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Pay vs Performance Disclosure
12 Months Ended
Dec. 31, 2022
USD ($)
Dec. 31, 2021
USD ($)
Dec. 31, 2020
USD ($)
Pay vs Performance Disclosure [Table]      
Pay vs Performance [Table Text Block]
PAY VERSUS PERFORMANCE
The following table reports the compensation of our principal executive officer (PEO) and the average compensation of the other named executive officers (Non-PEO NEOs) as reported in the Summary Compensation Table for the past three fiscal years, as well as their “compensation actually paid” as calculated pursuant to recently adopted SEC rules and certain performance measures required by the rules. The Compensation Committee does not utilize “compensation actually paid” as the basis for making compensation decisions. For further information concerning our compensation philosophy and how we align executive compensation with our performance, see the “Compensation Discussion and Analysis” section of this proxy statement.
 
                           
Value of Initial Fixed $100
Investment Based On:
             
Year
 
Summary
Compensation
Table (“SCT”)

Total for PEO

(1)
   
Compensation
Actually Paid to
PEO

(1)(2)
   
Average SCT
Total for
Non-PEO

NEOs

(3)
   
Average
Compensation
Actually Paid to
Non-PEO

NEOs

(3)(4)
   
Total
Shareholder
Return
   
Peer Group
Total
Shareholder
Return

(5)
   
Net Income
   
Constant Currency
Revenue

(6)
 
2022
    $8,190,461       $4,544,685       $2,047,296       $1,347,223       $67.16       $112.36       $363,139,000       $2,842,500,000  
2021
    $8,673,634       $4,238,150       $2,074,095       $1,231,022       $87.92       $142.45       $485,374,000       $2,811,700,000  
2020
    $6,328,349       $4,827,257       $1,603,056       $1,215,470       $109.75       $118.81       $335,324,000       $2,519,600,000  
 
(1)
Liam J. Kelly was our principal executive officer in each of 2022, 2021 and 2020.
 
(2)
The amounts set forth in this column were calculated by making the following adjustments to the amounts set forth in the “Summary Compensation Table (“SCT”) Total for PEO” column:
 
     2022      2021      2020  
Deductions for amounts reported under the “Stock Awards” column of the SCT
     $2,683,159        $2,664,264        $1,975,833  
Deductions for amounts reported under the “Option Awards” column of the SCT
     $3,502,779        $3,000,606        $2,343,414  
Increase for fair value of awards granted during year that remain outstanding and unvested as of year end
     $4,247,471        $4,025,539        $5,248,152  
Increase/deduction for change in fair value from prior year end to current year end of awards granted prior to year that were outstanding and unvested as of year end
     $(2,033,539)        $(2,366,658)        $(1,025,440)  
Increase/deduction for change in fair value from prior year end to vesting date of awards granted prior to year that vested during year
     $326,230        $(429,495)        $(1,404,556)  
 
(3)
Our named executive officers, other than our principal executive officer, for (a) 2022 and 2021 were Thomas E. Powell, Jay K. White, Cameron P. Hicks and James P. Winters; and (b) 2020 were Thomas E. Powell, James J. Leyden, Cameron P. Hicks and James P. Winters.
 
(4)
The amounts set forth in this column were calculated by making the following adjustments to the amounts set forth in the “Average SCT Total for
Non-PEO
NEOs” column:
 
     2022      2021      2020  
Deductions for change in the actuarial present values reported under the “Change in Pension Value and Nonqualified Deferred Compensation” column of the SCT
                   $3,306  
Deductions for amounts reported under the “Stock Awards” column of the SCT
     $556,786        $481,872        $412,719  
Deductions for amounts reported under the “Option Awards” column of the SCT
     $726,798        $542,719        $489,640  
Increase for fair value of awards granted during year that remain outstanding and unvested as of year end
     $881,351        $728,082        $1,096,461  
Increase/deduction for change in fair value from prior year end to current year end of awards granted prior to year that were outstanding and unvested as of year end
     $(362,564)        $(468,507)        $(187,684)  
Increase/deduction for change in fair value from prior year end to vesting date of awards granted prior to year that vested during year
     $64,724        $(78,058)        $(390,698)  
 
(5)
The peer group used to determine the total shareholder return values included in this column was the S&P 500 Healthcare Equipment & Supply Index. Total shareholder return (TSR) is cumulative for the measurement periods beginning on December 31, 2019 and ending on the last fiscal day in 2022, 2021 and 2020, respectively, calculated in accordance with Item 201(e) of Regulation S-K.
 
(6)
Constant Currency Revenue is the amount of our consolidated revenues for a given year, adjusted to eliminate the effect of foreign currency exchange rate fluctuations for such year.
   
Company Selected Measure Name Constant Currency Revenue    
Named Executive Officers, Footnote [Text Block] Our named executive officers, other than our principal executive officer, for (a) 2022 and 2021 were Thomas E. Powell, Jay K. White, Cameron P. Hicks and James P. Winters; and (b) 2020 were Thomas E. Powell, James J. Leyden, Cameron P. Hicks and James P. Winters.    
Peer Group Issuers, Footnote [Text Block] The peer group used to determine the total shareholder return values included in this column was the S&P 500 Healthcare Equipment & Supply Index.    
PEO Total Compensation Amount $ 8,190,461 $ 8,673,634 $ 6,328,349
PEO Actually Paid Compensation Amount $ 4,544,685 4,238,150 4,827,257
Adjustment To PEO Compensation, Footnote [Text Block]
(2)
The amounts set forth in this column were calculated by making the following adjustments to the amounts set forth in the “Summary Compensation Table (“SCT”) Total for PEO” column:
 
     2022      2021      2020  
Deductions for amounts reported under the “Stock Awards” column of the SCT
     $2,683,159        $2,664,264        $1,975,833  
Deductions for amounts reported under the “Option Awards” column of the SCT
     $3,502,779        $3,000,606        $2,343,414  
Increase for fair value of awards granted during year that remain outstanding and unvested as of year end
     $4,247,471        $4,025,539        $5,248,152  
Increase/deduction for change in fair value from prior year end to current year end of awards granted prior to year that were outstanding and unvested as of year end
     $(2,033,539)        $(2,366,658)        $(1,025,440)  
Increase/deduction for change in fair value from prior year end to vesting date of awards granted prior to year that vested during year
     $326,230        $(429,495)        $(1,404,556)  
   
Non-PEO NEO Average Total Compensation Amount $ 2,047,296 2,074,095 1,603,056
Non-PEO NEO Average Compensation Actually Paid Amount $ 1,347,223 1,231,022 1,215,470
Adjustment to Non-PEO NEO Compensation Footnote [Text Block]
(4)
The amounts set forth in this column were calculated by making the following adjustments to the amounts set forth in the “Average SCT Total for
Non-PEO
NEOs” column:
 
     2022      2021      2020  
Deductions for change in the actuarial present values reported under the “Change in Pension Value and Nonqualified Deferred Compensation” column of the SCT
                   $3,306  
Deductions for amounts reported under the “Stock Awards” column of the SCT
     $556,786        $481,872        $412,719  
Deductions for amounts reported under the “Option Awards” column of the SCT
     $726,798        $542,719        $489,640  
Increase for fair value of awards granted during year that remain outstanding and unvested as of year end
     $881,351        $728,082        $1,096,461  
Increase/deduction for change in fair value from prior year end to current year end of awards granted prior to year that were outstanding and unvested as of year end
     $(362,564)        $(468,507)        $(187,684)  
Increase/deduction for change in fair value from prior year end to vesting date of awards granted prior to year that vested during year
     $64,724        $(78,058)        $(390,698)  
   
Compensation Actually Paid vs. Net Income [Text Block]
LOGO
 
   
Compensation Actually Paid vs. Company Selected Measure [Text Block]
LOGO
 
   
Total Shareholder Return Vs Peer Group [Text Block]
 
LOGO
 
*
Peer group used to determine total shareholder return values included in this graph was the S&P 500 Healthcare Equipment & Supply Index.
   
Tabular List [Table Text Block]
Financial Performance Measures
The most important financial performance measures we use to link compensation actually paid to our Named Executives Officers, for the most recently completed fiscal year, to company performance are as follows:
 
   
Constant Currency Revenue
 
   
Adjusted Earnings Per Share
 
   
Adjusted Operating Cash Flow
   
Total Shareholder Return Amount $ 67.16 87.92 109.75
Peer Group Total Shareholder Return Amount 112.36 142.45 118.81
Net Income (Loss) $ 363,139,000 $ 485,374,000 $ 335,324,000
Company Selected Measure Amount 2,842,500,000 2,811,700,000 2,519,600,000
PEO Name Liam J. Kelly    
Measure [Axis]: 1      
Pay vs Performance Disclosure [Table]      
Measure Name Constant Currency Revenue    
Measure [Axis]: 2      
Pay vs Performance Disclosure [Table]      
Measure Name Adjusted Earnings Per Share    
Measure [Axis]: 3      
Pay vs Performance Disclosure [Table]      
Measure Name Adjusted Operating Cash Flow    
PEO [Member] | Deductions For Amounts Reported Under The Stock Awards [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount $ 2,683,159 $ 2,664,264 $ 1,975,833
PEO [Member] | Deductions For Amounts Reported Under The Option Awards [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 3,502,779 3,000,606 2,343,414
PEO [Member] | Increase For Fair Value Of Awards Granted [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 4,247,471 4,025,539 5,248,152
PEO [Member] | Increase Deduction For Change In Fair Value From Prior Year End To Current Year End Of Awards Granted [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount (2,033,539) (2,366,658) (1,025,440)
PEO [Member] | Increase Deduction For Change In Fair Value From Prior Year End To Vesting Date Of Awards Granted [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 326,230 (429,495) (1,404,556)
Non-PEO NEO [Member] | Deductions For Change In The Actuarial Present Values Reported Under The Change In Pension Value And Nonqualified Deferred Compensation [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 0 0 3,306
Non-PEO NEO [Member] | Deductions For Amounts Reported Under The Stock Awards [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 556,786 481,872 412,719
Non-PEO NEO [Member] | Deductions For Amounts Reported Under The Option Awards [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 726,798 542,719 489,640
Non-PEO NEO [Member] | Increase For Fair Value Of Awards Granted [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount 881,351 728,082 1,096,461
Non-PEO NEO [Member] | Increase Deduction For Change In Fair Value From Prior Year End To Current Year End Of Awards Granted [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount (362,564) (468,507) (187,684)
Non-PEO NEO [Member] | Increase Deduction For Change In Fair Value From Prior Year End To Vesting Date Of Awards Granted [Member]      
Pay vs Performance Disclosure [Table]      
Adjustment to Compensation Amount $ 64,724 $ (78,058) $ (390,698)