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Acquisitions and Divestitures - Additional Information (Details) - USD ($) $ in Thousands |  | 12 Months Ended |  |
--- | --- | --- | --- | ---
May 01, 2020 | Dec. 31, 2021 | Dec. 31, 2020 | Dec. 31, 2019
Series of individually immaterial business acquisitions |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Contingent earn-out obligations |  | $ 67,638 |  |
Fair value of contingent earn-out consideration |  | 33,600 | $ 30,248 | $ 24,586
RMS Lifeline |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Gain (Loss) on Divestiture | $ (16,252) |  |  |
Other Current Liabilities | Series of individually immaterial business acquisitions |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Fair value of contingent earn-out consideration |  | 9,419 |  |
Other Long-term Liabilities | Series of individually immaterial business acquisitions |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Fair value of contingent earn-out consideration |  | 24,181 |  |
Other companies | Series of individually immaterial business acquisitions |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Fair value of contingent earn-out consideration |  | $ 33,600 |  |
Minimum | Other companies | EBITDA or Operating Income Performance Targets or Quality Margins |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Earn-out consideration payment period |  | 1 year |  |
Maximum | Other companies | EBITDA or Operating Income Performance Targets or Quality Margins |  |  |  |
Business Acquisition [Line Items] |  |  |  |
Earn-out consideration payment period |  | 5 years |  |

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