Acquisitions Smiths Medical Pro Forma (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2022	Dec. 31, 2021	Dec. 31, 2020
Business Acquisition, Pro Forma Information, Nonrecurring Adjustment [Line Items]
Revenues	$ 2,279,997	$ 1,316,308	$ 1,271,004
Business Acquisition, Pro Forma Revenue	2,300,371	2,509,830
Business Acquisition, Pro Forma Net Income (Loss)	(70,286)	37,454
Pro Forma Adjustment - Amortization	1,900	24,700
Pro Forma Adjustment - Inventory	27,400
Pro Forma Adjustment - Finance Costs	1,200	$ 73,500
Smiths Medical 2020 Limited
Business Acquisition, Pro Forma Information, Nonrecurring Adjustment [Line Items]
Revenues	950,700
Net Income (Loss), Including Portion Attributable to Noncontrolling Interest	$ (74,300)