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v3.24.3

Income Taxes Effective tax rate (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2024 | Sep. 30, 2023 | Sep. 30, 2024 | Sep. 30, 2023
Business Acquisition, Contingent Consideration [Line Items] |  |  |  |
Change in fair value of contingent earn-out | $ (3,947) | $ (15,572) | $ (3,991) | $ (12,256)
ReturntoProvision | 1,600 | 7,500 | 1,600 | 7,500
contingent consideration, tax expense |  | 0 |  | 0
Share-based Payment Arrangement, Expense, Tax Benefit | 800 | 600 | 3,800 | 800
Valuation Allowance, Deferred Tax Asset, Increase (Decrease), Amount | 22,400 |  | 42,900 |
Unrecognized Tax Benefits, Reduction Resulting from Lapse of Applicable Statute of Limitations | $ 0 | $ 0 | $ 4,000 | $ 6,000
Effective Income Tax Rate | (84.00%) | 235.00% | (26.00%) | 70.00%
Effective Income Tax Rate Reconciliation, at Federal Statutory Income Tax Rate, Percent |  |  | 21.00% | 21.00%
ReturntoProvision | $ 1,600 | $ 7,500 | $ 1,600 | $ 7,500
SmithsMedical |  |  |  |
Business Acquisition, Contingent Consideration [Line Items] |  |  |  |
Change in fair value of contingent earn-out |  | $ 15,600 |  | $ 12,300

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