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Segment Reporting and Foreign Operations - Assets, Depreciation, Amortization and Capital Expenditures (Details) - USD ($) $ in Thousands | 12 Months Ended
--- | ---
Dec. 31, 2023 | Dec. 31, 2022 | Dec. 31, 2021
Segment Reporting, Asset Reconciling Item [Line Items] |  |  |
Assets | $ 2,325,244 | $ 1,663,966 | $ 1,648,294
Depreciation and amortization | 89,985 | 81,804 | 84,066
Capital expenditures | 34,290 | 45,029 | 27,939
Cardiovascular |  |  |
Segment Reporting, Asset Reconciling Item [Line Items] |  |  |
Assets | 2,308,217 | 1,652,145 | 1,635,676
Depreciation and amortization | 88,960 | 80,777 | 83,000
Capital expenditures | 33,985 | 44,925 | 27,557
Endoscopy |  |  |
Segment Reporting, Asset Reconciling Item [Line Items] |  |  |
Assets | 17,027 | 11,821 | 12,618
Depreciation and amortization | 1,025 | 1,027 | 1,066
Capital expenditures | $ 305 | $ 104 | $ 382

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