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Share Based Award Share awards (Notes) | 12 Months Ended
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Dec. 31, 2025
Share-Based Payment Arrangement [Abstract] |
Share-based Payment Arrangement [Text Block] | SHARE-BASED AWARDS 2011 Stock Incentive Plan (the "2011 Plan") Our stock incentive plan is intended to attract, retain and provide incentives for our employees and directors. Shares to be issued under this plan will be issued either from authorized but unissued or reacquired shares. In 2025, our stockholders approved an amendment to the 2011 plan that increased the shares available for issuance under the 2011 plan by 2.2 million shares, bringing the total common shares reserved for issuance under the 2011 plan as of December 31, 2025 to 8.5 million shares. We currently grant restricted stock units ("RSUs") and performance restricted stock units ("PRSUs") to eligible employees and directors under the 2011 Plan. We have not granted stock options under the 2011 Plan since 2022. Shares subject to awards other than options and stock appreciation rights are charged against the 2011 Plan's share reserve as 2.09 shares for 1 share issued. Stock-based Compensation Expense We incur stock compensation expense for RSUs and PRSUs and in years prior to 2024 also for stock options. As of 2023, our outstanding stock options were all fully vested. We receive a tax benefit on stock compensation expense and direct tax benefits from the exercise of stock options and vesting of restricted stock units. The table below summarizes compensation costs and related tax benefits (in thousands):
|  | Year ended December 31,
|  | 2025 |  | 2024 |  | 2023
Stock compensation expense |  | $ | 55,758 |  |  | $ | 46,883 |  |  | $ | 40,563 |
Tax benefit from stock-based compensation cost |  | $ | 5,900 |  |  | $ | 5,524 |  |  | $ | 5,379 |
As of December 31, 2025, we had $48.5 million of unamortized stock compensation cost which we will recognize as an expense over a weighted-average period of approximately 0.9 years. Time-based Stock Options We have not granted time-based stock options since 2022. Our outstanding options expire no more than ten years from date of grant. A summary of our stock options outstanding as of and for the year ended December 31, 2025 is as follows:
|  | Shares |  | Weighted-Average Exercise Price Per Share |  | Weighted-Average Contractual Life (Years) |  | Aggregate Intrinsic Value
Outstanding at December 31, 2024 |  | 108,140 |  |  | $ | 136.12 |  |  |  |  |
Granted |  | — |  |  | $ | — |  |  |  |  |
Exercised |  | (63,197) |  |  | $ | 96.61 |  |  |  |  |
Forfeited or expired |  | — |  |  | $ | — |  |  |  |  |
Outstanding at December 31, 2025 |  | 44,943 |  |  | $ | 191.68 |  |  | 3.71 |  | $ | 202 |
Exercisable at December 31, 2025 |  | 44,943 |  |  | $ | 191.68 |  |  | 3.71 |  | $ | 202 |
Vested December 31, 2025 |  | 44,943 |  |  | $ | 191.68 |  |  | 3.71 |  | $ | 202 |
The intrinsic values for options exercisable, outstanding and vested or expected to vest at December 31, 2025 are based on our closing stock price of $142.67 at December 31, 2025 and are before applicable taxes. The following table presents information regarding stock option activity (in thousands):
|  | Year ended December 31,
|  | 2025 |  | 2024 |  | 2023
Intrinsic value of options exercised |  | $ | 2,437 |  |  | $ | 18,651 |  |  | $ | 8,441 |
Cash received from exercise of stock options |  | $ | 6,106 |  |  | $ | 10,939 |  |  | $ | 4,022 |
Tax benefit from stock option exercises |  | $ | 174 |  |  | $ | 1,034 |  |  | $ | 1,733 |
Stock Awards In 2025, we granted PRSUs to our executive officers. For the executive officers other than the CEO, COO, CFO, President and the CVP, GC, the PRSUs will vest as to one-third of the total number of PRSUs underlying the award on the first, second and third anniversaries of the applicable grant date, subject to a determination by the CEO and Compensation Committee that the officers have met their individual performance goals for the applicable year and continued service through such vesting date. For the CEO, COO, CFO, President and the CVP, GC, the PRSUs will cliff-vest on March 7, 2028, subject to continued service through such vesting date and the achievement of minimum three-year cumulative adjusted revenue and minimum three-year cumulative adjusted EBITDA, commencing on January 1, 2025 and ending on December 31, 2027, which when reviewed against a predetermined vesting matrix could result in the vesting of 0% to 250% of the awarded PRSUs. In 2024, we granted PRSUs to our executive officers and certain other non-executive employees. The PRSUs will cliff-vest on March 8, 2026, subject to continued service through such vesting date and the achievement of minimum two-year cumulative adjusted EBITDA, commencing on January 1, 2024 and ending on December 31, 2025, which when reviewed against a predetermined vesting matrix could result in the vesting of 0% to 250% of the awarded PRSUs. We also granted certain other one-off PRSU awards to non-executive employees with various performance requirements, whereby the PRSUs will be earned if the minimum requirements are met. The performance period related to the annual 2024 PRSUs ended on December 31, 2025 and in February 2026 the Compensation Committee determined that 250% of the PRSUs awarded were earned based on the cumulative adjusted EBITDA achieved. In 2023, we granted PRSUs to our executive officers. For the executive officers other than the CEO, COO, CFO and the CVP, GC, the PRSUs will vest as to one-third of the total number of PRSUs underlying the award on the first, second and third anniversaries of the applicable grant date, subject to a determination by the CEO and Compensation Committee that the officers have met their individual performance goals for the applicable year and continued service through such vesting date. In February 2024, 2025 and 2026, the Compensation Committee made the determination that the executive officers other than the CEO, CFO, COO and CVP, GC met their individual performance goals for 2023, 2024 and 2025 with respect to the PRSUs subject to annual vesting, as outlined above, and therefore one-third of their 2023 PRSUs vested at 100% during 2024 and 2025 and one-third will vest during 2026 subject to continued service through March 15, 2026. For the CEO, COO, CFO, and CVP, GC, the PRSUs will cliff-vest on March 15, 2026, subject to continued service through such vesting date and the achievement of minimum three-year adjusted revenue and adjusted EBITDA compound annual growth rates, commencing on January 1, 2023 and ending on December 31, 2025, which when reviewed against a predetermined vesting matrix could result in the vesting of 0% to 250% of the awarded PRSUs. The performance period related to the annual 2023 PRSUs awarded to the CEO, COO, CFO and CVP, GC ended on December 31, 2025 and in February 2026 the Compensation Committee determined that 117% of the PRSUs awarded were earned based on the three-year adjusted revenue and adjusted EBITDA achieved. In 2022, we granted our annual PRSUs to our executive officers and certain other non-executive employees. These PRSUs cliff-vested on March 7, 2024, subject to continued service through such vesting date and the achievement of net synergy savings targets related to the Smiths Medical acquisition achieved during the performance period commencing on January 1, 2022 and ending on December 31, 2023, which when reviewed against predetermined targets could have resulted in the vesting of 0% to 200% of the awarded PRSUs. We also granted certain other one-off PRSU awards to non-executive employees with various performance requirements, whereby the PRSUs will be earned if the minimum requirements are met within a specified time period. The performance period related to the annual 2022 PRSUs ended on December 31, 2023 and in February 2024 the Compensation Committee determined that 200% of the PRSUs awarded were earned based on the actual net synergy savings related to the Smiths Medical acquisition achieved during the performance period, and therefore the 2022 PRSUs vested in during 2024. In 2021, we granted PRSUs to our executive officers. For the executive officers other than the CEO, COO and the CFO, the PRSUs vested as to one-third of the total number of PRSUs underlying the award on the first, second and third anniversaries of the applicable grant date, subject to a determination by the CEO and Compensation Committee that the officers had met their individual performance goals for the applicable years and continued service through such vesting date. In February 2022, 2023 and 2024, the Compensation Committee made the determination that the executive officers other than the CEO, CFO and COO met their individual performance goals for 2021, 2022 and 2023, respectively, and therefore one-third of their 2021 PRSUs vested during each of 2022, 2023 and 2024. For the CEO, COO and the CFO, the PRSUs cliff-vested on March 8, 2024, subject to continued service through such vesting date and the achievement of minimum three-year cumulative adjusted revenue dollar target growth rate and adjusted EPS dollar target growth rate targets, commencing on January 1, 2021 and ending on December 31, 2023, which when reviewed against a predetermined vesting matrix could have resulted in the vesting of 0% to 250% of the awarded PRSUs. The performance period related to the 2021 CEO, COO and CFO PRSUs ended on December 31, 2023 and in February 2024 the Compensation Committee determined that 110% of the awarded PRSUs were earned based on the actual cumulative adjusted revenue dollar target growth rate and adjusted EPS dollar target growth rate achieved during the performance period. In 2020, we granted PRSUs to our executive officers. For the executive officers other than the CEO, COO and the CFO, the PRSUs vested as to one-third of the total number of PRSUs underlying the award on the first, second and third anniversaries of the applicable grant date, subject to a determination by the CEO and Compensation Committee that the officers had met their individual performance goals for the applicable years and continued service through such vesting date. In February 2021, 2022, and 2023, the Compensation Committee made the determination that the executive officers other than the CEO, CFO and COO met their individual performance goals for 2020, 2021 and 2022, respectively, and therefore one-third of their 2020 PRSUs awarded vested during 2021, 2022 and 2023. For the CEO, COO and the CFO, the PRSUs cliff-vested on March 6, 2023, subject to continued service through such vesting date and the achievement of minimum three-year cumulative adjusted revenue dollar target growth rate and adjusted EPS dollar target growth rate targets, which when reviewed against a predetermined vesting matrix such PRSUs originally had the potential to vest from 0% to 250% of the awarded PRSUs. During February 2021, the Compensation Committee, modified the potential vesting percentages related to the 2020 PRSU awards for the CEO, COO and CFO, as the original potential percentages were established immediately before the onset of the COVID-19 pandemic. The Compensation Committee determined to adjust the CEO, COO and CFO's potential to earn from between 0% and 250% of the awarded PRSUs, to an increased potential to earn between 50% and 300% of the award granted, subject to the same minimum threshold revenue and EPS targets set forth above to be achieved by the Company. The additional compensation expense as a result of modifying the 2020 PRSUs granted to our CEO, COO and CFO totaled $2.1 million recognized over the remaining amortization period from the date of modification. The performance period related to the 2020 CEO, COO and CFO PRSUs ended on December 31, 2022 and in February 2023 the Compensation Committee determined that 188% of the awarded PRSUs were earned based on the actual cumulative adjusted revenue dollar growth rate and adjusted EPS dollar target growth rate achieved during the performance period. Restricted stock units are granted annually to our non-employee directors and vest on the first anniversary of the grant date, or the date of our annual meeting, whichever occurs first. In 2025, 2024 and 2023, we granted RSUs to certain employees that typically vest ratably on the anniversary of the grant over three years. We recognize forfeitures as they occur. The grant-date fair market value of our PRSUs and RSUs is determined by our stock price on the grant date. The table below summarizes our restricted stock award activity (dollars in thousands):
|  | Year ended December 31,
|  | 2025 |  | 2024 |  | 2023
PRSU |  |  |  |  |  |
Shares granted |  | 67,800 |  |  | 150,218 |  |  | 78,213 |
Shares earned (1) |  | 14,515 |  |  | 142,735 |  |  | 49,314 |
Grant-date fair value per share |  | $ | 141.97 |  |  | $ | 104.52 |  |  | $ | 190.02 |
Grant-date fair value |  | $ | 9,626 |  |  | $ | 15,701 |  |  | $ | 14,862 |
Intrinsic value vested |  | $ | 2,078 |  |  | $ | 15,145 |  |  | $ | 8,024 |
RSU |  |  |  |  |  |
Shares granted |  | 198,703 |  |  | 223,899 |  |  | 156,111 |
Grant-date fair value per share |  | $ | 141.83 |  |  | $ | 105.94 |  |  | $ | 173.10 |
Grant-date fair value |  | $ | 28,181 |  |  | $ | 23,721 |  |  | $ | 27,024 |
Intrinsic value vested |  | $ | 22,014 |  |  | $ | 11,963 |  |  | $ | 14,179 |
_______________________________ (1) PRSU shares earned in 2025, where both performance and service conditions have been met, were related to performance awards granted to executives in 2023 and PRSUs granted to certain other employees in 2024. PRSU shares earned in 2024, where both performance and service conditions have been met, were related to performance awards granted to executives and certain other employees in 2021, 2022 and 2023. PRSU shares earned in 2023, where both performance and service conditions have been met, were related to performance awards granted to executives and certain other employees in 2020, 2021 and 2022. The table below provides a summary of our PRSU and RSU activity as of and for the year ended December 31, 2025:
|  | Number of Units |  | Grant-Date Fair Value Per Share |  | Weighted-Average Contractual Life (Years) |  | Aggregate Intrinsic Value (in thousands)
Non-vested at December 31, 2024 |  | 551,011 |  |  | $ | 133.47 |  |  |  |  |
Granted |  | 266,503 |  |  | $ | 141.86 |  |  |  |  |
Vested |  | (169,541) |  |  | $ | 152.03 |  |  |  |  |
Forfeited |  | (12,597) |  |  | $ | 124.59 |  |  |  |  |
Non-vested at December 31, 2025 |  | 635,376 |  |  | $ | 132.21 |  |  | 0.8 |  | $ | 90,649 |
Expected to vest at December 31, 2025 (1) |  | 935,993 |  |  |  |  |  |  |
____________________________________ (1) As of December 31, 2025, the additional goal shares expected to vest include the following: 2023 PRSUs 6,431 shares; 2024 PRSUs 221,016 shares; and 2025 PRSUs 73,170 shares.

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