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General and Summary of Significant Accounting Policies Investments-Equity Method (Details) - USD ($) $ in Thousands | Dec. 31, 2025 | Dec. 31, 2024
--- | --- | ---
Schedule of Equity Method Investments [Line Items] |  |
Equity Method Investments | $ 131,586 | $ 3,038
us-gaap_Otsuka ICU Medical LLC |  |
Schedule of Equity Method Investments [Line Items] |  |
Equity Method Investments | 128,662 | 0
us-gaap_OtherInvestmentsMember |  |
Schedule of Equity Method Investments [Line Items] |  |
Equity Method Investments | $ 2,924 | $ 3,038

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