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Segment and Geographic Data (Sales And Other Financial Information By Business Segment) (Details) $ in Thousands | 3 Months Ended | 12 Months Ended
--- | --- | ---
Dec. 31, 2023 USD ($) | Sep. 30, 2023 USD ($) | Jun. 30, 2023 USD ($) | Mar. 31, 2023 USD ($) | Dec. 31, 2022 USD ($) | Sep. 30, 2022 USD ($) | Jun. 30, 2022 USD ($) | Mar. 31, 2022 USD ($) | Dec. 31, 2023 USD ($) segment | Dec. 31, 2022 USD ($) | Dec. 31, 2021 USD ($)
Segment Reporting [Abstract] |  |  |  |  |  |  |  |  |  |  |
Number of reportable segments | segment |  |  |  |  |  |  |  |  | 2 |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Number of reportable segments | segment |  |  |  |  |  |  |  |  | 2 |  |
Net sales | $ 5,815,000 | $ 4,909,000 | $ 4,996,000 | $ 4,778,000 | $ 5,202,000 | $ 4,479,000 | $ 4,493,000 | $ 4,275,000 | $ 20,498,000 | $ 18,449,000 | $ 17,108,000
Depreciation and amortization |  |  |  |  |  |  |  |  | 1,341,000 | 1,278,000 | 1,272,000
Segment net earnings (loss) |  |  |  |  |  |  |  |  | 3,888,000 | 2,841,000 | 2,584,000
Amortization of intangible assets |  |  |  |  |  |  |  |  | (635,000) | (627,000) | (619,000)
Goodwill impairment |  |  |  |  |  |  |  |  | 0 | (216,000) | 0
Net earnings | $ 1,143,000 | $ 692,000 | $ 738,000 | $ 592,000 | $ 563,000 | $ 816,000 | $ 656,000 | $ 323,000 | 3,165,000 | 2,358,000 | 1,994,000
MedSurg and Neurotechnology |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net sales |  |  |  |  |  |  |  |  | 11,836,000 | 10,611,000 | 9,538,000
Goodwill impairment |  |  |  |  |  |  |  |  |  | 0 |
Orthopaedics and Spine |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net sales |  |  |  |  |  |  |  |  | 8,662,000 | 7,838,000 | 7,570,000
Goodwill impairment |  |  |  |  |  |  |  |  |  | (216,000) |
Operating Segments |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Depreciation and amortization |  |  |  |  |  |  |  |  | 1,201,000 | 1,154,000 | 1,147,000
Segment operating income |  |  |  |  |  |  |  |  | 5,735,000 | 5,033,000 | 4,987,000
Operating Segments | MedSurg and Neurotechnology |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net sales |  |  |  |  |  |  |  |  | 11,836,000 | 10,611,000 | 9,538,000
Depreciation and amortization |  |  |  |  |  |  |  |  | 564,000 | 540,000 | 518,000
Segment net earnings (loss) |  |  |  |  |  |  |  |  | 3,336,000 | 2,737,000 | 2,807,000
Operating Segments | Orthopaedics and Spine |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Net sales |  |  |  |  |  |  |  |  | 8,662,000 | 7,838,000 | 7,570,000
Depreciation and amortization |  |  |  |  |  |  |  |  | 637,000 | 614,000 | 629,000
Segment net earnings (loss) |  |  |  |  |  |  |  |  | 2,399,000 | 2,296,000 | 2,180,000
Corporate and Other |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Depreciation and amortization |  |  |  |  |  |  |  |  | 140,000 | 124,000 | 125,000
Segment operating income |  |  |  |  |  |  |  |  | (780,000) | (649,000) | (605,000)
Segment Reconciling Items |  |  |  |  |  |  |  |  |  |  |
Segment Reporting Information [Line Items] |  |  |  |  |  |  |  |  |  |  |
Acquisition and integration-related charges |  |  |  |  |  |  |  |  | (20,000) | (150,000) | (585,000)
Structural optimization and other special charges |  |  |  |  |  |  |  |  | (206,000) | (349,000) | (386,000)
Medical device regulations |  |  |  |  |  |  |  |  | (96,000) | (140,000) | (107,000)
Recall-related matters |  |  |  |  |  |  |  |  | (18,000) | 15,000 | (103,000)
Regulatory and legal matters |  |  |  |  |  |  |  |  | (92,000) | (76,000) | 2,000
Net earnings |  |  |  |  |  |  |  |  | $ 3,888,000 | $ 2,841,000 | $ 2,584,000

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