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SEGMENT REPORTING AND FOREIGN OPERATIONS - Operating Income (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Segment Reporting Information [Line Items]      
Net sales $ 1,515,906 $ 1,356,514 $ 1,257,366
Selling, general and administrative expenses 455,214 399,731 373,676
Income from operations 184,720 155,693 123,944
Total other expense - net (13,783) (5,700) (11,855)
Income before income taxes 170,937 149,993 112,089
Cardiovascular      
Segment Reporting Information [Line Items]      
Net sales 1,443,042 1,301,744 1,220,560
Cost of sales standard 576,864 549,657 534,826
Cost of sales other 173,686 140,948 125,388
Selling, general and administrative expenses 431,252 376,734 362,082
Research and development expenses 94,157 83,812 80,300
Other operating expenses 950 443 3,524
Income from operations 166,133 150,150 114,440
Endoscopy      
Segment Reporting Information [Line Items]      
Net sales 72,864 54,770 36,806
Cost of sales standard 18,067 15,746 12,987
Cost of sales other 9,019 6,830 293
Selling, general and administrative expenses 23,962 22,997 11,594
Research and development expenses 3,195 3,654 2,428
Other operating expenses 34    
Income from operations $ 18,587 $ 5,543 $ 9,504