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Restructuring, Strategic Transaction and Integration (Notes)
12 Months Ended
Dec. 31, 2025
Restructuring and Related Activities [Abstract]  
Restructuring and Related Activities Disclosure [Text Block] RESTRUCTURING, STRATEGIC TRANSACTION AND INTEGRATION
Restructuring, strategic transaction and integration expenses were $66.5 million, $59.8 million and $41.3 million in 2025, 2024 and 2023, respectively.

Restructuring

Restructuring charges net of any reversed accruals were $30.0 million, $19.6 million and $5.7 million in 2025, 2024 and 2023, respectively, which are included in the above restructuring, strategic transaction and integration expenses in our consolidated statement of operations.

In 2025, we incurred restructuring charges primarily related to facility closure costs and severance expenses. We adjusted certain severance restructuring accrued balances, shown in the table below under "Other adjustments", to reclass prior year accrued restructuring charges for estimated severance costs to other accounts.
In 2024, we incurred restructuring charges primarily related to severance expenses. We adjusted certain severance restructuring accrued balances, shown in the table below under "Other adjustments", as a result of merging Smiths Medical entities during 2024.

In 2023, we incurred restructuring charges primarily related to severance expenses. We adjusted certain facility and severance restructuring accrued balances to reverse certain accrued balances that will not be utilized.
    
The following table summarizes the activity in our restructuring-related accrual by major type of cost (in thousands):
Employee & Related CostsFacility & Other Closure CostsTotal
Accrued balance, January 1, 2024$2,811 $757 $3,568 
Charges incurred18,299 1,272 19,571 
Payments(11,687)(1,632)(13,319)
Other adjustments(1)
327 — 327 
Currency translation(212)10 (202)
Accrued balance, December 31, 2024$9,538 $407 $9,945 
Charges incurred11,083 18,963 30,046 
Payments(13,805)(13,734)(27,539)
Other adjustments(2)
(900)— (900)
Currency translation495 101 596 
Accrued balance, December 31, 2025$6,411 $5,737 $12,148 
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(1)    Relates to adjustments to accrued restructuring charges as a result of merging Smiths Medical entities during 2024.
(2)    Relates to prior year accrued restructuring charges for estimated severances costs that were reclassed to other accounts during the first quarter of 2025.

Strategic Transaction and Integration Expenses

We incurred $36.5 million, $40.2 million and $35.6 million in strategic transaction and integration expenses in 2025, 2024 and 2023, respectively, which are included in restructuring, strategic transaction and integration expenses in our consolidated statement of operations. The strategic transaction and integration expenses during 2025, 2024 and 2023 were primarily related to consulting expenses and employee costs incurred to integrate our Smiths Medical business acquired in 2022. During 2025, transaction costs also included expenses related to the sale of a 60% ownership in our IV Solutions business.