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Equity Method and Other Investmetns Equity Method and Other Investments (Details) - USD ($)
$ in Thousands
Apr. 01, 2023
Dec. 31, 2023
Dec. 31, 2022
Schedule of Equity Method Investments [Line Items]      
Equity method and other investments   $ 545,848 $ 231,108
Mozarc Medical Holding LLC      
Schedule of Equity Method 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 14,539    
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 Holding LLC      
Schedule of Equity Method Investments [Line Items]      
Equity method and other investments   324,711 0
Voting Equity Interest by the Company 50.00%    
Voting Equity Interest in Mozarc, Owned by Medtronic 50.00%    
APAC joint venture      
Schedule of Equity Method Investments [Line Items]      
Equity method and other investments   $ 98,865 99,141
Voting Equity Interest by the Company   75.00%  
Current economic interest in the APAC JV, Owned by Other Noncontrolling Investors   25.00%  
Adjusted cost method and other investments      
Schedule of Equity Method Investments [Line Items]      
Equity method and other investments   $ 14,990 15,564
Other equity method partnerships      
Schedule of Equity Method Investments [Line Items]      
Equity method and other investments   $ 107,282 $ 116,403