Financial Performance - Net revenues for 2023 were 2,974.5million,upfrom2,791.0 million in 2022[340] - Gross profit increased to 1,646.9millionin2023from1,531.1 million in 2022[340] - Net income for 2023 was 356.3million,comparedto363.1 million in 2022 and 485.4millionin2021[343]−Comprehensiveincomefor2023was445.4 million, up from 306.6millionin2022and435.7 million in 2021[343] - Net cash provided by operating activities from continuing operations increased to 511.7millionin2023,upfrom342.8 million in 2022[242] - Free cash flow rose to 420.2millionin2023,comparedto263.6 million in 2022[242] - Net cash provided by financing activities from continuing operations was 38.5millionin2023,primarilydueto101.3 million in net proceeds from borrowings for the acquisition of Palette[239] - Net revenues for the year ended December 31, 2023, were 2,974.5million,comparedto2,791.0 million in 2022 and 2,809.6millionin2021[386]InternationalOperations−7240.6 million (13.2%), driven by a 25.5millionincreaseinsalesvolumeofexistingproductsandan18.8 million increase in sales of new products[220] - Asia operating profit for 2023 increased by 7.3million(8.8222.8 million, with 196.7millionheldatnon−U.S.subsidiaries[227]AcquisitionsandContingentLiabilities−ContingentconsiderationliabilitiesasofDecember31,2023,amountedto39.5 million, primarily related to acquisitions of Standard Bariatrics Inc. and Palette[121] - The company completed the acquisition of Palette on October 10, 2023, with a fair value of consideration transferred of 621.9million[335]−IdentifiableintangibleassetsacquiredinthePaletteacquisitionincluded264.0 million in intellectual property and 40.5millionintradenamesintangibleassets[335]−ThecompanycompletedtheacquisitionofPaletteLifeSciencesABfor621.9 million, including 594.9millioninnetcashpaymentsand27.0 million in contingent consideration[388] - The Palette acquisition added 333.5millioninintangibleassetsand357.0 million in goodwill[390] - The fair value of contingent consideration liabilities was 39.5millionasofDecember31,2023[461]−Contingentconsiderationliabilitiesdecreasedfrom44.0 million at the beginning of 2023 to 39.5millionbytheendof2023,primarilyduetorevaluationsandadjustments[472]−Themaximumpotentialpaymentundercontingentconsiderationarrangementsrelatedtoacquisitionsis177.0 million[468] - Revenue volatility for contingent consideration liabilities ranges from 15.1% to 20.3%, with a weighted average of 18.8%[470] Segment Performance - OEM net revenues for 2023 increased by 53.4million(19.628.3 million increase in sales volume of existing products and price increases[222] - OEM operating profit for 2023 increased by 20.8million(31.9326.0 million in 2023 from 272.6millionin2022[386]−TheVascularAccessproductcategorygenerated708.0 million in revenue for 2023, up from 683.6millionin2022[386]BalanceSheetandCashFlow−Totalassetsincreasedto7.53 billion in 2023 from 6.93billionin2022,drivenbygrowthingoodwillandintangibleassets[346]−Goodwillincreasedto2.91 billion in 2023 from 2.54billionin2022,reflectingacquisitionsandbusinesscombinations[346]−Retainedearningsgrewto4.11 billion in 2023 from 3.82billionin2022,supportedbynetincomegeneration[349]−Cashandcashequivalentsdecreasedto222.8 million in 2023 from 292.0millionin2022,reflectingcashusageforoperationsandinvestments[346]−Totalliabilitiesincreasedto3.09 billion in 2023 from 2.91billionin2022,primarilyduetohigherlong−termborrowings[346]−Thecompanyhad262.0 million in borrowings outstanding and 0.9millioninoutstandingstandbylettersofcreditunderits1.0 billion revolving credit facility as of December 31, 2023[245] - The company borrowed the maximum amount available of 75millionunderitsaccountsreceivablesecuritizationfacilityasofDecember31,2023[248]RiskManagementandDerivatives−Thecompanyenteredintoazero−costforeignexchangecollarcontractinDecember2023tomanageforeignexchangeriskrelatedto500 million notional cross-currency swaps[229] - A 1.0% change in variable interest rates would impact annual interest expense by 8.2millionbasedonoutstandingdebtasofDecember31,2023[279]−Derivativeassetsvaluedat63.6 million and derivative liabilities at 1.5million,bothclassifiedunderLevel2ofthefairvaluehierarchy[463]ShareholderEquityandShares−Basicweightedaveragesharesoutstandingfor2023were46.98million,withadilutiveeffectof0.32millionsharesfromshare−basedawards,resultingindilutedsharesof47.30million[474]−Thecompanyhas200millionauthorizedcommonsharesand500,000preferenceshares,withnopreferencesharesoutstandinginthelastthreeyears[473]ReservesandAllowances−Theliabilityforreturnsandallowanceswas22.2 million as of December 31, 2023, up from 17.9millionin2022[379]−Thereserveforcustomerincentiveprograms,includingrebates,was26.7 million as of December 31, 2023, down from 29.0millionin2022[379]InvestmentsandFairValue−Investmentsinmarketablesecuritiesvaluedat10.1 million as of December 31, 2022, classified under Level 1 of the fair value hierarchy[463] - Contingent consideration liabilities valued at 44.0millionasofDecember31,2022,classifiedunderLevel3ofthefairvaluehierarchy[463]TransactionExpenses−Thecompanyincurred10.6 million in transaction expenses related to the Palette acquisition[391] Goodwill and Impairment - The company did not record any goodwill impairment charges for the year ended December 31, 2023[360] Revenue Sources - The company's revenue from hospitals and healthcare providers represented 87% of consolidated net revenues for the year ended December 31, 2023[377] Obligor Group Performance - Obligor Group net revenue for 2023 was 2,128.2million,withgrossprofitof764.9 million and net income of $259.5 million[233]