View Filing Data

26,306

41,286

^[1]

PROPERTY AND EQUIPMENT, net

70,408

98,807

^[1]

Assets held-for-sale

12,489

^[1]

TOTAL CURRENT ASSETS

913,312

864,662

^[1]

424,897

398,684

^[1]

LONG-TERM INVESTMENT SECURITIES

2,922

14,579

^[1]

GOODWILL

13,199

12,357

^[1]

INTANGIBLE ASSETS, net

131,811

143,753

^[1]

20,341

24,775

^[1]

OTHER ASSETS

38,693

38,141

^[1]

TOTAL ASSETS

1,545,175

1,496,951

^[1]

CURRENT LIABILITIES:

Accounts payable

70,566

78,228

^[1]

TOTAL CURRENT LIABILITIES

131,954

132,064

^[1]

202,520

210,292

^[1]

CONTINGENT EARN-OUT LIABILITY

47,500

27,000

^[1]

OTHER LONG-TERM LIABILITIES

29,057

55,326

^[1]

COMMITMENTS AND CONTINGENCIES

1,193

1,487

^[1]

INCOME TAX LIABILITY

4,592

^[1]

^[1]

STOCKHOLDERS' EQUITY:

Convertible preferred stock, $1.00 par value Authorized-500 shares; Issued and outstanding - none

^[1]

Common stock, $0.10 par value - Authorized-80,000 shares; Issued and outstanding 20,489 shares at September 30, 2018 and 20,210 shares at December 31, 2017

2,049

2,021

^[1]

Additional paid-in capital

651,752

625,568

^[1]

Treasury Stock, at cost

(128)

^[1]

Retained earnings

628,101

585,624

^[1]

Accumulated other comprehensive loss

(21,461)

(14,959)

^[1]

TOTAL STOCKHOLDERS' EQUITY

1,260,313

1,198,254

^[1]

TOTAL LIABILITIES AND STOCKHOLDERS' EQUITY

1,545,175

1,496,951

^[1]

Allowance for doubtful accounts

$ 5,088

$ 3,311

Convertible preferred stock, par value

$ 1.00

Convertible preferred stock, authorized shares

500,000

Convertible preferred stock, issued shares

Convertible preferred stock, outstanding shares

Common stock, par value

$ 0.10

Common stock, shares authorized

80,000,000

Common stock, shares issued

20,489,000

20,210,000

Common stock, shares outstanding

20,489,000

20,210,000

Treasury Stock, Shares

(418)

[1]	December 31, 2017 balances were derived from audited consolidated financial statements.

Condensed Consolidated Statements of Income - USD ($) shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
REVENUES:
Revenue from Contract with Customer, Excluding Assessed Tax	$ 327,169	$ 343,236	$ 1,059,662	$ 922,489
Cost of goods sold	192,582	231,638	624,274	633,884
Gross Profit	134,587	111,598	435,388	288,605
OPERATING EXPENSES:
Selling, general and administrative	78,068	76,820	248,603	226,812
Research and development	13,181	12,769	39,342	37,377
Restructuring, strategic transaction and integration	24,012	18,711	64,271	68,033
Change in fair value of contingent earn-out	18,500	7,000	20,500	13,000
Contract settlement	0	0	28,917	0
TOTAL OPERATING EXPENSES	133,761	115,300	401,633	345,222
INCOME (LOSS) FROM OPERATIONS	826	(3,702)	33,755	(56,617)
Bargain purchase gain	0	8,534	0	71,771
Interest Expense	(283)	(705)	(548)	(1,743)
OTHER INCOME (EXPENSE), net	894	583	1,650	(2,030)
INCOME BEFORE INCOME TAXES	1,437	4,710	34,857	11,381
(PROVISION) BENEFIT FOR INCOME TAXES	(1,218)	(4,574)	1,291	7,558
NET INCOME	$ 219	$ 136	$ 36,148	$ 18,939
NET INCOME (LOSS) PER SHARE
Basic (in dollars per share)	$ 0.01	$ 0.01	$ 1.78	$ 0.97
Diluted (in dollars per share)	$ 0.01	$ 0.01	$ 1.67	$ 0.92
WEIGHTED AVERAGE NUMBER OF SHARES
Basic (in shares)	20,474	19,984	20,362	19,433
Diluted (in shares)	21,633	21,106	21,588	20,603
Product [Member]
REVENUES:
Revenue from Contract with Customer, Excluding Assessed Tax	$ 327,169	$ 343,084	$ 1,059,662	$ 921,544
Product and Service, Other [Member]
REVENUES:
Revenue from Contract with Customer, Excluding Assessed Tax	$ 0	$ 152	$ 0	$ 945

Condensed Consolidated Statements of Comprehensive Income - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Net Income	$ 219	$ 136	$ 36,148	$ 18,939
Other comprehensive income (loss), net of tax
Cash flow hedge adjustments, net of taxes of $(372) and $82 for the three and months ended September 30, 2018 and 2017, respectively and $(376) and $(603) for the nine months ended September 30, 2018 and 2017, respectively	1,178	(134)	1,192	985
Foreign currency translation adjustment, net of taxes of $0 for the three months ended September 30, 2018 and 2017 and $0 and $56 for the nine months ended September 30, 2018 and 2017, respectively	(5,415)	5,833	(7,705)	16,747
Other Adjustments, Net of Taxes of $0 for all periods	6	(90)		(238)
Other Comprehensive (Income) Loss, Defined Benefit Plan, after Tax and Reclassification Adjustment, Attributable to Parent			11
Other comprehensive (loss) income, net of taxes	(4,231)	5,609	(6,502)	17,494
Comprehensive (Loss) Income	(4,012)	5,745	29,646	36,433
Other Comprehensive Income (Loss), Derivatives Qualifying as Hedges, Tax	(372)	82	(376)	(603)
Other Comprehensive Income (Loss), Foreign Currency Translation Adjustment, Tax	0	0	0	(56)
Other Comprehensive (Income) Loss, Other Adjustments, Tax	$ 0	$ 0	$ 0	$ 0

Condensed Consolidated Statements of Cash Flows - USD ($)
$ in Thousands

3 Months Ended

9 Months Ended

12 Months Ended

Sep. 30, 2018

Sep. 30, 2017

Sep. 30, 2018

Sep. 30, 2017

Dec. 31, 2017

CASH FLOWS FROM OPERATING ACTIVITIES:

Net Income

$ 219

$ 136

$ 36,148

$ 18,939

Adjustments to reconcile net income to net cash provided by operating activities:

Depreciation and amortization

55,069

47,512

Provision for doubtful accounts

638

1,906

Provision for warranty and returns

1,817

3,639

Stock compensation

17,992

13,387

Loss on disposal of property and equipment

760

3,177

Bond premium amortization

313

Debt Issuance Costs amortization

216

Bargain purchase gain

(71,771)

Change in fair value of contingent earn-out

18,500

7,000

20,500

13,000

Asset Impairment Charges

269

Impairment of Intangible Assets, Finite-lived

5,000

Other Noncash Expense

2,100

1,690

Cash provided by (used in) changes in operating assets and liabilities

Accounts receivable

(38,957)

(51,498)

Inventories

12,201

148,482

Prepaid expenses and other assets

(1,826)

6,214

Related-party receivables

31,004

(131,617)

Accounts payable

(2,094)

17,551

Income taxes, including excess tax benefits and deferred income taxes

(18,509)

63,234

(12,359)

(13,982)

Net cash provided by operating activities

110,282

69,875

CASH FLOWS FROM INVESTING ACTIVITIES:

Purchases of property and equipment

(75,057)

(51,702)

Proceeds from sale of asset

13,000

Business acquisitions, net of cash acquired

(1,300)

(157,097)

Intangible assets additions

(5,375)

(3,718)

Purchases of investment securities

(30,495)

(24,743)

Proceeds from sale of investment securities

14,940

Net cash used in investing activities

(84,287)

(237,258)

CASH FLOWS FROM FINANCING ACTIVITIES:

Proceeds from exercise of stock options

14,211

19,967

Proceeds from employee stock purchase plan

2,705

6,119

3,951

Net cash (used in) provided by financing activities

8,092

18,721

Effect of exchange rate changes on cash

(5,343)

4,194

NET INCREASE DECREASE IN CASH AND CASH EQUIVALENTS

28,744

(144,468)

CASH AND CASH EQUIVALENTS, beginning of period

290,072

^[1]

445,082

$ 445,082

CASH AND CASH EQUIVALENTS, end of period

318,816

300,614

318,816

300,614

290,072

^[1]

NON-CASH INVESTING ACTIVITIES

Capital Expenditures Incurred but Not yet Paid

1,184

1,435

Fair Value of Assets Acquired

893,582

Payments to Acquire Businesses, Net of Cash Acquired

(157,097)

Proceeds from Issuance of Debt

(75,000)

Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Consideration Transferred

7,512

Business Combination, Contingent Consideration, Liability, Noncurrent

(19,000)

Business Combination, Consideration Transferred, Equity Interests Issued and Issuable

(413,139)

$ (450,400)

BARGAIN PURCHASE GAIN

$ 0

$ (8,534)

(71,771)

Goodwill, Period Increase (Decrease)

1,015

Increase (Decrease) in Assumed Liabilities

166,102

Tangent [Member]

NON-CASH INVESTING ACTIVITIES

BARGAIN PURCHASE GAIN

$ (71,771)

[1]	December 31, 2017 balances were derived from audited consolidated financial statements.

Basis of Presentation:	9 Months Ended
Basis of Presentation:	Sep. 30, 2018
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, 2017. We are engaged in the development, manufacturing and sale of innovative medical products used in infusion therapy, and critical care markets. We sell the majority of our products through our direct sales force and through independent distributors throughout the U. S. and internationally. Additionally, we sell our 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.

New Accounting Pronouncements:	9 Months Ended
New Accounting Pronouncements:	Sep. 30, 2018
New Accounting Pronouncements and Changes in Accounting Principles [Abstract]
New Accounting Pronouncements and Changes in Accounting Principles [Text Block]	New Accounting Pronouncements Recently Adopted Accounting Standards In March 2018, the Financial Accounting Standards Board ("FASB") issued Accounting Standard Update ("ASU") No. 2018-05, Income Taxes (Topic 740): Amendments to SEC Paragraphs Pursuant to SEC Staff Accounting Bulletin No. 118. This update adds SEC paragraphs pursuant to the SEC Staff Accounting Bulletin No. 118, which expresses the view of the staff regarding application of Topic 740, Income Taxes, in the reporting period that includes December 22, 2017 - the date on which the Tax Cuts and Jobs Act (the "Tax Act") was signed into law. We adopted this ASU in the prior year and it did not have a material impact on our consolidated financial statements. In August 2017, the FASB issued ASU No. 2017-12, Derivatives and Hedging (Topic 815): Targeted Improvements to Accounting for Hedging Activities. The amendments in this update change both the designation and measurement guidance for qualifying hedging relationships and the presentation of hedge results to facilitate financial reporting that more closely reflects an entity's risk management activities. The amendments in this update also make certain targeted improvements to simplify the application of hedge accounting guidance and ease the administrative burden of hedge documentation requirements and assessing hedge effectiveness. The amendments are effective for the fiscal years, and interim reporting periods within those years, beginning on or after December 15, 2018. For cash flow and net investment hedges existing at the date of adoption, an entity should apply a cumulative-effect adjustment related to eliminating the separate measurement of ineffectiveness to accumulated other comprehensive income with a corresponding adjustment to the opening balance of retained earnings as of the beginning of the fiscal year that an entity adopts the update. We early adopted this ASU on January 1, 2018 and this ASU did not have a material impact on our consolidated financial statements or related footnote disclosures. In May 2017, the FASB issued ASU No. 2017-09, Compensation-Stock Compensation (Topic 718): Scope of Modification Accounting. The amendments in this update provide guidance about which changes to the terms or conditions of a share-based payment award require an entity to apply modification accounting. Under the ASU, an entity will account for the effects of a modification unless (i) the fair value of the modified award is the same as the fair value of the original award immediately before the original award is modified, (ii) the vesting conditions of the modified award are the same vesting conditions as the original award immediately before the original award is modified, and (iii) the classification of the modified award as an equity instrument or a liability instrument is the same as the classification of the original award immediately before the original award is modified. The amendments in this ASU are effective prospectively for annual periods, and interim periods within those annual periods, beginning after December 15, 2017. We adopted this ASU on January 1, 2018 and this ASU did not have a material impact on our consolidated financial statements or related footnote disclosures. In January 2017, the FASB issued ASU No. 2017-01, Business Combinations (Topic 805): Clarifying the Definition of a Business. The amendments in this update clarify the definition of a business with the objective of adding guidance to assist entities with evaluating whether transactions should be accounted for as acquisitions (or disposals) of assets or businesses. The amendments in this update provide a screen to determine when a set (integrated set of assets and activities) is not a business. If the screen is not met, it (1) requires that to be considered a business, a set must include, at a minimum, an input and a substantive process that together significantly contribute to the ability to create output and (2) removes the evaluation of whether a market participant could replace the missing elements. The amendments in ASU 2017-01 are effective for annual periods and interim periods within those annual periods beginning after December 15, 2017. The amendments in this ASU should be applied prospectively on or after the effective date. We adopted this ASU on January 1, 2018 and this ASU did not have a material impact on our consolidated financial statements or related footnote disclosures. In October 2016, the FASB issued ASU No. 2016-16, Income Taxes (Topic 740): Intra-Entity Transfers of Assets Other Than Inventory. Current generally accepted accounting principles prohibits the recognition of current and deferred income taxes for an intra-entity asset transfer until after the asset has been sold to an outside party. The amendments in ASU 2016-16 eliminates this prohibition. Accordingly an entity should recognize the income tax consequences of an intra-entity transfer of an asset other than inventory when the transfer occurs. Amendments in this update are effective for annual reporting periods beginning after December 15, 2017. We adopted this ASU on January 1, 2018 and this ASU did not have a material impact on our consolidated financial statements or related footnote disclosures. In August 2016, the FASB issued ASU No. 2016-15, Statement of Cash Flows (Topic 230): Classification of Certain Cash Receipts and Cash Payments. ASU 2016-15 provides specific guidance on eight cash flow issues where current guidance is unclear or does not include any specifics on classification. The eight specific cash flow issues are: debt prepayment or debt extinguishment costs; settlement of zero-coupon debt instruments or other debt instruments with zero coupon interest rates that are insignificant in relation to the effective interest rate of the borrowing; contingent consideration payments made after a business combination; proceeds from the settlement of insurance claims; proceeds from the settlement of corporate-owned life insurance policies, including bank-owned policies; distributions received from equity method investees; beneficial interests in securitization transactions; and separately identifiable cash flows and application of the predominance principle. The amendments in ASU 2016-15 are effective for annual periods and interim periods within those annual periods beginning after December 15, 2017. Amendments should be applied using a retrospective transition method to each period presented. We adopted this ASU on January 1, 2018 and this ASU did not have a material impact on our consolidated financial statements or related footnote disclosures. In January 2016, the FASB issued ASU No. 2016-01, Financial Instruments – Overall (Subtopic 825-10): Recognition and Measurement of Financial Assets and Financial Liabilities, which amends certain aspects of recognition, measurement, presentation and disclosure of financial instruments. This amendment requires all equity investments to be measured at fair value with changes in the fair value recognized through net income (other than those accounted for under the equity method of accounting or those that result in the consolidation of the investee). The amendments in this update will be effective for fiscal years beginning after December 15, 2017. We adopted this ASU on January 1, 2018 and this ASU did not have a material impact on our consolidated financial statements or related footnote disclosures. In May 2014, the FASB issued ASU No. 2014-09, Revenue from Contracts with Customers (Topic 606). ASU 2014-09 removes inconsistencies and weaknesses in revenue requirements, provides a more robust framework for addressing revenue issues, improves comparability of revenue recognition practices across entities, industries, jurisdictions and capital markets, provides more useful information to users of financial statements through improved disclosure requirements and simplifies the preparation of financial statements by reducing the number of requirements to which an entity must refer. This guidance requires that an entity depict the consideration by applying a five-step analysis in determining when and how revenue is recognized. The new model will require revenue recognition to depict the transfer of promised goods or services to customers in an amount that reflects the consideration a company expects to receive in exchange for those goods or services. On April 1, 2015, the FASB voted for a one-year deferral of the effective date of the new revenue recognition standard, ASU 2014-09. On July 15, 2015, the FASB affirmed these changes, which requires public entities to apply the amendments in ASU 2014-09 for annual reporting beginning after December 15, 2017. Subsequent to the issuance of this ASU, the FASB issued three amendments: ASU No. 2016-08, which clarifies principal versus agent considerations; ASU 2016-10, which clarifies guidance related to identifying performance obligations and licensing implementation; and ASU 2016-12, which provides narrow-scope improvements and practical expedients. All of the amendments have the same effective date mentioned above. We adopted the standard effective January 1, 2018. See Note 5, Revenue for a discussion of the impact and the required enhanced disclosures. Recently Issued Accounting Standards In August 2018, the FASB issued ASU No. 2018-13, Fair Value Measurement (Topic 820): Disclosure Framework - Changes to the Disclosure Requirements for Fair Value Measurement. The amendments in this update modify the disclosure requirements in Topic 820. The amendments remove from disclosure: the amount of and reasons for transfers between Level 1 and Level 2 of the fair value hierarchy; the policy for timing of transfers between levels 3; and the valuation processes for Level 3 fair value measurements. The amendments also made the following disclosure modifications: for investments in certain entities that calculate net asset value, an entity is required to disclose the timing of liquidation of an investee’s assets and the date when restrictions from redemption might lapse only if the investee has communicated the timing to the entity or announced the timing publicly; and the amendments clarify that the measurement uncertainty disclosure is to communicate information about the uncertainty in measurement as of the reporting date. The amendments also added the following disclosure requirements: the changes in unrealized gains and losses for the period included in other comprehensive income for recurring Level 3 fair value measurements held at the end of the reporting period; and the range and weighted average of significant unobservable inputs used to develop Level 3 fair value measurements. For certain unobservable inputs, an entity may disclose other quantitative information (such as the median or arithmetic average) in lieu of the weighted average if the entity determines that other quantitative information would be a more reasonable and rational method to reflect the distribution of unobservable inputs used to develop Level 3 fair value measurements. The amendments in ASU 2018-02 are effective for fiscal years beginning after December 15, 2019. Early adoption is permitted. We are currently evaluating the impact of this ASU on the consolidated financial statements and related disclosures. In February 2018, the FASB issued ASU No. 2018-02, Income Statement-Reporting Comprehensive Income (Topic 220): Reclassification of Certain Tax Effects from Accumulated Other Comprehensive Income. The amendments in this update allow a reclassification from accumulated other comprehensive income to retained earnings for stranded tax effects resulting from the Tax Cuts and Jobs Act. The amendments in this update also require certain disclosures about stranded tax effects. The amendments in ASU 2018-02 are effective for fiscal years beginning after December 15, 2018. Early adoption is permitted. We are currently evaluating the impact of this ASU on the consolidated financial statements and related disclosures. In January 2017, the FASB issued ASU No. 2017-04, Intangibles-Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment. The amendments in this update remove the second step of the impairment test. An entity will apply a one-step quantitative test and record the amount of goodwill impairment as the excess of a reporting unit's carrying amount over its fair value, not to exceed the total amount of goodwill allocated to the reporting unit. The new guidance does not amend the optional qualitative assessment of goodwill impairment. The amendments in ASU 2017-04 are effective for the annual or interim impairment test in fiscal years beginning after December 15, 2019. Early adoption is permitted for interim or annual goodwill impairment tests performed on testing dates after January 1, 2017. This ASU is not expected to have a material impact on our consolidated financial statements or related footnote disclosures. In June 2016, the FASB issued ASU No. 2016-13, Financial Instruments-Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments. This update amends the FASB's guidance on the impairment of financial instruments by requiring timelier recording of credit losses on loans and other financial instruments. The ASU adds an impairment model that is based on expected losses rather than incurred losses. The ASU also amends the accounting for credit losses on available-for-sale debt securities and purchased financial assets with credit deterioration. The amendments in this update will be effective for fiscal years beginning after December 15, 2019. Early adoption is permitted as of the fiscal years beginning after December 15, 2018. The updated guidance requires a modified retrospective adoption. We are currently evaluating the impact of this ASU on the consolidated financial statements and related disclosures. In February 2016, the FASB issued ASU No. 2016-02, Leases (Topic 842). The amendments in this update require an entity to recognize a right-of-use asset and lease liability for all leases with terms of more than 12 months. Recognition, measurement and presentation of expenses will depend on classification as finance or operating lease. The amendments also require certain quantitative and qualitative disclosures about leasing arrangements. The updated guidance requires a modified retrospective adoption. In July 2018, the FASB issued ASU No. 2018-11, Targeted Improvements. The amendments in this update will provide entities with an additional (and optional) transition method to adopt the new lease requirements by allowing entities to initially apply the requirements by recognizing a cumulative-effect adjustment to the opening balance of retained earnings in the period of adoption. The amendments in this update also provide lessors with a practical expedient, by class of underlying asset, to not separate nonlease components from the associated lease contract. This expedient is limited to circumstances in which the nonlease components otherwise would be accounted for under the new revenue guidance and both (1) the timing and pattern of transfer are the same for the nonlease components and associated lease component and (2) the lease component, if accounted for separately, would be classified as an operating lease. If the lessor uses this practical expedient they would account for the lease contract in accordance with Topic 606 if the nonlease component is the predominant component otherwise, the lessor should account for the combined component as an operating lease in accordance with Topic 842. In July 2018, the FASB issued ASU No. 2018-10, Codification Improvements to Topic 842, Leases. This ASU clarifies certain language in ASU 2016-02 and corrects certain references and inconsistencies. As we have not yet adopted ASU 2016-02, the effective date of ASU 2018-11and ASU 2018-10 is the same as ASU 2016-02. We are currently evaluating the impact of these ASUs on the consolidated financial statements and related disclosures. Early adoption is permitted. The amendments in these updates will be effective for fiscal years beginning after December 15, 2018.
Description of New Accounting Pronouncements Not yet Adopted [Text Block]	Recently Issued Accounting Standards In August 2018, the FASB issued ASU No. 2018-13, Fair Value Measurement (Topic 820): Disclosure Framework - Changes to the Disclosure Requirements for Fair Value Measurement. The amendments in this update modify the disclosure requirements in Topic 820. The amendments remove from disclosure: the amount of and reasons for transfers between Level 1 and Level 2 of the fair value hierarchy; the policy for timing of transfers between levels 3; and the valuation processes for Level 3 fair value measurements. The amendments also made the following disclosure modifications: for investments in certain entities that calculate net asset value, an entity is required to disclose the timing of liquidation of an investee’s assets and the date when restrictions from redemption might lapse only if the investee has communicated the timing to the entity or announced the timing publicly; and the amendments clarify that the measurement uncertainty disclosure is to communicate information about the uncertainty in measurement as of the reporting date. The amendments also added the following disclosure requirements: the changes in unrealized gains and losses for the period included in other comprehensive income for recurring Level 3 fair value measurements held at the end of the reporting period; and the range and weighted average of significant unobservable inputs used to develop Level 3 fair value measurements. For certain unobservable inputs, an entity may disclose other quantitative information (such as the median or arithmetic average) in lieu of the weighted average if the entity determines that other quantitative information would be a more reasonable and rational method to reflect the distribution of unobservable inputs used to develop Level 3 fair value measurements. The amendments in ASU 2018-02 are effective for fiscal years beginning after December 15, 2019. Early adoption is permitted. We are currently evaluating the impact of this ASU on the consolidated financial statements and related disclosures. In February 2018, the FASB issued ASU No. 2018-02, Income Statement-Reporting Comprehensive Income (Topic 220): Reclassification of Certain Tax Effects from Accumulated Other Comprehensive Income. The amendments in this update allow a reclassification from accumulated other comprehensive income to retained earnings for stranded tax effects resulting from the Tax Cuts and Jobs Act. The amendments in this update also require certain disclosures about stranded tax effects. The amendments in ASU 2018-02 are effective for fiscal years beginning after December 15, 2018. Early adoption is permitted. We are currently evaluating the impact of this ASU on the consolidated financial statements and related disclosures. In January 2017, the FASB issued ASU No. 2017-04, Intangibles-Goodwill and Other (Topic 350): Simplifying the Test for Goodwill Impairment. The amendments in this update remove the second step of the impairment test. An entity will apply a one-step quantitative test and record the amount of goodwill impairment as the excess of a reporting unit's carrying amount over its fair value, not to exceed the total amount of goodwill allocated to the reporting unit. The new guidance does not amend the optional qualitative assessment of goodwill impairment. The amendments in ASU 2017-04 are effective for the annual or interim impairment test in fiscal years beginning after December 15, 2019. Early adoption is permitted for interim or annual goodwill impairment tests performed on testing dates after January 1, 2017. This ASU is not expected to have a material impact on our consolidated financial statements or related footnote disclosures. In June 2016, the FASB issued ASU No. 2016-13, Financial Instruments-Credit Losses (Topic 326): Measurement of Credit Losses on Financial Instruments. This update amends the FASB's guidance on the impairment of financial instruments by requiring timelier recording of credit losses on loans and other financial instruments. The ASU adds an impairment model that is based on expected losses rather than incurred losses. The ASU also amends the accounting for credit losses on available-for-sale debt securities and purchased financial assets with credit deterioration. The amendments in this update will be effective for fiscal years beginning after December 15, 2019. Early adoption is permitted as of the fiscal years beginning after December 15, 2018. The updated guidance requires a modified retrospective adoption. We are currently evaluating the impact of this ASU on the consolidated financial statements and related disclosures. In February 2016, the FASB issued ASU No. 2016-02, Leases (Topic 842). The amendments in this update require an entity to recognize a right-of-use asset and lease liability for all leases with terms of more than 12 months. Recognition, measurement and presentation of expenses will depend on classification as finance or operating lease. The amendments also require certain quantitative and qualitative disclosures about leasing arrangements. The updated guidance requires a modified retrospective adoption. In July 2018, the FASB issued ASU No. 2018-11, Targeted Improvements. The amendments in this update will provide entities with an additional (and optional) transition method to adopt the new lease requirements by allowing entities to initially apply the requirements by recognizing a cumulative-effect adjustment to the opening balance of retained earnings in the period of adoption. The amendments in this update also provide lessors with a practical expedient, by class of underlying asset, to not separate nonlease components from the associated lease contract. This expedient is limited to circumstances in which the nonlease components otherwise would be accounted for under the new revenue guidance and both (1) the timing and pattern of transfer are the same for the nonlease components and associated lease component and (2) the lease component, if accounted for separately, would be classified as an operating lease. If the lessor uses this practical expedient they would account for the lease contract in accordance with Topic 606 if the nonlease component is the predominant component otherwise, the lessor should account for the combined component as an operating lease in accordance with Topic 842. In July 2018, the FASB issued ASU No. 2018-10, Codification Improvements to Topic 842, Leases. This ASU clarifies certain language in ASU 2016-02 and corrects certain references and inconsistencies. As we have not yet adopted ASU 2016-02, the effective date of ASU 2018-11and ASU 2018-10 is the same as ASU 2016-02. We are currently evaluating the impact of these ASUs on the consolidated financial statements and related disclosures. Early adoption is permitted. The amendments in these updates will be effective for fiscal years beginning after December 15, 2018.

Acquisition and Strategic Transaction (Notes)

9 Months Ended

Sep. 30, 2018

Business Combinations [Abstract]

Business Combination Disclosure [Text Block]

Acquisition, Strategic Transaction and Integration Expenses

Acquisitions

On February 1, 2017, we acquired 100% interest in Fannin (UK) Limited ("Fannin") for total consideration of approximately $1.5 million. Fannin provides infusion therapy consumable products to the healthcare sector in the United Kingdom and Ireland.

On February 3, 2017, we acquired 100% interest in Pfizer Inc.’s (“Pfizer”) Hospira Infusion Systems ("HIS") business for total cash consideration of approximately $255.8 million (net of estimated working capital adjustments paid at closing), which was financed with existing cash balances and a $75 million three-year interest-only seller note. We also issued 3.2 million shares of our common stock. The fair value of the common shares issued to Pfizer was determined based on the closing price of our common shares on the issuance date, discounted to reflect a contractual lock-up period whereby Pfizer cannot transfer the shares, subject to certain exceptions, until the earlier of (i) the expiration of Pfizer’s services to us in the related transitional services agreement or (ii) eighteen months from the closing date. Additionally, Pfizer also may be entitled up to an additional $225 million in cash contingent consideration based on the achievement of performance targets for the combined company for the three years ending December 31, 2019 ("Earnout Period"). In the event that the sum of our Adjusted EBITDA as defined in the Amended and Restated Stock and Asset Purchase Agreement between us and Pfizer (the “HIS Purchase Agreement”) for the three years in the Earnout Period (the "Cumulative Adjusted EBITDA") is equal to or exceeds approximately $1 billion ("the "Earnout Target"), then Pfizer will be entitled to receive the full amount of the earnout. In the event that the Cumulative Adjusted EBITDA is equal to or greater than 85% of the Earnout Target (but less than the Earnout Target), Pfizer will be entitled to receive the corresponding percentage of the earnout. In the event that the Cumulative Adjusted EBITDA is less than 85% of the Earnout Target, then no earnout amount will be earned by Pfizer. The initial fair value of the earn-out was determined by employing a Monte Carlo simulation in a risk neutral framework. The underlying simulated variable was adjusted EBITDA. The adjusted EBITDA volatility estimate was based on a study of historical asset volatility for a set of comparable public companies. The model includes other assumptions including the market price of risk, which was calculated as the weighted average cost of capital ("WACC") less the long-term risk-free rate. We believe that the acquisition of the HIS business, which includes IV pumps, solutions and consumable devices complements our pre-existing business by creating a company that has a complete infusion therapy product portfolio. We believe that the acquisition significantly enhances our global footprint and platform for continued competitiveness and growth.

The purchase price allocation for HIS was completed during the fourth quarter of 2017.

Final Purchase Price

The following table summarizes the final purchase price and the final allocation of the purchase price related to the assets and liabilities purchased (in thousands, except per share data):



Cash consideration for acquired assets	$	180,785
Fair value of Seller Note	75,000
Fair value of contingent consideration payable to Pfizer (long-term)	19,000

Issuance of ICU Medical, Inc. common shares:
Number of shares issued to Pfizer	3,200
Price per share (ICU's trading closing share price on the Closing Date)	$	140.75
Market price of ICU shares issued to Pfizer	$	450,400
Less: Discount due to lack of marketability of 8.3%	(37,261		)
Equity portion of purchase price	413,139
Total Consideration	$	687,924

Purchase Price Allocation:
Cash and cash equivalents	$	31,082
Trade receivables	362
Inventories	417,622
Prepaid expenses and other assets	13,911
Property and equipment	288,134
Intangible assets⁽¹⁾	131,000
Other assets	29,270
Accounts payable	(12,381		)
Accrued liabilities	(47,936		)
Long-term liabilities⁽²⁾	(67,170		)
Total identifiable net assets acquired	$	783,894
Deferred tax liability	(25,080		)
Gain on Bargain Purchase	(70,890		)
Purchase Consideration	$	687,924

______________________________

⁽¹⁾ Identifiable intangible assets includes $48 million of customer relationships, $44 million of developed technology - pumps and dedicated sets, $34 million of developed technology - consumables, and $5 million of in-process research and development ("IPR&D"). The weighted amortization period are as follows: approximately nine years for the total identifiable assets; eight years for customer relationships; ten years for the developed technology - pumps and dedicated sets; and twelve years for the developed technology - consumables. The IPR&D is non-amortizing until the associated research and development efforts are complete.

⁽²⁾Long-term liabilities primarily consisted of contract liabilities, product liabilities and long-term employee benefits.

The fair value of the assets acquired and liabilities assumed exceeded the fair value of the consideration to be paid resulting in a bargain purchase gain. Before recognizing a gain on a bargain purchase, we reassessed the methods used in the purchase accounting and verified that we had identified all of the assets acquired and all of the liabilities assumed, and that there were no additional assets or liabilities to be considered. We also reevaluated the fair value of the contingent consideration transferred to determine that it was appropriate. We determined that the bargain purchase gain was primarily attributable to expected restructuring costs as well as a reduction to the initially agreed upon transaction price caused primarily by revenue shortfalls across all market segments of the HIS business, negative manufacturing variance due to the drop in revenue and higher operating and required stand up costs, when compared to forecasts of the HIS business at the time that the purchase price was agreed upon. After the continuing review of the product demand and operations of the HIS business, including the resulting expected restructuring activities, we forecasted our estimated Adjusted EBITDA from the HIS business in 2017 to be $35 million - $40 million, which is considerably lower than the forecast contemplated in initial negotiations with Pfizer, which resulted in an estimated fair value of $19 million related to the $225 million earn out. Restructuring costs, if incurred, would be expensed in future periods (see Note 4: Restructuring Charges). The bargain purchase gain is separately stated below income from operations in the accompanying condensed consolidated statements of operations for the three and nine months ended September 30, 2017.

The identifiable intangible assets and other long-lived assets acquired have been valued as Level 3 assets at fair market 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 estimated useful lives. Fixed assets were valued with the consideration of remaining economic lives. The raw materials inventory was valued at historical cost and adjusted for any obsolescence, 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.

On November 29, 2017, we acquired Medical Australia for total consideration of $9.0 million. Medical Australia delivers similar consumable Infusion products as our current businesses to Australia and surrounding regions. The purchase price allocation is preliminary and subject to future revision as the acquired assets and liabilities assumed are dependent upon the finalization of the related valuations.

Strategic Transaction and Integration Expenses

We incurred and expensed $23.5 million and $61.3 million in transaction and integration expenses during the three and nine months ended September 30, 2018 primarily related to the integration of the HIS business. These costs primarily related to consulting, legal and the transitional service agreement. We incurred $15.5 million and $49.0 million in transaction and integration expenses during the three and nine months ended September 30, 2017, respectively. The transaction and integration expenses were primarily related to our acquisition of the HIS business.

Restructuring Charges (Notes)

9 Months Ended

Sep. 30, 2018

Restructuring Charges [Abstract]

Restructuring and Related Activities Disclosure [Text Block]

Restructuring Charges

During the nine months ended September 30, 2018 and the year ended December 31, 2017, restructuring charges were incurred as a result of integrating the HIS acquired operations into our business and include severance costs related to involuntary employee terminations and facility exit costs related to the closure of the Dominican Republic manufacturing facility, which was sold in March 2018. All material charges in regard to these restructuring activities have been incurred as of September 30, 2018. The cumulative amount incurred to date in connection with the HIS acquisition is $21.8 million. Restructuring charges are included in the restructuring, strategic transaction and integration line item in our condensed consolidated statement of operations.

During the year ended December 31, 2015, we incurred restructuring charges related to an agreement with Dr. Lopez, a member of our Board of Directors and a former employee in our research and development department, pursuant to which we bought out Dr. Lopez's right to employment under his then-existing employment agreement. The buy-out, including payroll taxes, is paid in equal monthly installments until December 2020.

The following table summarizes the details of changes in our restructuring-related accrual for the period ended September 30, 2018 (in thousands):



	Accrued Balance December 31, 2017		Charges Incurred		Payments			Other Adjustments		Accrued Balance September 30, 2018
Severance pay and benefits	$	915	$	2,870	$	(3,327	)	$	—	$	458
Employment agreement buyout	1,114		—		(287		)	2		829
Facility closure expenses	—		160		(160		)	—		—
	$	2,029	$	3,030	$	(3,774	)	$	2	$	1,287

Revenue (Notes)

9 Months Ended

Sep. 30, 2018

Revenue from Contract with Customer [Abstract]

Revenue from Contract with Customer [Text Block]

Revenue

Adoption of ASC Topic 606, “Revenue from Contracts with Customers”

We adopted ASU No. 2014-09, Revenue from Contracts with Customers (ASC Topic 606), effective January 1, 2018 using the modified retrospective method applied to those contracts which were not completed as of January 1, 2018. Results for reporting beginning after January 1, 2018 are presented under ASC Topic 606, while prior period amounts are not adjusted and will continue to be reported in accordance with our historic accounting under ASC Topic 605, Revenue Recognition.

Due to the cumulative impact, net of tax, of adopting ASC Topic 606, we recorded a net increase of $6.3 million to opening retained earnings as of January 1, 2018. The impact is primarily related to our bundled arrangements where we sell software licenses and implementation services, in addition to equipment, consumables and solutions. Under ASC Topic 605, revenue for the equipment was recognized upon delivery and software licenses and implementation services were typically recognized over the contract term. Under ASC Topic 606, revenue for the bundled equipment, software and software implementation services are recognized upon implementation. This results in an acceleration of software related revenue, offset by a delay in the recognition of related revenue of the equipment. Under ASC Topic 605, consumables and solutions revenues were typically recognized upon delivery. Under ASC 606, consumables and solutions revenues are recognized as the customer obtains control of the asset, which is at shipping point. This results in an acceleration in the recognition of consumables and solutions revenue.

Additionally, the timing of revenue recognition for software license renewals changed under ASC Topic 606. Under ASC Topic 605, revenue related to software renewals was recognized on a ratable basis over the license period. Under ASC Topic 606, the license, which is considered functional IP, is considered to be transferred to the customer at a point in time, specifically, at the start of each annual renewal period. As a result, under ASC Topic 606, revenue related to our annual software license renewals is accelerated when compared to ASC Topic 605.

Revenues are recognized when control of the promised goods or services is transferred to the customer, in an amount that reflects the consideration we expect to be entitled to in exchange for those goods or services.

The following tables represent the amounts by which each financial statement line item is affected in the current year as a result of applying ASC Topic 606 (in thousands):



	For the three months ended September 30, 2018							For the nine months ended September 30, 2018
	As Reported		Without Adoption of ASC 606		Effect of Adoption			As Reported		Without Adoption of ASC 606		Effect of Adoption
Revenue	$	327,169	$	340,671	$	(13,502	)	$	1,059,662	$	1,062,980	$	(3,318	)
Cost of goods sold	$	192,582	$	196,159	$	(3,577	)	$	624,274	$	626,810	$	(2,536	)
Gross Profit	$	134,587	$	144,512	$	(9,925	)	$	435,388	$	436,170	$	(782	)



	As of September 30, 2018
	As Reported	Without Adoption of ASC Topic 606		Effect of Adoption
Prepaid expenses and other current assets	26,306	$	26,872	$	(566	)
Accrued liabilities	131,954	$	140,107	$	(8,153	)
Deferred income taxes	20,341	$	22,340	$	(1,999	)

Revenue Recognition

The following table represents our revenues disaggregated by geography (in thousands):



	For the three months ended September 30,				For the nine months ended September 30,
Geography	2018		2017 ⁽¹⁾		2018		2017 ⁽¹⁾
EMEA	$	30,759	$	31,034	$	104,150	$	87,892
APAC	17,779		16,982		54,813		44,071
LATAM	16,051		16,349		44,701		42,034
North America	17,739		21,939		54,684		50,037
Other	—		120		80		120
Total Foreign	82,328		86,424		258,428		224,154
United States	244,841		256,812		801,234		698,335
Total Revenues	$	327,169	$	343,236	$	1,059,662	$	922,489

The following table represents our revenues disaggregated by product (in thousands):



	For the three months ended September 30,				For the nine months ended September 30,
Product line	2018		2017 ⁽¹⁾		2018		2017 ⁽¹⁾
Infusion Consumables	$	117,797	$	92,612	$	361,490	$	245,885
IV Solutions	114,433		143,710		394,198		375,494
Infusion Systems ⁽²⁾	81,456		82,798		263,271		202,590
Critical Care	13,483		12,950		40,703		37,221
Other	—		11,166		—		61,299
Total Revenues	$	327,169	$	343,236	$	1,059,662	$	922,489

_______________________________

⁽¹⁾As noted above, prior period amounts have not been adjusted under the modified retrospective method.

⁽²⁾For the three and nine months ended September 30, 2018, Infusion Systems revenue includes $4.2 million and $10.2 million, respectively, in revenue recognized over time. The remainder of our revenue is recognized at a point in time. See below for details related to arrangements with multiple performance obligations.

Our primary product lines are Infusion Consumables, IV Solutions, Infusion Systems and Critical Care. The vast majority of our sales of these products are made on a stand-alone basis to hospitals, group purchasing organization member hospitals and distributors. Our product sales are typically free on board shipping point and ownership of the product transfers to the customer on shipment. As a result, revenue is typically recognized upon transfer of control of the products, which we deem to be at point of shipment.

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 warrant 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 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.

Arrangements with Multiple Performance Obligations

We also enter into arrangements which include multiple performance obligations. These arrangements typically consist of the sale of infusion systems equipment, along with annual software licenses and related software implementation services, as well as infusion consumables, IV solutions and extended warranties. For such arrangements, we allocate the transaction price to each performance obligation based on its relative standalone selling price. Equipment, software licenses and software implementation services are typically combined into a single performance obligation and recognized upon implementation. As annual software licenses are renewed, we recognize revenue for the license at a point in time, at the start of each annual renewal period. Consumables and solutions are separate performance obligations, recognized at a point in time.

The most significant judgments related to these arrangements include:


•	Identifying the various performance obligations of these arrangements.


•	Estimating the relative standalone selling price of each performance obligation, typically using directly observable method or calculated on a cost plus margin basis method.

Contract balances

The following table presents our changes in the contract balances for the nine months ended September 30, 2018 (in thousands):



	Contract Liabilities
Beginning balance, January 1, 2018	$	(7,066	)
Equipment revenue recognized	3,136
Equipment revenue deferred due to implementation	(4,086		)
Software revenue recognized	5,649
Software revenue deferred due to implementation	(5,507		)
Ending balance, September 30, 2018	$	(7,874	)

As of September 30, 2018, revenue from remaining performance obligations related to implementation of software and equipment is $6.4 million. We expect to recognize substantially all of this revenue within the next three months. Revenue from remaining performance obligations related to annual software licenses is $1.5 million. We expect to recognize substantially all of this revenue over the next twelve months.

Costs to Obtain a Contract with a Customer

As part of the cost to obtain a contract, we may pay incremental commissions to sales employees upon entering into a sales contract. Under ASC Topic 606, we have elected to expense these costs as incurred as the period of benefit is less than one year.

Practical expedients and exemptions

In addition to the practical expedient applied to sales commissions, under ASC Topic 606, we elected to apply the practical expedient for shipping and handling costs incurred after the customer has obtained control of a good. We will continue to treat these costs as a fulfillment cost rather than as an additional promised service.

Net Income Per Share:

9 Months Ended

Sep. 30, 2018

Earnings Per Share [Abstract]

Net Income Per Share [Text Block]

Net Income (Loss) Per Share

Basic earnings (loss) 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 that are anti-dilutive, where their exercise price exceeds the average market price of the common stock are not included in the treasury stock method calculation. There were 18 and 48 anti-dilutive securities for the three months ended September 30, 2018 and 2017, respectively. There were 3,694 and 590 anti-dilutive securities for the nine months ended September 30, 2018 and 2017, 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 September 30,				Nine months ended September 30,
	2018		2017		2018		2017
Net income	$	219	$	136	$	36,148	$	18,939
Weighted-average number of common shares outstanding (for basic calculation)	20,474		19,984		20,362		19,433
Dilutive securities	1,159		1,122		1,226		1,170
Weighted-average common and common equivalent shares outstanding (for diluted calculation)	21,633		21,106		21,588		20,603
EPS — basic	$	0.01	$	0.01	$	1.78	$	0.97
EPS — diluted	$	0.01	$	0.01	$	1.67	$	0.92

Derivative Financial Instruments (Notes)

9 Months Ended

Sep. 30, 2018

Derivative Instruments and Hedging Activities Disclosure [Abstract]

Derivative Instruments and Hedging Activities Disclosure [Text Block]

Derivatives and Hedging Activities

Hedge Accounting and Hedging Program

During the second quarter of 2017, we implemented a cash flow hedging program. The purpose of our hedging program is to manage the foreign currency exchange rate risk on forecasted expenses denominated in currencies other than the functional currency of the operating unit. We do not issue derivatives for trading or speculative purposes.

In May 2017, we entered into a two-year cross-currency par forward contract to hedge a portion of our Mexico forecasted expenses denominated in Pesos ("MXN"). 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 par forward contract is designated and qualifies as a cash flow hedge. Our derivative instrument is recorded at fair value on the condensed consolidated balance sheets and is classified based on the instrument's maturity date. We record changes in the intrinsic value of the effective portion of the gain or loss on the derivative instrument as a component of Other Comprehensive Income and we reclassify that gain or loss into earnings in the same line item associated with the forecasted transaction and in the same period during which the hedged transaction affects earnings. The total notional amount of our outstanding derivative as of September 30, 2018 was approximately 240.1 million MXN. The term of our currency forward contract is May 1, 2017 to May 1, 2019. The derivative instrument matures in equal monthly amounts at a fixed forward rate of 20.01MXN/USD over the term of the two-year contract.

In January 2018, we entered into an additional six-month cross-currency par forward contract that extends our current hedge of a portion of our Mexico forecasted expenses denominated in MXN. The total notional amount of this outstanding derivative as of September 30, 2018 was approximately 183.9 million MXN. The term of the six-month contract is May 1, 2019 to November 1, 2019. The derivative instrument matures in equal monthly amounts at a fixed forward rate of 20.43 MXN/USD over the term of the six-month contract.

The following table presents the fair values of our derivative instruments included within the Condensed Consolidated Balance Sheet as of September 30, 2018 and December 31, 2017 (in thousands):



	Derivatives
	Condensed Consolidated Balance Sheet Location	September 30, 2018		December 31, 2017
Derivatives designated as cash flow hedging instruments
Foreign exchange forward contract:
	Prepaid expenses and other current assets	$	885	$	—
	Other assets	94		—
	Accrued Liabilities	—		187
	Other long-term liabilities	—		402
Total derivatives designated as cash flow hedging instruments		$	979	$	589

The following table presents the amounts affecting the Condensed Consolidated Statements of Operations for the three and nine months ended September 30, 2018 and 2017 (in thousands):



	Line Item in the Condensed Consolidated Statements of Operations	Three months ended September 30,				Nine months ended September 30,
		2018		2017		2018		2017
Derivatives designated as cash flow hedging instruments
Foreign exchange forward contracts	Cost of goods sold	$	192	$	534	$	687	$	556

We recognized the following gains on our foreign exchange contracts designated as a cash flow hedge (in thousands):



	Amount of Gain (Loss) Recognized in Other Comprehensive Income on Derivatives				Amount of Gain Reclassified From Accumulated Other Comprehensive Income into Income
	Three months ended September 30,					Three months ended September 30,
	Three months ended September 30,					Three months ended September 30,
	2018		2017		Location of Gain Reclassified From Accumulated Other Comprehensive Income into Income	2018		2017
Derivatives designated as cash flow hedges:
Foreign exchange forward contract	$	1,743	$	318	Cost of goods sold	$	192	$	534
Total derivatives designated as cash flow hedging instruments	$	1,743	$	318		$	192	$	534



	Amount of Gain Recognized in Other Comprehensive Income on Derivatives				Amount of Gain Reclassified From Accumulated Other Comprehensive Income into Income
	Nine months ended September 30,					Nine months ended September 30,
	Nine months ended September 30,					Nine months ended September 30,
	2018		2017		Location of Gain Reclassified From Accumulated Other Comprehensive Income into Income	2018		2017
Derivatives designated as cash flow hedges:
Foreign exchange forward contract	$	2,256	$	2,144	Cost of goods sold	$	687	$	556
Total derivatives designated as cash flow hedging instruments	$	2,256	$	2,144		$	687	$	556

As of September 30, 2018, we expect approximately $0.9 million of the deferred gains on the outstanding derivatives in accumulated other comprehensive income to be reclassified to net income during the next 12 months concurrent with the underlying hedged transactions also being reported in net income.

Fair Value Measurement:

9 Months Ended

Sep. 30, 2018

Fair Value Disclosures [Abstract]

Fair Value Disclosures [Text Block]

Fair Value Measurement

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.

During the first quarter of 2017, we recognized an earn-out liability upon the acquisition of HIS from Pfizer. Pfizer may be entitled up to $225 million in cash if certain performance targets for the combined company for the three years ending December 31, 2019 are achieved. The initial fair value of the earn-out was determined by employing a Monte Carlo simulation in a risk neutral framework. The underlying simulated variable was adjusted EBITDA. The adjusted EBITDA volatility estimate was based on a study of historical asset volatility for a set of comparable public companies. The model includes other assumptions including the market price of risk, which was calculated as the WACC less the long-term risk free-rate. The initial value assigned to the contingent consideration was a result of forecasted product demand of our HIS business, as discussed further in Note 3: Acquisition, Strategic Transaction and Integration Expenses. At each reporting date subsequent to the acquisition we re-measure the earn-out using the same methodology above and recognize any changes in value. If the probability of achieving the performance target significantly changes from what we initially anticipated, the change could have a significant impact on our financial statements in the period recognized. Our contingent earn-out liability is separately stated in our condensed consolidated balance sheets.

The following table provides a reconciliation of the Level 3 earn-out liability measured at estimated fair value as of December 31, 2017 to September 30, 2018 (in thousands):



	Earn-out Liability
Accrued balance, December 31, 2017	$	27,000
Change in fair value of earn-out (included in income from operations as a separate line item)	20,500
Accrued balance, September 30, 2018	$	47,500

The fair value of the earn-out at September 30, 2018 changed from the fair value calculated at December 31, 2017 due to a change in the underlying cumulative adjusted EBITDA forecast, and changes in certain assumptions used in the Monte Carlo simulation, as detailed in the below table.

The following table provides quantitative information about Level 3 inputs for fair value measurement of our earn-out liability as of December 31, 2017 and September 30, 2018. Significant increases or decreases in these inputs in isolation could result in a significant impact on our fair value measurement:



Simulation Input	As of September 30, 2018		As of December 31, 2017
Adjusted EBITDA Volatility	25.00	%	26.00	%
WACC	8.25	%	8.75	%
20-year risk free rate	3.13	%	2.58	%
Market price of risk	4.99	%	5.99	%
Cost of debt	4.74	%	4.08	%

The fair value of our investments is estimated using observable market based inputs such as quoted prices, interest rates and yield curves or Level 2 inputs, which consisted of corporate bonds.

The fair value of our Level 2 forward currency contracts are 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 assets related to our Dominican Republic manufacturing facilities were classified as assets held-for-sale as of December 31, 2017. These assets are separately stated in our condensed consolidated balance sheet. The fair value of these Level 3 assets was determined as part of the HIS business valuation and was based on a market approach using comparable building and land sales data and the analysis of market conditions.

There were no transfers between Levels during the nine months ended September 30, 2018.

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 at September 30, 2018
	Total carrying value		Quoted prices in active markets for identical assets (level 1)		Significant other observable inputs (level 2)		Significant unobservable inputs (level 3)
Assets:
Available for sale securities:
Short-term	$	36,960	$	—	$	36,960	$	—
Long-term	2,922		—		2,922		—
Foreign exchange forwards:
Prepaid expenses and other current assets	885		—		885		—
Other assets	94		—		94		—
Total Assets	$	40,861	$	—	$	40,861	$	—

Liabilities:
Earn-out liability	$	47,500	$	—	$	—	$	47,500
Total Liabilities	$	47,500	$	—	$	—	$	47,500



	Fair value measurements at December 31, 2017
	Total carrying value		Quoted prices in active markets for identical assets (level 1)		Significant other observable inputs (level 2)		Significant unobservable inputs (level 3)
Assets:
Available for sale securities:
Short-term	$	10,061	$	—	$	10,061	$	—
Long-term	14,579		—		14,579		—
Total Assets	$	24,640	$	—	$	24,640	$	—

Liabilities:
Earn-out liability	$	27,000	$	—	$	—	$	27,000
Foreign exchange forwards:
Accrued liabilities	187		—		187		—
Other long-term liabilities	402		—		402		—
Total Liabilities	$	27,589	$	—	$	589	$	27,000

Our assets measured at fair value on a nonrecurring basis consisted of the following (Level 1, 2 and 3 inputs as defined above) (in thousands):



	Fair value measurements at December 31, 2017
	Total carrying value		Quoted prices in active markets for identical assets (level 1)		Significant other observable inputs (level 2)		Significant unobservable inputs (level 3)
Assets:
Assets held-for-sale	$	12,489	$	—	$	—	$	12,489
Total Assets	$	12,489	$	—	$	—	$	12,489

Investments, Debt and Equity Securities [Abstract]

The entire disclosure for the fair value of financial instruments (as defined), including financial assets and financial liabilities (collectively, as defined), and the measurements of those instruments as well as disclosures related to the fair value of non-financial assets and liabilities. Such disclosures about the financial instruments, assets, and liabilities would include: (1) the fair value of the required items together with their carrying amounts (as appropriate); (2) for items for which it is not practicable to estimate fair value, disclosure would include: (a) information pertinent to estimating fair value (including, carrying amount, effective interest rate, and maturity, and (b) the reasons why it is not practicable to estimate fair value; (3) significant concentrations of credit risk including: (a) information about the activity, region, or economic characteristics identifying a concentration, (b) the maximum amount of loss the entity is exposed to based on the gross fair value of the related item, (c) policy for requiring collateral or other security and information as to accessing such collateral or security, and (d) the nature and brief description of such collateral or security; (4) quantitative information about market risks and how such risks are managed; (5) for items measured on both a recurring and nonrecurring basis information regarding the inputs used to develop the fair value measurement; and (6) for items presented in the financial statement for which fair value measurement is elected: (a) information necessary to understand the reasons for the election, (b) discussion of the effect of fair value changes on earnings, (c) a description of [similar groups] items for which the election is made and the relation thereof to the balance sheet, the aggregate carrying value of items included in the balance sheet that are not eligible for the election; (7) all other required (as defined) and desired information.

+ References + Details

Investment Securities (Notes)

9 Months Ended

Sep. 30, 2018

Investments in Debt and Marketable Equity Securities (and Certain Trading Assets) Disclosure [Text Block]

Investment Securities

Our investment securities currently consist of short-term and long-term corporate bonds. Our investment securities are considered available-for-sale and are “investment grade” and carried at fair value. Available-for-sale securities are recorded at fair value, and unrealized holding gains and losses are recorded, net of tax, as a component of accumulated other comprehensive income (loss). Unrealized losses on available-for-sale securities are charged against net earnings when a decline in fair value is determined to be other than temporary. Our management reviews several factors to determine whether a loss is other than temporary, such as the length and extent of the fair value decline, the financial condition and near term prospects of the issuer, and for equity investments, our intent and ability to hold the security for a period of time sufficient to allow for any anticipated recovery in fair value. 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 investment income in other income on our condensed consolidated statements of operations. There have been no realized gains or losses on their disposal. Realized gains and losses are accounted for on the specific identification method. The scheduled maturities of the debt securities are between 2018 and 2020. All short-term investment securities are all callable within one year.

Our short and long-term investment securities consisted of the following (in thousands):



	As of September 30, 2018
	Amortized Cost		Unrealized Holding Gains (Losses)		Fair Value
Short-term corporate bonds	$	36,960	$	—	$	36,960
Long-term corporate bonds	2,922		—		2,922
Total investment securities	$	39,882	$	—	$	39,882

	As of December 31, 2017
	Amortized Cost		Unrealized Holding Gains (Losses)		Fair Value
Short-term corporate bonds	$	10,061	$	—	$	10,061
Long-term corporate bonds	14,579		—		14,579
Total investment securities	$	24,640	$	—	$	24,640

Prepaids and Other Current Assets (Notes)

9 Months Ended

Sep. 30, 2018

Prepaid Expense and Other Assets, Current [Abstract]

Other Current Assets [Text Block]

Prepaid expenses and other current assets consist of the following (in thousands):



	September 30, 2018		December 31, 2017
Deposits	$	606	$	21,940
Other prepaid expenses and receivables	11,727		4,208
Prepaid insurance and property taxes	393		2,580
VAT/GST receivable	5,873		8,097
Deferred tax charge	2,368		1,326
Other	5,339		3,135
	$	26,306	$	41,286

Related-party receivables consist of the following (in thousands):



	September 30, 2018		December 31, 2017
Third-party receivables due from Pfizer	$	68,878	$	36,425
HIS business acquisition related	1,530		62,382
	$	70,408	$	98,807

Third-party receivables due from Pfizer relates to trade accounts receivable that has already been collected from customers by Pfizer on our behalf. HIS business acquisition related receivables include amounts due from Pfizer related to the manufacturing and supply agreements and amounts we prepaid to Pfizer for operational expenses under the transition services agreement.

Pfizer became a related party to us when we issued 3.2 million shares of our common stock as partial consideration for the acquisition of HIS. On February 3, 2017, we entered into a transitional services agreement and two Manufacturing and Supply Agreements ("MSAs") with Pfizer (see Note 19, Collaborative and Other Arrangements). During the three and nine months ended September 30, 2018, the revenue for goods manufactured for Pfizer was $21.7 million and $59.3 million, respectively. During the three and nine months ended September 30, 2017, the revenue for goods manufactured for Pfizer was $16.2 million and $51.9 million, respectively. For the three and nine months ended September 30, 2018, the cost of product manufactured by Pfizer for us was $17.5 million and $57.4 million, respectively. For the three and nine months ended September 30, 2017, the cost of product manufactured by Pfizer for us was $16.1 million and $55.0 million, respectively.

Inventories:

9 Months Ended

Sep. 30, 2018

Inventory Disclosure [Abstract]

Inventories [Text Block]

Inventories

Inventories consisted of the following (in thousands):



	September 30, 2018		December 31, 2017
Raw material	$	71,511	$	82,397
Work in process	64,137		42,304
Finished goods	156,192		163,956
Total inventories	$	291,840	$	288,657

Property and Equipment:

9 Months Ended

Sep. 30, 2018

Property, Plant and Equipment [Abstract]

Property and Equipment [Text Block]

Property and Equipment

Property and equipment consisted of the following (in thousands):



	September 30, 2018			December 31, 2017
Machinery and equipment	$	195,278		$	220,999
Land, building and building improvements	213,764			206,846
Molds	56,304			56,253
Computer equipment and software	43,490			44,408
Furniture and fixtures	8,284			7,361
Instruments placed with customers*	58,247			15,812
Construction in progress	98,967			57,144
Total property and equipment, cost	674,334			608,823
Accumulated depreciation	(249,437		)	(210,139		)
Property and equipment, net	$	424,897		$	398,684

______________________________

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

Depreciation expense was $15.1 million and $42.8 million for the three and nine months ended September 30, 2018, respectively, and $14.0 million and $36.6 million for the three and nine months ended September 30, 2017.

Goodwill and Intangible Assets (Notes)

9 Months Ended

Sep. 30, 2018

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 December 31, 2017	$	12,357
Goodwill acquired	1,300
Other	—
Currency translation	(458		)
Balance as of September 30, 2018	$	13,199

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	September 30, 2018
	Amortization Life in Years	Cost		Accumulated Amortization		Net
Patents	10	$	18,906	$	11,839	$	7,067
Customer contracts	9	5,319		5,177		142
Non-contractual customer relationships	9	55,695		11,553		44,142
Trademarks	4	425		425		—
Trade name	15	7,310		1,462		5,848
Developed technology	11	81,848		13,280		68,568
Total amortized intangible assets		$	169,503	$	43,736	$	125,767

IPR&D		$	6,044	—		$	6,044

Total intangible assets		$	175,547	$	43,736	$	131,811



	Weighted Average	December 31, 2017
	Amortization Life in Years	Cost		Accumulated Amortization		Net
Patents	10	$	17,064	$	10,970	$	6,094
Customer contracts	9	5,319		4,892		427
Non-contractual customer relationships	9	55,080		6,562		48,518
Trademarks	4	425		425		—
Trade name	15	7,310		1,096		6,214
Developed technology	11	81,846		7,571		74,275
Total amortized intangible assets		$	167,044	$	31,516	$	135,528

IPR&D		$	8,225			$	8,225

Total intangible assets		$	175,269	$	31,516	$	143,753

Intangible assets with definite lives are amortized on a straight-line basis over their estimated useful lives. Intangible asset amortization expense was $4.1 million and $12.2 million for the three and nine months ended September 30, 2018, respectively, and $3.6 million and $10.9 million for the three and nine months ended September 30, 2017, respectively.

As of September 30, 2018 estimated annual amortization for our intangible assets for each of the next five years is approximately (in thousands):



Remainder of 2018	$	4,004
2019	16,013
2020	15,867
2021	15,578
2022	15,426
Thereafter	58,879
Total	$	125,767

Accrued Liabilities (Notes)

9 Months Ended

Sep. 30, 2018

Accounts Payable and Accrued Liabilities Disclosure [Text Block]

Accrued Liabilities and Other Long-Term Liabilities

Accrued liabilities consist of the following (in thousands):



	September 30, 2018		December 31, 2017
Salaries and benefits	$	22,768	$	20,745
Incentive compensation	34,012		40,682
Accrued product field action	5,706		11,810
Third-party inventory	9,090		4,284
Consigned inventory	1,118		5,210
Accrued sales taxes	3,424		6,291
Restructuring accrual	829		1,290
Contract liabilities	6,408		3,326
Accrued other taxes	1,810		2,771
Accrued professional fees	19,120		13,319
Legal accrual	1,699		3,538
Outside commissions	750		725
Warranties and returns	2,553		3,360
Accrued freight	5,026		5,696
Accrued rebates	2,229		—
Other	15,412		9,017
	$	131,954	$	132,064

Other long-term liabilities consist of the following (in thousands):



	September 30, 2018		December 31, 2017
Unfavorable contract liabilities	$	16,713	$	40,148
Contract settlement	2,083		—
Capital lease	1,936		—
Benefits	1,775		2,104
Contract liabilities	1,466		7,099
Other	5,084		5,975
	$	29,057	$	55,326

Income Taxes:	9 Months Ended
Income Taxes:	Sep. 30, 2018
Income Tax Disclosure [Abstract]
Income Tax Disclosure [Text Block]	Income Taxes On December 22, 2017, the Tax Act was enacted into legislation, which includes a broad range of provisions affecting businesses. The Tax Act significantly revises how companies compute their U.S. corporate tax liability by, among other provisions, reducing the corporate tax rate from 35% to 21% for tax years beginning after December 31, 2017. Our accounting for the Tax Act is incomplete. As noted at year-end, however, we were able to reasonably estimate certain effects and, therefore, recorded provisional adjustments associated with the toll charge on undistributed foreign earnings and profits and revaluation of deferred taxes. Measurement-period adjustments for the toll charge and revaluation of deferred taxes recognized during the three months ended September 30, 2018 did not have a material impact on our consolidated financial statements. The effect of the measurement-period adjustments on the 2018 effective tax rate was approximately a two percentage point increase. We are continuing to gather additional information to complete our accounting for these items and expect to complete our accounting within the prescribed measurement period. Income taxes were accrued at an estimated effective tax rate of 85% and 97% for the three months ended September 30, 2018 and 2017, respectively. Income taxes were accrued at an estimated effective tax rate of (4)% and (66)% for the nine months ended September 30, 2018 and 2017, respectively. Those rates differ from that computed at the federal statutory rate of 21% for the three and nine months ended September 30, 2018 and the federal statutory rate of 35% for the three and nine months ended September 30, 2017. The effective tax rate for the three and nine months ended September 30, 2018 differs from the federal statutory rate of 21% because of the effect in the mix of U.S. and foreign incomes, state income taxes and tax credits. It is also affected by discrete items that may occur in any given year but are not consistent from year to year. The nine months ended September 30, 2018 was impacted by a contract settlement. The contract settlement resulted in a tax benefit of $5.7 million, which is treated as a discrete item. The effective tax rate during the three and nine months ended September 30, 2018 also included a tax benefit of $1.6 million and $12.8 million, respectively related to the excess tax benefits recognized on stock option exercises and the vesting of restricted stock units during the period, which is treated as a discrete item and excluded from determining our annual estimated effective tax rate. In addition, a revaluation of the contingent consideration resulted in a discrete tax benefit of $4.4 million and $4.9 million, respectively for the three and nine months ended September 30, 2018, which was treated as a discrete item. The effective tax rate for the three and nine months ended September 30, 2017 differs from the federal statutory rate of 35% because of the effect the mix of U.S. and foreign incomes, state income taxes, tax credits and impact of the gain on bargain purchase. The tax effect of the gain on bargain purchase is treated as a discrete item part of purchase accounting and is not a component of the income tax provision. The effective tax rate during the three and nine months ended September 30, 2017 also included a material tax benefit of $2.7 million and $12.6 million, respectively related to the excess tax benefits recognized on stock option exercises and the vesting of restricted stock units during the period, which is treated as a discrete item and excluded from determining our annual estimated effective tax rate.

Long-Term Obligations (Notes)	9 Months Ended
Long-Term Obligations (Notes)	Sep. 30, 2018
LOng-Term Obligations Disclosure [Abstract]
Long-term Debt [Text Block]	Long-Term Obligations Five-year Senior Secured Revolving Credit Facility ("Credit Facility") On November 8, 2017, we entered into a Credit Facility with various lenders for $150 million, with Wells Fargo Bank, N.A. as the administrative agent, swingline lender and issuing lender. As of September 30, 2018, we had no borrowings and $150 million of availability under the Credit Facility. The Credit Facility matures on November 8, 2022. Debt Covenants The Credit Facility contains certain financial covenants pertaining to Consolidated Fixed Charge Coverage and Consolidated Total Leverage Ratios. In addition, the Credit Facility has restrictions pertaining to limitations on debt, liens, negative pledges, loans, advances, acquisitions, other investments, dividends, distributions, redemptions, repurchases of equity interests, fundamental changes and asset sales and other dispositions, prepayments, redemptions and purchases of subordinated debt and other junior debt, transactions with affiliates, dividend and payment restrictions affecting subsidiaries, changes in line of business, fiscal year and accounting practices and amendment of organizational documents and junior debt documents. The Consolidated Leverage Ratio is defined as the ratio of Consolidated Total Funded Indebtedness on such date, to Consolidated Adjusted EBITDA, as defined under the Credit Facility Agreement, for the most recently completed four fiscal quarters. The maximum Consolidated Leverage Ratio is not more than 3.00 to 1.00. The Consolidated Fixed Charge Coverage Ratio is defined as the ratio of: (a) Consolidated Adjusted EBITDA less the sum of (i) capital expenditures, (ii) federal, state, local and foreign income taxes paid in cash and (iii) cash restricted payments made after the closing date, to (b) Consolidated Fixed Charges for the most recently completed four fiscal quarters, calculated on a pro forma basis. The minimum Consolidated Fixed Charge Coverage Ratio is 2.00 to 1.00. We were in compliance with all financial covenants as of September 30, 2018.

Stockholders' Equity (Notes)

9 Months Ended

Sep. 30, 2018

Stockholders' Equity Attributable to Parent [Abstract]

Stockholders' Equity Note Disclosure [Text Block]

Stockholders' Equity

Treasury Stock

In July 2010, our Board of Directors approved a common stock purchase plan to purchase up to $40.0 million of our common stock. This plan has no expiration date. During the nine months ended September 30, 2018, we did not purchase any shares of our common stock under the stock purchase plan. As of September 30, 2018, the remaining authorized amount under this purchase plan is approximately $7.2 million. We are currently limited on share purchases in accordance with the terms and conditions of our Credit Facility (see Note 16: Long-Term Obligations).

For the nine months ended September 30, 2018, we withheld 25,745 shares of our common stock from employee vested restricted stock units in consideration for $6.1 million in payments made on the employee's behalf for their minimum statutory income tax withholding obligations. Treasury stock is used to issue shares for stock option exercises, restricted stock grants and employee stock purchase plan stock purchases.

Accumulated Other Comprehensive Income (Loss)

The components of accumulated other comprehensive income ("AOCI"), net of tax, were as follows (in thousands):



	Foreign Currency Translation Adjustments			Unrealized Gains on Cash Flow Hedges			Other Adjustments			Total
Balance as of December 31, 2017	$	(14,578	)	$	(365	)	$	(16	)	$	(14,959	)
Other comprehensive income before reclassifications	(7,705		)	1,714			11			(5,980		)
Amounts reclassified from AOCI	—			(522		)	—			(522		)
Other comprehensive (loss) income	(7,705		)	1,192			11			(6,502		)
Balance as of September 30, 2018	$	(22,283	)	$	827		$	(5	)	$	(21,461	)

Commitments and Contingencies:	9 Months Ended
Commitments and Contingencies:	Sep. 30, 2018
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies [Text Block]	Commitments and Contingencies Legal Proceedings Beginning in November 2016, purported class actions were filed in the U.S. District Court for the Northern District of Illinois against Pfizer, Inc. subsidiaries, Hospira, Inc., Hospira Worldwide, Inc. and certain other defendants relating to the intravenous saline solutions part of the HIS business. Plaintiffs seek to represent classes consisting of all persons and entities in the U.S. who directly purchased intravenous saline solution sold by any of the defendants from January 1, 2013 until the time the defendants’ allegedly unlawful conduct ceases. Plaintiffs allege that U.S. manufacturer defendants conspired together to restrict output and artificially fix, raise, maintain and/or stabilize the prices of intravenous saline solution sold throughout the U.S. in violation of federal antitrust laws. Plaintiffs seek treble damages (for themselves and on behalf of the putative classes) and an injunction against defendants for alleged price overcharges for intravenous saline solution in the U.S. since January 1, 2013. On July 5, 2018, the District Court granted defendants’ motion to dismiss the operative complaint for failing to state a valid antitrust claim, but is allowing plaintiff to file a second amended complaint. On September 6, 2018, plaintiffs filed a second amended complaint adding new allegations in support of their conspiracy claims and adding ICU as a defendant. On February 3, 2017, we completed the acquisition of the HIS business from Pfizer. This litigation is the subject of a claim for indemnification against us by Pfizer and a cross-claim for indemnification against Pfizer by us under the HIS stock and asset purchase agreement (“SAPA”). In addition, in August 2015, the New York Attorney General issued a subpoena to Hospira, Inc. requesting that the company provide information regarding certain business practices in the intravenous solutions part of the HIS business. Separately, in April 2017, we received a grand jury subpoena issued by the United States District Court for the Eastern District of Pennsylvania, in connection with an investigation by the U.S. Department of Justice, Antitrust Division. The subpoena calls for production of documents related to the manufacturing, selling, pricing and shortages of intravenous solutions, including saline, as well as communications among market participants regarding these issues. The Department of Justice investigation is the subject of cross-claims for indemnification by both us and Pfizer under the HIS Purchase Agreement. We have coordinated with Pfizer to produce records to the New York Attorney General and the Department of Justice. In April 2018, the U.S. Department of Justice issued a HIPAA subpoena to Hospira, Inc., requesting production of documents and records regarding the manufacturing, production, testing, quality and validation of the Sapphire™ infusion pumps, sets and related accessories distributed by the Company. We are coordinating with Pfizer to produce the requested records to the Department of Justice. In March 2018, a dispute with a product partner resulted in a redefinition of our contractual arrangement and in the rights and remedies determined under such arrangement. The resolution of the dispute resulted in a $28.9 million net charge to the condensed consolidated statement of operations. 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 We have a contractual earn-out arrangement in connection with our acquisition of the HIS business, whereby Pfizer may be entitled up to an additional $225 million in cash upon achievement of performance targets for the company for the three years ending December 31, 2019 (see Note 3: Acquisition, Strategic Transaction and Integration Expenses). The amount to be paid cannot be determined until the earn-out period has expired. Commitments Rental expense under our non-cancellable operating lease agreements was $2.4 million and $8.1 million for the three and nine months ended September 30, 2018, respectively, as compared to $2.3 million and $5.3 million for the three and nine months ended September 30, 2017, respectively.

Collaborative and Other Arrangements (Notes)	9 Months Ended
Collaborative and Other Arrangements (Notes)	Sep. 30, 2018
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 MSAs, (i) whereby 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) whereby 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 MSA's 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 February 3, 2017, as part of the HIS business acquisition, we entered into an agreement with Pfizer, whereby Pfizer will provide certain transitional services to us for finance, business technology, regulatory, human resources, global operations, procurement, quality and global commercial operation services ("Enabling Function Services"). We pay a monthly service fee for each service provided, and share equally with Pfizer in certain set-up costs and, as applicable, service exit costs. Our share of the set-up costs and service exit costs, in the aggregate, are not to exceed $22.0 million. The service fees are subject to a fee cap of (i) $62.5 million during the initial twelve month period and (ii) $31.3 million during the subsequent six month period. Only the Enabling Function Services are subject to the fee cap, any services provided after expiration of the agreement or services that are not Enabling Function Services may result in service fees outside the fee cap. The service fees are intended to reasonably approximate Pfizer’s cost of providing the Enabling Function Services. We may terminate, in whole only, any particular service and the fee cap would be reduced proportionate to the services terminated. Partial reduction in the provision of any specific service may be made but only with the prior written consent of Pfizer. On February 3, 2017, as part of the HIS business acquisition, we also entered into a reverse transitional services agreement, where we will provide to Pfizer certain transitional services ranging in term from three to eighteen months. Services include support for real estate, research and development, infrastructure, logistics, quality, site operations, safety, commercial and finance, and regulatory support services.

Restructuring Charges (Tables)

9 Months Ended

Sep. 30, 2018

Restructuring Charges [Abstract]

Restructuring and Related Costs [Table Text Block]

The following table summarizes the details of changes in our restructuring-related accrual for the period ended September 30, 2018 (in thousands):



	Accrued Balance December 31, 2017		Charges Incurred		Payments			Other Adjustments		Accrued Balance September 30, 2018
Severance pay and benefits	$	915	$	2,870	$	(3,327	)	$	—	$	458
Employment agreement buyout	1,114		—		(287		)	2		829
Facility closure expenses	—		160		(160		)	—		—
	$	2,029	$	3,030	$	(3,774	)	$	2	$	1,287

Revenue (Tables)

9 Months Ended

Sep. 30, 2018

Revenue from Contract with Customer [Abstract]

Impact of ASC 606 in Current Period [Table Text Block]

The following tables represent the amounts by which each financial statement line item is affected in the current year as a result of applying ASC Topic 606 (in thousands):



	For the three months ended September 30, 2018							For the nine months ended September 30, 2018
	As Reported		Without Adoption of ASC 606		Effect of Adoption			As Reported		Without Adoption of ASC 606		Effect of Adoption
Revenue	$	327,169	$	340,671	$	(13,502	)	$	1,059,662	$	1,062,980	$	(3,318	)
Cost of goods sold	$	192,582	$	196,159	$	(3,577	)	$	624,274	$	626,810	$	(2,536	)
Gross Profit	$	134,587	$	144,512	$	(9,925	)	$	435,388	$	436,170	$	(782	)



	As of September 30, 2018
	As Reported	Without Adoption of ASC Topic 606		Effect of Adoption
Prepaid expenses and other current assets	26,306	$	26,872	$	(566	)
Accrued liabilities	131,954	$	140,107	$	(8,153	)
Deferred income taxes	20,341	$	22,340	$	(1,999	)

Disaggregation of Revenue [Table Text Block]

The following table represents our revenues disaggregated by geography (in thousands):



	For the three months ended September 30,				For the nine months ended September 30,
Geography	2018		2017 ⁽¹⁾		2018		2017 ⁽¹⁾
EMEA	$	30,759	$	31,034	$	104,150	$	87,892
APAC	17,779		16,982		54,813		44,071
LATAM	16,051		16,349		44,701		42,034
North America	17,739		21,939		54,684		50,037
Other	—		120		80		120
Total Foreign	82,328		86,424		258,428		224,154
United States	244,841		256,812		801,234		698,335
Total Revenues	$	327,169	$	343,236	$	1,059,662	$	922,489

The following table represents our revenues disaggregated by product (in thousands):



	For the three months ended September 30,				For the nine months ended September 30,
Product line	2018		2017 ⁽¹⁾		2018		2017 ⁽¹⁾
Infusion Consumables	$	117,797	$	92,612	$	361,490	$	245,885
IV Solutions	114,433		143,710		394,198		375,494
Infusion Systems ⁽²⁾	81,456		82,798		263,271		202,590
Critical Care	13,483		12,950		40,703		37,221
Other	—		11,166		—		61,299
Total Revenues	$	327,169	$	343,236	$	1,059,662	$	922,489

Contract with Customer, Asset and Liability [Table Text Block]

The following table presents our changes in the contract balances for the nine months ended September 30, 2018 (in thousands):



	Contract Liabilities
Beginning balance, January 1, 2018	$	(7,066	)
Equipment revenue recognized	3,136
Equipment revenue deferred due to implementation	(4,086		)
Software revenue recognized	5,649
Software revenue deferred due to implementation	(5,507		)
Ending balance, September 30, 2018	$	(7,874	)

Net Income Per Share (Tables)

9 Months Ended

Sep. 30, 2018

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 September 30,				Nine months ended September 30,
	2018		2017		2018		2017
Net income	$	219	$	136	$	36,148	$	18,939
Weighted-average number of common shares outstanding (for basic calculation)	20,474		19,984		20,362		19,433
Dilutive securities	1,159		1,122		1,226		1,170
Weighted-average common and common equivalent shares outstanding (for diluted calculation)	21,633		21,106		21,588		20,603
EPS — basic	$	0.01	$	0.01	$	1.78	$	0.97
EPS — diluted	$	0.01	$	0.01	$	1.67	$	0.92

Derivative Financial Instruments (Tables)

9 Months Ended

Sep. 30, 2018

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 Sheet as of September 30, 2018 and December 31, 2017 (in thousands):



	Derivatives
	Condensed Consolidated Balance Sheet Location	September 30, 2018		December 31, 2017
Derivatives designated as cash flow hedging instruments
Foreign exchange forward contract:
	Prepaid expenses and other current assets	$	885	$	—
	Other assets	94		—
	Accrued Liabilities	—		187
	Other long-term liabilities	—		402
Total derivatives designated as cash flow hedging instruments		$	979	$	589

The following table presents the amounts affecting the Condensed Consolidated Statements of Operations for the three and nine months ended September 30, 2018 and 2017 (in thousands):



	Line Item in the Condensed Consolidated Statements of Operations	Three months ended September 30,				Nine months ended September 30,
		2018		2017		2018		2017
Derivatives designated as cash flow hedging instruments
Foreign exchange forward contracts	Cost of goods sold	$	192	$	534	$	687	$	556

Schedule of Cash Flow Hedges Included in Accumulated Other Comprehensive Income (Loss) [Table Text Block]

We recognized the following gains on our foreign exchange contracts designated as a cash flow hedge (in thousands):



	Amount of Gain (Loss) Recognized in Other Comprehensive Income on Derivatives				Amount of Gain Reclassified From Accumulated Other Comprehensive Income into Income
	Three months ended September 30,					Three months ended September 30,
	Three months ended September 30,					Three months ended September 30,
	2018		2017		Location of Gain Reclassified From Accumulated Other Comprehensive Income into Income	2018		2017
Derivatives designated as cash flow hedges:
Foreign exchange forward contract	$	1,743	$	318	Cost of goods sold	$	192	$	534
Total derivatives designated as cash flow hedging instruments	$	1,743	$	318		$	192	$	534



	Amount of Gain Recognized in Other Comprehensive Income on Derivatives				Amount of Gain Reclassified From Accumulated Other Comprehensive Income into Income
	Nine months ended September 30,					Nine months ended September 30,
	Nine months ended September 30,					Nine months ended September 30,
	2018		2017		Location of Gain Reclassified From Accumulated Other Comprehensive Income into Income	2018		2017
Derivatives designated as cash flow hedges:
Foreign exchange forward contract	$	2,256	$	2,144	Cost of goods sold	$	687	$	556
Total derivatives designated as cash flow hedging instruments	$	2,256	$	2,144		$	687	$	556

Fair Value Measurement (Tables)

9 Months Ended

Sep. 30, 2018

Fair Value Disclosures [Abstract]

Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]

The following table provides a reconciliation of the Level 3 earn-out liability measured at estimated fair value as of December 31, 2017 to September 30, 2018 (in thousands):



	Earn-out Liability
Accrued balance, December 31, 2017	$	27,000
Change in fair value of earn-out (included in income from operations as a separate line item)	20,500
Accrued balance, September 30, 2018	$	47,500

Fair Value Measurement Inputs and Valuation Techniques [Table Text Block]



Simulation Input	As of September 30, 2018		As of December 31, 2017
Adjusted EBITDA Volatility	25.00	%	26.00	%
WACC	8.25	%	8.75	%
20-year risk free rate	3.13	%	2.58	%
Market price of risk	4.99	%	5.99	%
Cost of debt	4.74	%	4.08	%

Fair Value, Assets Measured on Recurring Basis [Table Text Block]

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 at September 30, 2018
	Total carrying value		Quoted prices in active markets for identical assets (level 1)		Significant other observable inputs (level 2)		Significant unobservable inputs (level 3)
Assets:
Available for sale securities:
Short-term	$	36,960	$	—	$	36,960	$	—
Long-term	2,922		—		2,922		—
Foreign exchange forwards:
Prepaid expenses and other current assets	885		—		885		—
Other assets	94		—		94		—
Total Assets	$	40,861	$	—	$	40,861	$	—

Liabilities:
Earn-out liability	$	47,500	$	—	$	—	$	47,500
Total Liabilities	$	47,500	$	—	$	—	$	47,500



	Fair value measurements at December 31, 2017
	Total carrying value		Quoted prices in active markets for identical assets (level 1)		Significant other observable inputs (level 2)		Significant unobservable inputs (level 3)
Assets:
Available for sale securities:
Short-term	$	10,061	$	—	$	10,061	$	—
Long-term	14,579		—		14,579		—
Total Assets	$	24,640	$	—	$	24,640	$	—

Liabilities:
Earn-out liability	$	27,000	$	—	$	—	$	27,000
Foreign exchange forwards:
Accrued liabilities	187		—		187		—
Other long-term liabilities	402		—		402		—
Total Liabilities	$	27,589	$	—	$	589	$	27,000

Fair Value Measurements, Nonrecurring [Table Text Block]

Our assets measured at fair value on a nonrecurring basis consisted of the following (Level 1, 2 and 3 inputs as defined above) (in thousands):



	Fair value measurements at December 31, 2017
	Total carrying value		Quoted prices in active markets for identical assets (level 1)		Significant other observable inputs (level 2)		Significant unobservable inputs (level 3)
Assets:
Assets held-for-sale	$	12,489	$	—	$	—	$	12,489
Total Assets	$	12,489	$	—	$	—	$	12,489

Investment Securities (Tables)

9 Months Ended

Sep. 30, 2018

Investments, Debt and Equity Securities [Abstract]

Available-for-sale Securities [Table Text Block]

Our short and long-term investment securities consisted of the following (in thousands):



	As of September 30, 2018
	Amortized Cost		Unrealized Holding Gains (Losses)		Fair Value
Short-term corporate bonds	$	36,960	$	—	$	36,960
Long-term corporate bonds	2,922		—		2,922
Total investment securities	$	39,882	$	—	$	39,882

	As of December 31, 2017
	Amortized Cost		Unrealized Holding Gains (Losses)		Fair Value
Short-term corporate bonds	$	10,061	$	—	$	10,061
Long-term corporate bonds	14,579		—		14,579
Total investment securities	$	24,640	$	—	$	24,640

Prepaids and Other Current Assets (Tables) - USD ($)
$ in Thousands

9 Months Ended

Sep. 30, 2018

Dec. 31, 2017

^[1]

Related-party receivables consist of the following (in thousands):



	September 30, 2018		December 31, 2017
Third-party receivables due from Pfizer	$	68,878	$	36,425
HIS business acquisition related	1,530		62,382
	$	70,408	$	98,807

Deferred Costs, Capitalized, Prepaid, and Other Assets Disclosure [Table Text Block]

$ 70,408

$ 98,807

Prepaid expenses and other current assets consist of the following (in thousands):



	September 30, 2018		December 31, 2017
Deposits	$	606	$	21,940
Other prepaid expenses and receivables	11,727		4,208
Prepaid insurance and property taxes	393		2,580
VAT/GST receivable	5,873		8,097
Deferred tax charge	2,368		1,326
Other	5,339		3,135
	$	26,306	$	41,286

[1]	December 31, 2017 balances were derived from audited consolidated financial statements.

Inventories (Tables)

9 Months Ended

Sep. 30, 2018

Inventory Disclosure [Abstract]

Schedule of Inventory, Current [Table Text Block]

Inventories consisted of the following (in thousands):



	September 30, 2018		December 31, 2017
Raw material	$	71,511	$	82,397
Work in process	64,137		42,304
Finished goods	156,192		163,956
Total inventories	$	291,840	$	288,657

Property and Equipment (Tables)

9 Months Ended

Sep. 30, 2018

Property, Plant and Equipment [Abstract]

Property, Plant and Equipment [Table Text Block]

Property and equipment consisted of the following (in thousands):



	September 30, 2018			December 31, 2017
Machinery and equipment	$	195,278		$	220,999
Land, building and building improvements	213,764			206,846
Molds	56,304			56,253
Computer equipment and software	43,490			44,408
Furniture and fixtures	8,284			7,361
Instruments placed with customers*	58,247			15,812
Construction in progress	98,967			57,144
Total property and equipment, cost	674,334			608,823
Accumulated depreciation	(249,437		)	(210,139		)
Property and equipment, net	$	424,897		$	398,684

Goodwill and Intangible Assets (Tables)

9 Months Ended

Sep. 30, 2018

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 December 31, 2017	$	12,357
Goodwill acquired	1,300
Other	—
Currency translation	(458		)
Balance as of September 30, 2018	$	13,199

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	September 30, 2018
	Amortization Life in Years	Cost		Accumulated Amortization		Net
Patents	10	$	18,906	$	11,839	$	7,067
Customer contracts	9	5,319		5,177		142
Non-contractual customer relationships	9	55,695		11,553		44,142
Trademarks	4	425		425		—
Trade name	15	7,310		1,462		5,848
Developed technology	11	81,848		13,280		68,568
Total amortized intangible assets		$	169,503	$	43,736	$	125,767

IPR&D		$	6,044	—		$	6,044

Total intangible assets		$	175,547	$	43,736	$	131,811



	Weighted Average	December 31, 2017
	Amortization Life in Years	Cost		Accumulated Amortization		Net
Patents	10	$	17,064	$	10,970	$	6,094
Customer contracts	9	5,319		4,892		427
Non-contractual customer relationships	9	55,080		6,562		48,518
Trademarks	4	425		425		—
Trade name	15	7,310		1,096		6,214
Developed technology	11	81,846		7,571		74,275
Total amortized intangible assets		$	167,044	$	31,516	$	135,528

IPR&D		$	8,225			$	8,225

Total intangible assets		$	175,269	$	31,516	$	143,753

Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block]

As of September 30, 2018 estimated annual amortization for our intangible assets for each of the next five years is approximately (in thousands):



Remainder of 2018	$	4,004
2019	16,013
2020	15,867
2021	15,578
2022	15,426
Thereafter	58,879
Total	$	125,767

Accrued Liabilities (Tables)

9 Months Ended

Sep. 30, 2018

Schedule of Accrued Liabilities [Table Text Block]

Accrued Liabilities and Other Long-Term Liabilities

Accrued liabilities consist of the following (in thousands):



	September 30, 2018		December 31, 2017
Salaries and benefits	$	22,768	$	20,745
Incentive compensation	34,012		40,682
Accrued product field action	5,706		11,810
Third-party inventory	9,090		4,284
Consigned inventory	1,118		5,210
Accrued sales taxes	3,424		6,291
Restructuring accrual	829		1,290
Contract liabilities	6,408		3,326
Accrued other taxes	1,810		2,771
Accrued professional fees	19,120		13,319
Legal accrual	1,699		3,538
Outside commissions	750		725
Warranties and returns	2,553		3,360
Accrued freight	5,026		5,696
Accrued rebates	2,229		—
Other	15,412		9,017
	$	131,954	$	132,064

Other long-term liabilities consist of the following (in thousands):



	September 30, 2018		December 31, 2017
Unfavorable contract liabilities	$	16,713	$	40,148
Contract settlement	2,083		—
Capital lease	1,936		—
Benefits	1,775		2,104
Contract liabilities	1,466		7,099
Other	5,084		5,975
	$	29,057	$	55,326

Stockholders' Equity (Tables)

9 Months Ended

Sep. 30, 2018

Stockholders' Equity Attributable to Parent [Abstract]

Schedule of Accumulated Other Comprehensive Income (Loss) [Table Text Block]

The components of accumulated other comprehensive income ("AOCI"), net of tax, were as follows (in thousands):



	Foreign Currency Translation Adjustments			Unrealized Gains on Cash Flow Hedges			Other Adjustments			Total
Balance as of December 31, 2017	$	(14,578	)	$	(365	)	$	(16	)	$	(14,959	)
Other comprehensive income before reclassifications	(7,705		)	1,714			11			(5,980		)
Amounts reclassified from AOCI	—			(522		)	—			(522		)
Other comprehensive (loss) income	(7,705		)	1,192			11			(6,502		)
Balance as of September 30, 2018	$	(22,283	)	$	827		$	(5	)	$	(21,461	)

Acquisition and Strategic Transaction Fannin (Details) $ in Millions	9 Months Ended
	Sep. 30, 2017 USD ($)
Business Acquisition [Line Items]
Business Acquisition, Percentage of Voting Interests Acquired	100.00%
Payments to Acquire Businesses, Gross	$ 255.8
Fannin [Member]
Business Acquisition [Line Items]
Payments to Acquire Businesses, Gross	$ 1.5

Acquisition and Strategic Transaction Hospira Text (Details) - USD ($) shares in Thousands, $ in Thousands	9 Months Ended		12 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Dec. 31, 2017
Business Acquisition [Line Items]
Business Combination, Contingent Consideration, Liability, Noncurrent		$ 19,000	$ 19,000
Payments to Acquire Businesses, Gross		$ 255,800
Business Acquisition, Percentage of Voting Interests Acquired		100.00%
Proceeds from Issuance of Debt		$ 75,000	$ 75,000
Business Acquisition, Equity Interest Issued or Issuable, Number of Shares			3,200
contingent consideration gross			$ 225,000
Earn out Target		$ 1,000,000
Minimum [Member]
Business Acquisition [Line Items]
Adjusted EBITDA			35,000
Maximum [Member]
Business Acquisition [Line Items]
Adjusted EBITDA			$ 40,000

Acquisition and Strategic Transaction Purchase Price Allocation Table (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017	Dec. 31, 2017
Business Acquisition [Line Items]
Payment to acquire business, net of working capital adjustments					$ 180,785
Proceeds from Issuance of Debt				$ 75,000	75,000
Business Combination, Contingent Consideration, Liability, Noncurrent		$ 19,000		19,000	$ 19,000
Business Acquisition, Equity Interest Issued or Issuable, Number of Shares					3,200
Business Acquisition, Share Price					$ 140.75
Business Combination, Consideration Transferred, Equity Interests Issued and Issuable				413,139	$ 450,400
Discount on equity issued as consideration					37,261
Business Combination, Consideration Transferred, Equity Issued, Fair Value					(413,139)
Business Combination, Consideration Transferred					687,924
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Cash and Equivalents					31,082
Business Combination, Acquired Receivable, Fair Value					362
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Inventory					417,622
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Prepaid Expense and Other Assets					13,911
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment					288,134
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles					131,000
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Liabilities Noncurrent					25,080
Bargain purchase gain	$ 0	$ 8,534	$ 0	$ 71,771
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Noncurrent Assets					29,270
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Accounts Payable					12,381
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Other					47,936
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Noncurrent Liabilities					67,170
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net					$ 783,894
Hospira [Member]
Business Acquisition [Line Items]
Business Acquisition, Equity Interest Issued or Issuable, Number of Shares					3,200
Bargain purchase gain					$ 70,890
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life					9 years
Customer Relationships [Member] \| Hospira [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles					$ 48,000
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life					8 years
Pumps and dedicated sets [Domain] \| Hospira [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles					$ 44,000
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life					10 years
developed technology-consumables [Domain] \| Hospira [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles					$ 34,000
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life					12 years
In Process Research and Development [Member] \| Hospira [Member]
Business Acquisition [Line Items]
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Indefinite-Lived Intangible Assets					$ 5,000

Acquisition and Strategic Transaction MLA Text (Details) - USD ($) $ in Millions	9 Months Ended	12 Months Ended
	Sep. 30, 2017	Dec. 31, 2017
Business Acquisition [Line Items]
Payments to Acquire Businesses, Gross	$ 255.8
Medical Australia Limited [Member]
Business Acquisition [Line Items]
Payments to Acquire Businesses, Gross		$ 9.0

Acquisition and Strategic Transaction Transaction Expenses (Details) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Business Combinations [Abstract]
Strategic transaction expenses	$ 23.5	$ 15.5	$ 61.3	$ 49.0

Restructuring Charges Restructuring Table (Details) $ in Thousands	9 Months Ended
	Sep. 30, 2018 USD ($)
Restructuring Reserve [Roll Forward]
Restructuring Reserve	$ 2,029
Restructuring Charges	3,030
Payments for Restructuring	(3,774)
Restructuring Reserve, Accrual Adjustment	2
Restructuring Reserve	1,287
Employee Severance [Member]
Restructuring Reserve [Roll Forward]
Restructuring Reserve	915
Restructuring Charges	2,870
Payments for Restructuring	(3,327)
Restructuring Reserve, Accrual Adjustment	0
Restructuring Reserve	458
Special Termination Benefits [Member]
Restructuring Reserve [Roll Forward]
Restructuring Reserve	1,114
Restructuring Charges	0
Payments for Restructuring	(287)
Restructuring Reserve, Accrual Adjustment	2
Restructuring Reserve	829
Facility Closing [Member]
Restructuring Reserve [Roll Forward]
Restructuring Reserve	0
Restructuring Charges	160
Payments for Restructuring	(160)
Restructuring Reserve, Accrual Adjustment	0
Restructuring Reserve	$ 0

Restructuring Charges Restructuring Text (Details) $ in Millions	Sep. 30, 2018 USD ($)
Restructuring and Related Activities [Abstract]
Restructuring and Related Cost, Cost Incurred to Date	$ 21.8

Revenue (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
Revenue (Details) - USD ($) $ in Thousands	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Disaggregation of Revenue [Line Items]
Revenues	$ 327,169	$ 343,236	$ 1,059,662	$ 922,489
Cumulative Effect on Retained Earnings, Net of Tax			6,300
Infusion Systems [Member]
Disaggregation of Revenue [Line Items]
Revenues	81,456	$ 82,798	263,271	$ 202,590
Infusion Systems [Member] \| Transferred over Time [Member]
Disaggregation of Revenue [Line Items]
Revenues	4,200		10,200
Equipment revenue [Member]
Disaggregation of Revenue [Line Items]
Revenue, Remaining Performance Obligation, Amount	6,400		6,400
Software revenue [Member]
Disaggregation of Revenue [Line Items]
Revenue, Remaining Performance Obligation, Amount	$ 1,500		$ 1,500

Revenue Impact of ASC 606 in Current Period Income Statement (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]
Revenues	$ 327,169	$ 343,236	$ 1,059,662	$ 922,489
Increase (Decrease) in Revenue	13,502		3,318
Cost of goods sold	192,582	231,638	624,274	633,884
Increase (Decrease) Cost of Goods Sold	(3,577)		(2,536)
Gross Profit	134,587	$ 111,598	435,388	$ 288,605
Increase (Decrease) Gross Profit	(9,925)		(782)
Calculated under Revenue Guidance in Effect before Topic 606 [Member]
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]
Revenues	340,671		1,062,980
Cost of goods sold	196,159		626,810
Gross Profit	$ 144,512		$ 436,170

Revenue Impact of ASC 606 in Current Period Balance Sheet (Details) - USD ($)
$ in Thousands

9 Months Ended

Sep. 30, 2018

Dec. 31, 2017

^[1]

Revenue, Initial Application Period Cumulative Effect Transition [Line Items]

Increase (Decrease) in Prepaid Expense and Other Assets

$ 26,306

$ 41,286

566

Increase (Decrease) in Accrued Liabilities

131,954

132,064

8,153

Deferred Tax Liabilities, Tax Deferred Income

20,341

$ 24,775

1,999

Calculated under Revenue Guidance in Effect before Topic 606 [Member]

Revenue, Initial Application Period Cumulative Effect Transition [Line Items]

26,872

140,107

$ 22,340

[1]	December 31, 2017 balances were derived from audited consolidated financial statements.

Revenue Disaggregated Revenue by Geography (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Disaggregation of Revenue [Line Items]
Revenues	$ 327,169,000	$ 343,236,000	$ 1,059,662,000	$ 922,489,000
EMEA [Member]
Disaggregation of Revenue [Line Items]
Revenues	30,759,000	31,034,000	104,150,000	87,892,000
Asia Pacific [Member]
Disaggregation of Revenue [Line Items]
Revenues	17,779,000	16,982,000	54,813,000	44,071,000
Latin America [Member]
Disaggregation of Revenue [Line Items]
Revenues	16,051,000	16,349,000	44,701,000	42,034,000
North America [Member]
Disaggregation of Revenue [Line Items]
Revenues	17,739,000	21,939,000	54,684,000	50,037,000
Other foreign countries [Member]
Disaggregation of Revenue [Line Items]
Revenues	0	120,000	80,000	120,000
Foreign [Member]
Disaggregation of Revenue [Line Items]
Revenues	82,328,000	86,424,000	258,428,000	224,154,000
UNITED STATES
Disaggregation of Revenue [Line Items]
Revenues	$ 244,841,000	$ 256,812,000	$ 801,234,000	$ 698,335,000

Revenue Disaggregated Revenue by Product Line (Details) - USD ($)	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Disaggregation of Revenue [Line Items]
Revenues	$ 327,169,000	$ 343,236,000	$ 1,059,662,000	$ 922,489,000
Infusion Consumables [Member]
Disaggregation of Revenue [Line Items]
Revenues	117,797,000	92,612,000	361,490,000	245,885,000
IV Solutions [Member]
Disaggregation of Revenue [Line Items]
Revenues	114,433,000	143,710,000	394,198,000	375,494,000
Infusion Systems [Member]
Disaggregation of Revenue [Line Items]
Revenues	81,456,000	82,798,000	263,271,000	202,590,000
Critical Care [Member]
Disaggregation of Revenue [Line Items]
Revenues	13,483,000	12,950,000	40,703,000	37,221,000
Other Revenue [Member]
Disaggregation of Revenue [Line Items]
Revenues	$ 0	$ 11,166,000	$ 0	$ 61,299,000

Revenue Contract Liabilities (Details) $ in Thousands	9 Months Ended
Revenue Contract Liabilities (Details) $ in Thousands	Sep. 30, 2018 USD ($)
Movement in Deferred Revenue [Roll Forward]
Contract with Customer, Liability	$ 7,066
Contract with Customer, Liability	7,874
Equipment revenue [Member]
Movement in Deferred Revenue [Roll Forward]
Deferred Revenue, Additions	4,086
Increase (Decrease) in Deferred Revenue	(3,136)
Software revenue [Member]
Movement in Deferred Revenue [Roll Forward]
Deferred Revenue, Additions	5,507
Increase (Decrease) in Deferred Revenue	$ (5,649)

Net Income Per Share (Details) - USD ($) $ / shares in Units, shares in Thousands, $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Net Income	$ 219	$ 136	$ 36,148	$ 18,939
Weighted average number of common shares outstanding (for basic calculation)	20,474	19,984	20,362	19,433
Dilutive securities	1,159	1,122	1,226	1,170
Diluted (in shares)	21,633	21,106	21,588	20,603
EPS - basic	$ 0.01	$ 0.01	$ 1.78	$ 0.97
Diluted (In dollars per share)	$ 0.01	$ 0.01	$ 1.67	$ 0.92

The amount of net income (loss) for the period per each share of common stock or unit outstanding during the reporting period.

+ References

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+ Details

The amount of net income (loss) for the period available to each share of common stock or common unit outstanding during the reporting period and to each share or unit that would have been outstanding assuming the issuance of common shares or units for all dilutive potential common shares or units outstanding during the reporting period.

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+ Details

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

The consolidated profit or loss for the period, net of income taxes, including the portion attributable to the noncontrolling interest.

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+ Details

Net Income Per Share (Details 1) - shares	3 Months Ended		9 Months Ended
Net Income Per Share (Details 1) - shares	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Earnings Per Share [Abstract]
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount	18	48	3,694	590

Derivative Financial Instruments (Details) $ in Millions, $ in Millions	Sep. 30, 2018 USD ($)	Sep. 30, 2018 MXN ($)
Derivative [Line Items]
Foreign Currency Cash Flow Hedge Gain (Loss) to be Reclassified During Next 12 Months	$ 0.9
Hedge 1 [Member]
Derivative [Line Items]
Derivative, Notional Amount		$ 240.1
Derivative, Forward Exchange Rate	20.01	20.01
Hedge 2 [Member]
Derivative [Line Items]
Derivative, Notional Amount		$ 183.9
Derivative, Forward Exchange Rate	20.43	20.43

Derivative Financial Instruments Derivative Instruments and Hedging Activities - FV of Derivative Instruments Included Within Consolidated Balance Sheet (Details) - Foreign Exchange Forward [Member] - Designated as Hedging Instrument [Member] - USD ($) $ in Thousands	Sep. 30, 2018	Dec. 31, 2017
Prepaid Expenses and Other Current Assets [Member]
Derivatives, Fair Value [Line Items]
Derivative Asset	$ 885	$ 0
Other Assets [Member]
Derivatives, Fair Value [Line Items]
Derivative Asset	94	0
Accrued Liabilities [Member]
Derivatives, Fair Value [Line Items]
Derivative Liability	0	187
Other Noncurrent Liabilities [Member]
Derivatives, Fair Value [Line Items]
Derivative Liability	0	402
Derivative Financial Instruments, Assets [Member]
Derivatives, Fair Value [Line Items]
Derivative Asset	$ 979
Derivative Financial Instruments, Liabilities [Member]
Derivatives, Fair Value [Line Items]
Derivative Liability		$ 589

Derivative Financial Instruments Derivative Instruments and Hedging Activities - Amounts Affecting Consolidated Statements of Income (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Derivative Instruments, Gain (Loss) [Line Items]
Derivative, Gain (Loss) on Derivative, Net	$ 192	$ 534	$ 687	$ 556

Derivative Financial Instruments Derivative Instruments and Hedging Activities - Cash Flow Hedge Activity Included in Accumulated Other Comprehensive Income (Loss) (Details) - Cost of Sales [Member] - Foreign Exchange Forward [Member] - Cash Flow Hedging [Member] - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Derivative Instruments and Hedging Activities Disclosures [Line Items]
Other Comprehensive Income (Loss), Unrealized Gain (Loss) on Derivatives Arising During Period, before Tax	$ 1,743	$ (318)	$ (2,256)	$ (2,144)
Derivative Instruments, Gain Recognized in Other Comprehensive Income (Loss), Effective Portion	(1,743)	318	2,256	2,144
Derivative Instruments, Gain Reclassified from Accumulated OCI into Income, Effective Portion	$ 192	$ 534	$ 687	$ 556

Fair Value Measurement Fair Value Measurements, Recurring Basis (Details) - USD ($)
$ in Thousands

Sep. 30, 2018

Dec. 31, 2017

$ 36,960

$ 10,061

^[1]

2,922

14,579

^[1]

24,640

Prepaid Expenses and Other Current Assets [Member]

40,861

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Foreign Currency Contract, Asset, Fair Value Disclosure

885

Other Assets [Member]

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Foreign Currency Contract, Asset, Fair Value Disclosure

Accrued Liabilities [Member]

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Foreign Currency Contracts, Liability, Fair Value Disclosure

187

Other Noncurrent Liabilities [Member]

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Foreign Currency Contracts, Liability, Fair Value Disclosure

402

Fair Value, Inputs, Level 1 [Member]

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Fair Value, Inputs, Level 1 [Member] | Prepaid Expenses and Other Current Assets [Member]

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Foreign Currency Contract, Asset, Fair Value Disclosure

Fair Value, Inputs, Level 1 [Member] | Other Assets [Member]

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Foreign Currency Contract, Asset, Fair Value Disclosure

Fair Value, Inputs, Level 1 [Member] | Accrued Liabilities [Member]

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Foreign Currency Contracts, Liability, Fair Value Disclosure

Fair Value, Inputs, Level 1 [Member] | Other Noncurrent Liabilities [Member]

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Foreign Currency Contracts, Liability, Fair Value Disclosure

Fair Value, Inputs, Level 2 [Member]

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

36,960

10,061

2,922

14,579

24,640

Fair Value, Inputs, Level 2 [Member] | Prepaid Expenses and Other Current Assets [Member]

40,861

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Foreign Currency Contract, Asset, Fair Value Disclosure

885

Fair Value, Inputs, Level 2 [Member] | Other Assets [Member]

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Foreign Currency Contract, Asset, Fair Value Disclosure

Fair Value, Inputs, Level 2 [Member] | Accrued Liabilities [Member]

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Foreign Currency Contracts, Liability, Fair Value Disclosure

187

Fair Value, Inputs, Level 2 [Member] | Other Noncurrent Liabilities [Member]

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Foreign Currency Contracts, Liability, Fair Value Disclosure

402

Fair Value, Inputs, Level 3 [Member]

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Fair Value, Inputs, Level 3 [Member] | Prepaid Expenses and Other Current Assets [Member]

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Foreign Currency Contract, Asset, Fair Value Disclosure

Fair Value, Inputs, Level 3 [Member] | Other Assets [Member]

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Foreign Currency Contract, Asset, Fair Value Disclosure

Fair Value, Inputs, Level 3 [Member] | Accrued Liabilities [Member]

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Foreign Currency Contracts, Liability, Fair Value Disclosure

Fair Value, Inputs, Level 3 [Member] | Other Noncurrent Liabilities [Member]

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Foreign Currency Contracts, Liability, Fair Value Disclosure

Earn-out liability [Member]

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Earn-out liability [Member] | Fair Value, Inputs, Level 1 [Member]

47,500

27,000

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Earn-out liability [Member] | Fair Value, Inputs, Level 2 [Member]

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Earn-out liability [Member] | Fair Value, Inputs, Level 3 [Member]

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Liabilities, Total [Member]

47,500

27,000

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Liabilities, Total [Member] | Fair Value, Inputs, Level 1 [Member]

47,500

27,589

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Liabilities, Total [Member] | Fair Value, Inputs, Level 2 [Member]

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Liabilities, Total [Member] | Fair Value, Inputs, Level 3 [Member]

589

Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]

Fair Value, Liabilities Measured on Recurring Basis, Change in Unrealized Gain (Loss)

$ 47,500

$ 27,000

[1]	December 31, 2017 balances were derived from audited consolidated financial statements.

Fair Value Measurement Fair Value Measurement (Details) $ in Millions	12 Months Ended
	Dec. 31, 2017 USD ($)
Fair Value Disclosures [Abstract]
contingent consideration gross	$ 225

Fair Value Measurement Fair Value Liabilities Measured on Recurring Basis, Unobservable Inputs (Details) - USD ($)
$ in Thousands

9 Months Ended

Sep. 30, 2018

Dec. 31, 2017

^[1]

Fair Value Disclosures [Abstract]

$ 20,500

CONTINGENT EARN-OUT LIABILITY

$ 47,500

$ 27,000

[1]	December 31, 2017 balances were derived from audited consolidated financial statements.

Fair Value Measurement Fair Value Inputs, Liabilities, Quantitative Information (Details)	Sep. 30, 2018	Dec. 31, 2017
MeasurementinputadjustedEBITDAvolatility [Domain]
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Business Combination, Contingent Consideration, Liability, Measurement Input	0.2500	0.2600
Measurement Input, Discount Rate [Member]
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Business Combination, Contingent Consideration, Liability, Measurement Input	0.0825	0.0875
Measurement Input, Risk Free Interest Rate [Member]
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Business Combination, Contingent Consideration, Liability, Measurement Input	0.0313	0.0258
Measurement Input, Price Volatility [Member]
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Business Combination, Contingent Consideration, Liability, Measurement Input	0.0499	0.0599
Measurement Input, Cost of Debt [Domain]
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Business Combination, Contingent Consideration, Liability, Measurement Input	0.0474	0.0408

Fair Value Measurement Fair value nonrecurring basis (Details) $ in Thousands	Dec. 31, 2017 USD ($)
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Assets Held-for-sale, Long Lived, Fair Value Disclosure	$ 12,489
Fair Value, Inputs, Level 1 [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Assets Held-for-sale, Long Lived, Fair Value Disclosure	0
Fair Value, Inputs, Level 2 [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Assets Held-for-sale, Long Lived, Fair Value Disclosure	0
Fair Value, Inputs, Level 3 [Member]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Assets Held-for-sale, Long Lived, Fair Value Disclosure	$ 12,489

Investment Securities (Details) $ in Thousands	9 Months Ended
Investment Securities (Details) $ in Thousands	Sep. 30, 2018 USD ($)
Investments, Debt and Equity Securities [Abstract]
Gain (Loss) on Sale of Investments	$ 0
Investment Contract Settlement Date Range End	Jul. 22, 2020
Investment Maturity Date Range Start	Jan. 15, 2018

Investment Securities Table (Details) - USD ($) $ in Thousands	9 Months Ended	12 Months Ended
	Sep. 30, 2018	Dec. 31, 2017
Debt Securities, Available-for-sale [Line Items]
Debt Securities, Available-for-sale, Current	$ 36,960	$ 10,061
Debt Securities, Available-for-sale, Noncurrent	2,922	14,579
Debt Securities, Available-for-sale, Amortized Cost	39,882	24,640
Debt Securities, Available-for-sale, Unrealized Loss	0	0
Debt Securities, Available-for-sale, Maturity, Allocated and Single Maturity Date, within One Year, Fair Value	36,960	10,061
Debt Securities, Available-for-sale, Maturity, Allocated and Single Maturity Date, after One Through Five Years, Fair Value	2,922	14,579
Debt Securities, Available-for-sale	39,882	24,640
Available-for-sale Debt Security Current [Member]
Debt Securities, Available-for-sale [Line Items]
Debt Securities, Available-for-sale, Continuous Unrealized Loss Position, Less than 12 Months, Accumulated Loss	0	0
Available-for-sale Debt Security Noncurrent [Member]
Debt Securities, Available-for-sale [Line Items]
Debt Securities, Available-for-sale, Continuous Unrealized Loss Position, Less than 12 Months, Accumulated Loss	$ 0	$ 0

Prepaids and Other Current Assets Prepaids and Other Assets (Details) - USD ($)
$ in Thousands

Sep. 30, 2018

Dec. 31, 2017

Prepaid Expense and Other Assets, Current [Abstract]

Other Receivables

$ 606

$ 21,940

Other Prepaid Expense, Current

11,727

4,208

Prepaid insurance and property taxes

393

2,580

Prepaid Taxes

5,873

8,097

Deferred tax charge

2,368

1,326

Other Assets, Current

5,339

3,135

$ 26,306

$ 41,286

^[1]

[1]	December 31, 2017 balances were derived from audited consolidated financial statements.

Prepaids and Other Current Assets Related-party receivable details (Details) - USD ($)
$ in Thousands

Sep. 30, 2018

Dec. 31, 2017

Accounts Receivable [Member]

$ 70,408

$ 98,807

^[1]

Prepaid Expenses and Other Current Assets [Member]

68,878

36,425

$ 1,530

$ 62,382

[1]	December 31, 2017 balances were derived from audited consolidated financial statements.

Prepaids and Other Current Assets Text (Details) shares in Thousands	12 Months Ended
	Dec. 31, 2017 shares
Business Acquisition, Equity Interests Issued or Issuable [Line Items]
Business Acquisition, Equity Interest Issued or Issuable, Number of Shares	3,200
Hospira [Member]
Business Acquisition, Equity Interests Issued or Issuable [Line Items]
Business Acquisition, Equity Interest Issued or Issuable, Number of Shares	3,200

Prepaids and Other Current Assets Related Party Text (Details) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Prepaid Expense and Other Assets, Current [Abstract]
Pfizer MSA Product Costs	$ 21.7	$ 16.2	$ 59.3	$ 51.9
ICU Medical MSA Revenue	$ 17.5	$ 16.1	$ 57.4	$ 55.0

Inventories (Details) - USD ($)
$ in Thousands

Sep. 30, 2018

Dec. 31, 2017

Inventory Disclosure [Abstract]

Raw material

$ 71,511

$ 82,397

Work in process

64,137

42,304

Finished goods

156,192

163,956

Total

$ 291,840

$ 288,657

^[1]

[1]	December 31, 2017 balances were derived from audited consolidated financial statements.

Property and Equipment (Details) - USD ($)
$ in Thousands

Sep. 30, 2018

Dec. 31, 2017

Net property and equipment

$ 674,334

$ 608,823

Accumulated depreciation

(249,437)

(210,139)

424,897

398,684

^[1]

Machinery and Equipment, Gross

195,278

220,999

Furniture and Fixtures, Gross

8,284

7,361

Construction in Progress, Gross

98,967

57,144

Land, Buildings and Improvements [Member]

213,764

206,846

Molds [Member]

Computer Equipment and Software [Member]

56,304

56,253

Instruments Placed with Customers [Member]

43,490

44,408

Goodwill, Acquired During Period

$ 58,247

$ 15,812

[1]	December 31, 2017 balances were derived from audited consolidated financial statements.

Property and Equipment Text (Details) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Property, Plant and Equipment [Abstract]
Depreciation	$ 15.1	$ 14.0	$ 42.8	$ 36.6

Goodwill and Intangible Assets Goodwill Table (Details)
$ in Thousands

9 Months Ended

Sep. 30, 2018

USD ($)

Goodwill [Line Items]

$ 1,300

Goodwill, Purchase Accounting Adjustments

GOODWILL

12,357

^[1]

Goodwill, Foreign Currency Translation Gain (Loss)

(458)

GOODWILL

$ 13,199

[1]	December 31, 2017 balances were derived from audited consolidated financial statements.

Goodwill and Intangible Assets Intangibles Table (Details) - USD ($)
$ in Thousands

9 Months Ended

12 Months Ended

Sep. 30, 2018

Dec. 31, 2017

Finite-Lived Intangible Assets, Accumulated Amortization

$ 169,503

$ 167,044

43,736

31,516

Indefinite-lived Intangible Assets (Excluding Goodwill)

125,767

135,528

6,044

8,225

Intangible Assets, Gross (Excluding Goodwill)

175,547

175,269

INTANGIBLE ASSETS, net

$ 131,811

$ 143,753

^[1]

Patents [Member]

10 years

Finite-Lived Intangible Assets, Accumulated Amortization

$ 18,906

$ 17,064

11,839

10,970

Customer Contracts [Member]

$ 7,067

$ 6,094

9 years

Finite-Lived Intangible Assets, Accumulated Amortization

$ 5,319

5,177

4,892

$ 142

$ 427

9 years

Finite-Lived Intangible Assets, Accumulated Amortization

$ 55,695

$ 55,080

11,553

6,562

$ 44,142

$ 48,518

Trademarks [Member]

4 years

Finite-Lived Intangible Assets, Accumulated Amortization

$ 425

425

$ 0

Trade Names [Member]

15 years

Finite-Lived Intangible Assets, Accumulated Amortization

$ 7,310

1,462

1,096

Developed Technology Rights [Member]

$ 5,848

$ 6,214

11 years

Finite-Lived Intangible Assets, Accumulated Amortization

$ 81,848

$ 81,846

13,280

7,571

$ 68,568

$ 74,275

[1]	December 31, 2017 balances were derived from audited consolidated financial statements.

Goodwill and Intangible Assets Text (Details) - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2018	Sep. 30, 2017	Sep. 30, 2018	Sep. 30, 2017
Goodwill and Intangible Assets Disclosure [Abstract]
Amortization of Intangible Assets	$ 4.1	$ 3.6	$ 12.2	$ 10.9

Goodwill and Intangible Assets 5-Year Amortization (Details) - USD ($) $ in Thousands	Sep. 30, 2018	Dec. 31, 2017
Goodwill and Intangible Assets Disclosure [Abstract]
Finite-Lived Intangible Assets, Amortization Expense, Next Twelve Months	$ 4,004
Finite-Lived Intangible Assets, Amortization Expense, Year Two	16,013
Finite-Lived Intangible Assets, Amortization Expense, Year Three	15,867
Finite-Lived Intangible Assets, Amortization Expense, Year Four	15,578
Finite-Lived Intangible Assets, Amortization Expense, Year Five	15,426
Finite-Lived Intangible Assets, Amortization Expense, after Year Five	58,879
Finite-Lived Intangible Assets, Net	$ 125,767	$ 135,528

Accrued Liabilities (Details) - USD ($)
$ in Thousands

9 Months Ended

12 Months Ended

Sep. 30, 2018

Dec. 31, 2017

Accrued Product Field Action

Salaries and benefits

$ 22,768

$ 20,745

Incentive compensation

34,012

40,682

5,706

11,810

Third-party Inventory

9,090

4,284

Consigned inventory

1,118

5,210

Sales taxes

3,424

6,291

Restructuring accrual

829

1,290

Contract with Customer, Liability, Current

6,408

3,326

Accrued other taxes

1,810

2,771

Accrued Professional Fees

19,120

13,319

Legal accrual

1,699

3,538

Outside commissions

750

725

Warranties and returns

2,553

3,360

Accrued freight

5,026

5,696

Accrued rebates

2,229

Other

15,412

9,017

$ 131,954

$ 132,064

^[1]

[1]	December 31, 2017 balances were derived from audited consolidated financial statements.

Accrued Liabilities Long-term liabilities (Details) - USD ($)
$ in Thousands

Sep. 30, 2018

Dec. 31, 2017