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GOODWILL AND OTHER INTANGIBLE ASSETS, NET (Tables) | 6 Months Ended
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Jun. 27, 2025
Goodwill and Intangible Assets Disclosure [Abstract] |
Schedule of Goodwill | The changes in the carrying amount of goodwill for the six months ended June 27, 2025 were as follows (in thousands):
| Medical |  |  |  |
December 31, 2024 | $ | 1,017,729 |  |  |  |  |
Precision and VSi acquisitions (Note 2) | 56,752 |  |  |  |  |
Acquisition-related adjustments (Note 2) | (49) |  |  |  |  |
Foreign currency translation | 25,939 |  |  |  |  |
June 27, 2025 | $ | 1,100,371 |  |  |  |  |
Schedule of Finite-Lived Intangible Assets, Major Class | Intangible assets comprise the following (in thousands):
| Gross Carrying Amount |  | Accumulated Amortization |  |  |  | Net Carrying Amount
June 27, 2025 |  |  |  |  |  |  |
Definite-lived: |  |  |  |  |  |  |
Purchased technology and patents | $ | 326,365 |  |  | $ | (218,066) |  |  |  |  | $ | 108,299 |
Customer lists | 955,854 |  |  | (312,167) |  |  |  |  | 643,687 |
Amortizing tradenames and other | 20,080 |  |  | (7,809) |  |  |  |  | 12,271 |
Total amortizing intangible assets | $ | 1,302,299 |  |  | $ | (538,042) |  |  |  |  | $ | 764,257 |
Indefinite-lived: |  |  |  |  |  |  |
Trademarks and tradenames |  |  |  |  |  |  | $ | 90,288 |
December 31, 2024 |  |  |  |  |  |  |
Definite-lived: |  |  |  |  |  |  |
Purchased technology and patents | $ | 293,164 |  |  | $ | (204,591) |  |  |  |  | $ | 88,573 |
Customer lists | 870,692 |  |  | (284,104) |  |  |  |  | 586,588 |
Amortizing tradenames and other | 20,002 |  |  | (7,165) |  |  |  |  | 12,837 |
Total amortizing intangible assets | $ | 1,183,858 |  |  | $ | (495,860) |  |  |  |  | $ | 687,998 |
Indefinite-lived: |  |  |  |  |  |  |
Trademarks and tradenames |  |  |  |  |  |  | $ | 90,288 |
Schedule of Indefinite-Lived Intangible Assets | Intangible assets comprise the following (in thousands):
| Gross Carrying Amount |  | Accumulated Amortization |  |  |  | Net Carrying Amount
June 27, 2025 |  |  |  |  |  |  |
Definite-lived: |  |  |  |  |  |  |
Purchased technology and patents | $ | 326,365 |  |  | $ | (218,066) |  |  |  |  | $ | 108,299 |
Customer lists | 955,854 |  |  | (312,167) |  |  |  |  | 643,687 |
Amortizing tradenames and other | 20,080 |  |  | (7,809) |  |  |  |  | 12,271 |
Total amortizing intangible assets | $ | 1,302,299 |  |  | $ | (538,042) |  |  |  |  | $ | 764,257 |
Indefinite-lived: |  |  |  |  |  |  |
Trademarks and tradenames |  |  |  |  |  |  | $ | 90,288 |
December 31, 2024 |  |  |  |  |  |  |
Definite-lived: |  |  |  |  |  |  |
Purchased technology and patents | $ | 293,164 |  |  | $ | (204,591) |  |  |  |  | $ | 88,573 |
Customer lists | 870,692 |  |  | (284,104) |  |  |  |  | 586,588 |
Amortizing tradenames and other | 20,002 |  |  | (7,165) |  |  |  |  | 12,837 |
Total amortizing intangible assets | $ | 1,183,858 |  |  | $ | (495,860) |  |  |  |  | $ | 687,998 |
Indefinite-lived: |  |  |  |  |  |  |
Trademarks and tradenames |  |  |  |  |  |  | $ | 90,288 |
Schedule of Finite-Lived Intangible Assets, Amortization Expense | Aggregate intangible asset amortization expense comprises the following (in thousands):
| Three Months Ended |  | Six Months Ended
| June 27, 2025 |  | June 28, 2024 |  | June 27, 2025 |  | June 28, 2024
Cost of sales | $ | 4,942 |  |  | $ | 3,618 |  |  | $ | 9,516 |  |  | $ | 7,881 |
Selling, general and administrative expenses | 11,178 |  |  | 9,991 |  |  | 21,455 |  |  | 19,079 |
Total intangible asset amortization expense | $ | 16,120 |  |  | $ | 13,609 |  |  | $ | 30,971 |  |  | $ | 26,960 |
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense | Estimated future intangible asset amortization expense based on the carrying value as of June 27, 2025 is as follows (in thousands):
| Remainder of 2025 |  | 2026 |  | 2027 |  | 2028 |  | 2029 |  | After 2029
Amortization Expense | $ | 33,402 |  |  | $ | 63,250 |  |  | $ | 60,257 |  |  | $ | 58,647 |  |  | $ | 56,339 |  |  | $ | 492,362 |

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