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v3.23.2

Income Taxes Effective tax rate (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2023 | Jun. 30, 2022 | Jun. 30, 2023 | Jun. 30, 2022
Business Acquisition, Contingent Consideration [Line Items] |  |  |  |
Change in fair value of contingent earn-out | $ 4,016 | $ (27,194) | $ 3,316 | $ (27,194)
Share-based Payment Arrangement, Expense, Tax Benefit | 900 | $ 0 | $ 200 | 2,600
contingent consideration, tax expense | $ 0 |  |  | $ 0
Effective Income Tax Rate | 57.00% | 56.00% | 46.00% | 36.00%
Effective Income Tax Rate Reconciliation, at Federal Statutory Income Tax Rate, Percent |  |  | 21.00% | 21.00%
Share-based Payment Arrangement, Expense, Tax Benefit | $ 900 | $ 0 | $ 200 | $ 2,600
contingent consideration, tax expense | 0 |  |  | $ 0
Unrecognized Tax Benefits, Reduction Resulting from Lapse of Applicable Statute of Limitations | 6,000 |  | 6,000 |
SmithsMedical |  |  |  |
Business Acquisition, Contingent Consideration [Line Items] |  |  |  |
Change in fair value of contingent earn-out | $ 4,000 |  | $ 3,300 |

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