GOODWILL AND INTANGIBLE ASSETS (Tables)

12 Months Ended

Dec. 31, 2025

Goodwill and Intangible Assets Disclosure [Abstract]

Changes in carrying amount of goodwill

The changes in the carrying amount of goodwill for the years ended December 31, 2025 and 2024, are as follows (in thousands):

	2025						2024
	Cardiovascular		Endoscopy		Total		Cardiovascular		Endoscopy		Total
Goodwill balance at January 1	$	446,514	$	16,997	$	463,511	$	382,240	$	—	$	382,240
Effect of foreign exchange		2,813		—		2,813		(1,623)		—		(1,623)
Additions and adjustments as the result of acquisitions		37,607		2,906		40,513		65,897		16,997		82,894
Goodwill balance at December 31	$	486,934	$	19,903	$	506,837	$	446,514	$	16,997	$	463,511

Other intangible assets

Other intangible assets at December 31, 2025 and 2024, consisted of the following (in thousands):

	December 31, 2025
	Gross Carrying		Accumulated		Net Carrying
	Amount		Amortization		Amount
Patents	$	33,979	$	(14,760)	$	19,219
Distribution agreements		3,250		(3,069)		181
License agreements		14,590		(10,218)		4,372
Trademarks		52,556		(28,293)		24,263
Customer lists		63,775		(40,096)		23,679
Total	$	168,150	$	(96,436)	$	71,714

	December 31, 2024
	Gross Carrying		Accumulated		Net Carrying
	Amount		Amortization		Amount
Patents	$	31,489	$	(12,824)	$	18,665
Distribution agreements		3,250		(2,994)		256
License agreements		11,557		(9,125)		2,432
Trademarks		47,613		(24,177)		23,436
Customer lists		57,933		(36,223)		21,710
Total	$	151,842	$	(85,343)	$	66,499

Estimated amortization expense

Estimated amortization expense for the developed technology and other intangible assets for the next five years consists of the following as of December 31, 2025 (in thousands):

Year ending December 31,	Estimated Amortization Expense
2026	$	83,865
2027		80,268
2028		78,601
2029		67,281
2030		54,968