v3.25.4
Segment and Geographic Data (Sales And Other Financial Information By Business Segment) (Details)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2025
USD ($)
Sep. 30, 2025
USD ($)
Jun. 30, 2025
USD ($)
Mar. 31, 2025
USD ($)
Dec. 31, 2024
USD ($)
Sep. 30, 2024
USD ($)
Jun. 30, 2024
USD ($)
Mar. 31, 2024
USD ($)
Dec. 31, 2025
USD ($)
segment
Dec. 31, 2024
USD ($)
Dec. 31, 2023
USD ($)
Segment Reporting [Abstract]                      
Number of reportable segments | segment                 2    
Segment Reporting Information [Line Items]                      
Number of reportable segments | segment                 2    
Net sales $ 7,171,000 $ 6,057,000 $ 6,022,000 $ 5,866,000 $ 6,436,000 $ 5,494,000 $ 5,422,000 $ 5,243,000 $ 25,116,000 $ 22,595,000 $ 20,498,000
Cost of sales                 9,051,000 8,155,000 7,440,000
Research, development and engineering expenses                 1,623,000 1,466,000 1,388,000
Selling, general and administrative expenses                 8,651,000 7,685,000 7,111,000
Depreciation and amortization                 1,570,000 1,426,000 1,341,000
Amortization of intangible assets                 (732,000) (623,000) (635,000)
Segment net earnings (loss)                 4,889,000 3,689,000 3,888,000
Sale of inventory stepped up to fair value at acquisition                 (173,000) (46,000) 0
Goodwill and other impairments                 (170,000) (977,000) (36,000)
Net earnings $ 849,000 $ 859,000 $ 884,000 $ 654,000 $ 546,000 $ 834,000 $ 825,000 $ 788,000 3,246,000 2,993,000 3,165,000
MedSurg and Neurotechnology                      
Segment Reporting Information [Line Items]                      
Net sales                 15,647,000 13,518,000 12,163,000
Operating Segments                      
Segment Reporting Information [Line Items]                      
Net sales                 25,116,000 22,595,000 20,498,000
Cost of sales                 8,429,000 7,720,000 7,130,000
Research, development and engineering expenses                 1,472,000 1,324,000 1,210,000
Selling, general and administrative expenses                 7,063,000 6,314,000 5,856,000
Depreciation and amortization                 660,000 641,000 567,000
Amortization of intangible assets                 (732,000) (623,000) (635,000)
Segment net earnings (loss)                 7,492,000 6,595,000 5,735,000
Operating Segments | MedSurg and Neurotechnology                      
Segment Reporting Information [Line Items]                      
Net sales                 15,647,000 13,518,000 12,163,000
Cost of sales                 5,859,000 5,320,000 4,876,000
Research, development and engineering expenses                 948,000 784,000 702,000
Selling, general and administrative expenses                 3,931,000 3,203,000 2,934,000
Depreciation and amortization                 237,000 208,000 181,000
Segment net earnings (loss)                 4,672,000 4,004,000 3,470,000
Operating Segments | Orthopaedics                      
Segment Reporting Information [Line Items]                      
Net sales                 9,469,000 9,077,000 8,335,000
Cost of sales                 2,570,000 2,400,000 2,254,000
Research, development and engineering expenses                 524,000 540,000 508,000
Selling, general and administrative expenses                 3,132,000 3,111,000 2,922,000
Depreciation and amortization                 423,000 433,000 386,000
Segment net earnings (loss)                 2,820,000 2,591,000 2,265,000
Corporate and Other                      
Segment Reporting Information [Line Items]                      
Depreciation and amortization                 178,000 162,000 139,000
Segment operating income                 (889,000) (880,000) (780,000)
Segment Reporting, Reconciling Item, Excluding Corporate Nonsegment                      
Segment Reporting Information [Line Items]                      
Sale of inventory stepped up to fair value at acquisition                 (173,000) (46,000) 0
Acquisition and integration-related charges                 (335,000) (108,000) (20,000)
Structural optimization and other special charges                 (191,000) (138,000) (170,000)
Medical device regulation                 (38,000) (58,000) (96,000)
Recall-related matters                 (58,000) (40,000) (18,000)
Regulatory and legal matters                 (17,000) (36,000) (92,000)
Net earnings                 $ 4,889,000 $ 3,689,000 $ 3,888,000