Business Combinations and Asset Acquisitions Smiths Medical Pro Forma (Details) - USD ($) $ in Thousands	3 Months Ended
	Mar. 31, 2023	Mar. 31, 2022
Business Combination and Asset Acquisition [Abstract]
Business Acquisition, Pro Forma Revenue		$ 563,743
Business Acquisition [Line Items]
Revenues	$ 568,649	543,122
Net (Loss) Income	(9,812)	(38,068)
Business Acquisition, Pro Forma Net Income (Loss)	$ (34,994)
Pro Forma Adjustment - Amortization		3,300
Pro Forma Adjustment - Finance Costs		800
SmithsMedical
Business Acquisition [Line Items]
Revenues		214,900
Net (Loss) Income		$ 40,400