Business Combinations and Asset Acquisitions Smiths Medical Pro Forma (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2022	Mar. 31, 2021
Business Combination and Asset Acquisition [Abstract]
Business Acquisition, Pro Forma Revenue	$ 563,743	$ 594,144
Business Acquisition [Line Items]
Revenues	543,122	318,046
Net Income	(38,068)	23,731
Business Acquisition, Pro Forma Net Income (Loss)	(34,994)	(1,994)
Pro Forma Adjustment - Amortization	3,300	26,300
Pro Forma Adjustment - Finance Costs	800	12,600
Pro Forma Adjustment - Inventory		18,800
Pro Forma Adjustment - Related Party Loans	81,000	$ 31,000
Acquisition-related Costs
Business Acquisition [Line Items]
Business Acquisition, Transaction Costs	13,500
SmithsMedical
Business Acquisition [Line Items]
Revenues	214,900
Net Income	$ 40,400