Acquisitions Foreign Infusion Systems Supplier (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2024	Dec. 31, 2022
Business Acquisition [Line Items]
Short-term contingent consideration-gross	$ 1,000	$ 1,000
Long-term contingent consideration-gross	1,500
Foreign Infusion System Supplier
Business Acquisition [Line Items]
contingent consideration gross	$ 2,500	$ 2,500