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Goodwill and Intangible Assets - Goodwill (Details)
$ in Thousands
 9 Months Ended
Sep. 30, 2022
USD ($)
Goodwill [Roll Forward]  
Balance at beginning of year, gross $ 419,972
Balance at beginning of year, impairments (74,384)
Balance at beginning of year, net 345,588
Acquisitions / adjustments 32,837
Foreign currency translation adjustments (20,880)
Balance at the end of the period, gross 431,929
Balance at the end of the period, impairments (74,384)
Balance at the end of the period, net 357,545
Healthcare  
Goodwill [Roll Forward]  
Balance at beginning of year, gross 121,970
Balance at beginning of year, impairments (32,055)
Balance at beginning of year, net 89,915
Acquisitions / adjustments 17,158
Foreign currency translation adjustments (8,999)
Balance at the end of the period, gross 130,129
Balance at the end of the period, impairments (32,055)
Balance at the end of the period, net 98,074
Industrial  
Goodwill [Roll Forward]  
Balance at beginning of year, gross 298,002
Balance at beginning of year, impairments (42,329)
Balance at beginning of year, net 255,673
Acquisitions / adjustments 15,679
Foreign currency translation adjustments (11,881)
Balance at the end of the period, gross 301,800
Balance at the end of the period, impairments (42,329)
Balance at the end of the period, net $ 259,471