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General and Summary of Significant Accounting Policies (Tables) | 12 Months Ended
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Dec. 31, 2022
Accounting Policies [Abstract] |
Schedule of Inventory, Current [Table Text Block] | Inventories consist of the following (in thousands):
| As of December 31,
| 2022 |  | 2021
Raw materials | $ | 286,964 |  |  | $ | 135,528 |
Work in process | 73,795 |  |  | 36,490 |
Finished goods | 335,250 |  |  | 118,217 |
Total | $ | 696,009 |  |  | $ | 290,235 |
Property, Plant and Equipment [Table Text Block] | Property, plant and equipment consists of the following (in thousands):
| As of December 31,
| 2022 |  | 2021
Machinery and equipment | $ | 414,811 |  |  | $ | 321,078 |
Land, building and building improvements | 274,063 |  |  | 243,377 |
Molds | 77,203 |  |  | 60,463 |
Computer equipment and software | 115,214 |  |  | 102,979 |
Furniture and fixtures | 29,876 |  |  | 7,670 |
Instruments placed with customers(1) | 98,481 |  |  | 97,384 |
Construction in progress | 152,909 |  |  | 72,153 |
Total property, plant and equipment, cost | 1,162,557 |  |  | 905,104 |
Accumulated depreciation | (526,444) |  |  | (436,739) |
Property, plant and equipment, net | $ | 636,113 |  |  | $ | 468,365 |
_______________________________ (1) Instruments placed with customers consist of drug-delivery and monitoring systems placed with customers under operating leases. All property, plant and equipment are stated at cost. We use the straight-line method for depreciating property, plant and equipment over their estimated useful lives. Estimated useful lives are:
Buildings | 15 - 30 years
Building improvements | 15 - 30 years
Machinery and equipment and molds | 2 - 15 years
Furniture, fixtures and office equipment | 2 - 5 years
Computer equipment and software | 3 - 5 years
Instruments placed with customers | 3 - 10 years
Schedule of Goodwill | The following table presents the changes in the carrying amount of our goodwill for 2022, 2021 and 2020 (in thousands):
|  | Total
Balance as of January 1, 2020 |  | $ | 31,245 |
Other(1) |  | 1,756 |
Balance as of December 31, 2020 |  | $ | 33,001 |
Goodwill acquired(2) |  | 10,626 |
Other |  | (188) |
Balance as of December 31, 2021 |  | 43,439 |
Goodwill(3) |  | 1,469,880 |
Other(4) |  | (7,128) |
Disposition(5) |  | (650) |
Currency translation |  | (56,283) |
Balance as of December 31, 2022 |  | $ | 1,449,258 |
_______________________________ (1) In 2020, "Other" primarily relates to a $1.3 million measurement period adjustment to deferred taxes related to the 2019 acquisition of Pursuit Vascular, Inc. and foreign currency translation. (2) In 2021, we acquired a small foreign infusion systems supplier, which resulted in $10.6 million of goodwill. (3) Relates to Smiths Medical acquired on January 6, 2022 (see Note 2: Acquisitions). (4) Reflects a measurement period adjustment related to the 2021 acquisition of a small foreign infusion systems supplier. (5) Relates to the sale of a certain line of infusion products in China.
Schedule of Indefinite-Lived Intangible Assets | Intangible assets, carried at cost less accumulated amortization and amortized on a straight-lined basis, were as follows (in thousands):
|  | Weighted-Average Amortization Life in Years |  | December 31, 2022
|  |  | Cost |  | Accumulated Amortization |  | Net
Patents |  | 10 |  | $ | 29,998 |  |  | $ | 18,610 |  |  | $ | 11,388 |
Customer contracts |  | 12 |  | 10,026 |  |  | 6,443 |  |  | 3,583 |
Non-contractual customer relationships |  | 8 |  | 546,935 |  |  | 101,556 |  |  | 445,379 |
Trademarks |  | 1 |  | 5,425 |  |  | 5,425 |  |  | — |
Trade name |  | 15 |  | 18,251 |  |  | 5,959 |  |  | 12,292 |
Developed technology |  | 10 |  | 583,176 |  |  | 108,708 |  |  | 474,468 |
Non-compete |  | 3 |  | 9,100 |  |  | 5,250 |  |  | 3,850 |
Total amortized intangible assets |  |  |  | $ | 1,202,911 |  |  | $ | 251,951 |  |  | $ | 950,960 |
Internally developed software* |  |  |  | $ | 31,806 |  |  |  |  | $ | 31,806 |
Total intangible assets |  |  |  | $ | 1,234,717 |  |  | $ | 251,951 |  |  | $ | 982,766 |
_______________________________ * Internally developed software will be amortized when the projects are complete and the assets are ready for their intended use.
|  | Weighted-Average Amortization Life in Years |  | December 31, 2021
|  |  | Cost |  | Accumulated Amortization |  | Net
Patents |  | 10 |  | $ | 27,429 |  |  | $ | 16,764 |  |  | $ | 10,665 |
Customer contracts |  | 12 |  | 10,412 |  |  | 6,196 |  |  | 4,216 |
Non-contractual customer relationships |  | 9 |  | 57,316 |  |  | 33,004 |  |  | 24,312 |
Trademarks |  | 4 |  | 425 |  |  | 425 |  |  | — |
Trade name |  | 15 |  | 18,260 |  |  | 4,731 |  |  | 13,529 |
Developed technology |  | 13 |  | 152,893 |  |  | 49,406 |  |  | 103,487 |
Non-compete |  | 3 |  | 9,100 |  |  | 2,356 |  |  | 6,744 |
Total amortized intangible assets |  |  |  | $ | 275,835 |  |  | $ | 112,882 |  |  | $ | 162,953 |
Internally developed software* |  |  |  | $ | 25,358 |  |  |  |  | $ | 25,358 |
Total intangible assets |  |  |  | $ | 301,193 |  |  | $ | 112,882 |  |  | $ | 188,311 |
_______________________________ * Internally developed software will be amortized when the projects are complete and the assets are ready for their intended use.
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block] | As of December 31, 2022, estimated annual amortization for our intangible assets for each of the next five years is approximately (in thousands):
2023 |  | $ | 130,972 |
2024 |  | 130,882 |
2025 |  | 123,223 |
2026 |  | 122,654 |
2027 |  | 114,622 |
Thereafter |  | 328,607 |
Total |  | $ | 950,960 |
Debt Securities, Available-for-sale | Our short-term and long-term investments in available-for-sale securities consist of the following (in thousands):
| As of December 31, 2022
| Amortized Cost |  | Unrealized Holding Gains (Losses) |  | Fair Value
Short-term corporate bonds | $ | 2,314 |  |  | $ | — |  |  | $ | 2,314 |
Short-term U.S. treasury securities | 1,412 |  |  | — |  |  | 1,412 |
Short-term government bonds | 498 |  |  | — |  |  | 498 |
Total short-term investment securities | 4,224 |  |  | — |  |  | 4,224 |
Long-term corporate bonds | 516 |  |  | — |  |  | 516 |
Total investment securities | $ | 4,740 |  |  | $ | — |  |  | $ | 4,740 |
| As of December 31, 2021
| Amortized Cost |  | Unrealized Holding Gains (Losses) |  | Fair Value
Short-term corporate bonds | $ | 14,420 |  |  | $ | — |  |  | $ | 14,420 |
Long-term corporate bonds | 4,620 |  |  | — |  |  | 4,620 |
Total investment securities | $ | 19,040 |  |  | $ | — |  |  | $ | 19,040 |
Equity Method Investments | Our non-marketable equity method investment consists of the following (in thousands):
| As of December 31,
| 2022 |  | 2021
Equity method investment | $ | 3,178 |  |  | $ | 3,238 |
Interest Income and Interest Expense Disclosure | Interest (expense) income, net The following table presents interest (expense) income, net (in thousands):
| As of December 31,
| 2022 |  | 2021 |  | 2020
Interest expense | $ | (70,805) |  |  | $ | (858) |  |  | $ | (1,753) |
Interest income | 4,430 |  |  | 2,840 |  |  | 3,677 |
Interest (expense) income, net | $ | (66,375) |  |  | $ | 1,982 |  |  | $ | 1,924 |
Schedule of Other Nonoperating Income (Expense) | Other expense, net The following table presents other income (expense), net (in thousands):
| As of December 31,
| 2022 |  | 2021 |  | 2020
Foreign exchange losses, net | $ | (5,780) |  |  | $ | (1,017) |  |  | $ | (7,177) |
(Loss) gain on disposition of assets | (2,554) |  |  | (1,651) |  |  | 1,773 |
Other miscellaneous income, net | 3,198 |  |  | 627 |  |  | 2,812 |
Other expense, net | $ | (5,136) |  |  | $ | (2,041) |  |  | $ | (2,592) |
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block] | The following table presents the calculation of net earnings per common share (“EPS”) — basic and diluted (in thousands, except per share data):
|  | Year ended December 31,
|  | 2022 |  | 2021 |  | 2020
Net (loss) income |  | $ | (74,286) |  |  | $ | 103,135 |  |  | $ | 86,870 |
Weighted-average number of common shares outstanding (basic) |  | 23,868 |  |  | 21,206 |  |  | 20,907 |
Dilutive securities |  | — |  |  | 575 |  |  | 684 |
Weighted-average common and common equivalent shares outstanding (diluted) |  | 23,868 |  |  | 21,781 |  |  | 21,591 |
EPS — basic |  | $ | (3.11) |  |  | $ | 4.86 |  |  | $ | 4.16 |
EPS — diluted |  | $ | (3.11) |  |  | $ | 4.74 |  |  | $ | 4.02 |

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