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General and Summary of Significant Accounting Policies Goodwill (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Goodwill [Roll Forward]      
GOODWILL $ 1,449,258 $ 43,439 $ 33,001
Goodwill, Acquired During Period   1,469,880 10,626
Goodwill, Purchase Accounting Adjustments   (7,128) (188)
Goodwill, Other Increase (Decrease)   (650)  
Goodwill, Foreign Currency Translation Gain (Loss) 23,188 (56,283)  
GOODWILL $ 1,472,446 $ 1,449,258 43,439
Foreign Infusion System Supplier      
Goodwill [Roll Forward]      
Goodwill, Acquired During Period     $ 10,600