Equity Method and Other Investments Equity Method and Other Investments (Details) - USD ($) $ in Thousands	Apr. 01, 2023	Sep. 30, 2023	Dec. 31, 2022
Schedule of Equity Method and Other Investments [Line Items]
Equity method and other investments		$ 565,394	$ 231,108
Mozarc Medical Holdings LLC
Schedule of Equity Method and Other Investments [Line Items]
Transaction Agreement Date	May 25, 2022
Transaction Agreement Effective Closing Date	Apr. 01, 2023
Payments to Medtronic	$ 44,651
Maximum Additional Consideration to be paid between 2024 through 2028	300,000
Contributed Other Non-Cash Assets	14,000
Fair value of Contingent Consideration payable to Medtronic	86,200
Additional Cash Contributed	224,415
Equity Method Investment, Initial Aggregate Cost	$ 375,326
Mozarc Medical Holdings LLC
Schedule of Equity Method and Other Investments [Line Items]
Equity method and other investments		342,315
Voting Equity Interest in Mozarc, Owned by Medtronic	50.00%
Voting Equity Interest by the Company	50.00%
APAC joint venture
Schedule of Equity Method and Other Investments [Line Items]
Equity method and other investments		98,215	99,141
Adjusted cost method and other investments
Schedule of Equity Method and Other Investments [Line Items]
Equity method and other investments		12,559	15,564
Other equity method partnerships
Schedule of Equity Method and Other Investments [Line Items]
Equity method and other investments		$ 112,305	$ 116,403