Business Combinations and Asset Acquisitions Smiths Medical Pro Forma (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2023	Sep. 30, 2022	Sep. 30, 2023	Sep. 30, 2022
Business Combination and Asset Acquisition [Abstract]
Business Acquisition, Pro Forma Revenue			$ 1,722,357	$ 597,857
Business Acquisition [Line Items]
Revenues	$ 553,311	$ 597,857	1,671,270	1,701,983
Net (Loss) Income	7,238	(13,208)	(12,508)	(58,750)
Pro Forma Adjustment - Amortization				1,900
Pro Forma Adjustment - Finance Costs				1,400
Pro Forma Adjustment Inventory				27,400
Business Acquisition, Pro Forma Net Income (Loss)	$ (13,208)		$ (54,840)
Pro Forma Adjustment - Amortization				1,900
Pro Forma Adjustment - Finance Costs				1,400
SmithsMedical
Business Acquisition [Line Items]
Revenues		261,400		699,100
Net (Loss) Income		$ 13,600		$ 79,000