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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