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General and Summary of Significant Accounting Policies (Tables) | 12 Months Ended
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Dec. 31, 2025
Accounting Policies [Abstract] |
Schedule of Inventory, Current [Table Text Block] | Inventories consist of the following (in thousands):
| As of December 31,
| 2025 |  | 2024
Raw materials | $ | 265,383 |  |  | $ | 265,275 |
Work in process | 38,097 |  |  | 37,528 |
Finished goods | 312,379 |  |  | 281,873 |
Total | $ | 615,859 |  |  | $ | 584,676 |
Property, Plant and Equipment [Table Text Block] | Property, plant and equipment consists of the following (in thousands):
| As of December 31,
| 2025 |  | 2024
Machinery and equipment | $ | 434,959 |  |  | $ | 400,861 |
Land, building and building improvements | 176,972 |  |  | 177,089 |
Molds | 107,296 |  |  | 96,318 |
Computer equipment and software | 116,259 |  |  | 122,208 |
Furniture and fixtures | 23,055 |  |  | 27,871 |
Instruments placed with customers(1) | 148,441 |  |  | 124,290 |
Construction in progress | 90,748 |  |  | 87,006 |
Total property, plant and equipment, cost | 1,097,730 |  |  | 1,035,643 |
Accumulated depreciation | (645,913) |  |  | (592,897) |
Property, plant and equipment, net | $ | 451,817 |  |  | $ | 442,746 |
_______________________________ (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 2025, 2024 and 2023 (in thousands):
|  | Total
Balance as of January 1, 2023 |  | $ | 1,449,258 |
Currency translation |  | 23,188 |
Balance as of December 31, 2023 |  | 1,472,446 |
Currency translation |  | (39,674) |
Balance as of December 31, 2024 |  | 1,432,772 |
Currency translation |  | 66,982 |
Balance as of December 31, 2025 |  | $ | 1,499,754 |
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, 2025
|  |  | Cost |  | Accumulated Amortization |  | Net
Patents |  | 10 |  | $ | 40,582 |  |  | $ | 25,455 |  |  | $ | 15,127 |
Customer contracts |  | 12 |  | 9,959 |  |  | 7,356 |  |  | 2,603 |
Non-contractual customer relationships |  | 8 |  | 561,199 |  |  | 304,287 |  |  | 256,912 |
Trademarks |  | 1 |  | 5,425 |  |  | 5,425 |  |  | — |
Trade name |  | 15 |  | 18,249 |  |  | 9,574 |  |  | 8,675 |
Developed technology(1) |  | 10 |  | 637,589 |  |  | 293,506 |  |  | 344,083 |
Non-compete |  | 3 |  | 9,100 |  |  | 9,100 |  |  | — |
Total amortized intangible assets |  |  |  | $ | 1,282,103 |  |  | $ | 654,703 |  |  | $ | 627,400 |
Internally developed software(2) |  |  |  | $ | 6,159 |  |  |  |  | $ | 6,159 |
Total intangible assets |  |  |  | $ | 1,288,262 |  |  | $ | 654,703 |  |  | $ | 633,559 |
_______________________________ (1) Developed technology primarily consists of acquired patented technologies and internally developed software. Upon completion of development, the assets are amortized over their estimated useful lives. (2) Internally developed software will be reclassified to developed technology and amortized when the projects are complete and the assets are ready for their intended use. During 2025, we reclassified $11.4 million to developed technology.
|  | Weighted-Average Amortization Life in Years |  | December 31, 2024
|  |  | Cost |  | Accumulated Amortization |  | Net
Patents |  | 10 |  | $ | 36,811 |  |  | $ | 22,913 |  |  | $ | 13,898 |
Customer contracts |  | 12 |  | 9,818 |  |  | 6,994 |  |  | 2,824 |
Non-contractual customer relationships |  | 8 |  | 546,404 |  |  | 236,267 |  |  | 310,137 |
Trademarks |  | 1 |  | 5,425 |  |  | 5,425 |  |  | — |
Trade name |  | 15 |  | 18,239 |  |  | 8,357 |  |  | 9,882 |
Developed technology(1) |  | 10 |  | 619,540 |  |  | 227,869 |  |  | 391,671 |
Non-compete |  | 3 |  | 9,100 |  |  | 9,100 |  |  | — |
Total amortized intangible assets |  |  |  | $ | 1,245,337 |  |  | $ | 516,925 |  |  | $ | 728,412 |
Internally developed software(2) |  |  |  | $ | 12,377 |  |  |  |  | $ | 12,377 |
Total intangible assets |  |  |  | $ | 1,257,714 |  |  | $ | 516,925 |  |  | $ | 740,789 |
_______________________________ (1) Developed technology primarily consists of acquired patented technologies and internally developed software. Upon completion of development, the assets are amortized over their estimated useful lives. (2) Internally developed software will be reclassified to developed technology and amortized when the projects are complete and the assets are ready for their intended use. During 2024, we reclassified $33.2 million to developed technology.
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block] | As of December 31, 2025, estimated annual amortization for our intangible assets for each of the next five years and thereafter is approximately (in thousands):
2026 |  | $ | 136,384 |
2027 |  | 120,367 |
2028 |  | 119,768 |
2029 |  | 116,676 |
2030 |  | 54,191 |
Thereafter |  | 80,014 |
Total |  | $ | 627,400 |
Equity Method Investments | Our investment in unconsolidated affiliates consist of the following (in thousands):
| As of December 31,
| 2025 |  | 2024
Otsuka ICU Medical LLC | $ | 128,662 |  |  | $ | — |
Other equity method investment | 2,924 |  |  | 3,038 |
| $ | 131,586 |  |  | $ | 3,038 |
Interest Income and Interest Expense Disclosure | Interest expense, net The following table presents interest expense, net (in thousands):
| As of December 31,
| 2025 |  | 2024 |  | 2023
Interest expense | $ | (93,338) |  |  | $ | (106,541) |  |  | $ | (102,727) |
Interest income | 10,307 |  |  | 10,788 |  |  | 7,508 |
Interest expense, net | $ | (83,031) |  |  | $ | (95,753) |  |  | $ | (95,219) |
Schedule of Other Nonoperating Income (Expense) | Other expense, net The following table presents other expense, net (in thousands):
| As of December 31,
| 2025 |  | 2024 |  | 2023
Foreign exchange gains (losses), net | $ | 3,786 |  |  | $ | (9,792) |  |  | $ | (5,918) |
Loss on disposition of assets | (4,366) |  |  | (1,608) |  |  | (153) |
Other miscellaneous income (expense) , net | 348 |  |  | (1,823) |  |  | 166 |
Other expense, net | $ | (232) |  |  | $ | (13,223) |  |  | $ | (5,905) |
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,
|  | 2025 |  | 2024 |  | 2023
Net income (loss) |  | $ | 732 |  |  | $ | (117,688) |  |  | $ | (29,655) |
Weighted-average number of common shares outstanding (basic) |  | 24,640 |  |  | 24,388 |  |  | 24,091 |
Dilutive securities |  | 264 |  |  | — |  |  | — |
Weighted-average common and common equivalent shares outstanding (diluted) |  | 24,904 |  |  | 24,388 |  |  | 24,091 |
EPS — basic |  | $ | 0.03 |  |  | $ | (4.83) |  |  | $ | (1.23) |
EPS — diluted |  | $ | 0.03 |  |  | $ | (4.83) |  |  | $ | (1.23) |
Total anti-dilutive stock options and restricted stock awards (shares in thousands) |  | 40 |  |  | 42 |  |  | 129 |

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