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Segment Reporting (Tables)
9 Months Ended
Sep. 30, 2025
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, by Segment

Financial information relating to our reportable operating segments and reconciliations to the consolidated totals for the three and nine-month periods ended September 30, 2025 and 2024, were as follows (in thousands):

Three Months Ended

Three Months Ended

September 30, 2025

September 30, 2024

  

Cardiovascular

  

Endoscopy

  

Consolidated

  

Cardiovascular

  

Endoscopy

  

Consolidated

Net sales

 

$

366,425

 

$

17,732

 

$

384,157

 

$

322,855

$

16,990

 

$

339,845

Cost of sales standard(1)

144,299

4,258

137,530

4,594

Cost of sales other(2)

 

47,324

 

1,865

 

 

37,531

 

2,655

 

Selling, general and administrative expenses

 

113,835

 

5,966

 

 

90,409

 

9,235

 

Research and development expenses

23,157

809

19,727

800

Other operating expenses(3)

32

103

Income from operations

$

37,778

$

4,834

$

42,612

$

37,555

$

(294)

$

37,261

Total other expense — net

(4,072)

(604)

 

  

 

  

 

  

 

  

 

  

 

  

Income before income taxes

 

$

38,540

 

$

36,657

Nine Months Ended

Nine Months Ended

September 30, 2025

September 30, 2024

  

Cardiovascular

  

Endoscopy

  

Consolidated

  

Cardiovascular

  

Endoscopy

  

Consolidated

Net sales

 

$

1,069,163

 

$

52,807

 

$

1,121,970

 

$

964,044

$

37,312

 

$

1,001,356

Cost of sales standard(1)

430,449

12,963

411,088

10,959

Cost of sales other(2)

 

129,057

 

6,583

 

 

105,661

 

3,298

 

Selling, general and administrative expenses

 

322,482

 

17,902

 

 

273,343

 

15,314

 

Research and development expenses

68,417

2,394

60,286

1,986

Other operating expenses(3)

1,198

292

Income from operations

$

117,560

$

12,965

$

130,525

$

113,374

$

5,755

$

119,129

Total other expense — net

(10,648)

(2,281)

 

  

 

  

 

  

 

  

 

  

 

  

Income before income taxes

 

$

119,877

 

$

116,848

(1)Cost of sales standard represents costs of goods sold measured at the internal standard cost for production of inventory. Inventory standard costs include material, labor and manufacturing overhead.
(2)Cost of sales other for all segments includes amortization expense associated with our developed technology and license agreement intangible assets, freight and handling associated with shipments to customers, provisions based on estimated excess, slow moving and obsolete inventories, manufacturing and price variances, and royalties.
(3)Other operating expenses include contingent consideration expense (benefit) related to the changes in fair value of contingent payments associated with acquisitions.

Total depreciation and amortization by operating segment for the three and nine-month periods ended September 30, 2025 and 2024, consisted of the following (in thousands):

Three Months Ended

Nine Months Ended

September 30, 

September 30, 

2025

2024

2025

2024

Cardiovascular

$

29,055

$

24,025

$

84,792

$

71,377

Endoscopy

2,261

2,378

6,837

2,716

Total

$

31,316

$

26,403

$

91,629

$

74,093