Income Taxes Effective tax rate (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2025	Jun. 30, 2024	Jun. 30, 2025	Jun. 30, 2024
Business Acquisition, Contingent Consideration [Line Items]
Change in fair value of contingent earn-out	$ 0	$ (339)	$ 0	$ (44)
Valuation Allowance, Deferred Tax Asset, Increase (Decrease), Amount	$ (2,700)	$ 10,400	$ 3,700	$ 20,500
Effective Income Tax Rate	3.00%	(10.00%)	25.00%	(8.00%)
Effective Income Tax Rate Reconciliation, at Federal Statutory Income Tax Rate, Percent			21.00%	21.00%
Unrecognized Tax Benefits, Reduction Resulting from Lapse of Applicable Statute of Limitations	$ 5,000	$ 3,900	$ 5,000	$ 4,000
Effective Income Tax Rate Reconciliation, Disposition of Business, Amount	$ 6,100
SmithsMedical
Business Acquisition, Contingent Consideration [Line Items]
Change in fair value of contingent earn-out		$ (300)		$ 0