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General and Summary of Significant Accounting Policies (Tables)
12 Months Ended
Dec. 31, 2019
Accounting Policies [Abstract]  
Schedule of Inventory, Current [Table Text Block]
Inventories consist of the following at December 31 (in thousands):
 
2019
 
2018
Raw materials
$
119,709

 
$
104,104

Work in process
39,515

 
52,909

Finished goods
178,416

 
154,150

Total
$
337,640

 
$
311,163


Property, Plant and Equipment [Table Text Block]
Property, plant and equipment consist of the following at December 31 (in thousands): 
 
2019
 
2018
Machinery and equipment
$
219,057

 
$
203,431

Land, building and building improvements
230,454

 
212,283

Molds
60,155

 
59,700

Computer equipment and software
83,217

 
80,420

Furniture and fixtures
7,498

 
7,409

Instruments placed with customers1

74,434

 
60,757

Construction in progress
101,425

 
70,864

Total property, plant and equipment, cost
776,240

 
694,864

Accumulated depreciation
(320,155
)
 
(262,223
)
Net property, plant and equipment
$
456,085

 
$
432,641

______________________________
1Instruments placed with customers consist of drug-delivery and monitoring systems placed with customer under operating leases.

All property, plant and equipment are stated at cost.  We use the straight-line method for depreciating property, plant and equipment over their estimated useful lives.  Estimated useful lives are:
Buildings
15 - 30 years
Building improvements
15 - 30 years
Machinery, equipment and molds
2 - 15 years
Furniture, fixtures and office equipment
2 - 5 years
Computer equipment and software
3 - 5 years
Instruments placed with customers

3 - 10 years

Schedule of Intangible Assets and Goodwill [Table Text Block]
The following table presents the changes in the carrying amount of our goodwill for 2019, 2018 and 2017 (in thousands):
 
 
Total
Balance as of January 1, 2017
 
$
5,577

Goodwill acquired(1)
 
6,536

Other
 
244

Balance as of December 31, 2017
 
12,357

Goodwill acquired(2)
 
1,300

Other(3)
 
(2,462
)
Balance as of December 31, 2018
 
11,195

Goodwill acquired(4)
 
20,026

Other
 
24

Balance as of December 31, 2019
 
$
31,245

  ______________________________
(1) In 2017, the goodwill acquired primarily relates to our acquisition of Medical Australia Limited ("MLA").
(2) In 2018, we acquired the consulting arm of a small software company, which resulted in $1.3 million of goodwill.

(3) In 2018, "Other" relates to a $1.9 million measurement period adjustment on our MLA acquisition and foreign currency translation.

(4) In 2019, we acquired Pursuit Vascular, Inc. ("Pursuit"), which resulted in $19.1 million of goodwill. We also acquired a small foreign distributor, which resulted in $0.9 million of goodwill.

Intangible Assets
 
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
 
December 31, 2019
 
 
 
Cost
 
Accumulated
Amortization
 
Net
Patents
 
10
 
$
22,322

 
$
13,519

 
$
8,803

Customer contracts
 
12
 
10,122

 
5,506

 
4,616

Non-contractual customer relationships
 
9
 
57,296

 
19,787

 
37,509

Trademarks
 
4
 
425

 
425

 

Trade name
 
15
 
18,256

 
2,254

 
16,002

Developed technology
 
13
 
152,354

 
24,228

 
128,126

Non-compete
 
3
 
2,500

 
139

 
2,361

    Total amortized intangible assets

 
 
 
$
263,275

 
$
65,858

 
$
197,417

 
 
 
 
 
 
 
 
 
Internally developed software*
 
 
 
$
13,991

 
 
 
$
13,991

 
 
 
 
 
 
 
 
 
Total intangible assets
 
 
 
$
277,266

 
$
65,858

 
$
211,408

 ____________________________
* Internally developed software will be amortized when the projects are complete and the assets are ready for their intended use.

 
 
Weighted
Average
 
December 31, 2018
 
 
Amortization
Life in Years
 
Cost
 
Accumulated
Amortization
 
Net
Patents
 
10
 
$
19,399

 
$
12,147

 
$
7,252

Customer contracts
 
9
 
5,319

 
5,272

 
47

Non-contractual customer relationships
 
9
 
57,916

 
13,363

 
44,553

Trademarks
 
4
 
425

 
425

 

Trade name
 
15
 
7,456

 
1,618

 
5,838

Developed technology
 
11
 
82,857

 
15,361

 
67,496

Total
 
 
 
$
173,372

 
$
48,186

 
$
125,186

 
 
 
 
 
 
 
 
 
Internally developed software*
 
 
 
$
8,235

 
 
 
$
8,235

 
 
 
 
 
 
 
 
 
Total intangible assets
 
 
 
$
181,607

 
$
48,186

 
$
133,421


Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block]
As of December 31, 2019 estimated annual amortization for our intangible assets for each of the next five years is approximately (in thousands):
2020
 
$
21,692

2021
 
22,587

2022
 
22,303

2023
 
21,461

2024
 
21,371

Thereafter
 
88,003

Total
 
$
197,417


Available-for-sale Securities [Table Text Block]

Our investment securities consist of the following (in thousands):
 
December 31, 2019
 
Amortized Cost
 
Unrealized Holding Gains (Losses)
 
Fair Value
Short-term corporate bonds
23,967

 
$

 
$
23,967

Long-term corporate bonds

 

 

Total investment securities
$
23,967

 
$

 
$
23,967

 
 
 
 
 
 
 
December 31, 2018
 
Amortized Cost
 
Unrealized Holding Gains (Losses)
 
Fair Value
Short-term corporate bonds
$
37,329

 
$

 
$
37,329

Long-term corporate bonds
2,025

 

 
2,025

Total investment securities
$
39,354

 
$

 
$
39,354


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): 
 
 
Year ended December 31,
(in thousands, except per share data)
 
 
2019

2018

2017
Net income
 
$
101,035

 
$
28,793

 
$
68,644

Weighted average number of common shares outstanding (basic)
 
20,629

 
20,394

 
19,614

Dilutive securities
 
916

 
1,207

 
1,244

Weighted average common and common equivalent shares outstanding (diluted)
 
21,545

 
21,601

 
20,858

EPS - basic
 
$
4.90

 
$
1.41

 
$
3.50

EPS - diluted
 
$
4.69

 
$
1.33

 
$
3.29