DEI Document
DEI Document - shares | 6 Months Ended | |
Jun. 30, 2022 | Jul. 31, 2022 | |
Document And Entity Information [Abstract] | ||
Document Type | 10-Q | |
Document Quarterly Report | true | |
Document Period End Date | Jun. 30, 2022 | |
Document Transition Report | false | |
Entity File Number | 001-34634 | |
Entity Incorporation, State or Country Code | DE | |
Entity Tax Identification Number | 33-0022692 | |
Entity Address, Address Line One | 951 Calle Amanecer | |
Entity Address, City or Town | San Clemente | |
Entity Address, State or Province | CA | |
Entity Address, Postal Zip Code | 92673 | |
City Area Code | 949 | |
Local Phone Number | 366-2183 | |
Entity Current Reporting Status | Yes | |
Entity Interactive Data Current | Yes | |
Entity Filer Category | Large Accelerated Filer | |
Entity Small Business | false | |
Entity Emerging Growth Company | false | |
Entity Shell Company | false | |
Title of 12(b) Security | Common stock, par value $0.10 per share | |
Trading Symbol | ICUI | |
Security Exchange Name | NASDAQ | |
Entity Common Stock, Shares Outstanding | 23,899,381 | |
Entity Central Index Key | 0000883984 | |
Entity Registrant Name | ICU MEDICAL INC/DE | |
Amendment Flag | false | |
Current Fiscal Year End Date | --12-31 | |
Document Fiscal Year Focus | 2022 | |
Document Fiscal Period Focus | Q2 |
Condensed Consolidated Balance
Condensed Consolidated Balance Sheets - USD ($) $ in Thousands | Jun. 30, 2022 | Dec. 31, 2021 | |
CURRENT ASSETS: | |||
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents | $ 255,698 | $ 552,827 | [1] |
Short-term investment securities | 13,191 | 14,420 | [1] |
TOTAL CASH, CASH EQUIVALENTS AND INVESTMENT SECURITIES | 268,889 | 567,247 | [1] |
Accounts receivable, net of allowance for doubtful accounts | 216,124 | 105,894 | [1] |
Inventories | 583,050 | 290,235 | [1] |
Prepaid income taxes | 27,111 | 19,586 | [1] |
Prepaid expenses and other current assets | 94,663 | 46,847 | [1] |
TOTAL CURRENT ASSETS | 1,189,837 | 1,029,809 | [1] |
PROPERTY AND EQUIPMENT, net | 667,783 | 468,365 | [1] |
Operating Lease, Right-of-Use Asset | 83,323 | 39,847 | [1] |
Long-term investment securities | 1,837 | 4,620 | |
GOODWILL | 1,421,216 | 43,439 | [1] |
INTANGIBLE ASSETS, net | 1,080,329 | 188,311 | [1] |
Deferred Income Tax Assets | 43,942 | 42,604 | |
OTHER ASSETS | 101,728 | 63,743 | [1] |
TOTAL ASSETS | 4,589,995 | 1,880,738 | [1] |
CURRENT LIABILITIES: | |||
Accounts payable | 201,874 | 81,128 | [1] |
Accrued liabilities | 247,656 | 118,195 | [1] |
Long-term Debt, Current Maturities | 19,063 | 0 | |
Income tax liability | 17,102 | 1,454 | [1] |
Contingent earn-out liability | 290 | 0 | |
TOTAL CURRENT LIABILITIES | 485,985 | 200,777 | [1] |
Contingent Earn-Out Liability, Noncurrent | 30,119 | 2,589 | [1] |
Long-term Debt, Excluding Current Maturities | 1,636,029 | 0 | |
Other long-term liabilities | 128,200 | 41,830 | |
DEFERRED INCOME TAXES | 204,992 | 1,490 | [1] |
INCOME TAX LIABILITY | 18,804 | 18,021 | [1] |
COMMITMENTS AND CONTINGENCIES | 0 | 0 | [1] |
STOCKHOLDERS' EQUITY: | |||
Convertible preferred stock, $1.00 par value Authorized-500 shares; Issued and outstanding - none | 0 | 0 | [1] |
Common stock, $0.10 par value - Authorized-80,000 shares; Issued 23,899 shares at June 30,2022 and 21,280 shares at December 31, 2021 and outstanding 23,898 shares at June 30, 2022 and 21,280 shares at December 31, 2021 | 2,390 | 2,128 | [1] |
Additional paid-in capital | 1,309,598 | 721,412 | [1] |
Treasury Stock, at cost (12,684 and 119 shares, respectively) | (92) | (27) | [1] |
Retained earnings | 866,245 | 911,787 | [1] |
Accumulated other comprehensive loss | (92,275) | (19,269) | [1] |
TOTAL STOCKHOLDERS' EQUITY | 2,085,866 | 1,616,031 | [1] |
TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY | $ 4,589,995 | $ 1,880,738 | [1] |
[1]December 31, 2021 balances were derived from audited consolidated financial statements. |
Condensed Consolidated Balanc_2
Condensed Consolidated Balance Sheets (Parenthetical) - USD ($) $ in Thousands | Jun. 30, 2022 | Dec. 31, 2021 |
Statement of Financial Position [Abstract] | ||
Accounts Receivable, Allowance for Credit Loss | $ 7,557 | $ 7,038 |
Convertible preferred stock, par value | $ 1 | |
Convertible preferred stock, authorized shares | 500,000 | |
Convertible preferred stock, issued shares | 0 | 0 |
Convertible preferred stock, outstanding shares | 0 | 0 |
Common stock, par value | $ 0.10 | |
Common stock, shares authorized | 80,000,000 | |
Common stock, shares issued | 23,899,000 | 21,280,000 |
Common stock, shares outstanding | 23,898,000 | 21,280,000 |
Treasury Stock, Shares | 406 | 119 |
Condensed Consolidated Statemen
Condensed Consolidated Statements of Income - USD ($) shares in Thousands, $ in Thousands | 3 Months Ended | 6 Months Ended | ||
Jun. 30, 2022 | Jun. 30, 2021 | Jun. 30, 2022 | Jun. 30, 2021 | |
REVENUES: | ||||
Revenue from Contract with Customer, Excluding Assessed Tax | $ 561,004 | $ 321,677 | $ 1,104,126 | $ 639,723 |
Cost of goods sold | 393,411 | 198,148 | 767,706 | 403,514 |
Gross Profit | 167,593 | 123,529 | 336,420 | 236,209 |
OPERATING EXPENSES: | ||||
Selling, general and administrative | 158,748 | 73,921 | 311,960 | 146,312 |
Research and development | 22,562 | 11,385 | 46,433 | 22,094 |
Restructuring, strategic transaction and integration | 13,525 | 3,753 | 47,430 | 6,636 |
Change in fair value of contingent earn-out | (27,194) | 0 | (27,194) | 0 |
contract settlement | 0 | 0 | 0 | 127 |
TOTAL OPERATING EXPENSES | 167,641 | 89,059 | 378,629 | 175,169 |
(LOSS) INCOME FROM OPERATIONS | (48) | 34,470 | (42,209) | 61,040 |
Interest Expense | (16,273) | (163) | (29,917) | (324) |
OTHER (EXPENSE) INCOME, net | (533) | 525 | 471 | 1,208 |
(Loss) Income from Continuing Operations before Income Taxes, Noncontrolling Interest | (16,854) | 34,832 | (71,655) | 61,924 |
BENEFIT (PROVISION) FOR INCOME TAXES | 9,380 | (6,434) | 26,113 | (9,795) |
NET (LOSS) INCOME | $ (7,474) | $ 28,398 | $ (45,542) | $ 52,129 |
NET INCOME PER SHARE | ||||
Basic (in dollars per share) | $ (0.31) | $ 1.34 | $ (1.91) | $ 2.46 |
Diluted (in dollars per share) | $ (0.31) | $ 1.31 | $ (1.91) | $ 2.40 |
WEIGHTED AVERAGE NUMBER OF SHARES | ||||
Basic (in shares) | 23,897 | 21,200 | 23,787 | 21,176 |
Diluted (in shares) | 23,897 | 21,703 | 23,787 | 21,718 |
Condensed Consolidated Statem_2
Condensed Consolidated Statements of Comprehensive Income - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended | ||
Jun. 30, 2022 | Jun. 30, 2021 | Jun. 30, 2022 | Jun. 30, 2021 | |
Net (Loss) Income | $ (7,474) | $ 28,398 | $ (45,542) | $ 52,129 |
Other comprehensive income (loss), net of tax | ||||
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification and Tax | 8,144 | (352) | 31,716 | (1,296) |
Foreign currency translation adjustment, net of taxes of $0 for all periods | (99,805) | 1,302 | (104,751) | (6,156) |
Other Comprehensive Income (Loss), Other Adjustments, after Tax | 14 | 12 | 29 | 23 |
Other comprehensive income (loss), net of taxes | (91,647) | 962 | (73,006) | (7,429) |
Comprehensive Income | $ (99,121) | $ 29,360 | $ (118,548) | $ 44,700 |
Condensed Consolidated Statem_3
Condensed Consolidated Statements of Comprehensive Income (Paranthetical) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended | ||
Jun. 30, 2022 | Jun. 30, 2021 | Jun. 30, 2022 | Jun. 30, 2021 | |
Statement of Comprehensive Income [Abstract] | ||||
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification, Tax | $ 4,370 | $ (111) | $ 11,681 | $ (409) |
Other Comprehensive Income (Loss), Foreign Currency Translation Adjustment, Tax | 0 | 0 | 0 | 0 |
Other Comprehensive (Income) Loss, Defined Benefit Plan, after Reclassification Adjustment, Tax | $ 0 | $ 0 | $ 0 | $ 0 |
Condensed Consolidated Statem_4
Condensed Consolidated Statements of Stockholders' Equity Statement - USD ($) $ in Thousands | Total | Common Stock Shares [Member] | Common Stock [Member] | Additional Paid-in Capital [Member] | Treasury Stock [Member] | Retained Earnings [Member] | AOCI Attributable to Parent [Member] |
Common stock, shares outstanding at Dec. 31, 2020 | 21,058,000 | ||||||
Stockholders' Equity Attributable to Parent at Dec. 31, 2020 | $ 1,502,265 | $ 2,106 | $ 693,068 | $ (39) | $ 808,652 | $ (1,522) | |
Increase (Decrease) in Stockholders' Equity [Roll Forward] | |||||||
Stock Issued During Period, Shares, New Issues | 198,000 | ||||||
Stock Issued During Period, Value, New Issues | 4,864 | 16 | 2,352 | ||||
Adjustments to Additional Paid in Capital, Other | 2,496 | ||||||
Share-based Payment Arrangement, Shares Withheld for Tax Withholding Obligation | (37,000) | ||||||
Share-based Payment Arrangement, Decrease for Tax Withholding Obligation | (7,723) | (7,723) | |||||
APIC, Share-based Payment Arrangement, Increase for Cost Recognition | 6,022 | 6,022 | |||||
Other Comprehensive (Loss) Income, Foreign Currency Transaction and Translation Gain (Loss) Arising During Period, Net of Tax | (8,391) | ||||||
Net Income Attributable to Parent | 23,731 | 23,731 | |||||
Stockholders' Equity Attributable to Parent at Mar. 31, 2021 | 1,520,768 | 2,122 | 701,586 | (5,410) | 832,383 | (9,913) | |
Common stock, shares outstanding at Mar. 31, 2021 | 21,219,000 | ||||||
Increase (Decrease) in Stockholders' Equity [Roll Forward] | |||||||
Other Comprehensive income (loss), net of Tax | (8,391) | (8,391) | |||||
Common stock, shares outstanding at Dec. 31, 2020 | 21,058,000 | ||||||
Stockholders' Equity Attributable to Parent at Dec. 31, 2020 | $ 1,502,265 | 2,106 | 693,068 | (39) | 808,652 | (1,522) | |
Increase (Decrease) in Stockholders' Equity [Roll Forward] | |||||||
Share-based Payment Arrangement, Shares Withheld for Tax Withholding Obligation | (37,882) | ||||||
Stockholders' Equity Attributable to Parent at Jun. 30, 2021 | $ 1,557,265 | 2,122 | 705,582 | (2,269) | 860,781 | (8,951) | |
Common stock, shares outstanding at Jun. 30, 2021 | 21,219,000 | ||||||
Increase (Decrease) in Stockholders' Equity [Roll Forward] | |||||||
Other Comprehensive income (loss), net of Tax | (7,429) | ||||||
Common stock, shares outstanding at Mar. 31, 2021 | 21,219,000 | ||||||
Stockholders' Equity Attributable to Parent at Mar. 31, 2021 | 1,520,768 | 2,122 | 701,586 | (5,410) | 832,383 | (9,913) | |
Increase (Decrease) in Stockholders' Equity [Roll Forward] | |||||||
Stock Issued During Period, Shares, New Issues | 0 | ||||||
Stock Issued During Period, Value, New Issues | 552 | 0 | 3,237 | ||||
Adjustments to Additional Paid in Capital, Other | (2,685) | ||||||
Share-based Payment Arrangement, Shares Withheld for Tax Withholding Obligation | 0 | ||||||
Share-based Payment Arrangement, Decrease for Tax Withholding Obligation | (96) | (96) | |||||
APIC, Share-based Payment Arrangement, Increase for Cost Recognition | 6,681 | 6,681 | |||||
Other Comprehensive (Loss) Income, Foreign Currency Transaction and Translation Gain (Loss) Arising During Period, Net of Tax | 962 | ||||||
Net Income Attributable to Parent | 28,398 | 28,398 | |||||
Stockholders' Equity Attributable to Parent at Jun. 30, 2021 | 1,557,265 | 2,122 | 705,582 | (2,269) | 860,781 | (8,951) | |
Common stock, shares outstanding at Jun. 30, 2021 | 21,219,000 | ||||||
Increase (Decrease) in Stockholders' Equity [Roll Forward] | |||||||
Other Comprehensive income (loss), net of Tax | $ 962 | 962 | |||||
Common stock, shares outstanding at Dec. 31, 2021 | 21,280,000 | 21,280,000 | |||||
Stockholders' Equity Attributable to Parent at Dec. 31, 2021 | $ 1,616,031 | 2,128 | 721,412 | (27) | 911,787 | (19,269) | |
Increase (Decrease) in Stockholders' Equity [Roll Forward] | |||||||
Stock Issued During Period, Shares, New Issues | 154,000 | ||||||
Stock Issued During Period, Value, New Issues | 2,974 | 12 | 5,927 | ||||
Adjustments to Additional Paid in Capital, Other | (2,965) | ||||||
Share-based Payment Arrangement, Shares Withheld for Tax Withholding Obligation | (37,000) | ||||||
Share-based Payment Arrangement, Decrease for Tax Withholding Obligation | (8,743) | (8,743) | |||||
Stock Issued During Period, Value, Acquisitions | $ 575,975 | 250 | 575,725 | ||||
Stock Issued During Period, Shares, Acquisitions | 2,500,000 | ||||||
APIC, Share-based Payment Arrangement, Increase for Cost Recognition | $ 12,092 | 12,092 | |||||
Other Comprehensive (Loss) Income, Foreign Currency Transaction and Translation Gain (Loss) Arising During Period, Net of Tax | 18,641 | ||||||
Net Income Attributable to Parent | (38,068) | (38,068) | |||||
Stockholders' Equity Attributable to Parent at Mar. 31, 2022 | 2,178,902 | 2,390 | 1,306,264 | (2,843) | 873,719 | (628) | |
Common stock, shares outstanding at Mar. 31, 2022 | 23,897,000 | ||||||
Increase (Decrease) in Stockholders' Equity [Roll Forward] | |||||||
Other Comprehensive income (loss), net of Tax | $ 18,641 | 18,641 | |||||
Common stock, shares outstanding at Dec. 31, 2021 | 21,280,000 | 21,280,000 | |||||
Stockholders' Equity Attributable to Parent at Dec. 31, 2021 | $ 1,616,031 | 2,128 | 721,412 | (27) | 911,787 | (19,269) | |
Increase (Decrease) in Stockholders' Equity [Roll Forward] | |||||||
Share-based Payment Arrangement, Shares Withheld for Tax Withholding Obligation | (44,759) | ||||||
Stockholders' Equity Attributable to Parent at Jun. 30, 2022 | $ 2,085,866 | 2,390 | 1,309,598 | (92) | 866,245 | (92,275) | |
Common stock, shares outstanding at Jun. 30, 2022 | 23,898,000 | 23,899,000 | |||||
Increase (Decrease) in Stockholders' Equity [Roll Forward] | |||||||
Other Comprehensive income (loss), net of Tax | $ (73,006) | ||||||
Common stock, shares outstanding at Mar. 31, 2022 | 23,897,000 | ||||||
Stockholders' Equity Attributable to Parent at Mar. 31, 2022 | 2,178,902 | 2,390 | 1,306,264 | (2,843) | 873,719 | (628) | |
Increase (Decrease) in Stockholders' Equity [Roll Forward] | |||||||
Stock Issued During Period, Shares, New Issues | 10,000 | ||||||
Stock Issued During Period, Value, New Issues | 18 | 0 | 4,446 | ||||
Adjustments to Additional Paid in Capital, Other | (4,428) | ||||||
Share-based Payment Arrangement, Shares Withheld for Tax Withholding Obligation | (8,000) | ||||||
Share-based Payment Arrangement, Decrease for Tax Withholding Obligation | (1,695) | (1,695) | |||||
APIC, Share-based Payment Arrangement, Increase for Cost Recognition | 7,762 | 7,762 | |||||
Other Comprehensive (Loss) Income, Foreign Currency Transaction and Translation Gain (Loss) Arising During Period, Net of Tax | (91,647) | ||||||
Net Income Attributable to Parent | (7,474) | (7,474) | |||||
Stockholders' Equity Attributable to Parent at Jun. 30, 2022 | $ 2,085,866 | $ 2,390 | $ 1,309,598 | $ (92) | $ 866,245 | (92,275) | |
Common stock, shares outstanding at Jun. 30, 2022 | 23,898,000 | 23,899,000 | |||||
Increase (Decrease) in Stockholders' Equity [Roll Forward] | |||||||
Other Comprehensive income (loss), net of Tax | $ (91,647) | $ (91,647) |
Condensed Consolidated Statem_5
Condensed Consolidated Statements of Cash Flows - USD ($) $ in Thousands | 6 Months Ended | |
Jun. 30, 2022 | Jun. 30, 2021 | |
CASH FLOWS FROM OPERATING ACTIVITIES: | ||
Net (Loss) Income | $ (45,542) | $ 52,129 |
Depreciation and amortization | 119,697 | 44,319 |
Amortization of Inventory Step-up | 22,676 | 0 |
Noncash lease expense | 10,888 | 4,780 |
Provision for doubtful accounts | (99) | 342 |
Provision for warranty and returns | 1,483 | (345) |
Stock compensation | 19,854 | 12,703 |
Loss on disposal of property and equipment | 267 | 829 |
Bond premium amortization | 211 | 364 |
Debt Issuance Costs amortization | 3,495 | 144 |
Change in fair value of contingent earn-out | (27,194) | 0 |
Sparepartsusage | 5,229 | 5,356 |
Other Noncash Income (Expense) | (2,807) | 1,574 |
Accounts receivable | (1,090) | 2,078 |
Inventories | (100,024) | 13,368 |
Prepaid expenses and other assets | 4,710 | 759 |
Increase (Decrease) in Other Operating Assets | (17,323) | (7,632) |
Accounts payable | 22,149 | (1,648) |
Accrued liabilities | (33,509) | (17,068) |
Income taxes, including excess tax benefits and deferred income taxes | (45,798) | (5,970) |
Net cash provided by operating activities | (62,727) | 106,082 |
CASH FLOWS FROM INVESTING ACTIVITIES: | ||
Purchases of property and equipment | (48,039) | (29,693) |
Proceeds from sale of asset | 900 | 203 |
Intangible assets additions | (4,440) | (4,136) |
Purchases of investment securities | (3,397) | (10,034) |
Proceeds from sale of investment securities | 26,198 | 7,000 |
Net cash used in investing activities | (1,872,942) | (36,660) |
CASH FLOWS FROM FINANCING ACTIVITIES: | ||
Proceeds from issuance of long-term debt, net of lender debt issuance costs | 1,672,631 | 0 |
Repayments of Long-term Debt | 18,125 | 0 |
Payments of Debt Issuance Costs | (1,852) | 0 |
Proceeds from exercise of stock options | 2,992 | 5,416 |
Finance Lease, Principal Payments | (321) | (296) |
Payment, Tax Withholding, Share-based Payment Arrangement | 10,438 | 7,819 |
Net cash (used in) provided by financing activities | 1,644,887 | (2,699) |
Effect of Exchange Rate on Cash [Abstract] | ||
Effect of exchange rate changes on cash | (6,347) | (783) |
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect | (297,129) | 65,940 |
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents | 255,698 | 462,037 |
Supplemental Cash Flow Information [Abstract] | ||
Capital Expenditures Incurred but Not yet Paid | 5,539 | 1,857 |
NON-CASH INVESTING ACTIVITIES | ||
Fair Value of Assets Acquired | 1,658,692 | |
Payments to Acquire Businesses, Net of Cash Acquired | (1,844,164) | $ 0 |
Business Combination, Consideration Transferred, Equity Interests Issued and Issuable | (575,975) | |
Contingent consideration all Acquisitions | (55,158) | |
Goodwill, acquired during period | 1,437,811 | |
Liabilities Assumed | $ (621,206) |
Basis of Presentation_
Basis of Presentation: | 6 Months Ended |
Jun. 30, 2022 | |
Organization, Consolidation and Presentation of Financial Statements [Abstract] | |
Basis of Presentation [Text Block] | Basis of Presentation The accompanying unaudited interim condensed consolidated financial statements have been prepared in accordance with accounting principles generally accepted in the United States of America ("U.S.") and pursuant to the rules and regulations of the Securities and Exchange Commission (“SEC”) and reflect all adjustments, consisting of only normal recurring adjustments, which are, in the opinion of management, necessary for a fair statement of the consolidated results for the interim periods presented. Results for the interim period are not necessarily indicative of results for the full year. Certain information and footnote disclosures normally included in annual consolidated financial statements prepared in accordance with generally accepted accounting principles have been condensed or omitted pursuant to such rules and regulations. The condensed consolidated financial statements should be read in conjunction with the consolidated financial statements and notes thereto included in the Annual Report on Form 10-K of ICU Medical, Inc., ("ICU") a Delaware corporation, filed with the SEC for the year ended December 31, 2021. We are engaged in the development, manufacturing and sale of innovative medical products used in infusion therapy and critical care applications. We sell the majority of our products through our direct sales force and through independent distributors throughout the U.S. and internationally. We also sell certain products on an original equipment manufacturer basis to other medical device manufacturers. All subsidiaries are wholly owned and are included in the condensed consolidated financial statements. All intercompany balances and transactions have been eliminated. On January 6, 2022, we acquired Smiths Medical 2020 Limited ("Smiths Medical"), see Note 3: Acquisitions. Our condensed consolidated statement of operations includes the results of operations for Smiths Medical from January 7, 2022 through June 25, 2022, which is the current end of their 4-4-5 accounting period. |
New Accounting Pronouncements_
New Accounting Pronouncements: | 6 Months Ended |
Jun. 30, 2022 | |
Accounting Standards Update and Change in Accounting Principle [Abstract] | |
New Accounting Pronouncements and Changes in Accounting Principles [Text Block] | New Accounting Pronouncements Recently Issued Accounting Standards In March 2020, the Financial Accounting Standards Board issued ASU No. 2020-04, Reference Rate Reform (Topic 848) - Facilitation of the Effects of Reference Rate Reform on Financial Reporting. The amendments in this update provide optional guidance for a limited period of time to ease the potential burden for reference rate reform on financial reporting. Due to concerns about structural risks of interbank offered rates and, particularly, the risk of cessation of the London Interbank Offered Rate ("LIBOR"), regulators around the world have undertaken reference rate reform initiatives to identify alternative reference rates that are more observable or transaction-based and less susceptible to manipulation. The amendments in this update apply only to contracts, hedging relationships, and other transactions that reference LIBOR or another reference rate expected to be discontinued as a result of reference rate reform. Optional expedients may be applied to contracts that are modified as a result of the reference rate reform. Modifications of contracts within the scope of Topic 470, Debt, should be accounted for by prospectively adjusting the effective interest rate. Modifications of contracts within the scope of ASC 842, Leases, should be accounted for as a continuation of the existing contracts with no reassessments of the lease classification and the discount rate (incremental borrowing rate). Exceptions to Topic 815, Derivatives and Hedging, results in not having a dedesignation of a hedging relationship if certain criteria are met. The amendments in this ASU are effective for all entities as of March 12, 2020 through December 31, 2022. In November 2021, we entered into two forward-starting swaps whereby the variable leg of the swap referenced LIBOR. These swaps were amended in early 2022 to transition to an alternative reference rate (see Note 8: Derivatives and Hedging Activities). The amendments in this ASU allow for certain expedients that will allow us to assume that our hedged interest payments are probable of occurring regardless of any expected modification in their terms related to reference rate reform and will allow us to continue hedge accounting for a cash flow hedge for which the hedged interest rate risk changes if the hedge is highly effective under ASC 815, Derivatives and Hedging, or the optional expedient under this ASU is elected. The impact of this ASU on our contracts has not been and is not expected to be material. |
Business Combinations and Asset
Business Combinations and Asset Acquisitions | 3 Months Ended |
Jun. 30, 2022 | |
Business Combination and Asset Acquisition [Abstract] | |
Business Combination Disclosure | Acquisitions 2022 Acquisition On January 6, 2022, we acquired 100.0% of the equity interests in Smiths Medical, the holding company of Smiths Group plc's global medical device business, from Smiths Group International Holdings Limited (“Smiths”). The acquisition of Smiths Medical aligns with our strategic growth plans, enabling us to broaden our product offerings to include syringe and ambulatory infusion devices, vascular access, and vital care products and to strengthen and expand our global market reach. Total cash consideration for the acquisition was $1.9 billion, which was financed with existing cash balances and proceeds from the credit agreement entered into on January 6, 2022 (see Note 17: Long-Term Debt). We also issued share consideration to Smiths of 2.5 million shares of our common stock. The fair value of the common shares issued to Smiths was determined based on the opening market price of our common stock on the acquisition date. Smiths may be entitled to an additional $100.0 million in cash consideration contingent on our common stock achieving certain price targets for certain periods after closing in accordance with the terms of the Share Sale and Purchase Agreement (the "Purchase Agreement"). In the event that (a) on or prior to the third anniversary of closing the 30-day volume-weighted average price for our common stock, as defined in the Purchase Agreement, equals or exceeds $300.00 per share or (b) on or prior to the fourth anniversary of closing the 45-day volume-weighted average price for our common stock, as defined in the Purchase Agreement, equals or exceeds $300.00 per share (each a "Price Target"), and provided Smiths beneficially owns at least 50.0% of the shares of common stock issued at closing at the time the Price Target is achieved, then Smiths will be entitled to receive the additional $100.0 million in cash consideration. The fair value of the contingent consideration was determined using an option pricing model, specifically the Monte Carlo Simulation. In the analysis, the determinants of payout are simulated in a risk neutral framework over a large number of simulation paths. The fair value of the contingent consideration is then calculated as the average present value across all simulated paths. Preliminary Purchase Price Allocation The following table summarizes the estimated purchase price and the preliminary allocation of the purchase price related to the assets acquired and liabilities assumed (in thousands): Estimated cash consideration for acquired assets $ 1,922,955 Preliminary fair value of contingent consideration payable to Smiths 53,520 Issuance of ICU Medical, Inc. common shares: Number of shares issued to Smiths 2,500 Price per share (ICU's opening market price on the acquisition date) $ 230.39 Fair value of ICU shares issued to Smiths $ 575,975 Total estimated consideration to be paid $ 2,552,450 Preliminary Purchase Price Allocation: Cash and cash equivalents $ 78,791 Accounts receivable 118,277 Inventories 226,196 Prepaid expenses and other current assets 53,554 Property, plant and equipment 210,000 Operating lease right-of-use assets 55,161 Intangible assets (1) 975,000 Deferred income taxes 9,303 Other assets 379 Accounts payable (105,291) Accrued liabilities (2) (175,099) Income tax payable (24,332) Other long-term liabilities (85,739) Deferred income taxes (228,689) Total identifiable net assets acquired $ 1,107,511 Goodwill - not tax deductible 1,444,939 Estimated Purchase Consideration $ 2,552,450 _______________________________ (1) Estimated identifiable intangible assets include $540.0 million of customer relationships, $400.0 million of developed technology, $30.0 million of internally developed software, and $5.0 million of trade mark. The estimated weighted-average amortization period for the total identifiable intangible assets is approximately nine eight ten five six (2) Estimated accrued liabilities includes, among other things, accrued warranty reserves, accrued restructuring initiatives, accrued salaries and related benefits, deferred revenue and accrued sales and use taxes. The above purchase price and purchase price allocation are preliminary and subject to future revision as the acquired assets and liabilities assumed are dependent upon the finalization of the related valuations. The identifiable intangible assets and other long-lived assets acquired have been valued as Level 3 assets at fair value. The estimated fair value of identifiable intangible assets were developed using the income approach and are based on critical estimates, judgments and assumptions derived from: analysis of market conditions; discount rate; discounted cash flows; royalty rates; customer retention rates; and/or estimated useful lives. Certain other intangible assets were valued using a cost to replace method, estimating the labor and non-labor costs required to replace the asset under the premise that it was not part of the transaction. Property, plant and equipment was valued with the consideration of remaining economic lives. The raw materials inventory was valued at historical cost and adjusted for any obsolescence which we estimate to approximate replacement cost, the work in process was valued at estimated sales proceeds less costs to complete and costs to sell, and finished goods inventory was valued at estimated sales proceeds less costs to sell. The prepaid expenses and other current assets and assumed liabilities were recorded at their carrying values as of the date of the acquisition, as their carrying values approximated their fair values due to their short-term nature. Unaudited Pro Forma Information Smiths Medical is included in our consolidated results beginning on January 7, 2022. Total revenues and net loss attributable to Smiths Medical for the period from January 7, 2022 to June 30, 2022 were $437.8 million and $65.5 million, respectively, and for the three months ended June 30, 2022 were $222.9 million and $26.0 million. The following unaudited pro forma financial information presents the combined results of operations of ICU and Smiths Medical as if the acquisition had occurred on January 1, 2021. The pro forma financial information is presented for informational purposes only and is not indicative of the results of operations that would have been achieved if the acquisition had taken place on the date indicated or of results that may occur in the future. Three months ended June 30, Six months ended June 30, (In thousands) 2022 2021 2022 2021 Revenues $ 561,004 $ 625,942 $ 1,124,823 $ 1,227,502 Net Loss $ (7,474) $ 34,244 $ (59,425) $ 31,447 The unaudited pro forma results presented above include the impact of the following adjustments: incremental amortization expense on intangible assets acquired of $1.3 million and $55.5 million for the six months ended June 30, 2022 and 2021, respectively, incremental interest expense, including amortization of debt discount and debt issuance costs, on the Credit Facilities of $0.8 million and $25.4 million for the six months ended June 30, 2022 and 2021, respectively; and a $27.4 million expense related to the increase in fair value of inventory for the six months ended June 30, 2021. In addition, there were non-recurring adjustments directly attributable to the business combination, including acquisition-related cost of $13.5 million for the six months ended June 30, 2021 and adjustments related to the extinguishment of related party loans receivable and payable equal to $80.7 million and $45.0 million for the six months ended June 30, 2022 and 2021, respectively. The unaudited pro forma results include IFRS to U.S. GAAP adjustments for Smiths Medical historical results and adjustments for accounting policy alignment, which were materially similar to the Company. Any differences in accounting policies were adjusted to reflect the accounting policies of the Company in the unaudited pro forma results presented. 2021 Acquisition |
Restructuring, Strategic Transa
Restructuring, Strategic Transaction and Integration (Notes) | 6 Months Ended |
Jun. 30, 2022 | |
Restructuring and Related Activities [Abstract] | |
Restructuring and Related Activities Disclosure | Restructuring, Strategic Transaction and Integration Restructuring, strategic transaction and integration expenses were $13.5 million and $3.8 million for the three months ended June 30, 2022 and 2021, respectively, and $47.4 million and $6.6 million for six months ended June 30, 2022 and 2021, respectively. Restructuring During the three and six months ended June 30, 2022, restructuring charges were $1.7 million and $4.9 million, respectively, and were related to severance costs. Restructuring charges during the three and six months ended June 30, 2021 were not material. The following table summarizes the activity in our restructuring-related accrual by major type of cost for the period ended June 30, 2022 (in thousands): Severance Pay and Benefits Retention and Facility Closure Costs Total Accrued balance, January 1, 2022 $ 499 $ 165 $ 664 Acquired restructuring liabilities 5,796 1,740 7,536 Charges incurred 3,222 — 3,222 Payments (2,030) — (2,030) Currency translation (147) (40) (187) Accrued balance, March 31, 2022 $ 7,340 $ 1,865 $ 9,205 Charges incurred 1,710 — 1,710 Payments (3,352) (212) (3,564) Currency translation (256) (94) (350) Other adjustments (38) — (38) Accrued balance, June 30, 2022 $ 5,404 $ 1,559 $ 6,963 Strategic Transaction and Integration Expenses |
Revenue (Notes)
Revenue (Notes) | 6 Months Ended |
Jun. 30, 2022 | |
Revenue from Contract with Customer [Abstract] | |
Revenue from Contract with Customer [Text Block] | Revenue Revenue Recognition Following our acquisition of Smiths Medical, our primary product lines are Infusion Consumables, Infusion Systems, IV Solutions, Critical Care, Infusion Systems-Smiths Medical, Vascular Access-Smiths Medical and Vital Care-Smiths Medical. The vast majority of our sales of these products are made on a stand-alone basis to hospitals and distributors. Revenue is typically recognized upon transfer of control of the products, which we deem to be at point of shipment. However, for purposes of revenue recognition for our software licenses and renewals, we consider the control of these products to be transferred to a customer at a certain point in time; therefore, we recognize revenue at the start of the applicable license term. Payment is typically due in full within 30 days of delivery or the start of the contract term. Revenue is recorded in an amount that reflects the consideration we expect to be entitled to in exchange for those goods or services. We offer certain volume-based rebates to our distribution customers, which we record as variable consideration when calculating the transaction price. Rebates are offered on both a fixed and tiered/variable basis. In both cases, we use information available at the time and our historical experience with each customer to estimate the most likely rebate amount. We also provide chargebacks to distributors that sell to end customers at prices determined under a contract between us and the end customer. Chargebacks are the difference between the prices we charge our distribution customers and the contracted prices we have with the end customer which are processed as credits to our distribution customers. In estimating the expected value of chargeback amounts in order to determine the transaction price, we use information available at the time, including our historical experience. We also warranty products against defects and have a policy permitting the return of defective products, for which we accrue and expense at the time of sale using information available at that time and our historical experience. We also provide for extended service-type warranties, which we consider to be separate performance obligations. We allocate a portion of the transaction price to the extended service-type warranty based on its estimated relative selling price, and recognize revenue over the period the warranty service is provided. Our revenues are recorded at the net sales price, which includes an estimate for variable consideration related to rebates, chargebacks and product returns. Revenue disaggregated The following table represents our revenues disaggregated by product line (in thousands): Three months ended Six months ended Product line 2022 2021 2022 2021 Infusion Consumables $ 144,456 $ 136,200 $ 284,977 $ 262,569 Infusion Systems 87,253 84,661 174,265 168,995 IV Solutions 94,113 88,421 182,593 182,597 Critical Care 12,373 12,395 24,530 25,562 Infusion Systems-Smiths Medical 77,812 — 144,102 — Vascular Access-Smiths Medical 77,058 — 156,066 — Vital Care-Smiths Medical 67,939 — 137,593 — Total Revenues $ 561,004 $ 321,677 $ 1,104,126 $ 639,723 Infusion Systems-Smiths Medical, Vascular Access-Smiths Medical and Vital Care-Smiths Medical represent our newly integrated product lines following our acquisition of Smiths Medical on January 6, 2022. The following table represents our revenues disaggregated by geography (in thousands): Three months ended Six months ended Geography 2022 2021 2022 2021 Europe, the Middle East and Africa $ 87,415 $ 37,761 $ 173,619 $ 72,560 Other Foreign 109,723 59,249 218,850 115,145 Total Foreign 197,138 97,010 392,469 187,705 United States 363,866 224,667 711,657 452,018 Total Revenues $ 561,004 $ 321,677 $ 1,104,126 $ 639,723 Contract balances The following table presents the changes in our contract balances for the six months ended June 30, 2022 and 2021 (in thousands): Contract Liabilities Beginning balance, January 1, 2022 $ (7,461) Fair value of acquired deferred revenue (51,245) Equipment revenue recognized 14,606 Equipment revenue deferred due to implementation (7,349) Software revenue recognized 8,737 Software revenue deferred due to implementation (9,067) Government grant deferred revenue (2,972) Government grant recognized 232 Other deferred revenue (1,005) Other deferred revenue recognized 2,458 Ending balance, June 30, 2022 $ (53,066) Beginning balance, January 1, 2021 $ (6,430) Equipment revenue recognized 4,754 Equipment revenue deferred due to implementation (5,435) Software revenue recognized 4,355 Software revenue deferred due to implementation (2,212) Ending balance, June 30, 2021 $ (4,968) As of June 30, 2022, revenue from remaining performance obligations is as follows: Recognition Timing (in millions) < 12 Months > 12 Months Equipment revenue $ (19,744) $ — Software revenue (7,750) (1,647) Government grant revenue (1,175) (13,569) Other revenue* (1,903) (7,278) Total $ (30,572) $ (22,494) _________________________________ *Other deferred revenue includes pump development programs, purchased training and extended warranty. |
Leases (Notes)
Leases (Notes) | 6 Months Ended |
Jun. 30, 2022 | |
Leases [Abstract] | |
Lessee, Operating Leases [Text Block] | Leases We determine if an arrangement is a lease at inception. Our operating lease assets are separately stated in operating lease right-of-use ("ROU") assets and our financing lease assets are included in other assets on our condensed consolidated balance sheets. Our lease liabilities are included in accrued liabilities and other long-term liabilities on our condensed consolidated balance sheets. We have elected not to recognize an ROU asset and lease liability for leases with terms of twelve months or less. Lease ROU assets and lease liabilities are recognized based on the present value of the future minimum lease payments over the lease term at commencement date. Most of our leases do not provide an implicit rate, therefore we use our incremental borrowing rate, which is the rate incurred to borrow on a collateralized basis over a similar term based on the information available at commencement date. Our lease ROU assets exclude lease incentives and initial direct costs incurred. Our lease terms include options to extend when it is reasonably certain that we will exercise that option. All of our leases have stated lease payments, which may include fixed rental increases. Lease expense for minimum lease payments is recognized on a straight-line basis over the lease term. Our leases are for corporate, research and development and sales and support offices, distribution facilities, device service centers and certain equipment. Our leases have original lease terms of one year to fifteen years, some of which include options to extend the leases for up to an additional five years. For all of our leases, we do not include optional periods of extension in our current lease terms for the exercise of options to extend is not reasonably certain. The following table presents the components of our lease cost (in thousands): Three months ended Six months ended 2022 2021 2022 2021 Operating lease cost $ 5,475 $ 2,822 $ 10,653 $ 5,657 Finance lease cost — interest 28 32 57 63 Finance lease cost — reduction of ROU asset 170 166 340 317 Short-term lease cost 3 6 6 9 Total lease cost $ 5,676 $ 3,026 $ 11,056 $ 6,046 Interest expense on our finance leases is included in other income (expense), net in our condensed consolidated statements of operations. The reduction of the operating and finance ROU assets is included as noncash lease expense in selling, general and administrative expenses in our condensed consolidated statements of operations. The following table presents the supplemental cash flow information related to our leases (in thousands): Six months ended 2022 2021 Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating leases $ 12,887 $ 5,657 Operating cash flows from finance leases $ 57 $ 63 Right-of-use assets obtained in exchange for lease obligations: Operating leases $ 3,829 $ 1,282 Finance leases $ 38 $ 332 The following table presents the supplemental balance sheet information related to our operating leases (in thousands, except lease term and discount rate): As of June 30, 2022 December 31, 2021 Operating leases Operating lease right-of-use assets $ 83,323 $ 39,847 Accrued liabilities $ 19,929 $ 9,009 Other long-term liabilities 68,491 33,971 Total operating lease liabilities $ 88,420 $ 42,980 Weighted-Average Remaining Lease Term Operating leases 6.3 years 5.9 years Weighted-Average Discount Rate Operating leases 4.39 % 4.98 % The following table presents the supplemental balance sheet information related to our finance leases (in thousands, except lease term and discount rate): As of June 30, 2022 December 31, 2021 Finance leases Finance lease right-of-use assets $ 2,335 $ 2,673 Accrued liabilities $ 650 $ 643 Other long-term liabilities 1,741 2,067 Total finance lease liabilities $ 2,391 $ 2,710 Weighted-Average Remaining Lease Term Finance leases 5.3 years 5.6 years Weighted-Average Discount Rate Finance leases 4.27 % 4.28 % As of June 30, 2022, the maturities of our operating and finance lease liabilities for each of the next five years are approximately (in thousands): Operating Leases Finance Leases Remainder of 2022 $ 12,546 $ 371 2023 21,260 742 2024 17,283 459 2025 12,361 273 2026 10,574 216 2027 8,128 189 Thereafter 17,500 426 Total Lease Payments 99,652 2,676 Less imputed interest (11,232) (285) Total $ 88,420 $ 2,391 |
Net Income Per Share_
Net Income Per Share: | 6 Months Ended |
Jun. 30, 2022 | |
Earnings Per Share [Abstract] | |
Net Income Per Share [Text Block] | Net Income Per Share Basic earnings per share is computed by dividing net income by the weighted-average number of common shares outstanding during the period. Diluted earnings per share is computed by dividing net income by the weighted-average number of common shares outstanding during the period plus dilutive securities. Dilutive securities include outstanding common stock options and unvested restricted stock units, less the number of shares that could have been purchased with the proceeds from the exercise of the options, using the treasury stock method. Options and restricted stock units that are anti-dilutive are not included in the treasury stock method calculation. Due to the net loss for the three and six months ended June 30 2022, any potentially common shares were not included in the computation of diluted earnings per share as they would have had an anti-dilutive effect, therefore basic and diluted net loss per share are equal for the period. There were 12,107 and 12,080 anti-dilutive securities for the three and six months ended June 30, 2021, respectively. The following table presents the calculation of net earnings per common share (“EPS”) — basic and diluted (in thousands, except per share data): Three months ended Six months ended 2022 2021 2022 2021 Net (loss) income $ (7,474) $ 28,398 $ (45,542) $ 52,129 Weighted-average number of common shares outstanding (basic) 23,897 21,200 23,787 21,176 Dilutive securities (1) — 503 — 542 Weighted-average common and common equivalent shares outstanding (diluted) 23,897 21,703 23,787 21,718 EPS — basic $ (0.31) $ 1.34 $ (1.91) $ 2.46 EPS — diluted $ (0.31) $ 1.31 $ (1.91) $ 2.40 _______________________________ (1) No dilutive effect for the three and six months ended June 30, 2022; therefore, zero incremental shares included for the period. |
Derivative Financial Instrument
Derivative Financial Instruments (Notes) | 3 Months Ended |
Jun. 30, 2022 | |
Derivative Instruments and Hedging Activities Disclosure [Abstract] | |
Derivative Instruments and Hedging Activities Disclosure [Text Block] | Derivatives and Hedging Activities Hedge Accounting and Hedging Program The purposes of our cash flow hedging programs are to manage the foreign currency exchange rate risk on forecasted revenues and expenses denominated in currencies other than the functional currency of the operating unit, and to manage floating interest rate risk associated with future interest payments on the variable-rate term loans issued in January 2022. We do not issue derivatives for trading or speculative purposes. To receive hedge accounting treatment, all hedging relationships are formally documented at the inception of the hedge, and the hedges must be highly effective in offsetting changes to future cash flows on hedged transactions. The derivative instruments we utilize, including various foreign exchange contracts and interest rate swaps, are designated and qualify as cash flow hedges. Our derivative instruments are recorded at fair value on the condensed consolidated balance sheets and are classified based on the instrument's maturity date. We record gains or losses from changes in the fair values of the derivative instruments as a component of other comprehensive income (loss) and we reclassify those gains or losses into earnings in the same line item associated with the forecasted transaction and in the same period during which the hedged transaction affects earnings. If the underlying forecasted transaction does not occur, or it becomes probable that it will not occur, we reclassify the gain or loss on the related derivative instrument from accumulated other comprehensive loss into earnings immediately. Foreign Currency Exchange Rate Risk Foreign Exchange Forward Contracts We enter into foreign exchange forward contracts to hedge a portion of our forecasted foreign currency-denominated revenues and expenses to minimize the effect of foreign exchange rate movements on the related cash flows. These contracts are agreements to buy or sell a quantity of a currency at a predetermined future date and at a predetermined exchange rate. Our foreign exchange forward contracts hedge exposures principally denominated in Mexican Pesos ("MXN"), Euros, Czech Koruna ("CZK"), Japanese Yen ("JPY"), U.S. Dollar ("USD") and Chinese Renminbi ("CNH") and have varying maturities with an average term of approximately twelve months. The total notional amount of these outstanding derivative contracts as of June 30, 2022 was $209.2 million, which included the notional equivalent of $43.1 million in MXN, $39.7 million in Euros, $18.3 million in CZK, $18.8 million in JPY, $19.3 million in CNH, $36.3 million in USD and $33.9 million in other foreign currencies, with terms currently through July 2023. We did not have such derivative contracts as of December 31, 2021. Cross-currency Par Forward Contracts We enter into cross-currency par forward contracts to hedge a portion of our Mexico forecasted expenses denominated in MXN. These contracts are agreements to exchange cash flows from one currency to another at specified intervals over the contract term with all exchanges occurring at the same predetermined rate. In November 2021, we entered into a one-year cross-currency par forward contract with a term from December 1, 2021 to December 1, 2022. The total notional amount of this outstanding derivative as of June 30, 2022 and December 31, 2021 was approximately 208.2 million MXN and 413.1 million MXN, respectively. The derivative instrument matures in equal monthly amounts at a fixed forward rate of 21.60 MXN/USD. Preceding this contract we had a one-year cross-currency par forward contract with a term from November 3, 2020 to December 1, 2021 that matured in equal monthly amounts at a fixed forward rate of 24.26 MXN/USD. Floating Interest Rate Risk In November 2021, in anticipation of entering into the new senior secured credit facilities in January 2022, which includes a variable-rate term loan A and a variable-rate term loan B (see Note 17: Long-Term Debt), we entered into two forward-starting interest rate swaps. In February 2022, certain terms under the agreements were amended to reflect the transition from LIBOR to the Secured Overnight Financing Rate ("SOFR"), an alternative reference rate. Under the interest rate swap agreements we exchange, at specified intervals, the difference between fixed and floating interest amounts calculated by reference to an agreed-upon notional amount. Effective March 30, 2022, the term loan A swap, as amended, has an initial notional amount of $300.0 million, reducing to $150.0 million evenly on a quarterly basis excluding its final maturity on March 30, 2027. We will pay a fixed rate of 1.32% and will receive the greater of 3-month USD SOFR or (0.15)%. Effective March 30, 2022, the term loan B swap, as amended, has an initial notional amount of $750.0 million, reducing to $46.9 million evenly on a quarterly basis excluding its final maturity on March 30, 2026. We will pay a fixed rate of 1.17% and will receive the greater of 3-month USD SOFR or 0.35%. These swaps effectively convert the relevant portion of the floating-rate term loans to fixed rates. The following table presents the fair values of our derivative instruments included within the Condensed Consolidated Balance Sheets (in thousands): Derivatives Designated as Cash Flow Hedging Instruments Condensed Consolidated Balance Sheet Location Foreign Exchange Contracts Interest Rate Swaps Gross Derivatives As of June 30, 2022 Prepaid expenses and other current assets $ 9,463 $ 15,407 $ 24,870 Other assets 112 23,834 23,946 Total assets $ 9,575 $ 39,241 $ 48,816 Accrued liabilities $ 577 $ — $ 577 Other long-term liabilities 50 — 50 Total liabilities $ 627 $ — $ 627 As of December 31, 2021 Prepaid expenses and other current assets $ 1,061 $ — $ 1,061 Other assets — — — Total assets $ 1,061 $ — $ 1,061 Accrued liabilities $ — $ — $ — Other long-term liabilities — 1,480 1,480 Total liabilities $ — $ 1,480 $ 1,480 We recognized the following gains on our derivative instruments designated as cash flow hedges (in thousands): Gain Recognized in Other Comprehensive Income Three months ended Six months ended 2022 2021 2022 2021 Derivatives designated as cash flow hedging instruments: Foreign exchange contracts $ 5,225 $ 441 $ 8,337 $ 39 Interest rate swaps 9,146 — 39,197 — Total derivatives designated as cash flow hedging instruments $ 14,371 $ 441 $ 47,534 $ 39 The following table presents the effects of our derivative instruments designated as cash flow hedges on the Condensed Consolidated Statements of Operations (in thousands): Gain (Loss) Reclassified From Accumulated Other Comprehensive (Loss) Income into Income Three months ended Six months ended Location of Gain (Loss) Recognized in Income 2022 2021 2022 2021 Derivatives designated as cash flow hedging instruments: Foreign exchange contracts Total revenues $ 1,813 $ — $ 4,356 $ — Foreign exchange contracts Cost of goods sold 1,563 903 1,049 1,744 Foreign exchange contracts Interest expense (1) 5 — 255 — Interest rate swaps Interest expense (1,524) — (1,524) — Total derivatives designated as cash flow hedging instruments $ 1,857 $ 903 $ 4,136 $ 1,744 _______________________________ (1) Represents location of gain reclassified from accumulated other comprehensive income into income as a result that a forecasted transaction is no longer probable of occurring. |
Fair Value Measures and Disclos
Fair Value Measures and Disclosures (Notes) | 6 Months Ended |
Jun. 30, 2022 | |
Fair Value Disclosures [Abstract] | |
Fair Value Disclosures | Fair Value Measurements Fair value is the price that would be received from selling an asset or paid to transfer a liability in an orderly transaction between market participants at the measurement date. There are three levels of inputs that may be used to measure fair value: • Level 1: quoted prices in active markets for identical assets or liabilities; • Level 2: inputs other than Level 1 that are observable, either directly or indirectly, such as quoted prices in active markets for similar assets or liabilities, quoted prices for identical or similar assets or liabilities in markets that are not active, or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities; or • Level 3: unobservable inputs that are supported by little or no market activity and that are significant to the fair values of the assets or liabilities. Contingent Earn-out Liabilities On January 6, 2022, we acquired Smiths Medical with a combination of cash consideration and share consideration issued at closing. Total consideration for the acquisition includes a potential earn-out payment of $100.0 million in cash contingent on our common stock achieving certain Price Targets from the closing date to either the third or fourth anniversary of closing (see Note 3: Acquisitions for additional information) and provided Smiths beneficially owns at least 50.0% of the shares of common stock issued at closing at the time the Price Target is achieved. The initial estimated fair value of the earn-out was determined to be $53.5 million. The initial fair value of the earn-out was determined using a Monte Carlo simulation model. The model utilized several assumptions including volatility and the risk-free interest rate. The assumed volatility is based on the average of the historical volatility of our common stock price and the implied volatility of certain at-the-money traded options. The risk-free interest rate is equal to the yield on U.S. Treasury securities at constant maturity for the period commensurate with the term of the earn-out. At each reporting date subsequent to the acquisition, we will remeasure the earn-out liability and recognize any changes in its fair value in our consolidated statements of operations. If the probability of achieving the Price Targets during their respective measurement periods is significantly greater than initially anticipated, the realization of an additional liability and related expense will have a significant impact on our consolidated financial statements in the period recognized. As of June 30, 2022, the estimated fair value of the contingent earn-out is $26.1 million. During November 2021, we acquired a small foreign infusion systems supplier. Total consideration for the acquisition includes a potential earn-out payment of up to $2.5 million, consisting of (i) a cash payment of $1.0 million contingent on the achievement of certain revenue targets for the annual period ending December 31, 2022 and, separately, (ii) a cash payment of $1.5 million contingent on certain product-related regulatory certifications obtained by May 26, 2024. As of June 30, 2022, the estimated fair value of the total contingent earn-out is $1.7 million. During August 2021, we entered into an agreement with one of our international distributors whereby that distributor would not compete with us in a specific territory for a three-year period that will end in September 2024. The terms of the agreement include a contingent earn-out payment. The contingent earn-out payment shall not exceed $6.0 million, which will be earned based on certain revenue targets over a twelve-month measurement period determined by the highest four consecutive quarters commencing over a two-year period starting on the closing date of the agreement and provided that the distributor is in compliance with its obligations under the agreement. As of both June 30, 2022 and December 31, 2021, the estimated fair value of the contingent earn-out is $2.6 million. The estimated fair value of the contingent earn-out is calculated using a probability-weighted cash flow model based on historical revenue streams and the likelihood that the revenue targets will be met. During the fourth quarter of 2019, we recognized an earn-out liability related to the acquisition of Pursuit Vascular, Inc. ("Pursuit"). Pursuit's former equity holders were entitled up to $50.0 million in additional cash consideration contingent upon the achievement of certain sales and gross profit targets for specific customers. The earn-out was calculated as a percentage of gross profit achieved during the earn-out period against a pre-determined target gross profit, not to exceed $50.0 million. During the earn-out period, we used a Monte Carlo simulation model to determine the fair value of the earn-out liability. The Monte Carlo simulation model utilized multiple input variables to determine the value of the earn-out liability including historical volatility, a risk-free interest rate, counter party credit risk and projected future gross profit (see the simulation input table below related to Pursuit). The historical volatility was based on the median of ICU and a certain peer group. The risk-free interest rate was equal to the yield, as of the valuation date, of the zero-coupon U.S. Treasury bill that was commensurate with the term of the earn-out. The counter party credit risk was based on a synthetic credit rating of B1. As of June 30, 2021, the earn-out measurement period ended. Based on the actual sales and gross profit achieved during the measurement period, we calculated the actual earn-out amount to be $26.3 million. The $26.3 million earn-out calculation was finalized and accepted by Pursuit's former equity holders and was paid out in the fourth quarter of 2021. Our contingent earn-out liabilities are separately stated on our condensed consolidated balance sheets. The following tables provide a reconciliation of the Level 3 earn-out liabilities measured at estimated fair value (in thousands): Earn-out Liability Accrued balance, January 1, 2022 $ 2,589 Acquisition date fair value estimate of earn-out (1) 55,158 Currency translation (46) Accrued balance, March 31, 2022 $ 57,701 Change in fair value of earn-out (included in income from operations as a separate line item) (2) (27,194) Currency translation (98) Accrued balance, June 30, 2022 $ 30,409 _______________________________ (1) $53.5 million relates to our acquisition of Smiths Medical and $1.6 million relates to our acquisition of a small foreign infusions systems supplier in the fourth quarter of 2021 (see Note 3: Acquisitions). (2) Primarily relates to the change in fair value of the Smiths Medical earn-out. Earn-out Liability Accrued balance, January 1, 2021 $ 26,300 Change in fair value of earn-out (included in income from operations as a separate line item) — Accrued balance, March 31, 2021 $ 26,300 Change in fair value of earn-out (included in income from operations as a separate line item) — Accrued balance, June 30, 2021 $ 26,300 The following tables provide quantitative information about Level 3 inputs for fair value measurement of our earn-out liabilities related to Smiths Medical and Pursuit: Smiths Medical Earn-out Simulation Input As of At Acquisition Volatility 40.00 % 37.00 % Risk-Free Rate 2.97 % 1.31 % Pursuit Earn-out Simulation Input As of Revenue/Gross Profit Volatility 25.00 % Discount Rate 12.50 % Risk-Free Rate 0.09 % Counter Party Risk 3.10 % Investments, Foreign Exchange Contracts and Interest Rate Contracts Our investments consist of corporate bonds and U.S treasury securities. The fair value of our corporate bonds is estimated using observable market-based inputs such as quoted prices, interest rates and yield curves or Level 2 inputs. The fair value of our U.S. treasury securities are based on quoted market prices in active markets and are included in the Level 1 fair value hierarchy. The fair value of our Level 2 foreign exchange contracts, including forward contracts and cross-currency par forward contracts, is estimated using observable market inputs such as known notional value amounts, spot and forward exchange rates. These inputs relate to liquid, heavily traded currencies with active markets which are available for the full term of the derivative. The fair value of our Level 2 interest rate swaps is estimated using a pricing model that reflects the terms of the contracts, including the period to maturity, and relies on observable market inputs such as known notional value amounts and USD interest rate curves. Our assets and liabilities measured at fair value on a recurring basis consisted of the following Level 1, 2 and 3 inputs as defined above (in thousands): Fair value measurements as of June 30, 2022 Total carrying Quoted prices Significant Significant Assets: Available-for-sale debt securities: Short-term corporate bonds $ 11,787 $ — $ 11,787 $ — Short-term U.S. treasury securities 1,404 1,404 — — Long-term corporate bonds 1,837 — 1,837 — Foreign exchange contracts: Prepaid expenses and other current assets 9,463 — 9,463 — Other assets 112 — 112 — Interest rate contracts: Prepaid expenses and other current assets 15,407 — 15,407 — Other assets 23,834 — 23,834 — Total Assets $ 63,844 $ 1,404 $ 62,440 $ — Liabilities: Contingent earn-out liability - ST $ 290 $ — $ — $ 290 Contingent earn-out liability - LT 30,119 — — 30,119 Foreign exchange contracts: Accrued liabilities 577 — 577 — Other long-term liabilities 50 — 50 — Total Liabilities $ 31,036 $ — $ 627 $ 30,409 Fair value measurements as of December 31, 2021 Total carrying Quoted prices Significant Significant Assets: Available-for-sale debt securities: Short-term corporate bonds $ 14,420 $ — $ 14,420 $ — Long-term corporate bonds 4,620 — 4,620 — Cross-currency par forward contract: Prepaid expenses and other current assets 1,061 — 1,061 — Total Assets $ 20,101 $ — $ 20,101 $ — Liabilities: Contingent earn-out liability - LT $ 2,589 $ — $ — $ 2,589 Forward-starting interest rate swaps: Other long-term liabilities 1,480 — 1,480 — Total Liabilities $ 4,069 $ — $ 1,480 $ 2,589 |
Investment Securities (Notes)
Investment Securities (Notes) | 6 Months Ended |
Jun. 30, 2022 | |
Investments, Debt and Equity Securities [Abstract] | |
investments in Debt and Marketable Equity Securities and Equity Method Investments [Text Block] | Investment Securities Investments in Available-for-sale Securities Our available-for-sale investment securities currently consist of short-term and long-term corporate bonds and short-term U.S. treasury securities and are considered “investment grade” and are carried at fair value. We assess our investment in available-for-sale debt securities for impairment each reporting period. If an unrealized loss exists, we determine whether any portion of the decline in fair value below the amortized cost basis is credit-related by reviewing several factors, including, but not limited to, the extent of the fair value decline and changes in the financial condition of the issuer. We record an impairment for credit-related losses through an allowance, limited to the amount of the unrealized loss. If we either intend to sell or it is more likely than not we will be required to sell the debt security before its anticipated recovery, any allowance is written off and the amortized cost basis is written down to fair value through a charge against net earnings. Unrealized gains and non-credit-related unrealized losses are recorded, net of tax, in other comprehensive income (loss). We did not have any investments in available-for-sale debt securities in unrealized loss positions as of June 30, 2022 or December 31, 2021. The amortized cost of the debt securities are adjusted for the amortization of premiums computed under the effective interest method. Such amortization is included in other income, net in our condensed consolidated statements of operations. Realized gains and losses are accounted for on the specific identification method. There have been no realized gains or losses on the disposal of these investments. The scheduled maturities of the debt securities are between 2022 and 2024. All short-term investment securities are callable within one year. Our short-term and long-term investments in available-for-sale securities consist of the following (in thousands): As of June 30, 2022 Amortized Cost Unrealized Holding Fair Value Short-term corporate bonds $ 11,787 $ — $ 11,787 Short-term U.S. treasury securities 1,404 — 1,404 Long-term corporate bonds 1,837 — 1,837 Total investment securities $ 15,028 $ — $ 15,028 As of December 31, 2021 Amortized Cost Unrealized Holding Fair Value Short-term corporate bonds $ 14,420 $ — $ 14,420 Long-term corporate bonds 4,620 — 4,620 Total investment securities $ 19,040 $ — $ 19,040 Investments in Non-Marketable Equity Securities During the third quarter of 2021, we acquired approximately a 20.0% non-marketable equity interest in a nonpublic company and entered into a three-year distribution agreement where we have the exclusive rights to market, sell and distribute the company's products in exchange for a cash payment of $3.3 million. In addition, we were granted an exclusive license for all of the seller's intellectual property. At the expiration of the distribution agreement we have the right but not the obligation to acquire the remaining interest in the business. We apply the equity method of accounting for investments when we determine we have a significant influence, but not a controlling interest in the investee. We determine whether we have significant influence by considering key factors such as ownership interest, representation on the board of directors, participation in policy making decisions, business relationship and material intra-entity transactions, among other factors. Our equity method investment is reported at cost and adjusted each period for our share of the investee's income or (loss) and dividend paid, if any. We eliminate any intra-entity profits to the extent of our beneficial interest. We record our share of the investee's income or (loss) on a one quarter lag. We report our proportionate share of the investee's income or (loss) resulting from this investment in other income, net in our condensed consolidated statements of operations. The carrying value of our equity method investment is reported in other assets on our condensed consolidated balance sheets (see Note 11: Prepaid Expenses and Other Current Assets and Other Assets). We assess our equity method investments for impairment on an annual basis or whenever events or circumstances indicate that the carrying value of the investment may not be recoverable. Our recorded share of the investee's loss was not material for the three and six months ended June 30, 2022. We did not receive any dividend distributions from this investment during the three and six months ended June 30, 2022. Our non-marketable equity method investment consists of the following (in thousands): As of June 30, 2022 December 31, 2021 Equity method investment $ 3,206 $ 3,238 Investments in non-marketable debt securities During the second quarter 2022, we received $19.0 million in proceeds from a promissory note related to an acquired investment as part of the Smiths Medical acquisition. |
Prepaids and Other Current Asse
Prepaids and Other Current Assets (Notes) | 6 Months Ended |
Jun. 30, 2022 | |
Prepaid Expense and Other Assets [Abstract] | |
Prepaids, other current assets and other noncurrent assets [Text Block] | Prepaid Expenses and Other Current Assets and Other Assets Prepaid expenses and other current assets consist of the following (in thousands): As of June 30, 2022 December 31, 2021 Other prepaid expenses and receivables $ 27,081 $ 14,763 Prepaid vendor expenses 5,655 — Deferred costs 7,648 12,746 Prepaid insurance and property taxes 16,542 6,310 VAT/GST receivable 3,446 4,156 Deferred tax charge 4,308 4,241 Foreign exchange contracts 9,463 1,061 Interest rate contracts 15,407 — Deposits 1,294 1,343 Other 3,819 2,227 $ 94,663 $ 46,847 Other assets consist of the following (in thousands): As of June 30, 2022 December 31, 2021 Pump lease receivables $ 28,436 $ 25,941 Spare parts 34,352 28,538 Equity method investments 3,206 3,238 Deferred debt issuance costs 6,016 2,827 Finance lease right-of-use assets 2,335 2,673 Interest rate contracts 23,834 — Foreign exchange contracts 112 — Other 3,437 526 $ 101,728 $ 63,743 |
Inventories_
Inventories: | 6 Months Ended |
Jun. 30, 2022 | |
Inventory Disclosure [Abstract] | |
Inventories [Text Block] | Inventories Inventories are stated at the lower of cost or net realizable value with cost determined using the first-in, first-out method. Inventory costs include material, labor and overhead related to the manufacturing of our products. Inventories consist of the following (in thousands): As of June 30, 2022 December 31, 2021 Raw materials $ 240,804 $ 135,528 Work in process 71,101 36,490 Finished goods 271,145 118,217 Total inventories $ 583,050 $ 290,235 During 2022, inventories increased significantly due to the acquisition of Smiths Medical. All acquired inventory was recorded at fair value on January 6, 2022 in accordance with ASC 805, Business Combinations (see Note 3: Acquisitions). |
Property and Equipment_
Property and Equipment: | 6 Months Ended |
Jun. 30, 2022 | |
Property, Plant and Equipment [Abstract] | |
Property and Equipment [Text Block] | Property, Plant and Equipment Property, plant and equipment consists of the following (in thousands): As of June 30, 2022 December 31, 2021 Machinery and equipment $ 407,580 $ 321,078 Land, building and building improvements 271,723 243,377 Molds 75,765 60,463 Computer equipment and software 115,371 102,979 Furniture and fixtures 29,538 7,670 Instruments placed with customers (1) 110,592 97,384 Construction in progress 136,723 72,153 Total property, plant and equipment, cost 1,147,292 905,104 Accumulated depreciation (479,509) (436,739) Property, plant and equipment, net $ 667,783 $ 468,365 ______________________________ (1) Instruments placed with customers consist of drug-delivery and monitoring systems placed with customers under operating leases. Depreciation expense was $24.9 million and $46.4 million for the three and six months ended June 30, 2022, respectively. Depreciation expense was $16.3 million and $32.7 million for the three and six months ended June 30, 2021 and 2021, respectively. During the three and six months ended June 30, 2022, property, plant and equipment and related depreciation expense increased significantly due to the acquisition of Smiths Medical (see Note 3: Acquisitions). |
Goodwill and Intangible Assets
Goodwill and Intangible Assets (Notes) | 6 Months Ended |
Jun. 30, 2022 | |
Goodwill and Intangible Assets Disclosure [Abstract] | |
Goodwill and Intangible Assets Disclosure [Text Block] | Goodwill and Intangible Assets, Net Goodwill The following table presents the changes in the carrying amount of our goodwill (in thousands): Total Balance as of January 1, 2022 $ 43,439 Goodwill acquired (1) 1,444,939 Other (2) (7,128) Currency translation (60,034) Balance as of June 30, 2022 $ 1,421,216 _______________________________ (1) Relates to Smiths Medical acquired on January 6, 2022. (2) Other reflects measurement period adjustments related to a 2021 acquisition of a small foreign infusion systems supplier. Intangible Assets, Net Intangible assets, carried at cost less accumulated amortization and amortized on a straight-lined basis, were as follows (in thousands): Weighted-Average Amortization Life in Years June 30, 2022 Cost Accumulated Net Patents 10 $ 28,603 $ 17,669 $ 10,934 Customer contracts 12 10,140 6,310 3,830 Non-contractual customer relationships 8 581,669 68,232 513,437 Trademarks 1 5,425 5,425 — Trade name 15 18,253 5,343 12,910 Developed technology 10 584,070 78,703 505,367 Non-compete 3 9,100 3,872 5,228 Total amortized intangible assets $ 1,237,260 $ 185,554 $ 1,051,706 Internally developed software* $ 28,623 $ 28,623 Total intangible assets $ 1,265,883 $ 185,554 $ 1,080,329 ______________________________ * Internally developed software will be amortized when the projects are complete and the assets are ready for their intended use. Weighted-Average Amortization Life in Years December 31, 2021 Cost Accumulated Net Patents 10 $ 27,429 $ 16,764 $ 10,665 Customer contracts 12 10,412 6,196 4,216 Non-contractual customer relationships 9 57,316 33,004 24,312 Trademarks 4 425 425 — Trade name 15 18,260 4,731 13,529 Developed technology 13 152,893 49,406 103,487 Non-compete 3 9,100 2,356 6,744 Total amortized intangible assets $ 275,835 $ 112,882 $ 162,953 Internally developed software* $ 25,358 $ 25,358 Total intangible assets $ 301,193 $ 112,882 $ 188,311 ______________________________ * Internally developed software will be amortized when the projects are complete and the assets are ready for their intended use. Intangible assets with definite lives are amortized on a straight-line basis over their estimated useful lives. During the three months ended June 30, 2022 and 2021, intangible asset amortization expense was $41.6 million and $5.8 million, respectively. During the six months ended June 30, 2022 and 2021, intangible asset amortization expense was $73.3 million and $11.6 million, respectively. During the three and six months ended June 30, 2022, intangible assets and related amortization expense increased significantly due to the acquisition of Smiths Medical (see Note 3: Acquisitions). As of June 30, 2022 estimated annual amortization for our intangible assets for each of the next five years is approximately (in thousands): Remainder of 2022 $ 65,893 2023 136,217 2024 135,578 2025 127,922 2026 127,384 2027 119,279 Thereafter 339,433 Total $ 1,051,706 |
Accrued Liabilities (Notes)
Accrued Liabilities (Notes) | 6 Months Ended |
Jun. 30, 2022 | |
Accrued Liabilities [Abstract] | |
Accounts Payable and Accrued Liabilities Disclosure [Text Block] | Accrued Liabilities and Other Long-Term Liabilities Accrued liabilities consist of the following (in thousands): As of June 30, 2022 December 31, 2021 Salaries and benefits $ 56,453 $ 27,304 Incentive compensation 16,632 33,107 Operating lease liability-ST 19,929 9,009 Accrued sales taxes 7,012 1,980 Restructuring accrual 6,963 664 Deferred revenue 35,009 12,646 Accrued other taxes 2,840 4,337 Accrued professional fees 10,271 773 Legal accrual 3,921 3,897 Distribution fees 24,634 5,645 Warranties and returns 546 532 Field service corrective action (1) 30,529 — Accrued freight 10,903 9,194 Foreign exchange contracts 577 — Accrued audit fees 4,741 1,008 Defined benefit plan 3,230 — Other 13,466 8,099 $ 247,656 $ 118,195 ___________________________ (1) Relates to field corrective actions associated with certain products in connection with a 2021 Warning Letter received by Smiths Medical from the FDA following an inspection of Smiths Medical’s Oakdale, Minnesota Facility, see Note 19: Commitments and Contingencies for further detail. Other long-term liabilities consist of the following (in thousands): As of June 30, 2022 December 31, 2021 Operating lease liability-LT $ 68,491 $ 33,971 Benefits 6,895 1,369 Accrued rent 1,146 1,262 Contract liabilities (1) 135 202 Forward-starting interest rate swaps — 1,480 Foreign exchange contracts 50 — Finance lease liability-LT 1,741 2,067 Deferred revenue 23,229 — Field service corrective action (2) 23,385 — Other 3,128 1,479 $ 128,200 $ 41,830 |
Income Taxes_
Income Taxes: | 6 Months Ended |
Jun. 30, 2022 | |
Income Tax Disclosure [Abstract] | |
Income Tax Disclosure [Text Block] | Income Taxes Income taxes were accrued at an estimated effective tax rate of 56% and 36% for the three and six months ended June 30, 2022, respectively, as compared to 18% and 16% for the three and six months ended June 30, 2021, respectively. The effective tax rate for the three and six months ended June 30, 2022 differs from the federal statutory rate of 21% principally because of the effect of the mix of U.S. and foreign incomes, state income taxes, section 162(m) excess compensation, foreign-derived intangible income ("FDII") and tax credits and the following discrete items recognized during the interim period: • Excess tax benefits recognized on stock option exercises and the vesting of restricted stock units during the three and six months ended June 30, 2022 of $0.0 million and $2.6 million, respectively. • The revaluation of the contingent consideration during the three and six months ended June 30, 2022 resulted in a tax expense of $0.0 million and $0.0 million, respectively. The effective tax rate for the three and six months ended June 30, 2021 differs from the federal statutory rate of 21% principally because of the effect of the mix of U.S. and foreign incomes, state income taxes, global intangible low taxed income ("GILTI"), FDII and tax credits. The effective tax rate during the three and six months ended June 30, 2021 included a discrete tax benefit of $0.4 million and $2.2 million, respectively, related to excess tax benefits recognized on stock option exercises and the vesting of restricted stock units during the period. |
Long-Term Obligations (Notes)
Long-Term Obligations (Notes) | 6 Months Ended |
Jun. 30, 2022 | |
LOng-Term Obligations Disclosure [Abstract] | |
Long-term Debt [Text Block] | Long-Term Debt 2022 Credit Agreement On January 6, 2022, in connection with the acquisition of Smiths Medical, we entered into a Credit Agreement (the "Credit Agreement") with Wells Fargo Bank, National Association, Wells Fargo Securities, LLC, Barclays Bank PLC and certain other financial institutions (the “Lenders”) for $2.2 billion of senior secured credit facilities. The senior secured credit facilities include (i) a five-year Tranche A term loan of $850.0 million (the "Term Loan A"), (ii) a seven-year Tranche B term loan of $850.0 million (the "Term Loan B") and (iii) a five-year revolving credit facility of $500.0 million (the "Revolving Credit Facility"), with separate sub-limits of $50.0 million for letters of credit and swingline loans (collectively, the "Senior Secured Credit Facilities"). We used the proceeds from borrowings under the Term Loan A and the Term Loan B (collectively, the "Term Loans") to fund a portion of the cash consideration for the purchase of Smiths Medical and the related fees and expenses incurred in connection with the acquisition. We did not incur borrowings under the Revolving Credit Facility on the closing date of the acquisition. The proceeds from any future borrowings under the Revolving Credit Facility may be used for working capital and other general corporate purposes. In connection with entering into the Credit Agreement, during the period ended March 31, 2022, we incurred $37.8 million in debt discount and issuance costs, which were allocated to the Term Loan A, the Term Loan B and the Revolving Credit Facility based on lender commitment amounts relative to each type of fees paid. The lender and third-party discount and issuance costs allocated to the Term Loan A and the Term Loan B were $15.8 million and $13.4 million, respectively, and are reflected as a direct deduction from the face amount of the corresponding term loans on the condensed consolidated balance sheet. These costs are being amortized to interest expense over the respective terms of the loans using the effective interest method. The issuance costs allocated to the Revolving Credit Facility were $8.7 million, which are capitalized and included in prepaid expenses and other current assets and other assets on our condensed consolidated balance sheets. These costs are being amortized to interest expense over the term of the Revolving Credit Facility using the straight-line method. The net funds received from the Term Loan A and the Term Loan B, after deducting debt issuance costs, were $834.2 million and $836.6 million, respectively. Maturity Dates The maturity date for the Term Loan A and the Revolving Credit Facility is January 6, 2027, and the maturity date for the Term Loan B is January 6, 2029. Pursuant to the terms and conditions of the Credit Agreement, the maturity dates of the Term Loans and the Revolving Credit Facility may be extended upon our request, subject to the consent of the Lenders. Interest Rate Terms In general, the Term Loans and borrowings under the Revolving Credit Facility denominated in U.S. dollars bear interest, at our option, on either: (1) the Base Rate, as defined below, plus the applicable margin, as indicated below ("Base Rate Loans") or (2) the Adjusted Term Secured Overnight Financing Rate ("Adjusted Term SOFR"), as defined below, plus the applicable margin, as indicated below ("Term SOFR Loans"). The Base Rate is defined as the highest of (a) the Prime Rate, (b) the Federal Funds Rate plus 0.50% and (c) Adjusted Term SOFR (as defined below) for a one-month period plus, in each case, plus 1.00%. Adjusted Term SOFR is the rate per annum equal to (a) Term SOFR plus (b) the Term SOFR Adjustment. Term SOFR is the forward-looking term rate based on SOFR and is calculated separately for Term SOFR Loans and Base Rate Loans, as specified in the Credit Agreement. The Term SOFR Adjustment is a percentage per annum of 0.10% for Base Rate Loans and between 0.10% to 0.25% for Term SOFR Loans based on the applicable interest period. Revolving Credit Facility Commitment Fee The Revolving Credit Facility has a per annum commitment fee at an initial rate of 0.25% which is applied to the available amount of the Revolving Credit Facility. Effective on the first Adjustment Date, as defined in the Credit Agreement, occurring subsequent to our quarter ending June 30, 2022, the commitment fee will be determined by reference to the leverage ratio in effect from time to time as set forth in the table below. Applicable Interest Margins The Term Loan A and borrowings under the Revolving Credit Facility have an initial applicable margin of 0.75% per annum for Base Rate Loans and 1.75% per annum for Term SOFR Loans. Effective on the first Adjustment Date, as defined in the Credit Agreement, occurring subsequent to our quarter ending June 30, 2022, the applicable margin for the Term Loan A and borrowings under the Revolving Credit Facility will be determined by reference to the leverage ratio in effect from time to time as set forth in the following table: Leverage Ratio Applicable Margin for Term SOFR Loans Applicable Margin for Base Rate Loans Commitment Fee Rate Greater than 4.00 to 1.0 2.25% 1.25% 0.35% Less than or equal to 4.00 to 1.0 but greater than 3.00 to 1.0 2.00% 1.00% 0.30% Less than or equal to 3.00 to 1.0 but greater than 2.50 to 1.0 1.75% 0.75% 0.25% Less than or equal to 2.50 to 1.0 but greater than 2.00 to 1.0 1.50% 0.50% 0.20% Less than or equal to 2.00 to 1.0 1.25% 0.25% 0.15% The Term Loan B has an initial applicable margin of 1.5% per annum for Base Rate Loans and 2.5% per annum for Term SOFR Loans. Effective on the first Adjustment Date, as defined in the Credit Agreement, occurring subsequent to our quarter ending June 30, 2022, the applicable margin for the Term Loan B will be determined by reference to the leverage ratio in effect from time to time as set forth in the following table: Leverage Ratio Applicable Margin for Term SOFR Loans Applicable Margin for Base Rate Loans Greater than 2.75 to 1.0 2.50% 1.50% Less than 2.75 to 1.0 2.25% 1.25% Principal Payments Principal payments on the Term Loans are due on the last day of each calendar quarter commencing on June 30, 2022. The Term Loan A will amortize in nineteen consecutive quarterly installments in an amount equal to 2.50% of the original principal amount in each of the first two years, 5.00% in each of the third and fourth years and 7.50% in the fifth year, with a final payment of the remaining outstanding principal balance due on the maturity date. The Term Loan B matures in twenty-seven consecutive quarterly installments in an amount equal to 0.25% of the original principal amount, with a final payment of the remaining outstanding principal balance due on the maturity date. We may borrow, prepay and re-borrow amounts under the Revolving Credit Facility, in accordance with the terms and conditions of the Credit Agreement, with all outstanding amounts due at maturity. During March 2022, we prepaid $16.0 million in principal payments on the Term Loan A principal balance. During 2022, we paid $18.1 million in principal payments. Interest Payments Interest payments on Base Rate Loans are payable quarterly in arrears on the last business day of each calendar quarter and the applicable maturity date. Interest periods on Term SOFR Loans will be determined, at our option, as either one, three or six months and will be payable on the last day of each interest period and the applicable maturity date. In the case of any interest periods of more than three months' duration, the interest payment will be payable on each day prior to the last day of such interest period that occurs at three-month intervals. The commitment fee on the Revolving Credit Facility is payable quarterly in arrears on the third business day following the last day of each calendar quarter and at the maturity date. The commitment fee is included in interest expense in our condensed consolidated statements of operations. Guarantors and Collateral Our obligations under the Credit Agreement are unconditionally guaranteed, on a joint and several basis, by ICU Medical, Inc. and certain of our existing subsidiaries. Debt Covenants The Credit Agreement contains affirmative and negative covenants, including certain financial covenants. The negative covenants include restrictions regarding the incurrence of liens and indebtedness, certain merger and acquisition transactions, asset sales and other dispositions, other investments, dividends, share purchases and payments affecting subsidiaries, changes in nature of business, fiscal year or organizational documents, prepayments and redemptions of subordinated and other junior debt, transactions with affiliates, and other matters. The financial covenants include the Senior Secured Leverage Ratio and the Interest Coverage Ratio, both defined below, and pertain to the Term Loan A and the Revolving Credit Facility. The Senior Secured Leverage Ratio is defined, at any such date, as the ratio of: (a) all Funded Debt, as defined in the Credit Agreement, that is secured by a lien on any asset or property minus the lesser of (i) all unrestricted cash and cash equivalents and (ii) $500.0 million, to (b) Consolidated EBITDA, as defined in the Credit Agreement, for the most recently completed four fiscal quarters, calculated on a pro forma basis. The maximum Senior Secured Leverage Ratio is 4.50 to 1.00 until June 30, 2024. Thereafter, the maximum Senior Secured Leverage Ratio is 4.00 to 1.00, with limited permitted exception. The Interest Coverage ratio is defined, at any such date, as the ratio of Consolidated EBITDA, as defined in the Credit Agreement, to Consolidated Interest Expense, as defined in the Credit Agreement, paid or payable in cash, for the most recently completed four fiscal quarters. The minimum Interest Coverage ratio is 3.00 to 1.00. We were in compliance with all financial covenants as of June 30, 2022. The Credit Agreement contains customary events of default, including, among others: non-payments of principal and interest; breach of representations and warranties; covenant defaults; cross-defaults and cross-acceleration to certain other material indebtedness; the existence of bankruptcy or insolvency proceedings; certain events under ERISA; material judgments; and a change of control. If an event of default occurs and is not cured within any applicable grace period or is not waived, the administrative agent and the Lenders are entitled to take various actions, including, without limitation, the acceleration of all amounts due and the termination of commitments under the Senior Secured Credit Facilities. 2017 Credit Facility On November 8, 2017, we entered into a five-year senior secured revolving credit facility with various lenders for $150.0 million, with Wells Fargo Bank, National Association as the administrative agent, swingline lender and issuing lender (the "Prior Credit Facility"). The Prior Credit Facility, which was set to mature on November 8, 2022, was terminated in connection with entering into the Credit Agreement on January 6, 2022. There were no borrowings outstanding under the Prior Credit Facility at that date or at December 31, 2021. The remaining unamortized deferred debt issuance costs related to the Prior Credit Facility were not material and were expensed in connection with its termination. See further details of the terms of the Prior Credit Facility in Note 11 in Part II, Item 8, of our 2021 Annual Report on Form 10-K. The carrying values of our long-term debt consist of the following (in thousands): Effective Interest Rate As of Senior Secured Credit Facilities: Term Loan A — principal 4.44 % $ 834,000 Term Loan B — principal 5.11 % 847,875 Revolving Credit Facility — principal — % — Less unamortized debt issuance costs (1) (26,783) Total carrying value of long-term debt 1,655,092 Less current portion of long-term debt 19,063 Long-term debt, net $ 1,636,029 _______________________________ (1) Comprised of $14.2 million and $12.6 million relating to the Term Loan A and the Term Loan B, respectively. As of June 30, 2022, the aggregate amount of principal repayments of our long-term debt (including any current portion) for each of the next five years is approximately (in thousands): Remainder of 2022 $ 4,250 2023 29,750 2024 51,000 2025 51,000 2026 72,250 2027 672,500 Thereafter 801,125 Total $ 1,681,875 The following table presents the total interest expense related to our long-term debt (in thousands): Three months ended Six months ended 2022 2021 2022 2021 Contractual interest $ 12,622 $ — $ 22,639 $ — Amortization of debt issuance costs 1,799 72 3,442 144 Commitment fee — Revolving Credit Facility 309 57 661 113 Total interest expense $ 14,730 $ 129 26,742 257 |
Commitments and Contingencies_
Commitments and Contingencies: | 6 Months Ended |
Jun. 30, 2022 | |
Commitments and Contingencies Disclosure [Abstract] | |
Commitments and Contingencies [Text Block] | Commitments and Contingencies Legal Proceedings From time to time, we are involved in various legal proceedings, most of which are routine litigation, in the normal course of business. Our management does not believe that the resolution of the unsettled legal proceedings that we are involved with will have a material adverse impact on our financial position or results of operations. Off-Balance Sheet Arrangements In the normal course of business, we have agreed to indemnify our officers and directors to the maximum extent permitted under Delaware law and to indemnify customers as to certain intellectual property matters or other matters related to sales of our products. There is no maximum limit on the indemnification that may be required under these agreements. Although we can provide no assurances, we have never incurred, nor do we expect to incur, any material liability for indemnification. Contingencies On January 6, 2022, we acquired Smiths Medical. Total consideration for the acquisition includes a potential earn-out payment of $100.0 million in cash contingent on our common stock achieving a certain volume-weighted average price from the closing date to either the third or fourth anniversary of closing. As of June 30, 2022, the estimated fair value of the contingent earn-out is $26.1 million (see Note 9: Fair Value Measurements). Prior to being acquired, during 2021, Smiths Medical received a Warning Letter from the FDA following an inspection of Smiths Medical’s Oakdale, Minnesota Facility. The Warning Letter cited, among other things, failures to comply with FDA's medical device reporting requirements and failures to comply with applicable portions of the Quality System Regulation. A provision for the estimated costs related to the field service corrective action was recorded on the opening acquired balance sheet of Smiths Medical in the amount of $55.1 million. The initial estimate recorded was based on a probability-weighted estimate of the costs required to settle the obligation. The actual costs to be incurred are dependent upon the scope of the work necessary to achieve regulatory clearance and could differ from the original estimate. The estimated field service corrective action recorded at June 30, 2022 is $53.9 million. During November 2021, we acquired a small foreign infusion systems supplier. Total consideration for the acquisition includes a potential earn-out payment of up to $2.5 million, consisting of (i) a cash payment of $1.0 million contingent on the achievement of certain revenue targets for the annual period ending December 31, 2022 and, separately, (ii) a cash payment of $1.5 million contingent on certain product-related regulatory certifications obtained by May 26, 2024. As of June 30, 2022, the estimated fair value of the contingent earn-out is $1.7 million (see Note 9: Fair Value Measurements). During August 2021, we entered into an agreement with one of our international distributors whereby that distributor would not compete with us in a specific territory for a three-year period that will end in September 2024. The terms of the agreement include a contingent earn-out payment. The contingent earn-out shall not exceed $6.0 million, which will be earned based on certain revenue targets over a twelve-month measurement period determined by the highest four consecutive quarters commencing over a two-year period starting on the closing date of the agreement and provided that the distributor is in compliance with its obligations under the agreement. As of June 30, 2022, the estimated fair value of the contingent earn-out is $2.6 million (see Note 9: Fair Value Measurements). Commitments |
Collaborative and Other Arrange
Collaborative and Other Arrangements (Notes) | 6 Months Ended |
Jun. 30, 2022 | |
Organization, Consolidation and Presentation of Financial Statements [Abstract] | |
Collaborative Arrangement Disclosure [Text Block] | Collaborative and Other Arrangements On February 3, 2017, we entered into two Manufacturing and Supply Agreements ("MSAs") whereby (i) Pfizer will manufacture and supply us with certain agreed upon products for an initial five-year term with a one-time two-year option to extend and (ii) we will manufacture and supply Pfizer certain agreed upon products for a term of five or ten years depending on the product, also with a one-time two-year option to extend. The MSAs provide each party with mutually beneficial interests and both of the MSAs are to be jointly managed by both Pfizer and ICU. The initial supply price, which will be annually updated, is in full consideration for all costs associated with the manufacture, documentation, packaging and certification of the products. On January 1, 2021, we amended our MSA with Pfizer, whereby we manufacture and supply certain agreed upon products to Pfizer. The amendments included a change to the term of the agreement to end on December 31, 2024 with Pfizer's unilateral election to extend through December 31, 2025. Other changes to the terms of the MSA included (i) amendments to our level of supply of products to Pfizer, (ii) certain changes to our manufacturing lines, (iii) updates to our supply price with added volume price tiers for annual periods and (iv) certain minimum purchase requirements for certain products. On February 1, 2022, effective as of January 1, 2022, upon our request, Pfizer executed a Product Addendum (the "Product Addendum") to our MSA, whereby Pfizer manufactures and supplies to us certain agreed upon products. The Product Addendum includes the supply of additional product to us subject to certain time and pricing terms and conditions. The Product Addendum includes a minimum purchase obligation of $29.6 million and expires on November 30, 2022. As of March 31, 2022, we had satisfied the minimum purchase obligations under the Product Addendum. |
Equity
Equity | 6 Months Ended |
Jun. 30, 2022 | |
Equity [Abstract] | |
Stockholders' Equity Note Disclosure | Stockholders' Equity Shareholders Agreement At the completion of the Smiths Medical acquisition on January 6, 2022, Smiths owns approximately 10.5% of the total outstanding shares of our common stock (see Note 3: Acquisitions). At closing, in connection with the issuance of the share consideration, we entered into a Shareholders Agreement (the “Shareholders Agreement”) with Smiths. The Shareholders Agreement imposes certain restrictions on Smiths including prohibiting certain transfers of the shares of our common stock issued (i) for 6 months following the closing of the acquisition transaction and (ii) to certain of our competitors and certain other parties, as well as customary standstill limitations. The Shareholders Agreement also permits Smiths to designate one individual for election to our Board of Directors (the "Board") so long as Smiths beneficially owns at least 5.0% of the total outstanding shares of our common stock. On February 1, 2022, our Board appointed a new director designated by Smiths pursuant to the Shareholders Agreement who was elected to the Board at the 2022 Annual Meeting of Stockholders held in May 2022. This appointment expands the size of our Board from eight to nine members. See our Current Report on Form 8-K filed on February 1, 2022 for additional information. Treasury Stock In August 2019, our Board approved a share purchase plan to purchase up to $100.0 million of our common stock. This plan has no expiration date. During the three months ended June 30, 2022, we did not purchase any shares of our common stock under our share purchase plan. As of June 30, 2022, all of the $100.0 million available for purchase was remaining under the plan. We are currently limited on share purchases in accordance with the terms and conditions of our Credit Agreement (see Note 17: Long-Term Debt). For the six months ended June 30, 2022, we withheld 44,759 shares of our common stock from employee vested restricted stock units in consideration for $10.4 million in payments made on the employees' behalf for their minimum statutory income tax withholding obligations. For the three months ended June 30, 2021, we withheld 37,882 shares of our common stock from employee vested restricted stock units in consideration for $7.8 million in payments made on the employees' behalf for their minimum statutory income tax withholding obligations. Treasury stock is used to issue shares for stock option exercises and restricted stock grants. Accumulated Other Comprehensive (Loss) Income ("AOCI") The components of AOCI, net of tax, were as follows (in thousands): Foreign Currency Translation Adjustments Unrealized (Losses) Gains on Cash Flow Hedges Other Adjustments Total Balance as of January 1, 2022 $ (19,045) $ (237) $ 13 $ (19,269) Other comprehensive (loss) income before (4,946) 25,782 15 20,851 Amounts reclassified from AOCI — (2,210) — (2,210) Other comprehensive (loss) income (4,946) 23,572 15 18,641 Balance as of March 31, 2022 $ (23,991) $ 23,335 $ 28 $ (628) Other comprehensive (loss) income before reclassifications (99,805) 10,245 14 (89,546) Amounts reclassified from AOCI — (2,101) — (2,101) Other comprehensive (loss) income (99,805) 8,144 14 (91,647) Balance as of June 30, 2022 $ (123,796) $ 31,479 $ 42 $ (92,275) Foreign Currency Translation Adjustments Unrealized Gains (Losses) on Cash Flow Hedges Other Adjustments Total Balance as of January 1, 2021 $ (4,381) $ 2,784 $ 75 $ (1,522) Other comprehensive (loss) income before (7,458) (306) 12 (7,752) Amounts reclassified from AOCI — (639) — (639) Other comprehensive (loss) income (7,458) (945) 12 (8,391) Balance as of March 31, 2021 $ (11,839) $ 1,839 $ 87 $ (9,913) Other comprehensive income before reclassifications 1,302 335 12 1,649 Amounts reclassified from AOCI — (687) — (687) Other comprehensive income (loss) 1,302 (352) 12 962 Balance as of June 30, 2021 $ (10,537) $ 1,487 $ 99 $ (8,951) |
Business Combinations and Ass_2
Business Combinations and Asset Acquisitions (Tables) | 3 Months Ended |
Jun. 30, 2022 | |
Business Combination and Asset Acquisition [Abstract] | |
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed | The following table summarizes the estimated purchase price and the preliminary allocation of the purchase price related to the assets acquired and liabilities assumed (in thousands): Estimated cash consideration for acquired assets $ 1,922,955 Preliminary fair value of contingent consideration payable to Smiths 53,520 Issuance of ICU Medical, Inc. common shares: Number of shares issued to Smiths 2,500 Price per share (ICU's opening market price on the acquisition date) $ 230.39 Fair value of ICU shares issued to Smiths $ 575,975 Total estimated consideration to be paid $ 2,552,450 Preliminary Purchase Price Allocation: Cash and cash equivalents $ 78,791 Accounts receivable 118,277 Inventories 226,196 Prepaid expenses and other current assets 53,554 Property, plant and equipment 210,000 Operating lease right-of-use assets 55,161 Intangible assets (1) 975,000 Deferred income taxes 9,303 Other assets 379 Accounts payable (105,291) Accrued liabilities (2) (175,099) Income tax payable (24,332) Other long-term liabilities (85,739) Deferred income taxes (228,689) Total identifiable net assets acquired $ 1,107,511 Goodwill - not tax deductible 1,444,939 Estimated Purchase Consideration $ 2,552,450 _______________________________ (1) Estimated identifiable intangible assets include $540.0 million of customer relationships, $400.0 million of developed technology, $30.0 million of internally developed software, and $5.0 million of trade mark. The estimated weighted-average amortization period for the total identifiable intangible assets is approximately nine eight ten five six (2) Estimated accrued liabilities includes, among other things, accrued warranty reserves, accrued restructuring initiatives, accrued salaries and related benefits, deferred revenue and accrued sales and use taxes. |
Business Acquisition, Pro Forma Information | Three months ended June 30, Six months ended June 30, (In thousands) 2022 2021 2022 2021 Revenues $ 561,004 $ 625,942 $ 1,124,823 $ 1,227,502 Net Loss $ (7,474) $ 34,244 $ (59,425) $ 31,447 |
Restructuring, Strategic Tran_2
Restructuring, Strategic Transaction and Integration (Tables) | 6 Months Ended |
Jun. 30, 2022 | |
Restructuring and Related Activities [Abstract] | |
Restructuring and Related Costs [Table Text Block] | The following table summarizes the activity in our restructuring-related accrual by major type of cost for the period ended June 30, 2022 (in thousands): Severance Pay and Benefits Retention and Facility Closure Costs Total Accrued balance, January 1, 2022 $ 499 $ 165 $ 664 Acquired restructuring liabilities 5,796 1,740 7,536 Charges incurred 3,222 — 3,222 Payments (2,030) — (2,030) Currency translation (147) (40) (187) Accrued balance, March 31, 2022 $ 7,340 $ 1,865 $ 9,205 Charges incurred 1,710 — 1,710 Payments (3,352) (212) (3,564) Currency translation (256) (94) (350) Other adjustments (38) — (38) Accrued balance, June 30, 2022 $ 5,404 $ 1,559 $ 6,963 |
Revenue (Tables)
Revenue (Tables) | 6 Months Ended |
Jun. 30, 2022 | |
Revenue from Contract with Customer [Abstract] | |
Disaggregation of Revenue [Table Text Block] | The following table represents our revenues disaggregated by geography (in thousands): Three months ended Six months ended Geography 2022 2021 2022 2021 Europe, the Middle East and Africa $ 87,415 $ 37,761 $ 173,619 $ 72,560 Other Foreign 109,723 59,249 218,850 115,145 Total Foreign 197,138 97,010 392,469 187,705 United States 363,866 224,667 711,657 452,018 Total Revenues $ 561,004 $ 321,677 $ 1,104,126 $ 639,723 |
Contract with Customer, Asset and Liability [Table Text Block] | The following table presents the changes in our contract balances for the six months ended June 30, 2022 and 2021 (in thousands): Contract Liabilities Beginning balance, January 1, 2022 $ (7,461) Fair value of acquired deferred revenue (51,245) Equipment revenue recognized 14,606 Equipment revenue deferred due to implementation (7,349) Software revenue recognized 8,737 Software revenue deferred due to implementation (9,067) Government grant deferred revenue (2,972) Government grant recognized 232 Other deferred revenue (1,005) Other deferred revenue recognized 2,458 Ending balance, June 30, 2022 $ (53,066) Beginning balance, January 1, 2021 $ (6,430) Equipment revenue recognized 4,754 Equipment revenue deferred due to implementation (5,435) Software revenue recognized 4,355 Software revenue deferred due to implementation (2,212) Ending balance, June 30, 2021 $ (4,968) |
Leases (Tables)
Leases (Tables) | 6 Months Ended |
Jun. 30, 2022 | |
Leases [Abstract] | |
Lease, Cost [Table Text Block] | The following table presents the components of our lease cost (in thousands): Three months ended Six months ended 2022 2021 2022 2021 Operating lease cost $ 5,475 $ 2,822 $ 10,653 $ 5,657 Finance lease cost — interest 28 32 57 63 Finance lease cost — reduction of ROU asset 170 166 340 317 Short-term lease cost 3 6 6 9 Total lease cost $ 5,676 $ 3,026 $ 11,056 $ 6,046 |
Cash Flow, Supplemental Disclosures [Text Block] | The following table presents the supplemental cash flow information related to our leases (in thousands): Six months ended 2022 2021 Cash paid for amounts included in the measurement of lease liabilities: Operating cash flows from operating leases $ 12,887 $ 5,657 Operating cash flows from finance leases $ 57 $ 63 Right-of-use assets obtained in exchange for lease obligations: Operating leases $ 3,829 $ 1,282 Finance leases $ 38 $ 332 |
Assets and Liabilities, Leases [Table Text Block] | The following table presents the supplemental balance sheet information related to our operating leases (in thousands, except lease term and discount rate): As of June 30, 2022 December 31, 2021 Operating leases Operating lease right-of-use assets $ 83,323 $ 39,847 Accrued liabilities $ 19,929 $ 9,009 Other long-term liabilities 68,491 33,971 Total operating lease liabilities $ 88,420 $ 42,980 Weighted-Average Remaining Lease Term Operating leases 6.3 years 5.9 years Weighted-Average Discount Rate Operating leases 4.39 % 4.98 % The following table presents the supplemental balance sheet information related to our finance leases (in thousands, except lease term and discount rate): As of June 30, 2022 December 31, 2021 Finance leases Finance lease right-of-use assets $ 2,335 $ 2,673 Accrued liabilities $ 650 $ 643 Other long-term liabilities 1,741 2,067 Total finance lease liabilities $ 2,391 $ 2,710 Weighted-Average Remaining Lease Term Finance leases 5.3 years 5.6 years Weighted-Average Discount Rate Finance leases 4.27 % 4.28 % |
Lessee, Operating Lease, Liability, Maturity [Table Text Block] | As of June 30, 2022, the maturities of our operating and finance lease liabilities for each of the next five years are approximately (in thousands): Operating Leases Finance Leases Remainder of 2022 $ 12,546 $ 371 2023 21,260 742 2024 17,283 459 2025 12,361 273 2026 10,574 216 2027 8,128 189 Thereafter 17,500 426 Total Lease Payments 99,652 2,676 Less imputed interest (11,232) (285) Total $ 88,420 $ 2,391 |
Net Income Per Share (Tables)
Net Income Per Share (Tables) | 6 Months Ended |
Jun. 30, 2022 | |
Earnings Per Share [Abstract] | |
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block] | The following table presents the calculation of net earnings per common share (“EPS”) — basic and diluted (in thousands, except per share data): Three months ended Six months ended 2022 2021 2022 2021 Net (loss) income $ (7,474) $ 28,398 $ (45,542) $ 52,129 Weighted-average number of common shares outstanding (basic) 23,897 21,200 23,787 21,176 Dilutive securities (1) — 503 — 542 Weighted-average common and common equivalent shares outstanding (diluted) 23,897 21,703 23,787 21,718 EPS — basic $ (0.31) $ 1.34 $ (1.91) $ 2.46 EPS — diluted $ (0.31) $ 1.31 $ (1.91) $ 2.40 _______________________________ (1) No dilutive effect for the three and six months ended June 30, 2022; therefore, zero incremental shares included for the period. |
Derivative Financial Instrume_2
Derivative Financial Instruments (Tables) | 6 Months Ended |
Jun. 30, 2022 | |
Derivative Instruments and Hedging Activities Disclosure [Abstract] | |
Schedule of Cash Flow Hedging Instruments, Statements of Financial Performance and Financial Position, Location [Table Text Block] | The following table presents the fair values of our derivative instruments included within the Condensed Consolidated Balance Sheets (in thousands): Derivatives Designated as Cash Flow Hedging Instruments Condensed Consolidated Balance Sheet Location Foreign Exchange Contracts Interest Rate Swaps Gross Derivatives As of June 30, 2022 Prepaid expenses and other current assets $ 9,463 $ 15,407 $ 24,870 Other assets 112 23,834 23,946 Total assets $ 9,575 $ 39,241 $ 48,816 Accrued liabilities $ 577 $ — $ 577 Other long-term liabilities 50 — 50 Total liabilities $ 627 $ — $ 627 As of December 31, 2021 Prepaid expenses and other current assets $ 1,061 $ — $ 1,061 Other assets — — — Total assets $ 1,061 $ — $ 1,061 Accrued liabilities $ — $ — $ — Other long-term liabilities — 1,480 1,480 Total liabilities $ — $ 1,480 $ 1,480 We recognized the following gains on our derivative instruments designated as cash flow hedges (in thousands): Gain Recognized in Other Comprehensive Income Three months ended Six months ended 2022 2021 2022 2021 Derivatives designated as cash flow hedging instruments: Foreign exchange contracts $ 5,225 $ 441 $ 8,337 $ 39 Interest rate swaps 9,146 — 39,197 — Total derivatives designated as cash flow hedging instruments $ 14,371 $ 441 $ 47,534 $ 39 |
Schedule of Cash Flow Hedges Included in Accumulated Other Comprehensive Income (Loss) [Table Text Block] | Gain (Loss) Reclassified From Accumulated Other Comprehensive (Loss) Income into Income Three months ended Six months ended Location of Gain (Loss) Recognized in Income 2022 2021 2022 2021 Derivatives designated as cash flow hedging instruments: Foreign exchange contracts Total revenues $ 1,813 $ — $ 4,356 $ — Foreign exchange contracts Cost of goods sold 1,563 903 1,049 1,744 Foreign exchange contracts Interest expense (1) 5 — 255 — Interest rate swaps Interest expense (1,524) — (1,524) — Total derivatives designated as cash flow hedging instruments $ 1,857 $ 903 $ 4,136 $ 1,744 _______________________________ (1) Represents location of gain reclassified from accumulated other comprehensive income into income as a result that a forecasted transaction is no longer probable of occurring. |
Fair Value Measures and Discl_2
Fair Value Measures and Disclosures (Tables) | 6 Months Ended |
Jun. 30, 2022 | |
Fair Value Disclosures [Abstract] | |
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation | The following tables provide a reconciliation of the Level 3 earn-out liabilities measured at estimated fair value (in thousands): Earn-out Liability Accrued balance, January 1, 2022 $ 2,589 Acquisition date fair value estimate of earn-out (1) 55,158 Currency translation (46) Accrued balance, March 31, 2022 $ 57,701 Change in fair value of earn-out (included in income from operations as a separate line item) (2) (27,194) Currency translation (98) Accrued balance, June 30, 2022 $ 30,409 _______________________________ (1) $53.5 million relates to our acquisition of Smiths Medical and $1.6 million relates to our acquisition of a small foreign infusions systems supplier in the fourth quarter of 2021 (see Note 3: Acquisitions). (2) Primarily relates to the change in fair value of the Smiths Medical earn-out. Earn-out Liability Accrued balance, January 1, 2021 $ 26,300 Change in fair value of earn-out (included in income from operations as a separate line item) — Accrued balance, March 31, 2021 $ 26,300 Change in fair value of earn-out (included in income from operations as a separate line item) — Accrued balance, June 30, 2021 $ 26,300 |
Fair Value Measurement Inputs and Valuation Techniques | The following tables provide quantitative information about Level 3 inputs for fair value measurement of our earn-out liabilities related to Smiths Medical and Pursuit: Smiths Medical Earn-out Simulation Input As of At Acquisition Volatility 40.00 % 37.00 % Risk-Free Rate 2.97 % 1.31 % Pursuit Earn-out Simulation Input As of Revenue/Gross Profit Volatility 25.00 % Discount Rate 12.50 % Risk-Free Rate 0.09 % Counter Party Risk 3.10 % |
Fair Value, by Balance Sheet Grouping | Our assets and liabilities measured at fair value on a recurring basis consisted of the following Level 1, 2 and 3 inputs as defined above (in thousands): Fair value measurements as of June 30, 2022 Total carrying Quoted prices Significant Significant Assets: Available-for-sale debt securities: Short-term corporate bonds $ 11,787 $ — $ 11,787 $ — Short-term U.S. treasury securities 1,404 1,404 — — Long-term corporate bonds 1,837 — 1,837 — Foreign exchange contracts: Prepaid expenses and other current assets 9,463 — 9,463 — Other assets 112 — 112 — Interest rate contracts: Prepaid expenses and other current assets 15,407 — 15,407 — Other assets 23,834 — 23,834 — Total Assets $ 63,844 $ 1,404 $ 62,440 $ — Liabilities: Contingent earn-out liability - ST $ 290 $ — $ — $ 290 Contingent earn-out liability - LT 30,119 — — 30,119 Foreign exchange contracts: Accrued liabilities 577 — 577 — Other long-term liabilities 50 — 50 — Total Liabilities $ 31,036 $ — $ 627 $ 30,409 Fair value measurements as of December 31, 2021 Total carrying Quoted prices Significant Significant Assets: Available-for-sale debt securities: Short-term corporate bonds $ 14,420 $ — $ 14,420 $ — Long-term corporate bonds 4,620 — 4,620 — Cross-currency par forward contract: Prepaid expenses and other current assets 1,061 — 1,061 — Total Assets $ 20,101 $ — $ 20,101 $ — Liabilities: Contingent earn-out liability - LT $ 2,589 $ — $ — $ 2,589 Forward-starting interest rate swaps: Other long-term liabilities 1,480 — 1,480 — Total Liabilities $ 4,069 $ — $ 1,480 $ 2,589 |
Investment Securities (Tables)
Investment Securities (Tables) | 6 Months Ended |
Jun. 30, 2022 | |
Investments, Debt and Equity Securities [Abstract] | |
Schedule of Available-for-sale Securities Reconciliation [Table Text Block] | Our short-term and long-term investments in available-for-sale securities consist of the following (in thousands): As of June 30, 2022 Amortized Cost Unrealized Holding Fair Value Short-term corporate bonds $ 11,787 $ — $ 11,787 Short-term U.S. treasury securities 1,404 — 1,404 Long-term corporate bonds 1,837 — 1,837 Total investment securities $ 15,028 $ — $ 15,028 As of December 31, 2021 Amortized Cost Unrealized Holding Fair Value Short-term corporate bonds $ 14,420 $ — $ 14,420 Long-term corporate bonds 4,620 — 4,620 Total investment securities $ 19,040 $ — $ 19,040 |
Equity Method Investments [Table Text Block] | Our non-marketable equity method investment consists of the following (in thousands): As of June 30, 2022 December 31, 2021 Equity method investment $ 3,206 $ 3,238 Investments in non-marketable debt securities During the second quarter 2022, we received $19.0 million in proceeds from a promissory note related to an acquired investment as part of the Smiths Medical acquisition. |
Prepaids and Other Current As_2
Prepaids and Other Current Assets (Tables) | 6 Months Ended |
Jun. 30, 2022 | |
Prepaid Expense and Other Assets [Abstract] | |
Prepaid Expenses and Other Current Assets [Table Text Block] | Prepaid expenses and other current assets consist of the following (in thousands): As of June 30, 2022 December 31, 2021 Other prepaid expenses and receivables $ 27,081 $ 14,763 Prepaid vendor expenses 5,655 — Deferred costs 7,648 12,746 Prepaid insurance and property taxes 16,542 6,310 VAT/GST receivable 3,446 4,156 Deferred tax charge 4,308 4,241 Foreign exchange contracts 9,463 1,061 Interest rate contracts 15,407 — Deposits 1,294 1,343 Other 3,819 2,227 $ 94,663 $ 46,847 |
Schedule of Other Assets, Noncurrent[TableTextBlock] | Other assets consist of the following (in thousands): As of June 30, 2022 December 31, 2021 Pump lease receivables $ 28,436 $ 25,941 Spare parts 34,352 28,538 Equity method investments 3,206 3,238 Deferred debt issuance costs 6,016 2,827 Finance lease right-of-use assets 2,335 2,673 Interest rate contracts 23,834 — Foreign exchange contracts 112 — Other 3,437 526 $ 101,728 $ 63,743 |
Inventories (Tables)
Inventories (Tables) | 6 Months Ended |
Jun. 30, 2022 | |
Inventory Disclosure [Abstract] | |
Schedule of Inventory, Current [Table Text Block] | Inventories consist of the following (in thousands): As of June 30, 2022 December 31, 2021 Raw materials $ 240,804 $ 135,528 Work in process 71,101 36,490 Finished goods 271,145 118,217 Total inventories $ 583,050 $ 290,235 During 2022, inventories increased significantly due to the acquisition of Smiths Medical. All acquired inventory was recorded at fair value on January 6, 2022 in accordance with ASC 805, Business Combinations (see Note 3: Acquisitions). |
Property and Equipment (Tables)
Property and Equipment (Tables) | 6 Months Ended |
Jun. 30, 2022 | |
Property, Plant and Equipment [Abstract] | |
Property, Plant and Equipment [Table Text Block] | Property, plant and equipment consists of the following (in thousands): As of June 30, 2022 December 31, 2021 Machinery and equipment $ 407,580 $ 321,078 Land, building and building improvements 271,723 243,377 Molds 75,765 60,463 Computer equipment and software 115,371 102,979 Furniture and fixtures 29,538 7,670 Instruments placed with customers (1) 110,592 97,384 Construction in progress 136,723 72,153 Total property, plant and equipment, cost 1,147,292 905,104 Accumulated depreciation (479,509) (436,739) Property, plant and equipment, net $ 667,783 $ 468,365 |
Goodwill and Intangible Asset_2
Goodwill and Intangible Assets (Tables) | 6 Months Ended |
Jun. 30, 2022 | |
Goodwill and Intangible Assets Disclosure [Abstract] | |
Schedule of Goodwill [Table Text Block] | The following table presents the changes in the carrying amount of our goodwill (in thousands): Total Balance as of January 1, 2022 $ 43,439 Goodwill acquired (1) 1,444,939 Other (2) (7,128) Currency translation (60,034) Balance as of June 30, 2022 $ 1,421,216 _______________________________ (1) Relates to Smiths Medical acquired on January 6, 2022. (2) Other reflects measurement period adjustments related to a 2021 acquisition of a small foreign infusion systems supplier. |
Schedule of Intangible Assets and Goodwill [Table Text Block] | Intangible assets, carried at cost less accumulated amortization and amortized on a straight-lined basis, were as follows (in thousands): Weighted-Average Amortization Life in Years June 30, 2022 Cost Accumulated Net Patents 10 $ 28,603 $ 17,669 $ 10,934 Customer contracts 12 10,140 6,310 3,830 Non-contractual customer relationships 8 581,669 68,232 513,437 Trademarks 1 5,425 5,425 — Trade name 15 18,253 5,343 12,910 Developed technology 10 584,070 78,703 505,367 Non-compete 3 9,100 3,872 5,228 Total amortized intangible assets $ 1,237,260 $ 185,554 $ 1,051,706 Internally developed software* $ 28,623 $ 28,623 Total intangible assets $ 1,265,883 $ 185,554 $ 1,080,329 ______________________________ * Internally developed software will be amortized when the projects are complete and the assets are ready for their intended use. Weighted-Average Amortization Life in Years December 31, 2021 Cost Accumulated Net Patents 10 $ 27,429 $ 16,764 $ 10,665 Customer contracts 12 10,412 6,196 4,216 Non-contractual customer relationships 9 57,316 33,004 24,312 Trademarks 4 425 425 — Trade name 15 18,260 4,731 13,529 Developed technology 13 152,893 49,406 103,487 Non-compete 3 9,100 2,356 6,744 Total amortized intangible assets $ 275,835 $ 112,882 $ 162,953 Internally developed software* $ 25,358 $ 25,358 Total intangible assets $ 301,193 $ 112,882 $ 188,311 |
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block] | As of June 30, 2022 estimated annual amortization for our intangible assets for each of the next five years is approximately (in thousands): Remainder of 2022 $ 65,893 2023 136,217 2024 135,578 2025 127,922 2026 127,384 2027 119,279 Thereafter 339,433 Total $ 1,051,706 |
Accrued Liabilities (Tables)
Accrued Liabilities (Tables) | 6 Months Ended |
Jun. 30, 2022 | |
Accrued Liabilities [Abstract] | |
Schedule of Accrued Liabilities [Table Text Block] | Accrued liabilities consist of the following (in thousands): As of June 30, 2022 December 31, 2021 Salaries and benefits $ 56,453 $ 27,304 Incentive compensation 16,632 33,107 Operating lease liability-ST 19,929 9,009 Accrued sales taxes 7,012 1,980 Restructuring accrual 6,963 664 Deferred revenue 35,009 12,646 Accrued other taxes 2,840 4,337 Accrued professional fees 10,271 773 Legal accrual 3,921 3,897 Distribution fees 24,634 5,645 Warranties and returns 546 532 Field service corrective action (1) 30,529 — Accrued freight 10,903 9,194 Foreign exchange contracts 577 — Accrued audit fees 4,741 1,008 Defined benefit plan 3,230 — Other 13,466 8,099 $ 247,656 $ 118,195 ___________________________ (1) Relates to field corrective actions associated with certain products in connection with a 2021 Warning Letter received by Smiths Medical from the FDA following an inspection of Smiths Medical’s Oakdale, Minnesota Facility, see Note 19: Commitments and Contingencies for further detail. Other long-term liabilities consist of the following (in thousands): As of June 30, 2022 December 31, 2021 Operating lease liability-LT $ 68,491 $ 33,971 Benefits 6,895 1,369 Accrued rent 1,146 1,262 Contract liabilities (1) 135 202 Forward-starting interest rate swaps — 1,480 Foreign exchange contracts 50 — Finance lease liability-LT 1,741 2,067 Deferred revenue 23,229 — Field service corrective action (2) 23,385 — Other 3,128 1,479 $ 128,200 $ 41,830 |
Long-Term Obligations (Tables)
Long-Term Obligations (Tables) | 3 Months Ended |
Jun. 30, 2022 | |
LOng-Term Obligations Disclosure [Abstract] | |
Schedule of Long-term Debt Instruments | The carrying values of our long-term debt consist of the following (in thousands): Effective Interest Rate As of Senior Secured Credit Facilities: Term Loan A — principal 4.44 % $ 834,000 Term Loan B — principal 5.11 % 847,875 Revolving Credit Facility — principal — % — Less unamortized debt issuance costs (1) (26,783) Total carrying value of long-term debt 1,655,092 Less current portion of long-term debt 19,063 Long-term debt, net $ 1,636,029 _______________________________ (1) Comprised of $14.2 million and $12.6 million relating to the Term Loan A and the Term Loan B, respectively. |
Schedule of Maturities of Long-term Debt | As of June 30, 2022, the aggregate amount of principal repayments of our long-term debt (including any current portion) for each of the next five years is approximately (in thousands): Remainder of 2022 $ 4,250 2023 29,750 2024 51,000 2025 51,000 2026 72,250 2027 672,500 Thereafter 801,125 Total $ 1,681,875 |
Interest expense on long term debt | The following table presents the total interest expense related to our long-term debt (in thousands): Three months ended Six months ended 2022 2021 2022 2021 Contractual interest $ 12,622 $ — $ 22,639 $ — Amortization of debt issuance costs 1,799 72 3,442 144 Commitment fee — Revolving Credit Facility 309 57 661 113 Total interest expense $ 14,730 $ 129 26,742 257 |
Applicable Margin Based on Leverage Ratio | Effective on the first Adjustment Date, as defined in the Credit Agreement, occurring subsequent to our quarter ending June 30, 2022, the applicable margin for the Term Loan A and borrowings under the Revolving Credit Facility will be determined by reference to the leverage ratio in effect from time to time as set forth in the following table: Leverage Ratio Applicable Margin for Term SOFR Loans Applicable Margin for Base Rate Loans Commitment Fee Rate Greater than 4.00 to 1.0 2.25% 1.25% 0.35% Less than or equal to 4.00 to 1.0 but greater than 3.00 to 1.0 2.00% 1.00% 0.30% Less than or equal to 3.00 to 1.0 but greater than 2.50 to 1.0 1.75% 0.75% 0.25% Less than or equal to 2.50 to 1.0 but greater than 2.00 to 1.0 1.50% 0.50% 0.20% Less than or equal to 2.00 to 1.0 1.25% 0.25% 0.15% |
Equity (Tables)
Equity (Tables) | 6 Months Ended |
Jun. 30, 2022 | |
Equity [Abstract] | |
Schedule of Accumulated Other Comprehensive Income (Loss) | The components of AOCI, net of tax, were as follows (in thousands): Foreign Currency Translation Adjustments Unrealized (Losses) Gains on Cash Flow Hedges Other Adjustments Total Balance as of January 1, 2022 $ (19,045) $ (237) $ 13 $ (19,269) Other comprehensive (loss) income before (4,946) 25,782 15 20,851 Amounts reclassified from AOCI — (2,210) — (2,210) Other comprehensive (loss) income (4,946) 23,572 15 18,641 Balance as of March 31, 2022 $ (23,991) $ 23,335 $ 28 $ (628) Other comprehensive (loss) income before reclassifications (99,805) 10,245 14 (89,546) Amounts reclassified from AOCI — (2,101) — (2,101) Other comprehensive (loss) income (99,805) 8,144 14 (91,647) Balance as of June 30, 2022 $ (123,796) $ 31,479 $ 42 $ (92,275) Foreign Currency Translation Adjustments Unrealized Gains (Losses) on Cash Flow Hedges Other Adjustments Total Balance as of January 1, 2021 $ (4,381) $ 2,784 $ 75 $ (1,522) Other comprehensive (loss) income before (7,458) (306) 12 (7,752) Amounts reclassified from AOCI — (639) — (639) Other comprehensive (loss) income (7,458) (945) 12 (8,391) Balance as of March 31, 2021 $ (11,839) $ 1,839 $ 87 $ (9,913) Other comprehensive income before reclassifications 1,302 335 12 1,649 Amounts reclassified from AOCI — (687) — (687) Other comprehensive income (loss) 1,302 (352) 12 962 Balance as of June 30, 2021 $ (10,537) $ 1,487 $ 99 $ (8,951) |
Business Combinations and Ass_3
Business Combinations and Asset Acquisitions Foreign Infusion Distributor(Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended |
Jun. 30, 2022 | Jun. 30, 2022 | |
Business Acquisition [Line Items] | ||
Payments to Acquire Businesses, Gross | $ 1,922,955 | |
Contingent Consideration, Gross ST | $ 1,000 | |
Contingent Consideration, Gross LT | 1,500 | |
Business Combination, Consideration, Holdback liability | 500 | |
Foreign Infusion System Supplier | ||
Business Acquisition [Line Items] | ||
Payments to Acquire Businesses, Gross | 15,400 | |
contingent consideration gross | 2,500 | |
Contingent Consideration, Gross ST | 1,000 | |
Contingent Consideration, Gross LT | $ 1,500 | |
Business Combination, Consideration Transferred | $ 17,100 |
Business Combinations and Ass_4
Business Combinations and Asset Acquisitions (Details) - USD ($) shares in Thousands | 6 Months Ended | ||
Jun. 30, 2022 | Dec. 31, 2021 | [1] | |
Business Acquisition [Line Items] | |||
Contingent Earn-Out Liability, Noncurrent | $ 30,119,000 | $ 2,589,000 | |
Minimum Stock Price Target for Earn-out Payment | $ 300 | ||
Required Share Holding Of Stock Issued At Acquisition | 0.500 | ||
SmithsMedical | |||
Business Acquisition [Line Items] | |||
Business Acquisition, Percentage of Voting Interests Acquired | 100% | ||
Business Combination, Consideration Transferred, Cash | $ 1,900,000,000 | ||
Business Acquisition, Equity Interest Issued or Issuable, Number of Shares | 2,500 | ||
Contingent Earn-Out Liability, Noncurrent | $ 100,000,000 | ||
[1]December 31, 2021 balances were derived from audited consolidated financial statements. |
Business Combinations and Ass_5
Business Combinations and Asset Acquisitions Smiths Medical (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands | 3 Months Ended | 6 Months Ended | |
Jun. 30, 2022 | Mar. 31, 2022 | Jun. 30, 2022 | |
Business Acquisition [Line Items] | |||
Payments to Acquire Businesses, Gross | $ 1,922,955 | ||
Business Combination, Consideration Transferred, Liabilities Incurred | $ 55,158 | ||
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life | 9 years | ||
Customer Relationships | |||
Business Acquisition [Line Items] | |||
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life | 8 years | ||
Technology-Based Intangible Assets | |||
Business Acquisition [Line Items] | |||
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life | 10 years | ||
Software Development | |||
Business Acquisition [Line Items] | |||
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life | 5 years | ||
Trademarks [Member] | |||
Business Acquisition [Line Items] | |||
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life | 6 years | ||
SmithsMedical | |||
Business Acquisition [Line Items] | |||
Business Combination, Consideration Transferred, Liabilities Incurred | $ 53,520 | ||
Business Acquisition, Equity Interest Issued or Issuable, Number of Shares | 2,500 | ||
Business Acquisition, Share Price | $ 230.39 | $ 230.39 | |
Business Acquisition, Equity Interest Issued or Issuable, Value Assigned | $ 575,975 | $ 575,975 | |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Cash and Equivalents | 78,791 | 78,791 | |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Receivables | 118,277 | 118,277 | |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Inventory | 226,196 | 226,196 | |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Prepaid Expense and Other Assets | 53,554 | 53,554 | |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment | 210,000 | 210,000 | |
business combination, recognized identifiable asset acquired and liability assumed, | 55,161 | 55,161 | |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles | 975,000 | 975,000 | |
Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Assets | 9,303 | 9,303 | |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Other Noncurrent Assets | 379 | 379 | |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Accounts Payable | 105,291 | 105,291 | |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities | 175,099 | 175,099 | |
Business Combinations, Identified Assumed Liabilities Recognized, Income tax payable | (24,332) | (24,332) | |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Noncurrent Liabilities, Other | (85,739) | (85,739) | |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Liabilities | (228,689) | (228,689) | |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net | 1,107,511 | 1,107,511 | |
Business combination, goodwill- non deductible | 1,444,939 | 1,444,939 | |
Business Combination, Consideration Transferred | 2,552,450 | 2,552,450 | |
SmithsMedical | Customer Relationships | |||
Business Acquisition [Line Items] | |||
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles | 540,000 | 540,000 | |
SmithsMedical | developed technology | |||
Business Acquisition [Line Items] | |||
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles | 400,000 | 400,000 | |
SmithsMedical | Trademarks and Trade Names | |||
Business Acquisition [Line Items] | |||
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles | 5,000 | 5,000 | |
SmithsMedical | Software and Software Development Costs | |||
Business Acquisition [Line Items] | |||
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles | $ 30,000 | $ 30,000 |
Business Combinations and Ass_6
Business Combinations and Asset Acquisitions Smiths Medical Pro Forma (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended | ||
Jun. 30, 2022 | Jun. 30, 2021 | Jun. 30, 2022 | Jun. 30, 2021 | |
Business Combination and Asset Acquisition [Abstract] | ||||
Business Acquisition, Pro Forma Revenue | $ 561,004 | $ 625,942 | $ 1,124,823 | $ 1,227,502 |
Business Acquisition [Line Items] | ||||
Revenues | 561,004 | 321,677 | 1,104,126 | 639,723 |
Net (Loss) Income | (7,474) | 28,398 | (45,542) | 52,129 |
Business Acquisition, Pro Forma Net Income (Loss) | (7,474) | 34,244 | (59,425) | $ 31,447 |
Pro Forma Adjustment - Amortization | 1,300 | 55,500 | ||
Pro Forma Adjustment - Finance Costs | 800 | 25,400 | ||
Pro Forma Adjustment - Inventory | 27,400 | |||
Pro Forma Adjustment - Related Party Loans | 80,700 | $ 45,000 | ||
Acquisition-related Costs | ||||
Business Acquisition [Line Items] | ||||
Business Acquisition, Transaction Costs | 13,500 | 13,500 | ||
SmithsMedical | ||||
Business Acquisition [Line Items] | ||||
Revenues | 222,900 | 437,800 | ||
Net (Loss) Income | $ 26,000 | $ 65,500 |
Restructuring, Strategic Tran_3
Restructuring, Strategic Transaction and Integration Restructuring (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended | ||
Jun. 30, 2022 | Jun. 30, 2021 | Jun. 30, 2022 | Jun. 30, 2021 | |
Restructuring and Related Activities [Abstract] | ||||
Restructuring, strategic transaction and integration | $ 13,500 | $ 3,800 | $ 47,400 | $ 6,600 |
Restructuring Costs | $ 1,700 | $ 4,900 |
Restructuring, Strategic Tran_4
Restructuring, Strategic Transaction and Integration Liability (Details) - USD ($) $ in Thousands | 3 Months Ended | |
Jun. 30, 2022 | Mar. 31, 2022 | |
Restructuring Cost and Reserve [Line Items] | ||
Restructuring Reserve | $ 9,205 | $ 664 |
Restructuring Charges | 1,710 | 3,222 |
Payments for Restructuring | 3,564 | 2,030 |
Restructuring Reserve, Foreign Currency Translation Gain (Loss) | 350 | 187 |
Restructuring Reserve, Accrual Adjustment | (38) | |
Restructuring Reserve | 6,963 | 9,205 |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Restructuring Liabilities | 7,536 | |
Employee Severance [Member] | ||
Restructuring Cost and Reserve [Line Items] | ||
Restructuring Reserve | 7,340 | 499 |
Restructuring Charges | 1,710 | 3,222 |
Payments for Restructuring | 3,352 | 2,030 |
Restructuring Reserve, Foreign Currency Translation Gain (Loss) | 256 | 147 |
Restructuring Reserve, Accrual Adjustment | (38) | |
Restructuring Reserve | 5,404 | 7,340 |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Restructuring Liabilities | 5,796 | |
Facility Closing [Member] | ||
Restructuring Cost and Reserve [Line Items] | ||
Restructuring Reserve | 1,865 | 165 |
Restructuring Charges | 0 | 0 |
Payments for Restructuring | 212 | 0 |
Restructuring Reserve, Foreign Currency Translation Gain (Loss) | 94 | 40 |
Restructuring Reserve, Accrual Adjustment | 0 | |
Restructuring Reserve | $ 1,559 | 1,865 |
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Restructuring Liabilities | $ 1,740 |
Strategic Transaction and Integ
Strategic Transaction and Integration (Details) - USD ($) $ in Millions | 3 Months Ended | 6 Months Ended | ||
Jun. 30, 2022 | Jun. 30, 2021 | Jun. 30, 2022 | Jun. 30, 2021 | |
Restructuring and Related Activities [Abstract] | ||||
Strategic Transaction and Integration | $ 11.8 | $ 3.7 | $ 42.5 | $ 6.5 |
Revenue Disaggregated Revenue b
Revenue Disaggregated Revenue by Geography (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended | ||
Jun. 30, 2022 | Jun. 30, 2021 | Jun. 30, 2022 | Jun. 30, 2021 | |
Disaggregation of Revenue [Line Items] | ||||
Revenues | $ 561,004 | $ 321,677 | $ 1,104,126 | $ 639,723 |
EMEA [Member] | ||||
Disaggregation of Revenue [Line Items] | ||||
Revenues | 87,415 | 37,761 | 173,619 | 72,560 |
Other foreign countries [Member] | ||||
Disaggregation of Revenue [Line Items] | ||||
Revenues | 109,723 | 59,249 | 218,850 | 115,145 |
Foreign [Member] | ||||
Disaggregation of Revenue [Line Items] | ||||
Revenues | 197,138 | 97,010 | 392,469 | 187,705 |
UNITED STATES | ||||
Disaggregation of Revenue [Line Items] | ||||
Revenues | $ 363,866 | $ 224,667 | $ 711,657 | $ 452,018 |
Revenue Disaggregated Revenue_2
Revenue Disaggregated Revenue by Product Line (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended | ||
Jun. 30, 2022 | Jun. 30, 2021 | Jun. 30, 2022 | Jun. 30, 2021 | |
Disaggregation of Revenue [Line Items] | ||||
Revenues | $ 561,004 | $ 321,677 | $ 1,104,126 | $ 639,723 |
Infusion Consumables [Member] | ||||
Disaggregation of Revenue [Line Items] | ||||
Revenues | 144,456 | 136,200 | 284,977 | 262,569 |
Infusion Systems [Member] | ||||
Disaggregation of Revenue [Line Items] | ||||
Revenues | 87,253 | 84,661 | 174,265 | 168,995 |
IV Solutions [Member] | ||||
Disaggregation of Revenue [Line Items] | ||||
Revenues | 94,113 | 88,421 | 182,593 | 182,597 |
Critical Care [Member] | ||||
Disaggregation of Revenue [Line Items] | ||||
Revenues | 12,373 | 12,395 | 24,530 | 25,562 |
Infusion Consumables-Smiths Medical | ||||
Disaggregation of Revenue [Line Items] | ||||
Revenues | 77,812 | 0 | 144,102 | 0 |
Vascular Access | ||||
Disaggregation of Revenue [Line Items] | ||||
Revenues | 77,058 | 0 | 156,066 | 0 |
Vital Care | ||||
Disaggregation of Revenue [Line Items] | ||||
Revenues | $ 67,939 | $ 0 | $ 137,593 | $ 0 |
Revenue Contract Liabilities (D
Revenue Contract Liabilities (Details) - USD ($) $ in Thousands | 6 Months Ended | |
Jun. 30, 2022 | Jun. 30, 2021 | |
Movement in Deferred Revenue [Roll Forward] | ||
Contract with Customer, Liability | $ (7,461) | $ (6,430) |
Contract with Customer, Liability | (53,066) | (4,968) |
Short Term | ||
Movement in Deferred Revenue [Roll Forward] | ||
Revenue, Remaining Performance Obligation, Amount | (30,572) | |
Long Term | ||
Movement in Deferred Revenue [Roll Forward] | ||
Revenue, Remaining Performance Obligation, Amount | (22,494) | |
SmithsMedical | ||
Movement in Deferred Revenue [Roll Forward] | ||
Contract with Customer, Liability | (51,245) | |
Equipment revenue [Member] | ||
Movement in Deferred Revenue [Roll Forward] | ||
Increase (Decrease) in Deferred Revenue | 14,606 | 4,754 |
Deferred Revenue, Additions | (7,349) | (5,435) |
Equipment revenue [Member] | Short Term | ||
Movement in Deferred Revenue [Roll Forward] | ||
Revenue, Remaining Performance Obligation, Amount | (19,744) | |
Equipment revenue [Member] | Long Term | ||
Movement in Deferred Revenue [Roll Forward] | ||
Revenue, Remaining Performance Obligation, Amount | 0 | |
Software revenue [Member] | ||
Movement in Deferred Revenue [Roll Forward] | ||
Increase (Decrease) in Deferred Revenue | 8,737 | 4,355 |
Deferred Revenue, Additions | (9,067) | $ (2,212) |
Software revenue [Member] | Short Term | ||
Movement in Deferred Revenue [Roll Forward] | ||
Revenue, Remaining Performance Obligation, Amount | (7,750) | |
Software revenue [Member] | Long Term | ||
Movement in Deferred Revenue [Roll Forward] | ||
Revenue, Remaining Performance Obligation, Amount | (1,647) | |
Government Grant Revenue | ||
Movement in Deferred Revenue [Roll Forward] | ||
Increase (Decrease) in Deferred Revenue | 232 | |
Deferred Revenue, Additions | (2,972) | |
Government Grant Revenue | Short Term | ||
Movement in Deferred Revenue [Roll Forward] | ||
Revenue, Remaining Performance Obligation, Amount | (1,175) | |
Government Grant Revenue | Long Term | ||
Movement in Deferred Revenue [Roll Forward] | ||
Revenue, Remaining Performance Obligation, Amount | (13,569) | |
Other deferred revenue | ||
Movement in Deferred Revenue [Roll Forward] | ||
Increase (Decrease) in Deferred Revenue | 2,458 | |
Deferred Revenue, Additions | (1,005) | |
Other deferred revenue | Short Term | ||
Movement in Deferred Revenue [Roll Forward] | ||
Revenue, Remaining Performance Obligation, Amount | (1,903) | |
Other deferred revenue | Long Term | ||
Movement in Deferred Revenue [Roll Forward] | ||
Revenue, Remaining Performance Obligation, Amount | $ (7,278) |
Leases Text (Details)
Leases Text (Details) | 6 Months Ended |
Jun. 30, 2022 | |
Lessee, Lease, Description [Line Items] | |
Lessee, Operating Lease, Option to Extend | 5 years |
Maximum [Member] | |
Lessee, Lease, Description [Line Items] | |
Lessee, Operating Lease, Term of Contract | 15 years |
Minimum [Member] | |
Lessee, Lease, Description [Line Items] | |
Lessee, Operating Lease, Term of Contract | 1 year |
Leases (Details)
Leases (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended | ||
Jun. 30, 2022 | Jun. 30, 2021 | Jun. 30, 2022 | Jun. 30, 2021 | |
Leases [Abstract] | ||||
Operating Lease, Cost | $ 5,475 | $ 2,822 | $ 10,653 | $ 5,657 |
Finance Lease, Interest Expense | 28 | 32 | 57 | 63 |
Finance Lease, Right-of-Use Asset, Amortization | 170 | 166 | 340 | 317 |
Short-term Lease, Cost | 3 | 6 | 6 | 9 |
Lease, Cost | $ 5,676 | $ 3,026 | $ 11,056 | $ 6,046 |
Leases Cash Flow, Operating Act
Leases Cash Flow, Operating Activities, Lessee (Details) - USD ($) $ in Thousands | 6 Months Ended | |
Jun. 30, 2022 | Jun. 30, 2021 | |
Leases [Abstract] | ||
Operating Lease, Payments | $ 12,887 | $ 5,657 |
Finance Lease, Interest Payment on Liability | 57 | 63 |
Right-of-Use Asset Obtained in Exchange for Operating Lease Liability | 3,829 | 1,282 |
Right-of-Use Asset Obtained in Exchange for Finance Lease Liability | $ 38 | $ 332 |
Leases Assets and Liabilities,
Leases Assets and Liabilities, Lessee (Details) - USD ($) $ in Thousands | Jun. 30, 2022 | Dec. 31, 2021 | |
Leases [Abstract] | |||
Operating Lease, Right-of-Use Asset | $ 83,323 | $ 39,847 | [1] |
Operating Lease, Liability, Current | 19,929 | 9,009 | |
Operating Lease, Liability, Noncurrent | 68,491 | 33,971 | |
Operating Lease, Liability | $ 88,420 | $ 42,980 | |
Operating Lease, Weighted Average Remaining Lease Term | 6 years 3 months 18 days | 5 years 10 months 24 days | |
Operating Lease, Weighted Average Discount Rate, Percent | 4.39% | 4.98% | |
Finance Lease, Right-of-Use Asset | $ 2,335 | $ 2,673 | |
Finance Lease, Liability, Current | 650 | 643 | |
Finance Lease, Liability, Noncurrent | 1,741 | 2,067 | |
Finance Lease, Liability | $ 2,391 | $ 2,710 | |
Finance Lease, Weighted Average Remaining Lease Term | 5 years 3 months 18 days | 5 years 7 months 6 days | |
Finance Lease, Weighted Average Discount Rate, Percent | 4.27% | 4.28% | |
[1]December 31, 2021 balances were derived from audited consolidated financial statements. |
Leases Maturity (Details)
Leases Maturity (Details) - USD ($) $ in Thousands | Jun. 30, 2022 | Dec. 31, 2021 |
Leases [Abstract] | ||
Lessee, Operating Lease, Liability, Payments, Remainder of Fiscal Year | $ 12,546 | |
Lessee, Operating Lease, Liability, Payments, Due Next Twelve Months | 21,260 | |
Lessee, Operating Lease, Liability, Payments, Due Year Two | 17,283 | |
Lessee, Operating Lease, Liability, Payments, Due Year Three | 12,361 | |
Lessee, Operating Lease, Liability, Payments, Due Year Four | 10,574 | |
Lessee, Operating Lease, Liability, Payments, Due Year Five | 8,128 | |
Lessee, Operating Lease, Liability, Payments, Due after Year Five | 17,500 | |
Lessee, Operating Lease, Liability, Payments, Due | 99,652 | |
Lessee, Operating Lease, Liability, Undiscounted Excess Amount | (11,232) | |
Operating Lease, Liability | 88,420 | $ 42,980 |
Finance Lease, Liability, Payments, Remainder of Fiscal Year | 371 | |
Finance Lease, Liability, Payments, Due Next Twelve Months | 742 | |
Finance Lease, Liability, Payments, Due Year Two | 459 | |
Finance Lease, Liability, Payments, Due Year Three | 273 | |
Finance Lease, Liability, Payments, Due Year Four | 216 | |
Finance Lease, Liability, Payments, Due Year Five | 189 | |
Finance Lease, Liability, Payments, Due after Year Five | 426 | |
Finance Lease, Liability, Payment, Due | 2,676 | |
Finance Lease, Liability, Undiscounted Excess Amount | (285) | |
Finance Lease, Liability | $ 2,391 | $ 2,710 |
Net Income Per Share (Details)
Net Income Per Share (Details) - USD ($) $ / shares in Units, $ in Thousands | 3 Months Ended | 6 Months Ended | ||
Jun. 30, 2022 | Jun. 30, 2021 | Jun. 30, 2022 | Jun. 30, 2021 | |
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items] | ||||
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount | 12,107 | 12,080 | ||
Net (Loss) Income | $ (7,474) | $ 28,398 | $ (45,542) | $ 52,129 |
Weighted average number of common shares outstanding (for basic calculation) | 23,897,000 | 21,200,000 | 23,787,000 | 21,176,000 |
Dilutive securities | 0 | 503,000 | 0 | 542,000 |
Diluted (in shares) | 23,897,000 | 21,703,000 | 23,787,000 | 21,718,000 |
EPS - basic | $ (0.31) | $ 1.34 | $ (1.91) | $ 2.46 |
Diluted (In dollars per share) | $ (0.31) | $ 1.31 | $ (1.91) | $ 2.40 |
Net Income Per Share (Details 1
Net Income Per Share (Details 1) - $ / shares | 3 Months Ended | 6 Months Ended | ||
Jun. 30, 2022 | Jun. 30, 2021 | Jun. 30, 2022 | Jun. 30, 2021 | |
Earnings Per Share [Abstract] | ||||
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount | 12,107 | 12,080 | ||
Dilutive securities | 0 | 503,000 | 0 | 542,000 |
Diluted (in shares) | 23,897,000 | 21,703,000 | 23,787,000 | 21,718,000 |
Basic (in dollars per share) | $ (0.31) | $ 1.34 | $ (1.91) | $ 2.46 |
Diluted (in dollars per share) | $ (0.31) | $ 1.31 | $ (1.91) | $ 2.40 |
Derivative Financial Instrume_3
Derivative Financial Instruments Foreign Exchange Forward Contracts(Details) | Jun. 30, 2022 USD ($) |
Derivative [Line Items] | |
Derivative, Notional Amount | $ 209,200,000 |
other currencies | |
Derivative [Line Items] | |
Derivative, Notional Amount | 33,900,000 |
Mexico, Pesos | |
Derivative [Line Items] | |
Derivative, Notional Amount | 43,100,000 |
Euro Member Countries, Euro | |
Derivative [Line Items] | |
Derivative, Notional Amount | 39,700,000 |
Czech Republic, Koruny | |
Derivative [Line Items] | |
Derivative, Notional Amount | 18,300,000 |
Japan, Yen | |
Derivative [Line Items] | |
Derivative, Notional Amount | $ 18,800,000 |
Derivative Financial Instrume_4
Derivative Financial Instruments (Details) | Jun. 30, 2022 USD ($) | Jun. 30, 2022 MXN ($) | Dec. 31, 2021 MXN ($) |
Derivative [Line Items] | |||
Foreign Currency Cash Flow Hedge Gain (Loss) to be Reclassified During Next 12 Months | $ 8,500,000 | ||
Derivative, Notional Amount | 209,200,000 | ||
Mexico, Pesos | |||
Derivative [Line Items] | |||
Derivative, Notional Amount | 43,100,000 | ||
China, Yuan Renminbi | |||
Derivative [Line Items] | |||
Derivative, Notional Amount | 19,300,000 | ||
United States of America, Dollars | |||
Derivative [Line Items] | |||
Derivative, Notional Amount | $ 36,300,000 | ||
Hedge 2 [Member] | |||
Derivative [Line Items] | |||
Derivative, Forward Exchange Rate | 21.60 | 21.60 | |
Derivative Asset, Notional Amount | $ 208,200,000 | $ 413,100,000 | |
Hedge 3 [Member] [Member] | |||
Derivative [Line Items] | |||
Derivative, Forward Exchange Rate | 24.26 |
Derivative Financial Instrume_5
Derivative Financial Instruments Interest Rate Swaps (Details) | Jun. 30, 2022 USD ($) |
Derivative [Line Items] | |
Derivative, Notional Amount | $ 209,200,000 |
Interest Rate Swap | Term Loan A | |
Derivative [Line Items] | |
Derivative, Notional Amount | 300,000,000 |
Interest Rate Swap Ending Notional Value | $ 150,000,000 |
Derivative, Fixed Interest Rate | 1.32% |
derivative variable rate floor | (0.0015) |
Interest Rate Swap | Term Loan B | |
Derivative [Line Items] | |
Derivative, Notional Amount | $ 750,000,000 |
Interest Rate Swap Ending Notional Value | $ 46,900,000 |
Derivative, Fixed Interest Rate | 1.17% |
derivative variable rate floor | 0.0035 |
Derivative Financial Instrume_6
Derivative Financial Instruments Derivative Instruments and Hedging Activities - FV of Derivative Instruments Included Within Consolidated Balance Sheet (Details) - USD ($) $ in Thousands | Jun. 30, 2022 | Dec. 31, 2021 |
Derivatives, Fair Value [Line Items] | ||
Derivative Asset | $ 48,816 | $ 1,061 |
Derivative Asset, Current | 9,463 | 1,061 |
Derivative Liability | 627 | 1,480 |
Prepaid Expenses and Other Current Assets [Member] | ||
Derivatives, Fair Value [Line Items] | ||
Derivative Asset, Current | 24,870 | 1,061 |
Other Assets [Member] | ||
Derivatives, Fair Value [Line Items] | ||
Derivative Asset, Noncurrent | 23,946 | 0 |
Accrued Liabilities [Member] | ||
Derivatives, Fair Value [Line Items] | ||
Derivative Liability, Current | 577 | 0 |
Other Liabilities | ||
Derivatives, Fair Value [Line Items] | ||
Derivative Liability, Noncurrent | 50 | 1,480 |
Foreign Exchange Contract | ||
Derivatives, Fair Value [Line Items] | ||
Derivative Asset | 9,575 | 1,061 |
Derivative Liability | 627 | 0 |
Foreign Exchange Contract | Prepaid Expenses and Other Current Assets [Member] | ||
Derivatives, Fair Value [Line Items] | ||
Derivative Asset, Current | 9,463 | 1,061 |
Foreign Exchange Contract | Other Assets [Member] | ||
Derivatives, Fair Value [Line Items] | ||
Derivative Asset, Noncurrent | 112 | 0 |
Foreign Exchange Contract | Accrued Liabilities [Member] | ||
Derivatives, Fair Value [Line Items] | ||
Derivative Liability, Current | 577 | 0 |
Foreign Exchange Contract | Other Liabilities | ||
Derivatives, Fair Value [Line Items] | ||
Derivative Liability, Noncurrent | 50 | 0 |
Interest Rate Swap | ||
Derivatives, Fair Value [Line Items] | ||
Derivative Asset | 39,241 | 0 |
Derivative Asset, Noncurrent | 23,834 | 0 |
Derivative Liability | 0 | 1,480 |
Interest Rate Swap | Prepaid Expenses and Other Current Assets [Member] | ||
Derivatives, Fair Value [Line Items] | ||
Derivative Asset, Current | 15,407 | 0 |
Interest Rate Swap | Other Assets [Member] | ||
Derivatives, Fair Value [Line Items] | ||
Derivative Asset, Noncurrent | 23,834 | 0 |
Interest Rate Swap | Accrued Liabilities [Member] | ||
Derivatives, Fair Value [Line Items] | ||
Derivative Liability, Current | 0 | 0 |
Interest Rate Swap | Other Liabilities | ||
Derivatives, Fair Value [Line Items] | ||
Derivative Liability, Noncurrent | $ 0 | $ 1,480 |
Derivative Financial Instrume_7
Derivative Financial Instruments Derivative Instruments and Hedging Activities - Cash Flow Hedge Activity Included in Accumulated Other Comprehensive Income (Loss) (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended | ||
Jun. 30, 2022 | Jun. 30, 2021 | Jun. 30, 2022 | Jun. 30, 2021 | |
Derivative Instruments and Hedging Activities Disclosures [Line Items] | ||||
Other Comprehensive Income (Loss), before Tax | $ 14,371 | $ 441 | $ 47,534 | $ 39 |
Foreign Exchange Contract | ||||
Derivative Instruments and Hedging Activities Disclosures [Line Items] | ||||
Other Comprehensive Income (Loss), before Tax | 5,225 | 441 | 8,337 | 39 |
Interest Rate Swap | ||||
Derivative Instruments and Hedging Activities Disclosures [Line Items] | ||||
Other Comprehensive Income (Loss), before Tax | $ 9,146 | $ 0 | $ 39,197 | $ 0 |
Derivative Financial Instrume_8
Derivative Financial Instruments Derivative Instruments and Hedging Activities - Amounts Affecting Consolidated Statements of Income (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended | ||
Jun. 30, 2022 | Jun. 30, 2021 | Jun. 30, 2022 | Jun. 30, 2021 | |
Derivative Instruments, Gain (Loss) [Line Items] | ||||
Foreign Currency Cash Flow Hedge Gain (Loss) to be Reclassified During Next 12 Months | $ 8,500 | $ 8,500 | ||
Interest Rate Cash Flow Hedge Gain (Loss) to be Reclassified During Next 12 Months, Net | 15,700 | 15,700 | ||
Cash Flow Hedging [Member] | ||||
Derivative Instruments, Gain (Loss) [Line Items] | ||||
Derivative Instruments, Gain Reclassified from Accumulated OCI into Income, Effective Portion | 1,857 | $ 903 | ||
Derivative Instruments, Gain (Loss) Reclassified from Accumulated OCI into Income, Effective Portion, Net | 4,136 | $ 1,744 | ||
Foreign Exchange Contract | Trading Revenue | Cash Flow Hedging [Member] | ||||
Derivative Instruments, Gain (Loss) [Line Items] | ||||
Derivative Instruments, Gain Reclassified from Accumulated OCI into Income, Effective Portion | 1,813 | 0 | ||
Derivative Instruments, Gain (Loss) Reclassified from Accumulated OCI into Income, Effective Portion, Net | 4,356 | 0 | ||
Foreign Exchange Contract | Cost of Sales [Member] | Cash Flow Hedging [Member] | ||||
Derivative Instruments, Gain (Loss) [Line Items] | ||||
Derivative Instruments, Gain Reclassified from Accumulated OCI into Income, Effective Portion | 1,563 | 903 | ||
Derivative Instruments, Gain (Loss) Reclassified from Accumulated OCI into Income, Effective Portion, Net | 1,049 | 1,744 | ||
Foreign Exchange Contract | Interest Expense | Cash Flow Hedging [Member] | ||||
Derivative Instruments, Gain (Loss) [Line Items] | ||||
Derivative Instruments, Gain Reclassified from Accumulated OCI into Income, Effective Portion | 5 | 0 | ||
Derivative Instruments, Gain (Loss) Reclassified from Accumulated OCI into Income, Effective Portion, Net | 255 | 0 | ||
Interest Rate Swap | Interest Expense | Cash Flow Hedging [Member] | ||||
Derivative Instruments, Gain (Loss) [Line Items] | ||||
Derivative Instruments, Loss Reclassified from Accumulated OCI into Income, Effective Portion | $ (1,524) | $ 0 | $ (1,524) | $ 0 |
Fair Value Measures and Discl_3
Fair Value Measures and Disclosures (Details) $ in Thousands | 3 Months Ended | 6 Months Ended | ||||||
Jun. 30, 2022 USD ($) | Jun. 30, 2022 USD ($) | Mar. 31, 2022 USD ($) | Jan. 06, 2022 USD ($) | Dec. 31, 2021 USD ($) | Jun. 30, 2021 USD ($) | Mar. 31, 2021 USD ($) | Dec. 31, 2020 USD ($) | |
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] | ||||||||
CONTINGENT EARN-OUT LIABILITY | $ 30,409 | $ 30,409 | $ 57,701 | $ 2,589 | ||||
Contingent Consideration, Gross ST | 1,000 | |||||||
Contingent Consideration, Gross LT | $ 1,500 | |||||||
Ownership requirement for Earnout Payment | 0.500 | 0.500 | ||||||
Liability | ||||||||
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] | ||||||||
contingent consideration gross | $ 6,000 | |||||||
CONTINGENT EARN-OUT LIABILITY | $ 2,600 | 2,600 | ||||||
Pursuit Vascular, Inc. [Member] | ||||||||
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] | ||||||||
contingent consideration gross | 50,000 | |||||||
CONTINGENT EARN-OUT LIABILITY | 26,300 | 26,300 | $ 26,300 | $ 26,300 | $ 26,300 | |||
SmithsMedical | ||||||||
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] | ||||||||
contingent consideration gross | 100,000 | |||||||
Business Combination, Contingent Consideration, Liability | 26,100 | 26,100 | $ 53,500 | |||||
Foreign Infusion System Supplier | ||||||||
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] | ||||||||
contingent consideration gross | 2,500 | |||||||
Contingent Consideration, Gross ST | 1,000 | |||||||
Contingent Consideration, Gross LT | 1,500 | |||||||
Business Combination, Contingent Consideration, Liability | $ 1,700 | $ 1,700 |
Fair Value Measures and Discl_4
Fair Value Measures and Disclosures Liabilities Recurring Basis Unobservable Input Reconciliation Pursuit (Details) - USD ($) $ in Thousands | 3 Months Ended | |||||
Jun. 30, 2022 | Mar. 31, 2022 | Jun. 30, 2021 | Mar. 31, 2021 | Dec. 31, 2021 | Dec. 31, 2020 | |
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] | ||||||
CONTINGENT EARN-OUT LIABILITY | $ 30,409 | $ 57,701 | $ 2,589 | |||
Business Combination, Consideration Transferred, Liabilities Incurred | 55,158 | |||||
Fair Value, Liability, Recurring Basis, Still Held, Unrealized Gain (Loss) | (27,194) | |||||
Currency translation on earn-out | (98) | $ (46) | ||||
Pursuit Vascular, Inc. [Member] | ||||||
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] | ||||||
CONTINGENT EARN-OUT LIABILITY | $ 26,300 | $ 26,300 | $ 26,300 | $ 26,300 | ||
Fair Value, Liability, Recurring Basis, Still Held, Unrealized Gain (Loss) | $ 0 | $ 0 |
Fair Value Measures and Discl_5
Fair Value Measures and Disclosures Liabilities Recurring Basis Unobservable Input Reconciliation Hospira (Details) - USD ($) $ in Thousands | 3 Months Ended | |||||
Jun. 30, 2022 | Jun. 30, 2021 | Mar. 31, 2021 | Mar. 31, 2022 | Dec. 31, 2021 | Dec. 31, 2020 | |
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] | ||||||
CONTINGENT EARN-OUT LIABILITY | $ 30,409 | $ 57,701 | $ 2,589 | |||
Fair Value, Liability, Recurring Basis, Still Held, Unrealized Gain (Loss) | (27,194) | |||||
Pursuit Vascular, Inc. [Member] | ||||||
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] | ||||||
CONTINGENT EARN-OUT LIABILITY | $ 26,300 | $ 26,300 | $ 26,300 | $ 26,300 | ||
Fair Value, Liability, Recurring Basis, Still Held, Unrealized Gain (Loss) | $ 0 | $ 0 |
Fair Value Measures and Discl_6
Fair Value Measures and Disclosures Liability Measurement Inputs (Details) | Jun. 30, 2022 | Jan. 06, 2022 | Jun. 30, 2021 |
Pursuit Vascular, Inc. [Member] | MeasurementinputadjustedEBITDAvolatility [Domain] | |||
Fair Value Measurement Inputs and Valuation Techniques [Line Items] | |||
Business Combination, Contingent Consideration, Liability, Measurement Input | 0.2500 | ||
Pursuit Vascular, Inc. [Member] | Measurement Input, Discount Rate [Member] | |||
Fair Value Measurement Inputs and Valuation Techniques [Line Items] | |||
Business Combination, Contingent Consideration, Liability, Measurement Input | 0.1250 | ||
Pursuit Vascular, Inc. [Member] | Measurement Input, Risk Free Interest Rate [Member] | |||
Fair Value Measurement Inputs and Valuation Techniques [Line Items] | |||
Business Combination, Contingent Consideration, Liability, Measurement Input | 0.0009 | ||
Pursuit Vascular, Inc. [Member] | Measurement Input, Market Price of Risk [Domain] | |||
Fair Value Measurement Inputs and Valuation Techniques [Line Items] | |||
Business Combination, Contingent Consideration, Liability, Measurement Input | 0.0310 | ||
SmithsMedical | Measurement Input, Risk Free Interest Rate [Member] | |||
Fair Value Measurement Inputs and Valuation Techniques [Line Items] | |||
Business Combination, Contingent Consideration, Liability, Measurement Input | 0.0297 | 0.0131 | |
SmithsMedical | Measurement Input, Price Volatility | |||
Fair Value Measurement Inputs and Valuation Techniques [Line Items] | |||
Business Combination, Contingent Consideration, Liability, Measurement Input | 0.4000 | 0.3700 |
Fair Value Measures and Discl_7
Fair Value Measures and Disclosures Assets and Liabilities by Balance Sheet Grouping (Details) - USD ($) $ in Thousands | Jun. 30, 2022 | Dec. 31, 2021 | |
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Assets, Fair Value Disclosure | $ 63,844 | $ 20,101 | |
Interest Rate Derivative Liabilities, at Fair Value | 0 | 1,480 | |
Short-term investment securities | 13,191 | 14,420 | [1] |
Long-term investment securities | 1,837 | 4,620 | |
Corporate Bond Securities | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Short-term investment securities | 11,787 | ||
US Treasury Securities | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Short-term investment securities | 1,404 | ||
Earn-out liability [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Nonfinancial Liabilities Fair Value Disclosure | 30,119 | 2,589 | |
Liabilities, Total [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Nonfinancial Liabilities Fair Value Disclosure | 4,069 | ||
Financial Liabilities Fair Value Disclosure | 31,036 | ||
Earn-out liability ST | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Nonfinancial Liabilities Fair Value Disclosure | 290 | ||
Prepaid Expenses and Other Current Assets [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Foreign Currency Contract, Asset, Fair Value Disclosure | 9,463 | 1,061 | |
Interest Rate Derivative Assets, at Fair Value | 15,407 | 0 | |
Accrued Liabilities [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Foreign Currency Contracts, Liability, Fair Value Disclosure | 577 | ||
Other Noncurrent Liabilities [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Interest Rate Derivative Liabilities, at Fair Value | 1,480 | ||
Foreign Currency Contracts, Liability, Fair Value Disclosure | 50 | ||
Other Assets [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Foreign Currency Contract, Asset, Fair Value Disclosure | 112 | ||
Interest Rate Derivative Assets, at Fair Value | 23,834 | ||
Fair Value, Inputs, Level 1 [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Assets, Fair Value Disclosure | 1,404 | 0 | |
Short-term investment securities | 0 | ||
Long-term investment securities | 0 | 0 | |
Fair Value, Inputs, Level 1 [Member] | Corporate Bond Securities | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Short-term investment securities | 0 | ||
Fair Value, Inputs, Level 1 [Member] | US Treasury Securities | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Short-term investment securities | 1,404 | ||
Fair Value, Inputs, Level 1 [Member] | Earn-out liability [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Nonfinancial Liabilities Fair Value Disclosure | 0 | 0 | |
Fair Value, Inputs, Level 1 [Member] | Liabilities, Total [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Nonfinancial Liabilities Fair Value Disclosure | 0 | ||
Financial Liabilities Fair Value Disclosure | 0 | ||
Fair Value, Inputs, Level 1 [Member] | ST Earnout Liability | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Nonfinancial Liabilities Fair Value Disclosure | 0 | ||
Fair Value, Inputs, Level 1 [Member] | Prepaid Expenses and Other Current Assets [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Foreign Currency Contract, Asset, Fair Value Disclosure | 0 | 0 | |
Interest Rate Derivative Assets, at Fair Value | 0 | ||
Fair Value, Inputs, Level 1 [Member] | Accrued Liabilities [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Foreign Currency Contracts, Liability, Fair Value Disclosure | 0 | ||
Fair Value, Inputs, Level 1 [Member] | Other Noncurrent Liabilities [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Interest Rate Derivative Liabilities, at Fair Value | 0 | ||
Foreign Currency Contracts, Liability, Fair Value Disclosure | 0 | ||
Fair Value, Inputs, Level 1 [Member] | Other Assets [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Foreign Currency Contract, Asset, Fair Value Disclosure | 0 | ||
Interest Rate Derivative Assets, at Fair Value | 0 | ||
Fair Value, Inputs, Level 2 [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Assets, Fair Value Disclosure | 62,440 | 20,101 | |
Short-term investment securities | 14,420 | ||
Long-term investment securities | 1,837 | 4,620 | |
Fair Value, Inputs, Level 2 [Member] | Corporate Bond Securities | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Short-term investment securities | 11,787 | ||
Fair Value, Inputs, Level 2 [Member] | US Treasury Securities | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Short-term investment securities | 0 | ||
Fair Value, Inputs, Level 2 [Member] | Earn-out liability [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Nonfinancial Liabilities Fair Value Disclosure | 0 | 0 | |
Fair Value, Inputs, Level 2 [Member] | Liabilities, Total [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Nonfinancial Liabilities Fair Value Disclosure | 1,480 | ||
Financial Liabilities Fair Value Disclosure | 627 | ||
Fair Value, Inputs, Level 2 [Member] | ST Earnout Liability | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Nonfinancial Liabilities Fair Value Disclosure | 0 | ||
Fair Value, Inputs, Level 2 [Member] | Prepaid Expenses and Other Current Assets [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Foreign Currency Contract, Asset, Fair Value Disclosure | 9,463 | 1,061 | |
Interest Rate Derivative Assets, at Fair Value | 15,407 | ||
Fair Value, Inputs, Level 2 [Member] | Accrued Liabilities [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Foreign Currency Contracts, Liability, Fair Value Disclosure | 577 | ||
Fair Value, Inputs, Level 2 [Member] | Other Noncurrent Liabilities [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Interest Rate Derivative Liabilities, at Fair Value | 1,480 | ||
Foreign Currency Contracts, Liability, Fair Value Disclosure | 50 | ||
Fair Value, Inputs, Level 2 [Member] | Other Assets [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Foreign Currency Contract, Asset, Fair Value Disclosure | 112 | ||
Interest Rate Derivative Assets, at Fair Value | 23,834 | ||
Fair Value, Inputs, Level 3 [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Assets, Fair Value Disclosure | 0 | 0 | |
Short-term investment securities | 0 | ||
Long-term investment securities | 0 | 0 | |
Fair Value, Inputs, Level 3 [Member] | Corporate Bond Securities | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Short-term investment securities | 0 | ||
Fair Value, Inputs, Level 3 [Member] | US Treasury Securities | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Short-term investment securities | 0 | ||
Fair Value, Inputs, Level 3 [Member] | Earn-out liability [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Nonfinancial Liabilities Fair Value Disclosure | 30,119 | 2,589 | |
Fair Value, Inputs, Level 3 [Member] | Liabilities, Total [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Nonfinancial Liabilities Fair Value Disclosure | 2,589 | ||
Financial Liabilities Fair Value Disclosure | 30,409 | ||
Fair Value, Inputs, Level 3 [Member] | ST Earnout Liability | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Nonfinancial Liabilities Fair Value Disclosure | 290 | ||
Fair Value, Inputs, Level 3 [Member] | Prepaid Expenses and Other Current Assets [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Foreign Currency Contract, Asset, Fair Value Disclosure | 0 | 0 | |
Interest Rate Derivative Assets, at Fair Value | 0 | ||
Fair Value, Inputs, Level 3 [Member] | Accrued Liabilities [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Foreign Currency Contracts, Liability, Fair Value Disclosure | 0 | ||
Fair Value, Inputs, Level 3 [Member] | Other Noncurrent Liabilities [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Interest Rate Derivative Liabilities, at Fair Value | $ 0 | ||
Foreign Currency Contracts, Liability, Fair Value Disclosure | 0 | ||
Fair Value, Inputs, Level 3 [Member] | Other Assets [Member] | |||
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items] | |||
Foreign Currency Contract, Asset, Fair Value Disclosure | 0 | ||
Interest Rate Derivative Assets, at Fair Value | $ 0 | ||
[1]December 31, 2021 balances were derived from audited consolidated financial statements. |
Investment Securities (Details)
Investment Securities (Details) $ in Millions | 6 Months Ended |
Jun. 30, 2022 USD ($) | |
Investments, Debt and Equity Securities [Abstract] | |
Gain (Loss) on Sale of Investments | $ 0 |
Proceeds from Sale and Maturity of Other Investments | $ 19 |
Investment Securities Table (De
Investment Securities Table (Details) - USD ($) $ in Thousands | 6 Months Ended | 12 Months Ended | |
Jun. 30, 2022 | Dec. 31, 2021 | ||
Debt Securities, Available-for-sale [Line Items] | |||
Short-term investment securities | $ 13,191 | $ 14,420 | [1] |
Debt Securities, Available-for-sale, Amortized Cost | 15,028 | 19,040 | |
Debt Securities, Available-for-sale, Amortized Cost, Current | 14,420 | ||
Long-term investment securities | 1,837 | 4,620 | |
Debt Securities, Available-for-sale | 15,028 | 19,040 | |
Available-for-sale Debt Security Current [Member] | |||
Debt Securities, Available-for-sale [Line Items] | |||
Debt Securities, Available-for-sale, Unrealized Loss | 0 | ||
Long-term Investments [Domain] | |||
Debt Securities, Available-for-sale [Line Items] | |||
Debt Securities, Available-for-sale, Noncurrent | 1,837 | 4,620 | |
Debt Securities, Available-for-sale, Continuous Unrealized Loss Position, 12 Months or Longer | 0 | 0 | |
Long-term investment securities | 1,837 | $ 4,620 | |
Corporate Bond Securities | |||
Debt Securities, Available-for-sale [Line Items] | |||
Short-term investment securities | 11,787 | ||
Debt Securities, Available-for-sale, Amortized Cost, Current | 11,787 | ||
Debt Securities, Available-for-sale, Unrealized Loss | 0 | ||
US Treasury Securities | |||
Debt Securities, Available-for-sale [Line Items] | |||
Short-term investment securities | 1,404 | ||
Debt Securities, Available-for-sale, Amortized Cost, Current | 1,404 | ||
Debt Securities, Available-for-sale, Unrealized Loss | $ 0 | ||
[1]December 31, 2021 balances were derived from audited consolidated financial statements. |
Equity Method Investments (Deta
Equity Method Investments (Details) - USD ($) $ in Thousands | Jun. 30, 2022 | Dec. 31, 2021 |
Investments, Debt and Equity Securities [Abstract] | ||
Equity Method Investments | $ 3,206 | $ 3,238 |
Equity Method Investment, Aggregate Cost | $ 3,300 | |
Equity Method Investment, Ownership Percentage | 20% |
Prepaids and Other Current As_3
Prepaids and Other Current Assets Prepaids and Other Assets (Details) - USD ($) $ in Thousands | Jun. 30, 2022 | Dec. 31, 2021 | |
Prepaid Expense and Other Assets [Abstract] | |||
Other Prepaid Expense, Current | $ 27,081 | $ 14,763 | |
Prepaid vendor expenses | 5,655 | 0 | |
Deferred Costs and Other Assets | 7,648 | 12,746 | |
Prepaid insurance and property taxes | 16,542 | 6,310 | |
Prepaid Taxes | 3,446 | 4,156 | |
Deferred tax charge | 4,308 | 4,241 | |
Derivative Asset, Current | 9,463 | 1,061 | |
Deposit Assets | 1,294 | 1,343 | |
Other Assets, Current | 3,819 | 2,227 | |
Prepaid expenses and other current assets | $ 94,663 | $ 46,847 | [1] |
[1]December 31, 2021 balances were derived from audited consolidated financial statements. |
Other Assets Noncurrent(Details
Other Assets Noncurrent(Details) - USD ($) $ in Thousands | Jun. 30, 2022 | Dec. 31, 2021 | |
Derivative [Line Items] | |||
Lessor, Operating Lease, Payments to be Received | $ 28,436 | $ 25,941 | |
Spare parts | 34,352 | 28,538 | |
Equity Method Investments | 3,206 | 3,238 | |
Debt Issuance Costs, Noncurrent, Net | 6,016 | 2,827 | |
Finance Lease, Right-of-Use Asset | 2,335 | 2,673 | |
Other Assets, Miscellaneous, Noncurrent | 3,437 | 526 | |
OTHER ASSETS | 101,728 | 63,743 | [1] |
Interest Rate Swap | |||
Derivative [Line Items] | |||
Derivative Asset, Noncurrent | 23,834 | 0 | |
Derivative Asset, Noncurrent | 23,834 | 0 | |
Foreign Exchange | |||
Derivative [Line Items] | |||
Derivative Asset, Noncurrent | 112 | 0 | |
Derivative Asset, Noncurrent | $ 112 | $ 0 | |
[1]December 31, 2021 balances were derived from audited consolidated financial statements. |
Inventories (Details)
Inventories (Details) - USD ($) $ in Thousands | Jun. 30, 2022 | Dec. 31, 2021 | |
Inventory Disclosure [Abstract] | |||
Inventory, Raw Materials, Net of Reserves | $ 240,804 | $ 135,528 | |
Inventory, Work in Process, Net of Reserves | 71,101 | 36,490 | |
Inventory, Finished Goods, Net of Reserves | 271,145 | 118,217 | |
Total | $ 583,050 | $ 290,235 | [1] |
[1]December 31, 2021 balances were derived from audited consolidated financial statements. |
Property and Equipment (Details
Property and Equipment (Details) - USD ($) $ in Thousands | Jun. 30, 2022 | Dec. 31, 2021 | |
Property, Plant and Equipment [Line Items] | |||
Total property and equipment, cost | $ 1,147,292 | $ 905,104 | |
Accumulated depreciation | (479,509) | (436,739) | |
Net property and equipment | 667,783 | 468,365 | [1] |
Machinery and Equipment, Gross | 407,580 | 321,078 | |
Furniture and Fixtures, Gross | 29,538 | 7,670 | |
Construction in Progress, Gross | 136,723 | 72,153 | |
Land, Buildings and Improvements [Member] | |||
Property, Plant and Equipment [Line Items] | |||
Total property and equipment, cost | 271,723 | 243,377 | |
Molds [Member] | |||
Property, Plant and Equipment [Line Items] | |||
Total property and equipment, cost | 75,765 | 60,463 | |
Computer Equipment and Software [Member] | |||
Property, Plant and Equipment [Line Items] | |||
Total property and equipment, cost | 115,371 | 102,979 | |
Instruments Placed with Customers [Member] | |||
Property, Plant and Equipment [Line Items] | |||
Total property and equipment, cost | $ 110,592 | $ 97,384 | |
[1]December 31, 2021 balances were derived from audited consolidated financial statements. |
Property and Equipment Text (De
Property and Equipment Text (Details) - USD ($) | 3 Months Ended | 6 Months Ended | ||
Jun. 30, 2022 | Jun. 30, 2021 | Jun. 30, 2022 | Jun. 30, 2021 | |
Property, Plant and Equipment [Abstract] | ||||
Depreciation | $ 24,900,000 | $ 16,300,000 | $ 46,400,000 | $ 32,700,000 |
Goodwill and Intangible Asset_3
Goodwill and Intangible Assets Goodwill Table (Details) - USD ($) $ in Thousands | 6 Months Ended | ||
Jun. 30, 2022 | Dec. 31, 2021 | [1] | |
Goodwill and Intangible Assets Disclosure [Abstract] | |||
GOODWILL | $ 1,421,216 | $ 43,439 | |
Goodwill, Acquired During Period | 1,444,939 | ||
Goodwill, Purchase Accounting Adjustments | (7,128) | ||
Goodwill, Foreign Currency Translation Gain (Loss) | $ (60,034) | ||
[1]December 31, 2021 balances were derived from audited consolidated financial statements. |
Goodwill and Intangible Asset_4
Goodwill and Intangible Assets Intangibles Table (Details) - USD ($) $ in Thousands | 6 Months Ended | 12 Months Ended | |
Jun. 30, 2022 | Dec. 31, 2021 | ||
Finite-Lived Intangible Assets [Line Items] | |||
Finite-Lived Intangible Assets, Gross | $ 1,237,260 | $ 275,835 | |
Finite-Lived Intangible Assets, Accumulated Amortization | 185,554 | 112,882 | |
Finite-Lived Intangible Assets, Net | 1,051,706 | 162,953 | |
Indefinite-lived Intangible Assets (Excluding Goodwill) | 28,623 | 25,358 | |
Intangible Assets, Gross (Excluding Goodwill) | 1,265,883 | 301,193 | |
INTANGIBLE ASSETS, net | $ 1,080,329 | $ 188,311 | [1] |
Patents [Member] | |||
Finite-Lived Intangible Assets [Line Items] | |||
Finite-Lived Intangible Asset, Useful Life | 10 years | 10 years | |
Finite-Lived Intangible Assets, Gross | $ 28,603 | $ 27,429 | |
Finite-Lived Intangible Assets, Accumulated Amortization | 17,669 | 16,764 | |
Finite-Lived Intangible Assets, Net | $ 10,934 | $ 10,665 | |
Customer Contracts [Member] | |||
Finite-Lived Intangible Assets [Line Items] | |||
Finite-Lived Intangible Asset, Useful Life | 12 years | 12 years | |
Finite-Lived Intangible Assets, Gross | $ 10,140 | $ 10,412 | |
Finite-Lived Intangible Assets, Accumulated Amortization | 6,310 | 6,196 | |
Finite-Lived Intangible Assets, Net | $ 3,830 | $ 4,216 | |
Customer-Related Intangible Assets [Member] | |||
Finite-Lived Intangible Assets [Line Items] | |||
Finite-Lived Intangible Asset, Useful Life | 8 years | 9 years | |
Finite-Lived Intangible Assets, Gross | $ 581,669 | $ 57,316 | |
Finite-Lived Intangible Assets, Accumulated Amortization | 68,232 | 33,004 | |
Finite-Lived Intangible Assets, Net | $ 513,437 | $ 24,312 | |
Trademarks [Member] | |||
Finite-Lived Intangible Assets [Line Items] | |||
Finite-Lived Intangible Asset, Useful Life | 1 year | 4 years | |
Finite-Lived Intangible Assets, Gross | $ 5,425 | $ 425 | |
Finite-Lived Intangible Assets, Accumulated Amortization | 5,425 | 425 | |
Finite-Lived Intangible Assets, Net | $ 0 | $ 0 | |
Trade Names [Member] | |||
Finite-Lived Intangible Assets [Line Items] | |||
Finite-Lived Intangible Asset, Useful Life | 15 years | 15 years | |
Finite-Lived Intangible Assets, Gross | $ 18,253 | $ 18,260 | |
Finite-Lived Intangible Assets, Accumulated Amortization | 5,343 | 4,731 | |
Finite-Lived Intangible Assets, Net | $ 12,910 | $ 13,529 | |
Developed Technology Rights [Member] | |||
Finite-Lived Intangible Assets [Line Items] | |||
Finite-Lived Intangible Asset, Useful Life | 10 years | 13 years | |
Finite-Lived Intangible Assets, Gross | $ 584,070 | $ 152,893 | |
Finite-Lived Intangible Assets, Accumulated Amortization | 78,703 | 49,406 | |
Finite-Lived Intangible Assets, Net | $ 505,367 | $ 103,487 | |
Noncompete Agreements [Member] | |||
Finite-Lived Intangible Assets [Line Items] | |||
Finite-Lived Intangible Asset, Useful Life | 3 years | 3 years | |
Finite-Lived Intangible Assets, Gross | $ 9,100 | $ 9,100 | |
Finite-Lived Intangible Assets, Accumulated Amortization | 3,872 | 2,356 | |
Finite-Lived Intangible Assets, Net | $ 5,228 | $ 6,744 | |
[1]December 31, 2021 balances were derived from audited consolidated financial statements. |
Goodwill and Intangible Asset_5
Goodwill and Intangible Assets Text (Details) - USD ($) | 3 Months Ended | 6 Months Ended | ||
Jun. 30, 2022 | Jun. 30, 2021 | Jun. 30, 2022 | Jun. 30, 2021 | |
Goodwill and Intangible Assets Disclosure [Abstract] | ||||
Amortization of Intangible Assets | $ 41,600,000 | $ 5,800,000 | $ 73,300,000 | $ 11,600,000 |
Goodwill and Intangible Asset_6
Goodwill and Intangible Assets 5-Year Amortization (Details) - USD ($) $ in Thousands | Jun. 30, 2022 | Dec. 31, 2021 |
Goodwill and Intangible Assets Disclosure [Abstract] | ||
Finite-Lived Intangible Assets, Amortization Expense, Next Twelve Months | $ 65,893 | |
Finite-Lived Intangible Assets, Amortization Expense, Next Twelve Months | 136,217 | |
Finite-Lived Intangible Assets, Amortization Expense, Year Two | 135,578 | |
Finite-Lived Intangible Assets, Amortization Expense, Year Four | 127,922 | |
Finite-Lived Intangible Assets, Amortization Expense, Year Five | 127,384 | |
Finite-Lived Intangible Assets, Amortization Expense, Year Five | 119,279 | |
Finite-Lived Intangible Assets, Amortization Expense, after Year Five | 339,433 | |
Finite-Lived Intangible Assets, Net | $ 1,051,706 | $ 162,953 |
Accrued Liabilities (Details)
Accrued Liabilities (Details) - USD ($) $ in Thousands | Jun. 30, 2022 | Jan. 06, 2022 | Dec. 31, 2021 | |
Accrued Liabilities [Abstract] | ||||
Salaries and benefits | $ 56,453 | $ 27,304 | ||
Incentive compensation | 16,632 | 33,107 | ||
Operating Lease, Liability, Current | 19,929 | 9,009 | ||
Sales taxes | 7,012 | 1,980 | ||
Restructuring accrual | 6,963 | 664 | ||
UnfavorablecontractliabilityST | 35,009 | 12,646 | ||
Accrued other taxes | 2,840 | 4,337 | ||
Accrued Professional Fees | 10,271 | 773 | ||
Legal accrual | 3,921 | 3,897 | ||
Distribution Fees | 24,634 | 5,645 | ||
Warranties and returns | 546 | 532 | ||
Field service corrective action | 30,529 | 0 | ||
Accrued freight | 10,903 | 9,194 | ||
Other | 13,466 | 8,099 | ||
Accrued liabilities | 247,656 | 118,195 | [1] | |
Liability, Defined Benefit Plan, Current | 3,230 | 0 | ||
Accrued audit fees | 4,741 | 1,008 | ||
Product Liability Contingency [Line Items] | ||||
Product Liability Accrual, Component Amount | 53,900 | $ 55,100 | ||
Foreign Exchange | ||||
Accrued Liabilities [Abstract] | ||||
Derivative Liability, Current | 577 | 0 | ||
Derivative [Line Items] | ||||
Derivative Liability, Current | $ 577 | $ 0 | ||
[1]December 31, 2021 balances were derived from audited consolidated financial statements. |
Accrued Liabilities Long-term l
Accrued Liabilities Long-term liabilities (Details) - USD ($) $ in Thousands | Jun. 30, 2022 | Jan. 06, 2022 | Dec. 31, 2021 |
Accrued Liabilities [Abstract] | |||
Operating Lease, Liability, Noncurrent | $ 68,491 | $ 33,971 | |
Accrued Employee Benefits | 6,895 | 1,369 | |
Accrued Rent | 1,146 | 1,262 | |
Liabilities for contracts | 135 | 202 | |
Interest Rate Derivative Liabilities, at Fair Value | 0 | 1,480 | |
Finance Lease, Liability, Noncurrent | 1,741 | 2,067 | |
Other Accrued Liabilities, Noncurrent | 3,128 | 1,479 | |
OTHER LONG-TERM LIABILITIES | 128,200 | 41,830 | |
Product Liability Accrual, Component Amount | 53,900 | $ 55,100 | |
Product Liability Contingency [Line Items] | |||
Product Liability Accrual, Component Amount | 53,900 | $ 55,100 | |
Contract with Customer, Liability, Noncurrent | 23,229 | 0 | |
Long Term | |||
Accrued Liabilities [Abstract] | |||
Product Liability Accrual, Component Amount | 23,385 | 0 | |
Product Liability Contingency [Line Items] | |||
Product Liability Accrual, Component Amount | 23,385 | 0 | |
Foreign Exchange | |||
Accrued Liabilities [Abstract] | |||
Derivative Liability, Noncurrent | 50 | 0 | |
Derivative [Line Items] | |||
Derivative Liability, Noncurrent | $ 50 | $ 0 |
Income Taxes Effective tax rate
Income Taxes Effective tax rate (Details) - USD ($) | 3 Months Ended | 6 Months Ended | ||
Jun. 30, 2022 | Jun. 30, 2021 | Jun. 30, 2022 | Jun. 30, 2021 | |
Income Tax Disclosure [Abstract] | ||||
Effective Income Tax Rate | 56% | 18% | 36% | 16% |
Effective Income Tax Rate Reconciliation, at Federal Statutory Income Tax Rate, Percent | 21% | 21% | ||
Share-based Payment Arrangement, Expense, Tax Benefit | $ 0 | $ 400,000 | $ 2,600,000 | $ 2.2 |
contingent consideration, tax expense | $ 0 | $ 0 |
Long-Term Obligations (Details)
Long-Term Obligations (Details) $ in Thousands | 3 Months Ended |
Jun. 30, 2022 USD ($) | |
Debt Instrument [Line Items] | |
TotalSeniorSecuredCreditFacility | $ 2,200,000 |
Long-term Debt, Gross | 1,681,875 |
Revolver Sub limits | 50,000 |
Debt Issuance Costs, Gross | 37,800 |
Leverage Ratio Calculation Ceiling Subtracted Amount | 500,000 |
Term Loan A | |
Debt Instrument [Line Items] | |
Proceeds from Issuance of Debt | 850,000 |
Long-term Debt, Gross | 834,000 |
Debt Issuance Costs, Gross | 15,800 |
Long-term Debt | $ 834,200 |
Debt Instrument, Maturity Date | Jan. 06, 2027 |
Term Loan B | |
Debt Instrument [Line Items] | |
Proceeds from Issuance of Debt | $ 850,000 |
Long-term Debt, Gross | 847,875 |
Debt Issuance Costs, Gross | 13,400 |
Long-term Debt | $ 836,600 |
Debt Instrument, Maturity Date | Jan. 06, 2029 |
Revolving Credit Facility | |
Debt Instrument [Line Items] | |
Long-term Debt, Gross | $ 500,000 |
Debt Issuance Costs, Gross | $ 8,700 |
Long-Term Obligations Interest
Long-Term Obligations Interest Rate Terms (Details) | 3 Months Ended |
Jun. 30, 2022 | |
Debt Disclosure [Abstract] | |
Interest Percentage Added to Federal Funds Rate | 0.0050 |
Interest Percentage Added to Base Rate | 0.0100 |
Ter SOFR Interest Rate % Adjustment for Base Rate Loans | 0.0010 |
Line of Credit Facility, Commitment Fee Percentage | 0.25% |
Applicable Margin Based on Leverage Ratio [Line Items] | |
Line of Credit Facility, Commitment Fee Percentage | 0.25% |
Maximum [Member] | |
Debt Disclosure [Abstract] | |
Term SOFR Adjustment Interest Rate Adjustment Term SOFR Loans | 0.0025 |
Applicable Margin Based on Leverage Ratio [Line Items] | |
Term SOFR Adjustment Interest Rate Adjustment Term SOFR Loans | 0.0025 |
Minimum [Member] | |
Debt Disclosure [Abstract] | |
Term SOFR Adjustment Interest Rate Adjustment Term SOFR Loans | 0.0010 |
Applicable Margin Based on Leverage Ratio [Line Items] | |
Term SOFR Adjustment Interest Rate Adjustment Term SOFR Loans | 0.0010 |
greaterthan 4to1 | |
Debt Disclosure [Abstract] | |
Line of Credit Facility, Commitment Fee Percentage | 0.35% |
Applicable Margin Based on Leverage Ratio [Line Items] | |
Line of Credit Facility, Commitment Fee Percentage | 0.35% |
lessthan4to1butgreaterthan3to1 | |
Debt Disclosure [Abstract] | |
Line of Credit Facility, Commitment Fee Percentage | 0.30% |
Applicable Margin Based on Leverage Ratio [Line Items] | |
Line of Credit Facility, Commitment Fee Percentage | 0.30% |
lessthanorequal3to1butgreaterthan2point5to1 | |
Debt Disclosure [Abstract] | |
Line of Credit Facility, Commitment Fee Percentage | 0.25% |
Applicable Margin Based on Leverage Ratio [Line Items] | |
Line of Credit Facility, Commitment Fee Percentage | 0.25% |
lessthanorequalto2point5to1butgreaterthan2to1 | |
Debt Disclosure [Abstract] | |
Line of Credit Facility, Commitment Fee Percentage | 0.20% |
Applicable Margin Based on Leverage Ratio [Line Items] | |
Line of Credit Facility, Commitment Fee Percentage | 0.20% |
lessthanorequalto2to1 | |
Debt Disclosure [Abstract] | |
Line of Credit Facility, Commitment Fee Percentage | 0.15% |
Applicable Margin Based on Leverage Ratio [Line Items] | |
Line of Credit Facility, Commitment Fee Percentage | 0.15% |
Term Loan A | |
Debt Disclosure [Abstract] | |
Applicable Margin Base Rate Loans | 0.0075 |
Applicable Margin Term SOFR Loans | 0.0175 |
Applicable Margin Based on Leverage Ratio [Line Items] | |
Applicable Margin Base Rate Loans | 0.0075 |
Applicable Margin Term SOFR Loans | 0.0175 |
Term Loan A | greaterthan 4to1 | |
Debt Disclosure [Abstract] | |
Applicable Margin Base Rate Loans | 0.0125 |
Applicable Margin Term SOFR Loans | 0.0225 |
Applicable Margin Based on Leverage Ratio [Line Items] | |
Applicable Margin Base Rate Loans | 0.0125 |
Applicable Margin Term SOFR Loans | 0.0225 |
Term Loan A | lessthan4to1butgreaterthan3to1 | |
Debt Disclosure [Abstract] | |
Applicable Margin Base Rate Loans | 0.0100 |
Applicable Margin Term SOFR Loans | 0.0200 |
Applicable Margin Based on Leverage Ratio [Line Items] | |
Applicable Margin Base Rate Loans | 0.0100 |
Applicable Margin Term SOFR Loans | 0.0200 |
Term Loan A | lessthanorequal3to1butgreaterthan2point5to1 | |
Debt Disclosure [Abstract] | |
Applicable Margin Base Rate Loans | 0.0075 |
Applicable Margin Term SOFR Loans | 0.0175 |
Applicable Margin Based on Leverage Ratio [Line Items] | |
Applicable Margin Base Rate Loans | 0.0075 |
Applicable Margin Term SOFR Loans | 0.0175 |
Term Loan A | lessthanorequalto2point5to1butgreaterthan2to1 | |
Debt Disclosure [Abstract] | |
Applicable Margin Base Rate Loans | 0.0050 |
Applicable Margin Term SOFR Loans | 0.0150 |
Applicable Margin Based on Leverage Ratio [Line Items] | |
Applicable Margin Base Rate Loans | 0.0050 |
Applicable Margin Term SOFR Loans | 0.0150 |
Term Loan A | lessthanorequalto2to1 | |
Debt Disclosure [Abstract] | |
Applicable Margin Base Rate Loans | 0.0025 |
Applicable Margin Term SOFR Loans | 0.0125 |
Applicable Margin Based on Leverage Ratio [Line Items] | |
Applicable Margin Base Rate Loans | 0.0025 |
Applicable Margin Term SOFR Loans | 0.0125 |
Term Loan B | |
Debt Disclosure [Abstract] | |
Applicable Margin Base Rate Loans | 0.015 |
Applicable Margin Term SOFR Loans | 0.025 |
Applicable Margin Based on Leverage Ratio [Line Items] | |
Applicable Margin Base Rate Loans | 0.015 |
Applicable Margin Term SOFR Loans | 0.025 |
Term Loan B | greaterthan2point75to1 | |
Debt Disclosure [Abstract] | |
Applicable Margin Base Rate Loans | 0.0150 |
Applicable Margin Term SOFR Loans | 0.0250 |
Applicable Margin Based on Leverage Ratio [Line Items] | |
Applicable Margin Base Rate Loans | 0.0150 |
Applicable Margin Term SOFR Loans | 0.0250 |
Term Loan B | lessthan2point75to1 | |
Debt Disclosure [Abstract] | |
Applicable Margin Base Rate Loans | 0.0125 |
Applicable Margin Term SOFR Loans | 0.0225 |
Applicable Margin Based on Leverage Ratio [Line Items] | |
Applicable Margin Base Rate Loans | 0.0125 |
Applicable Margin Term SOFR Loans | 0.0225 |
Long-Term Obligations Terminate
Long-Term Obligations Terminated Credit Agreement (Details) $ in Millions | 6 Months Ended |
Jun. 30, 2022 USD ($) | |
Debt Disclosure [Abstract] | |
Line of Credit Facility, Maximum Borrowing Capacity | $ 150 |
Line of Credit Facility, Expiration Date | Nov. 08, 2022 |
Line of Credit, Current | $ 0 |
Long-Term Obligations Table (De
Long-Term Obligations Table (Details) - USD ($) | 3 Months Ended | |
Jun. 30, 2022 | Dec. 31, 2021 | |
Debt Instrument [Line Items] | ||
Long-term Debt, Gross | $ 1,681,875,000 | |
Line of Credit Facility, Fair Value of Amount Outstanding | 0 | |
Debt Instrument, Unamortized Discount (Premium) and Debt Issuance Costs, Net | (26,783,000) | |
Debt, Long-term and Short-term, Combined Amount | 1,655,092,000 | |
Debt, Current | 19,063,000 | |
Long-term Debt, Excluding Current Maturities | 1,636,029,000 | $ 0 |
Revolving Credit Facility | ||
Debt Instrument [Line Items] | ||
Long-term Debt, Gross | $ 500,000,000 | |
Debt Instrument, Interest Rate During Period | 0% | |
Term Loan A | ||
Debt Instrument [Line Items] | ||
Long-term Debt, Gross | $ 834,000,000 | |
Debt Instrument, Unamortized Discount (Premium) and Debt Issuance Costs, Net | $ 14,200,000 | |
Debt Instrument, Interest Rate During Period | 4.44% | |
Term Loan B | ||
Debt Instrument [Line Items] | ||
Long-term Debt, Gross | $ 847,875,000 | |
Debt Instrument, Unamortized Discount (Premium) and Debt Issuance Costs, Net | $ 12,600,000 | |
Debt Instrument, Interest Rate During Period | 5.11% |
Long-Term Obligations Schedule
Long-Term Obligations Schedule of Maturities (Details) $ in Thousands | Jun. 30, 2022 USD ($) |
LOng-Term Obligations Disclosure [Abstract] | |
Long-Term Debt, Maturity, Remainder of Fiscal Year | $ 4,250 |
Long-Term Debt, Maturity, Year One | 29,750 |
Long-Term Debt, Maturity, Year Two | 51,000 |
Long-Term Debt, Maturity, Year Three | 51,000 |
Long-Term Debt, Maturity, Year Four | 72,250 |
Long-Term Debt, Maturity, Year Five | 672,500 |
Long-Term Debt, Maturity, after Year Five | 801,125 |
Long-term Debt, Gross | $ 1,681,875 |
Long-Term Obligations Interes_2
Long-Term Obligations Interest Expense (Details) - USD ($) | 3 Months Ended | 6 Months Ended | ||
Jun. 30, 2022 | Jun. 30, 2021 | Jun. 30, 2022 | Jun. 30, 2021 | |
Debt Disclosure [Abstract] | ||||
Interest Expense, Debt, Excluding Amortization | $ 12,622,000 | $ 0 | $ 22,639,000 | $ 0 |
Amortization of Debt Issuance Costs and Discounts | 1,799,000 | 72,000 | 3,442,000 | 144,000 |
Line of Credit Facility, Commitment Fee Amount | 309,000 | 57,000 | 661,000 | 113,000 |
Interest Expense, Debt | $ 14,730,000 | $ 129,000 | $ 26,742,000 | $ 257,000 |
Long-Term Obligations Principal
Long-Term Obligations Principal Payment (Details) | 3 Months Ended | 6 Months Ended |
Jun. 30, 2022 USD ($) | Jun. 30, 2022 USD ($) | |
Debt Disclosure [Abstract] | ||
Term A principal payment % First 2 Years | 0.0250 | 0.0250 |
Term A Principal Payment % Year 3 and 4 | 0.0500 | 0.0500 |
Term A Principal Payment % in Year 5 | 0.0750 | 0.0750 |
Term Loan B Principal Payment % | 0.0025 | 0.0025 |
Debt Instrument, Periodic Payment, Principal | $ 16,000,000 | $ 18,100,000 |
Commitments and Contingencies C
Commitments and Contingencies Contingency (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended | |
Jun. 30, 2022 | Jun. 30, 2022 | Jan. 06, 2022 | |
Business Acquisition, Contingent Consideration [Line Items] | |||
Contingent Consideration, Gross ST | $ 1,000 | ||
Contingent Consideration, Gross LT | 1,500 | ||
Product Liability Accrual, Component Amount | 53,900 | $ 53,900 | $ 55,100 |
SmithsMedical | |||
Business Acquisition, Contingent Consideration [Line Items] | |||
contingent consideration gross | 100,000 | ||
Business Combination, Contingent Consideration, Liability | 26,100 | 26,100 | $ 53,500 |
Foreign Infusion System Supplier | |||
Business Acquisition, Contingent Consideration [Line Items] | |||
contingent consideration gross | 2,500 | ||
Contingent Consideration, Gross ST | 1,000 | ||
Contingent Consideration, Gross LT | 1,500 | ||
Business Combination, Contingent Consideration, Liability | 1,700 | 1,700 | |
International Distributor | |||
Business Acquisition, Contingent Consideration [Line Items] | |||
contingent consideration gross | 6,000 | ||
Business Combination, Contingent Consideration, Liability | $ 2,600 | $ 2,600 |
Collaborative and Other Arran_2
Collaborative and Other Arrangements (Details) $ in Millions | Jun. 30, 2022 USD ($) |
Organization, Consolidation and Presentation of Financial Statements [Abstract] | |
Purchase Commitment, Remaining Minimum Amount Committed | $ 29.6 |
Equity (Details)
Equity (Details) $ in Thousands | 3 Months Ended | 6 Months Ended | |
Jun. 30, 2022 USD ($) | Jun. 30, 2022 USD ($) shares | Jun. 30, 2021 USD ($) shares | |
Equity [Abstract] | |||
Treasury Stock Purchase Plan | $ 100,000 | $ 100,000 | |
Stock Repurchase Program, Remaining Authorized Repurchase Amount | $ 100,000 | $ 100,000 | |
Share-based Payment Arrangement, Shares Withheld for Tax Withholding Obligation | shares | 44,759 | 37,882 | |
Payment, Tax Withholding, Share-based Payment Arrangement | $ 10,438 | $ 7,819 | |
Smiths Group Ownership % Acquisition Shares Issued | 0.105 | 0.105 | |
Smiths Group Ownership % Required for Board Representation | 0.050 |
Equity Accumulated Other Compre
Equity Accumulated Other Comprehensive Income (Loss) (Details) - USD ($) $ in Thousands | 3 Months Ended | 6 Months Ended | |||||||
Jun. 30, 2022 | Mar. 31, 2022 | Jun. 30, 2021 | Mar. 31, 2021 | Jun. 30, 2022 | Jun. 30, 2021 | Dec. 31, 2021 | Dec. 31, 2020 | ||
Accumulated Other Comprehensive Income (Loss) [Line Items] | |||||||||
Accumulated other comprehensive loss | $ (92,275) | $ (628) | $ (8,951) | $ (9,913) | $ (92,275) | $ (8,951) | $ (19,269) | [1] | $ (1,522) |
Other Comprehensive Income (Loss), before Reclassifications, Net of Tax | (89,546) | 20,851 | 1,649 | (7,752) | |||||
Reclassification from Accumulated Other Comprehensive Income, Current Period, Net of Tax | (2,101) | (2,210) | (687) | (639) | |||||
Other Comprehensive income (loss), net of Tax | (91,647) | 18,641 | 962 | (8,391) | (73,006) | (7,429) | |||
Accumulated Foreign Currency Adjustment Attributable to Parent [Member] | |||||||||
Accumulated Other Comprehensive Income (Loss) [Line Items] | |||||||||
Accumulated other comprehensive loss | (123,796) | (23,991) | (10,537) | (11,839) | (123,796) | (10,537) | (19,045) | (4,381) | |
Other Comprehensive Income (Loss), before Reclassifications, Net of Tax | (99,805) | (4,946) | 1,302 | (7,458) | |||||
Reclassification from Accumulated Other Comprehensive Income, Current Period, Net of Tax | 0 | 0 | 0 | 0 | |||||
Other Comprehensive income (loss), net of Tax | (99,805) | (4,946) | 1,302 | (7,458) | |||||
Accumulated Net Gain (Loss) from Cash Flow Hedges Attributable to Parent [Member] | |||||||||
Accumulated Other Comprehensive Income (Loss) [Line Items] | |||||||||
Accumulated other comprehensive loss | 31,479 | 23,335 | 1,487 | 1,839 | 31,479 | 1,487 | (237) | 2,784 | |
Other Comprehensive Income (Loss), before Reclassifications, Net of Tax | 10,245 | 25,782 | 335 | (306) | |||||
Reclassification from Accumulated Other Comprehensive Income, Current Period, Net of Tax | (2,101) | (2,210) | (687) | (639) | |||||
Other Comprehensive income (loss), net of Tax | 8,144 | 23,572 | (352) | (945) | |||||
Accumulated Defined Benefit Plans Adjustment Attributable to Parent [Member] | |||||||||
Accumulated Other Comprehensive Income (Loss) [Line Items] | |||||||||
Accumulated other comprehensive loss | 42 | 28 | 99 | 87 | $ 42 | $ 99 | $ 13 | $ 75 | |
Other Comprehensive Income (Loss), before Reclassifications, Net of Tax | 14 | 15 | 12 | 12 | |||||
Reclassification from Accumulated Other Comprehensive Income, Current Period, Net of Tax | 0 | 0 | 0 | 0 | |||||
Other Comprehensive income (loss), net of Tax | $ 14 | $ 12 | $ 12 | ||||||
Other Comprehensive (Income) Loss, Defined Benefit Plan, after Tax and Reclassification Adjustment, Attributable to Parent | $ 15 | ||||||||
[1]December 31, 2021 balances were derived from audited consolidated financial statements. |