income (expense)	0	0	0	0	0	0
Total income (loss) before income taxes	152,902	151,820	147,472	601,914	484,957	321,218
Segment Reporting, Reconciling Item, Corporate Nonsegment
Segment Reporting Information [Line Items]
Segment Reporting, Other Segment Item, Amount	78,969	87,173	84,672	337,804	356,090	328,657
Total other income (expense)	8,492	2,393	2,416	20,421	(1,481)	(8,304)
Total income (loss) before income taxes	(70,477)	(84,780)	(82,256)	(317,383)	(357,571)	(336,961)
Device Solutions [Member] | Operating Segments
Segment Reporting Information [Line Items]
Total revenues	122,738	118,550	126,752	476,577	455,726	438,710
Total cost of revenues	89,396	87,319	96,688	353,113	349,809	376,932
Gross profit	33,342	31,231	30,064	123,464	105,917	61,778
Sales, general and administrative	3,137	3,328	3,781	13,627	13,846	12,544
Research and development	3,720	4,178	4,580	16,315	26,381	22,531
Segment Reporting, Other Segment Item, Amount	0	0	0	0	0	0
Total other income (expense)	0	0	0	0	0	0
Total income (loss) before income taxes	26,485	23,725	21,703	93,522	65,690	26,703
Networked Solutions Segment [Member] | Operating Segments
Segment Reporting Information [Line Items]
Total revenues	416,713	412,704	407,516	1,650,075	1,450,291	1,119,268
Total cost of revenues	267,065	260,547	256,491	1,052,295	950,566	757,293
Gross profit	149,648	152,157	151,025	597,780	499,725	361,975
Sales, general and administrative	6,860	7,031	6,499	27,676	26,055	21,823
Research and development	27,557	27,682	27,848	113,442	104,749	91,884
Segment Reporting, Other Segment Item, Amount	0	0	0	0	0	0
Total other income (expense)	0	0	0	0	0	0
Total income (loss) before income taxes	115,231	117,444	116,678	456,662	368,921	248,268
Outcomes Segment [Member] | Operating Segments
Segment Reporting Information [Line Items]
Total revenues	76,011	77,815	69,174	314,185	267,616	237,586
Total cost of revenues	49,403	50,743	44,884	196,112	159,350	139,150
Gross profit	26,608	27,072	24,290	118,073	108,266	98,436
Sales, general and administrative	3,874	3,819	4,027	15,826	14,428	12,772
Research and development	11,548	12,602	11,172	50,517	43,492	39,417
Segment Reporting, Other Segment Item, Amount	0	0	0	0	0	0
Total other income (expense)	0	0	0	0	0	0
Total income (loss) before income taxes	11,186	10,651	9,091	51,730	50,346	46,247
Product revenues
Segment Reporting Information [Line Items]
Total revenues				2,131,379	1,863,489	1,500,243
Total cost of revenues				1,429,942	1,292,170	1,102,475
Product revenues | Segment Reporting, Reconciling Item, Excluding Corporate Nonsegment
Segment Reporting Information [Line Items]
Total revenues	538,249	532,907	527,822	2,131,379	1,863,489	1,500,243
Product revenues | Device Solutions [Member] | Operating Segments
Segment Reporting Information [Line Items]
Total revenues	122,119	117,929	125,908	473,329	452,718	433,354
Product revenues | Networked Solutions Segment [Member] | Operating Segments
Segment Reporting Information [Line Items]
Total revenues	390,201	387,351	381,305	1,546,278	1,331,546	1,002,156
Product revenues | Outcomes Segment [Member] | Operating Segments
Segment Reporting Information [Line Items]
Total revenues	25,929	27,627	20,609	111,772	79,225	64,733
Service revenues
Segment Reporting Information [Line Items]
Total revenues				309,458	310,144	295,321
Total cost of revenues				171,578	167,555	170,900
Service revenues | Segment Reporting, Reconciling Item, Excluding Corporate Nonsegment
Segment Reporting Information [Line Items]
Total revenues	77,213	76,162	75,620	309,458	310,144	295,321
Service revenues | Device Solutions [Member] | Operating Segments
Segment Reporting Information [Line Items]
Total revenues	619	621	844	3,248	3,008	5,356
Service revenues | Networked Solutions Segment [Member] | Operating Segments
Segment Reporting Information [Line Items]
Total revenues	26,512	25,353	26,211	103,797	118,745	117,112
Service revenues | Outcomes Segment [Member] | Operating Segments
Segment Reporting Information [Line Items]
Total revenues	$ 50,082	$ 50,188	$ 48,565	$ 202,413	$ 188,391	$ 172,853