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Business Combinations and Asset Acquisitions Foreign Infusion Distributor(Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2023 | Jun. 30, 2023
Business Acquisition [Line Items] |  |
Payments to Acquire Businesses, Gross |  | $ 1,922,955
Contingent Consideration, Gross ST | $ 1,000 |
Contingent Consideration, Gross LT | 1,500 |
Foreign Infusion System Supplier |  |
Business Acquisition [Line Items] |  |
contingent consideration gross | $ 2,500 |

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