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Acquisitions Foreign Infusion Systems Supplier (Details) - USD ($) $ in Thousands | 12 Months Ended
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Dec. 31, 2023 | Dec. 31, 2021
Business Acquisition [Line Items] |  |
Short-term contingent consideration-gross | $ 1,000 | $ 1,000
Long-term contingent consideration-gross | 1,500 |
Foreign Infusion System Supplier |  |
Business Acquisition [Line Items] |  |
Payments to Acquire Businesses, Gross |  | 15,400
business combination consideration - cash holdback |  | 500
contingent consideration gross | 2,500 | 2,500
Short-term contingent consideration-gross |  | 1,000
Long-term contingent consideration-gross |  | 1,500
Business Combination, Contingent Consideration, Liability | $ 1,500 | $ 1,500

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