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v3.23.3

Income Taxes Effective tax rate (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2023 | Sep. 30, 2022 | Sep. 30, 2023 | Sep. 30, 2022
Business Acquisition, Contingent Consideration [Line Items] |  |  |  |
Change in fair value of contingent earn-out | $ (15,572) | $ (4,059) | $ (12,256) | $ (31,253)
Share-based Payment Arrangement, Expense, Tax Benefit | 600 | $ 1,500 | $ 800 | 4,100
contingent consideration, tax expense | 0 |  |  | $ 0
Return-to-Provision Tax Benefit | $ 7,500 |  |  |
Effective Income Tax Rate | 235.00% | 38.00% | 70.00% | 37.00%
Effective Income Tax Rate Reconciliation, at Federal Statutory Income Tax Rate, Percent |  |  | 21.00% | 21.00%
Share-based Payment Arrangement, Expense, Tax Benefit | $ 600 | $ 1,500 | $ 800 | $ 4,100
contingent consideration, tax expense | 0 |  |  | 0
Unrecognized Tax Benefits, Reduction Resulting from Lapse of Applicable Statute of Limitations | 0 |  | 6,000 |
SmithsMedical |  |  |  |
Business Acquisition, Contingent Consideration [Line Items] |  |  |  |
Change in fair value of contingent earn-out | $ (15,600) | $ 4,100 | $ 12,300 | $ 31,300

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