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Business Combinations and Asset Acquisitions Smiths Medical (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands | 3 Months Ended
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Mar. 31, 2023 | Mar. 31, 2022
Business Acquisition [Line Items] |  |
Payments to Acquire Businesses, Gross | $ 1,922,955 |
Business Combination, Consideration Transferred, Liabilities Incurred |  | $ 55,158
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life | 9 years |
Customer Relationships |  |
Business Acquisition [Line Items] |  |
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life | 8 years |
Technology-Based Intangible Assets |  |
Business Acquisition [Line Items] |  |
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life | 10 years |
Software Development |  |
Business Acquisition [Line Items] |  |
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life | 5 years |
Trademarks [Member] |  |
Business Acquisition [Line Items] |  |
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life | 6 years |
SmithsMedical |  |
Business Acquisition [Line Items] |  |
Business Combination, Consideration Transferred, Liabilities Incurred | $ 53,520 | $ 53,500
Business Acquisition, Equity Interest Issued or Issuable, Number of Shares | 2,500 | 2,500
Business Acquisition, Share Price | $ 230.39 |
Business Acquisition, Equity Interest Issued or Issuable, Value Assigned | $ 575,975 |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Cash and Equivalents | 78,791 |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Receivables | 106,132 |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Inventory | 228,919 |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Prepaid Expense and Other Assets | 53,554 |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment | 206,333 |
business combination, recognized identifiable asset acquired and liability assumed, | 55,161 |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles | 945,000 |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Other Noncurrent Assets | 379 |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Accounts Payable | 105,291 |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities | 173,151 |
Business Combinations, Identified Assumed Liabilities Recognized, Income tax payable | (40,312) |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Noncurrent Liabilities, Other | (85,490) |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Liabilities | (187,455) |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net | 1,082,570 |
Business combination, goodwill- non deductible | 1,469,880 |
Business Combination, Consideration Transferred | 2,552,450 |
SmithsMedical | Customer Relationships |  |
Business Acquisition [Line Items] |  |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles | 510,000 |
SmithsMedical | developed technology |  |
Business Acquisition [Line Items] |  |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles | 400,000 |
SmithsMedical | Trademarks and Trade Names |  |
Business Acquisition [Line Items] |  |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles | 5,000 |
SmithsMedical | Software and Software Development Costs |  |
Business Acquisition [Line Items] |  |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles | $ 30,000 |

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