Awards granted during the period (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period
Document Type
Document Type
Share repurchase and equity component of the convertible note issuance, net (in shares)
Stock Issued During Period, Shares, Treasury Stock Reissued
Other income (expense), net
Other Nonoperating Income (Expense)
COMMITMENTS AND CONTINGENCIES
Commitments and Contingencies Disclosure [Text Block]
Related Party [Axis]
Related Party [Axis]
Treasury Stock
Treasury Stock [Member]
Accounts payable, accrued expenses and other current liabilities
Increase (Decrease) in Accounts Payable and Accrued Liabilities
Deferred tax liability
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Liabilities
Segments [Axis]
Segments [Axis]
RETIREMENT PLANS
Retirement Benefits [Text Block]
Contract Liability
Change In Contract With Customer, Liability [Roll Forward]
Change In Contract With Customer, Liability [Roll Forward]
Schedule of Changes in Accumulated Other Comprehensive Loss by Component
Schedule of Accumulated Other Comprehensive Income (Loss) [Table Text Block]
Fair Value, Inputs, Level 3
Fair Value, Inputs, Level 3 [Member]
Supplemental Balance Sheet Information
Assets And Liabilities, Lessee [Table Text Block]
Assets And Liabilities, Lessee [Table Text Block]
Lease liability - operating leases
Disposal Group, Including Discontinued Operation, Lease Liability, Noncurrent
Disposal Group, Including Discontinued Operation, Lease Liability, Noncurrent
Debt Covenant Period [Axis]
Debt Covenant Period [Axis]
Debt Covenant Period [Axis]
Accelerated shares repurchased (in shares)
Stock repurchased during period (in shares)
Stock Repurchased During Period, Shares
Incremental financing costs capitalized
Debt Issuance Costs, Gross
Accrued expenses
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Accrued Expenses
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Accrued Expenses
Product Warranties
Extended Product Warranty, Policy [Policy Text Block]
Number of renewal options (or more)
Lessee, Operating Lease, Number Of Renewal Options
Lessee, Operating Lease, Number Of Renewal Options
Statistical Measurement [Domain]
Statistical Measurement [Domain]
LIABILITIES AND STOCKHOLDERS’ EQUITY
Liabilities and Equity [Abstract]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Other non-current liabilities
Increase (Decrease) in Other Noncurrent Liabilities
Deferred tax liabilities
Deferred tax liabilities
Deferred Income Tax Liabilities, Net
DERIVATIVE INSTRUMENTS
Derivative Instruments and Hedging Activities Disclosure [Text Block]
Share repurchase and equity component of the convertible note issuance, net
Adjustments to Additional Paid in Capital, Equity Component of Convertible Debt
Security Exchange Name
Security Exchange Name
Intangible assets, net
Intangible Assets, Net (Excluding Goodwill)
Estimated fair value of plan assets
Defined Benefit Plan, Plan Assets, Amount
Proceeds from convertible notes issuance
Net proceeds from offering of convertible senior notes
Proceeds from Convertible Debt
Call Option
Call Option [Member]
Operating income
Operating income
Operating Income (Loss)
Performance Shares and Restricted Units
Performance Shares and Restricted Units [Member]
Performance Shares and Restricted Units
Payment of debt issuance costs
Payments of Debt Issuance Costs
Total current liabilities
Liabilities, Current
Tissue Technologies
Tissue Technologies [Member]
Orthopedics and Tissue Technologies [Member]
Schedule of Changes in Contract Assets and Contract Liabilities
Contract with Customer, Contract Asset, Contract Liability, and Receivable [Table Text Block]
Performance Stock
Performance Shares [Member]
Prepaid expenses and other current assets
Prepaid Expense and Other Assets, Current
Variable Rate [Domain]
Variable Rate [Domain]
Variable Rate [Axis]
Variable Rate [Axis]
Schedule of Business Acquisitions, by Acquisition [Table]
Schedule of Business Acquisitions, by Acquisition [Table]
Purchases of treasury stock
Payments for Repurchase of Common Stock
ASSETS
Assets [Abstract]
Stock options exercisable, vesting period
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period
Thereafter
Lessee, Operating Lease, Liability, to be Paid, after Year Five
Issuance of common stock for vesting of share based awards, net of shares withheld for taxes
Shares Issued, Value, Share-based Payment Arrangement, after Forfeiture
Income taxes payable
Taxes Payable, Current
Entity State
Entity Address, State or Province
Operating cash flows from operating leases
Operating Lease, Payments
Employees
Employee [Member]
Employee [Member]
Foreign currency translation
Goodwill, Foreign Currency Translation Gain (Loss)
Securitization program outstanding borrowings, maximum limit
Transferor's Interests In Transferred Financial Assets, Maximum Investment Limit
Transferor's Interests In Transferred Financial Assets, Maximum Investment Limit
ACCUMULATED OTHER COMPREHENSIVE LOSS
Comprehensive Income (Loss) Note [Text Block]
2024
Long-Term Debt, Maturity, Year Three
Retained earnings
Retained Earnings (Accumulated Deficit)
Right of use asset - operating leases
ROU assets
Operating Lease, Right-of-Use Asset
Unamortized discount
Debt Instrument, Unamortized Discount
Other income (expense)
Other Expense [Member]
Weighted Average Life
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life
2022
Lessee, Operating Lease, Liability, to be Paid, Year One
Shares included in computation (in shares)
Additional EPS Shares
Additional shares included in the basic and diluted calculation from their date of issuance because no further consideration is due related to the issuance of the underlying common shares
Property, plant and equipment, net
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment
2025
Lessee, Operating Lease, Liability, to be Paid, Year Four
Total unrecognized compensation costs
Share-based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Amount
Instruments
Instruments [Member]
Instruments [Member]
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Derivative Instruments, Gain (Loss) [Roll Forward]
Accumulated Other Comprehensive Income (Loss) [Roll Forward]
AOCI Attributable to Parent, Net of Tax [Roll Forward]
Fair Value by Liability Class [Domain]
Fair Value by Liability Class [Domain]
Preferred stock; no par value; 15,000 authorized shares; none outstanding
Preferred Stock, Value, Issued
Transferred to trade receivable of contract asset included in beginning of the year contract asset
Contract with Customer, Asset, Reclassified to Receivable
Hedging Designation [Domain]
Hedging Designation [Domain]
Rest of World
Rest Of World [Member]
Revenues from rest of the world.
Treasury stock
Treasury Stock, Common, Value
Leased facilities
Building [Member]
Common stock, par value (in dollars per share)
Common Stock, Par or Stated Value Per Share
Other liabilities
Other Liabilities, Noncurrent
Deferred tax assets, net
Deferred Income Tax Assets, Net
Acquired Finite-Lived Intangible Assets [Line Items]
Acquired Finite-Lived Intangible Assets [Line Items]
Liability Class [Axis]
Liability Class [Axis]
Work in process
Inventory, Work in Process, Net of Reserves
Share-based compensation
APIC, Share-based Payment Arrangement, Increase for Cost Recognition
Effect of exchange rate changes on cash and cash equivalents
Effect of Exchange Rate on Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents
Inventories, net
Inventories, net
Inventory, Net
Schedule of Acquired Finite-Lived Intangible Asset by Major Class [Table]
Schedule of Acquired Finite-Lived Intangible Asset by Major Class [Table]
Total revenue, net
Total Revenues
Revenue from Contract with Customer, Excluding Assessed Tax
Inventory [Line Items]
Inventory [Line Items]
Business Acquisition [Axis]
Business Acquisition [Axis]
Geographical [Domain]
Geographical [Domain]
Expiration period
Share-based Compensation Arrangement by Share-based Payment Award, Expiration Period
Initial conversion rate
Debt Instrument, Convertible, Conversion Ratio
Interest Rate Swap Designated December 13, 2017 Tranche 1
Interest Rate Swap Designated December 13, 2017 Tranche 1 [Member]
Interest Rate Swap Designated December 13, 2017 Tranche 1 [Member]
Statement [Line Items]
Statement [Line Items]
Long
Long [Member]
Prepaids expenses and other current assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Prepaid Expense and Other Assets
Statement [Table]
Statement [Table]
Cross Currency Interest Rate Swap Two
Cross Currency Interest Rate Contract Two [Member]
Cross Currency Interest Rate Contract Two [Member]
Expected annual amortization expense, thereafter
Finite-Lived Intangible Asset, Expected Amortization, after Year Five
Statistical Measurement [Axis]
Statistical Measurement [Axis]
Cash (paid) provided for business acquisitions, net of cash acquired
Payments For (Proceeds From) Business Acquisitions
Payments For (Proceeds From) Business Acquisitions
Interest Rate Swap Designated October 10, 2018 Tranche 2
Interest Rate Swap Designated October 10, 2018 Tranche 2 [Member]
Interest Rate Swap Designated October 10, 2018 Tranche 2 [Member]
Credit Facility [Axis]
Credit Facility [Axis]
Non-cash lease expense
Operating Lease, Right-of-Use Asset, Amortization Expense
Fair value
Debt Instrument, Fair Value Disclosure
Related Parties
Third Parties [Member]
Third Parties [Member]
Arkis
Arkis BioSciences Inc. [Member]
Arkis BioSciences Inc. [Member]
Execution of July 2020 Amendment through June 30, 2021
Debt Covenant Period 6 [Member]
Debt Covenant Period 6 [Member]
Long-term convertible securities
Carrying amount, liability component
Convertible Debt, Noncurrent
Derma Sciences
Derma Sciences [Member]
Derma Sciences [Member]
Foreign Tax Authority
Foreign Tax Authority [Member]
Warrant strike price (in dollars per share)
Class of Warrant or Right, Exercise Price of Warrants or Rights
Line of credit facility, fair value of amount outstanding
Line of Credit Facility, Fair Value of Amount Outstanding
Gain (loss) recorded in other income, net
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, before Tax
Smaller Reporting Company
Entity Small Business
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Fair Value Hierarchy and NAV [Domain]
Fair Value Hierarchy and NAV [Domain]
DEBT
Debt Disclosure [Text Block]
Goodwill [Roll Forward]
Goodwill [Roll Forward]
Amendment Flag
Amendment Flag
Basic and Diluted Net Income (Loss) Per Share
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
Weighted average common shares outstanding (See Note 13):
Weighted Average Number of Shares Outstanding, Diluted [Abstract]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Contingent Consideration Type [Domain]
Contingent Consideration Type [Domain]
Balance, Beginning of Period
Balance, End of Period
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability Value
Accretion of bond issuance discount
Accretion Expense
Effect of dilutive securities:
Dilutive Securities, Effect on Basic Earnings Per Share [Abstract]
Schedule of Assets Acquired and Liabilities Assumed
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]
Corporate and other
Corporate, Non-Segment [Member]
Line of credit facility outstanding
Long-term Line of Credit
Inventories, net
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Inventory
Less: Amounts reclassified from accumulated other comprehensive loss
Loss reclassified from accumulated other comprehensive loss
Reclassification from AOCI, Current Period, Net of Tax, Attributable to Parent
Amount of Gain (Loss) Reclassified from AOCL into Earnings
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, after Tax
Interest Rate Swap Designated December 13, 2017 Tranche 3
Interest Rate Swap Designated December 13, 2017 Tranche 3 [Member]
Interest Rate Swap Designated December 13, 2017 Tranche 3 [Member]
Net cash provided by operating activities
Net Cash Provided by (Used in) Operating Activities
Entity Central Index Key
Entity Central Index Key
Related Party [Domain]
Related Party [Domain]
Contingent consideration
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Contingent Liability
Gains and Losses on Derivatives
Accumulated Gain (Loss), Net, Cash Flow Hedge, Parent [Member]
Derivative Instrument [Axis]
Derivative, by Nature [Axis]
Derivative Instrument [Axis]
Current liabilities:
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities [Abstract]
Finite-Lived Intangible Assets by Major Class [Axis]
Finite-Lived Intangible Assets by Major Class [Axis]
Other Long-term Liabilities
Other Noncurrent Liabilities [Member]
Schedule of Finite-Lived Intangible Assets
Schedule of Finite-Lived Intangible Assets [Table Text Block]
Total liabilities held for sale
Disposal Group, Including Discontinued Operation, Liabilities
Standby Letters of Credit
Standby Letters of Credit [Member]
Geographical [Axis]
Geographical [Axis]
Segments [Domain]
Segments [Domain]
Option to extend lease, years
Lessee, Operating Lease, Renewal Term
Statement of Cash Flows [Abstract]
Statement of Cash Flows [Abstract]
September 30, 2022 through June 30, 2023
Debt Covenant Period 8 [Member]
Debt Covenant Period 8 [Member]
2025
Long-Term Debt, Maturity, Year Four
Long-Lived Tangible Asset [Axis]
Long-Lived Tangible Asset [Axis]
Income Statement Location [Axis]
Income Statement Location [Axis]
Intangible assets, net
Disposal Group, Including Discontinued Operation, Intangible Assets
Trade accounts receivable, allowance
Accounts Receivable, Allowance for Credit Loss, Current
Entity Common Stock, Shares Outstanding (in shares)
Entity Common Stock, Shares Outstanding
Product warranty period (up to)
Revenue, Product Warranty Period
Revenue, Product Warranty Period
Income Statement Location [Domain]
Income Statement Location [Domain]
2023
Lessee, Operating Lease, Liability, to be Paid, Year Two
Treasury stock, average cost per share (in dollars per share)
Treasury Stock Acquired, Average Cost Per Share
FINANCING ACTIVITIES:
Net Cash Provided by (Used in) Financing Activities [Abstract]
Gain expected to be reclassified to earnings in the next twelve months
Interest Rate Cash Flow Hedge Gain (Loss) to be Reclassified During Next 12 Months, Net
Selling, general and administrative
Selling, General and Administrative Expense
Directors and Certain Executive Officers
Directors and Certain Executive Officers [Member]
Directors and Certain Executive Officers [Member]
Notional amount
Current notional amount
Aggregate Notional Amount
Derivative, Notional Amount
Intangible asset amortization
Amortization
Amortization of Intangible Assets
Estimated Fair Value, Asset (Liability)
Fair Value Asset (Liability)
Derivative, Fair Value, Net
2024
Lessee, Operating Lease, Liability, to be Paid, Year Three
Other assets
Other Assets, Noncurrent
SEGMENT AND GEOGRAPHIC INFORMATION
Segment Reporting Disclosure [Text Block]
Total assets
Assets
Interest expense
Interest Expense, Debt
Current portion of lease liability - operating leases
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Current Portion of Lease Liability, Operating Leases
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Current Portion of Lease Liability, Operating Leases
Certain Purchasers
Certain Purchasers [Member]
Certain Purchasers [Member]
Title of 12(b) Security
Title of 12(b) Security
Loss on foreign currency derivatives
Gain (Loss) on Foreign Currency Derivatives Recorded in Earnings, Net
Disposal Group Classification [Axis]
Disposal Group Classification [Axis]
Options, weighted average grant date fair value (in dollars per share)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value
Interest Rate Swap Designated March 27, 2017
Interest Rate Swap Designated March 27, 2017 [Member]
Interest Rate Swap Designated March 27, 2017 [Member]
Current assets:
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets [Abstract]
Number of days from shipment to issue a credit
Return Policy, Issue Of Credit, Number Of Days From Shipment
Return Policy, Issue of Credit, Number of Days from Shipment
Extremity Orthopedics
Extremity Orthopedics [Member]
Extremity Orthopedics [Member]
Interest expense
Interest Expense
ACQUISITIONS AND DIVESTITURES
Mergers, Acquisitions and Dispositions Disclosures [Text Block]
Cash
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Cash and Equivalents
Accounting Standards Update
Accounting Standards Update and Change in Accounting Principle [Table Text Block]
Product and Service [Axis]
Product and Service [Axis]
Total liabilities
Liabilities
Income Tax Contingency [Line Items]
Income Tax Contingency [Line Items]
Cross-currency swap
Cross Currency Interest Rate Contract [Member]
Right of use asset-operating leases and Other assets
Disposal Group, Including Discontinued Operation, Right of Use Asset Operating Leases and Other Assets
Disposal Group, Including Discontinued Operation, Right of Use Asset Operating Leases and Other Assets
Prepaid expenses and other current assets
Disposal Group, Including Discontinued Operation, Prepaid and Other Assets, Current
Weighted-average period for cost recognition
Share-based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition
Development Milestones
Milestone Payment One [Member]
Milestone Payment One [Member]
Current portion of borrowings under senior credit facility
Term loan component of senior credit facility
Secured Debt, Current
Less: Imputed interest
Lessee, Operating Lease, Liability, Undiscounted Excess Amount
2023
Long-Term Debt, Maturity, Year Two
Number of contingent liabilities remaining
Business Combination, Contingent Consideration, Number Of Liabilities
Business Combination, Contingent Consideration, Number Of Liabilities
Position [Domain]
Position [Domain]
Recognition of revenue included in beginning of year contract liability
Contract with Customer, Liability, Revenue Recognized
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies Disclosure [Abstract]
Secured long-term debt, securitization program, noncurrent
Secured Long-Term Debt, Securitization Program, Noncurrent
Secured Long-Term Debt, Securitization Program, Noncurrent
Operating lease expense
Operating Lease, Expense
Gain (loss) recorded in AOCL, change in fair value
Amount of Gain (Loss) Recognized in AOCL
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification and Tax
Inventories
Increase (Decrease) in Inventories
Weighted average interest rate on debt
Debt, Weighted Average Interest Rate
Securitization program, term
Debt, Accounts Receivable Securitization, Term
Debt, Accounts Receivable Securitization, Term
Debt Instrument [Axis]
Debt Instrument [Axis]
Additional Paid-In Capital
Additional Paid-in Capital [Member]
New Accounting Pronouncement, Early Adoption [Table]
New Accounting Pronouncement, Early Adoption [Table]
Operating Segments
Operating Segments [Member]
Contingent Consideration by Type [Axis]
Contingent Consideration by Type [Axis]
Disaggregation of Revenue [Line Items]
Disaggregation of Revenue [Line Items]
Balance Beginning of Period, Shares (in shares)
Balance End of Period, Shares (in shares)
Shares, Issued
Adjustments to reconcile net income to net cash provided by operating activities:
Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract]
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]
Revenue from Contract with Customer [Abstract]
Revenue from Contract with Customer [Abstract]
Defer payment and taxation, base salary, percentage (up to)
Defined Benefit Plan, Defer Payment And Taxation, Base Salary, Percentage
Defined Benefit Plan, Defer Payment And Taxation, Base Salary, Percentage
Neurosurgery
Neurosurgery [Member]
Neurosurgery [Member]
Income Tax Disclosure [Abstract]
Income Tax Disclosure [Abstract]
Revolving Credit Facility
Revolving Credit Facility [Member]
Schedule of Goodwill [Table]
Schedule of Goodwill [Table]
Letters of credit outstanding
Letters of Credit Outstanding, Amount
Common stock, authorized shares (in shares)
Common Stock, Shares Authorized
Stock options and restricted stock (in shares)
Incremental Common Shares Attributable to Dilutive Effect of Share-based Payment Arrangements
Proceeds from exercised stock options
Proceeds from Stock Options Exercised
Schedule of Net Sales and Profit by Segments
Schedule of Geographic Revenue by Area
Schedule of Segment Reporting Information, by Segment [Table Text Block]
Supplier relationships
Supplier Relation Ships [Member]
Supplier Relation Ships [Member]
Cash interest
Interest Expense, Debt, Excluding Amortization
Income Statement [Abstract]
Income Statement [Abstract]
Lease liability - operating leases
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Noncurrent Liabilities, Lease Liability, Operating Leases
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Noncurrent Liabilities, Lease Liability, Operating Leases
Accumulated Other Comprehensive Loss
Total
AOCI Attributable to Parent [Member]
Requisite service periods of awards
Share-based Compensation Arrangement by Share-based Payment Award, Award Requisite Service Period
Lease liability - operating leases
Non-current lease liabilities
Long-term lease liabilities
Operating Lease, Liability, Noncurrent
Expected annual amortization expense, in 2025
Finite-Lived Intangible Asset, Expected Amortization, Year Four
Prepaid expenses and other current assets
Increase (Decrease) in Prepaid Expense and Other Assets
Intangible assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles
Schedule of Segment Reporting Information, by Segment [Table]
Schedule of Segment Reporting Information, by Segment [Table]
Additions from acquisition of ACell
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Purchases
Wound Reconstruction and Care
Regenerative Skin And Wound [Member]
Regenerative Skin And Wound [Member]
Disposal Groups, Including Discontinued Operations [Table]
Disposal Groups, Including Discontinued Operations [Table]
Current assets:
Assets, Current [Abstract]
Interest income
Investment Income, Interest
Income Tax Authority [Domain]
Income Tax Authority [Domain]
Consortium of Focused Orthopedists, LLC
Consortium of Focused Orthopedists, LLC [Member]
Consortium of Focused Orthopedists, LLC [Member]
Remaining amount under share repurchase
Stock Repurchase Program, Remaining Authorized Repurchase Amount
Cross Currency Interest Rate Swap One
Cross Currency Interest Rate Contract One [Member]
Cross Currency Interest Rate Contract One [Member]
Comprehensive income (loss) (See Note 14)
Comprehensive income (loss), net
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Preferred stock, par value (in dollars per share)
Preferred Stock, Par or Stated Value Per Share
Schedule of Effective Income Tax Rate
Schedule of Effective Income Tax Rate Reconciliation [Table Text Block]
2022
Long-Term Debt, Maturity, Year One
Asia Pacific
Asia Pacific [Member]
Other comprehensive income (loss)
OCI, before Reclassifications, Net of Tax, Attributable to Parent
Third Parties
Related Parties [Member]
Related Parties [Member]
Counterparty Name [Domain]
Counterparty Name [Domain]
Purchases of property and equipment
Payments to Acquire Property, Plant, and Equipment
City Area Code
City Area Code
Operating Activities [Domain]
Consolidation Items [Domain]
Income Tax Authority [Axis]
Income Tax Authority [Axis]
Document Period End Date
Document Period End Date
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items]
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items]
Contingent consideration, estimated fair value
Business Combination, Contingent Consideration, Liability
GOODWILL AND OTHER INTANGIBLE ASSETS
Goodwill and Intangible Assets Disclosure [Text Block]
Net Investment Hedges
Net Investment Hedging [Member]
Expected performance obligation through 2021, percentage
Revenue, Remaining Performance Obligation, Percentage
Directors
Director [Member]
Stock repurchase program, authorized amount (up to)
Stock Repurchase Program, Authorized Amount
Gain (loss) reclassified into other income
Gain (Loss) on Derivative Instruments, Net, Pretax
Schedule of Disaggregation of Revenue
Disaggregation of Revenue [Table Text Block]
Income before income taxes
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest
Hedging Designation [Axis]
Hedging Designation [Axis]
Total current liabilities
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities
Contract Asset
Change In Contract With Customer, Asset [Roll Forward]
Change In Contract With Customer, Asset [Roll Forward]
Disaggregation of Revenue [Table]
Disaggregation of Revenue [Table]
Option Indexed to Issuer's Equity, Type [Domain]
Option Indexed to Issuer's Equity, Type [Domain]
Schedule of Inventories, Net
Schedule of Inventory, Current [Table Text Block]
Long-term Debt, Type [Domain]
Long-term Debt, Type [Domain]
Accelerated shares repurchased
Accelerated shares repurchased, amount
Stock Repurchased During Period, Value
Share-based compensation
Share-based Payment Arrangement, Noncash Expense
Remainder of 2021
Long-Term Debt, Maturity, Remainder of Fiscal Year
Commercial Sales Milestones
Milestone Payment Two [Member]
Milestone Payment Two [Member]
Cash taxes paid in net equity settlement
Payment, Tax Withholding, Share-based Payment Arrangement
Designated as Hedging Instrument
Designated as Hedging Instrument [Member]
Cover [Abstract]
Cover [Abstract]
ACell Acquisition
Goodwill, Acquired During Period
Contract asset, net of transferred to trade receivables on contracts during the period
Contract With Customer, Asset, Net Of Reclassified To Receivable
Contract With Customer, Asset, Net Of Reclassified To Receivable
Accounts payable
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Accounts Payable
Derivative Instruments, Gain (Loss) by Hedging Relationship, by Income Statement Location, by Derivative Instrument Risk [Table]
Derivative Instruments, Gain (Loss) [Table]
Annual rate of lease agreement
Annual Rate Of Lease Agreement
Annual rate of lease agreement.
Affiliated Entity
Affiliated Entity [Member]
Principal Repayment
Long-term Debt
Goodwill [Line Items]
Goodwill [Line Items]
Lessee, Lease, Description [Line Items]
Lessee, Lease, Description [Line Items]
Contract liabilities
Increase (Decrease) in Contract with Customer, Liability
LEASES AND RELATED PARTY LEASES
Lessee, Operating Leases [Text Block]
Service cost component
Defined Benefit Plan, Service Cost
Customer relationships
Customer Relationships [Member]
Cost of goods sold
Cost of Goods and Services Sold
Total costs and expenses
Costs and Expenses
Equity Components [Axis]
Equity Components [Axis]
Restricted Stock
Restricted Stock [Member]
Finished goods
Inventory, Finished Goods, Net of Reserves
Trade accounts receivable, net
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Receivables
Share-based Payment Arrangement [Abstract]
Share-based Payment Arrangement [Abstract]
Debt Instrument, Name [Domain]
Debt Instrument, Name [Domain]
Minimum
Minimum [Member]
Balance Sheet Location [Domain]
Balance Sheet Location [Domain]
Current portion of lease liability - operating leases
Current lease liabilities
Less: Current lease liabilities
Operating Lease, Liability, Current
Payment related to contract termination
Disposal Group, Including Discontinued Operation, Payment Related To Contract Termination
Disposal Group, Including Discontinued Operation, Payment Related To Contract Termination
Europe
Europe [Member]
Effect of Derivative Instruments Designated as Cash Flow Hedges on Statements of Operations
Derivative Instruments, Gain (Loss) [Table Text Block]
Total current assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets
Derivative Instruments, Gain (Loss) [Line Items]
Derivative Instruments, Gain (Loss) [Line Items]
Entity Interactive Data Current
Entity Interactive Data Current
United States
UNITED STATES
Net periodic benefit costs
Defined Benefit Plan, Net Periodic Benefit Cost (Credit)
Schedule of Fair Value and Presentation of Derivatives
Schedule of Derivative Instruments in Statement of Financial Position, Fair Value [Table Text Block]
OPERATING ACTIVITIES:
Net Cash Provided by (Used in) Operating Activities [Abstract]
One Month Eurodollar Rate
One Month Eurodollar Rate [Member]
One Month Eurodollar Rate [Member]
Line of credit, commitment fee percentage
Line of Credit Facility, Commitment Fee Percentage
Derivatives, Fair Value [Line Items]
Derivatives, Fair Value [Line Items]
Interest rate swap
Interest Rate Swap [Member]
Expected annual amortization expense, remainder of 2021
Finite-Lived Intangible Asset, Expected Amortization, Remainder of Fiscal Year
Swingline Loans
Swingline Loan [Member]
Swingline Loan [Member]
Operating Leased Assets [Line Items]
Operating Leased Assets [Line Items]
Assets held for sale
Disposal Group, Including Discontinued Operation, Assets, Current
Cumulative Effect, Period of Adoption, Adjustment
Cumulative Effect, Period of Adoption, Adjustment [Member]
Additional paid-in capital
Additional Paid in Capital, Common Stock
Entity Registrant Name
Entity Registrant Name
Derivative [Table]
Derivative [Table]
Business Acquisition [Line Items]
Business Acquisition [Line Items]
Statement of Stockholders' Equity [Abstract]
Statement of Stockholders' Equity [Abstract]
Weighted average discount rate
Operating Lease, Weighted Average Discount Rate, Percent
Period for extended lease
Lessee, Operating Lease, Option to Extend
Acquired in-process research and development
Payments to Acquire in Process Research and Development
2025 Notes
Two Thousand Twenty Five Senior Convertible Notes [Member]
Two Thousand Twenty Five Senior Convertible Notes [Member]
Proceeds from sale of stock purchase warrants
Proceeds from warrant transactions
Proceeds from Issuance of Warrants
Proceeds from sale of property and equipment
Proceeds from Sale of Property, Plant, and Equipment
Cross Currency Interest Rate Swap Three
Cross Currency Interest Rate Contract Three [Member]
Cross Currency Interest Rate Contract Three [Member]
Number of reportable segments
Number of Reportable Segments
Change in fair value of contingent consideration and others
Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability
Leased vehicles
Vehicles [Member]
Interest Rate Swap Designated October 10, 2018 Tranche 1
Interest Rate Swap Designated October 10, 2018 Tranche 1 [Member]
Interest Rate Swap Designated October 10, 2018 Tranche 1 [Member]
Effective interest rate
Debt Instrument, Interest Rate, Effective Percentage
Consolidation Items [Axis]
Consolidation Items [Axis]
Not Designated as Hedging Instrument
Not Designated as Hedging Instrument [Member]
Accrued Liabilities
Accrued Liabilities [Member]
Entity Incorporation, State or Country Code
Entity Incorporation, State or Country Code
Trade accounts receivable, net of allowances of $6,886 and $6,439
Accounts Receivable, after Allowance for Credit Loss, Current
TREASURY STOCK
Treasury Stock [Text Block]
Total minimum lease payments
Lessee, Operating Lease, Liability, to be Paid
Current portion of lease liability - operating leases
Disposal Group, Including Discontinued Operation, Lease Liability, Current
Disposal Group, Including Discontinued Operation, Lease Liability, Current
Term Loan Facility
Term Loan Facility [Member]
Term Loan Facility [Member]
Loss on disposal of property and equipment
Gain (Loss) on Disposition of Property Plant Equipment, Excluding Oil and Gas Property and Timber Property
Entity Postal Zip Code
Entity Address, Postal Zip Code
Schedule of Comprehensive Income (Loss)
Comprehensive Income (Loss) [Table Text Block]
Foreign currency translation adjustment
Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, Net of Tax, Portion Attributable to Parent
Disposal Group, Disposed of by Sale, Not Discontinued Operations
Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member]
Current portion of borrowings under securitization facility
Secured Long-Term Debt, Securitization Program, Current
Secured Long-Term Debt, Securitization Program, Current
Goodwill
Beginning of Period
End of Period
Goodwill
Cross Currency Interest Rate Swap Four
Cross Currency Interest Rate Contract Four [Member]
Cross Currency Interest Rate Contract Four [Member]
Other comprehensive income (loss), net of tax
Net current-period other comprehensive income (loss)
Other Comprehensive Income (Loss), Net of Tax, Portion Attributable to Parent
Document Transition Report
Document Transition Report
Title of Individual [Axis]
Title of Individual [Axis]
Other long-term liability
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Noncurrent Liabilities, Other
Performance Stock and Restricted Stock Awards
Performance Stock And Restricted Stock Awards [Member]
Performance Stock And Restricted Stock Awards [Member]
Total derivatives designated as hedges — Assets
Derivative Asset, Fair Value, Gross Asset
Convertible notes, maximum borrowing capacity
Debt Instrument, Face Amount
Fair Value, Inputs, Level 2
Fair Value, Inputs, Level 2 [Member]
Sale of Extremity Orthopedics business, disposition price
Disposal Group, Including Discontinued Operation, Consideration
Short
Short [Member]
Document Quarterly Report
Document Quarterly Report
Schedule of Changes in Carrying Amount of Goodwill
Schedule of Goodwill [Table Text Block]
Equity [Abstract]
Equity [Abstract]
Codman Specialty Surgical
Codman Specialty Surgical
Codman Specialty Surgical [Member]
Codman Specialty Surgical [Member]
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Total assets acquired
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets Acquired Including Goodwill
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets Acquired Including Goodwill
Cost
Cost Of Definite And Indefinite Lived Intangible Assets Gross Excluding Goodwill
Cost Of Definite And Indefinite Lived Intangible Assets Gross Excluding Goodwill.
Initial strike price (in dollars per share)
Option Indexed to Issuer's Equity, Strike Price
Fixed Interest Rate
Fixed Rate
Derivative, Fixed Interest Rate
Taxes Collected from Customers
Revenue, Transaction Price Measurement, Tax Exclusion [Policy Text Block]
Contract liabilities
Short-term portion of contract liability
Contract with Customer, Liability, Current
Accounting Standards Update [Extensible List]
Accounting Standards Update [Extensible List]
Accounts payable, trade
Accounts Payable, Trade, Current
Other liabilities
Other Liabilities [Member]
Cumulative Effect, Period of Adoption [Axis]
Cumulative Effect, Period of Adoption [Axis]
ROU assets obtained in exchange for lease liabilities:
Right Of Use Asset Obtained In Exchange For Lease Liability [Abstract]
Right Of Use Asset Obtained In Exchange For Lease Liability [Abstract]
Credit Facility [Domain]
Credit Facility [Domain]
Derivative Contract [Domain]
Derivative, Name [Domain]
Derivative Contract [Domain]
Initial conversion price (in dollars per share)
Debt Instrument, Convertible, Conversion Price
Diluted (in shares)
Weighted average common shares for diluted earnings per share (in shares)
Weighted Average Number of Shares Outstanding, Diluted
Basic (in dollars per share)
Basic net income (loss) per common share (in dollars per share)
Earnings Per Share, Basic
Entity File Number
Entity File Number
Accelerated share repurchases, percentage of expected total repurchased
Accelerated Share Repurchases, Percentage Of Expected Total Repurchased
Accelerated Share Repurchases, Percentage Of Expected Total Repurchased
Other Current Liabilities
Other Current Liabilities [Member]
Gain (loss) recorded, net investment hedge, change in fair value
Other Comprehensive Income (Loss), Net Investment Hedge, Gain (Loss), before Reclassification and Tax
Debt Disclosure [Abstract]
Debt Disclosure [Abstract]
Weighted average remaining lease term (in years)
Operating Lease, Weighted Average Remaining Lease Term
Inventory, Current [Table]
Inventory, Current [Table]
Five Year Option Lease From November 1, 2034 Through October 31, 2039
Five Year Option Lease Period Two [Member]
Five-Year Option Lease Period Two
Weighted average interest rate, accounts receivable securitization revolving loan facility
Debt, Weighted Average Interest Rate, From Securitization
Debt, Weighted Average Interest Rate, From Securitization
September 30, 2023 and the last day of each fiscal quarter thereafter
Debt Covenant Period 9 [Member]
Debt Covenant Period 9 [Member]
Disposal Groups, Including Discontinued Operations
Disposal Groups, Including Discontinued Operations [Table Text Block]
Net cash (used) provided by financing activities
Net Cash Provided by (Used in) Financing Activities
Inventories
Disposal Group, Including Discontinued Operation, Inventory
Depreciation and amortization
Other Depreciation and Amortization
Balance Sheet Location [Axis]
Balance Sheet Location [Axis]
Issuance of common stock through employee stock purchase plan
Stock Issued During Period, Value, Employee Stock Purchase Plan
Counterparty Name [Axis]
Counterparty Name [Axis]
Common stock; $0.01 par value; 240,000 authorized shares; 89,406 and 89,251 issued at March 31, 2021 and December 31, 2020, respectively
Common Stock, Value, Issued
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets Disclosure [Abstract]
Disposal Group Name [Axis]
Disposal Group Name [Axis]
Long-term borrowings under senior credit facility
Secured Long-term Debt, Noncurrent
Non-cash impairment charges
Impairment of Intangible Assets, Finite-lived
Document Fiscal Year Focus
Document Fiscal Year Focus
Deferred tax assets
Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Assets
Expected annual amortization expense, in 2023
Finite-Lived Intangible Asset, Expected Amortization, Year Two
Proceeds from borrowings of long-term indebtedness
Proceeds from Issuance of Secured Debt
Goodwill
Disposal Group, Including Discontinued Operation, Goodwill
Number of products offered (more than)
Segment Reporting Information, Number Of Products Offered
Number of products sold by a segment
ACell
ACell [Member]
ACell
Transitional supply agreement, payable
Disposal Group, Including Discontinued Operation, Transitional Supply Agreement, Payable
Disposal Group, Including Discontinued Operation, Transitional Supply Agreement, Payable
Deferred compensation plan, fair value of assets
Deferred Compensation Plan Assets
Defer payment and taxation, bonus and other eligible cash compensation, percentage (up to)
Defined Benefit Plan, Defer Payment And Taxation, Bonus And Other Compensation, Percentage
Defined Benefit Plan, Defer Payment And Taxation, Bonus And Other Compensation, Percentage
Entity Current Reporting Status
Entity Current Reporting Status
Loss from change in fair value of contingent consideration liabilities
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Gain (Loss) Included in Earnings
Position [Axis]
Position [Axis]
Retirement Benefits [Abstract]
Retirement Benefits [Abstract]
Issuance of common stock for vesting of share based awards, net of shares withheld for taxes (in shares)
Shares Issued, Shares, Share-based Payment Arrangement, after Forfeiture
Schedule of Long-term Debt Instruments [Table]
Schedule of Long-term Debt Instruments [Table]
Other than options, weighted average grant date fair value (in dollars per share)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value
Inventory Disclosure [Abstract]
September 30, 2021 through June 30, 2022
Debt Covenant Period 7 [Member]
Debt Covenant Period 7 [Member]
Schedule of Operating Leased Assets [Table]
Schedule of Operating Leased Assets [Table]
INVESTING ACTIVITIES:
Net Cash Provided by (Used in) Investing Activities [Abstract]
Common stock, issued shares (in shares)
Common Stock, Shares, Issued
Cash and cash equivalents
Cash and Cash Equivalents, at Carrying Value
Eurodollar
Eurodollar [Member]
Maximum average conversion value of notes
Debt Instrument, Maximum Average Conversion Value Of Notes
Debt Instrument, Maximum Average Conversion Value Of Notes
Foreign Exchange Forward
Foreign Exchange Forward [Member]
Cumulative Effect, Period of Adoption, Adjustment, Debt Discount Reclassification
Cumulative Effect, Period of Adoption, Adjustment, Debt Discount Reclassification [Member]
Cumulative Effect, Period of Adoption, Adjustment, Debt Discount Reclassification
Total lease liabilities
Total lease liabilities
Operating Lease, Liability
Trademarks/brand names
Trademarks Brand Names [Member]
Trademarks Brand Names.
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Segment Reporting [Abstract]
Segment Reporting [Abstract]
Interest expense
Interest Expense [Member]
Accounts receivable
Increase (Decrease) in Accounts Receivable
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Completed technology
Completed Technology [Member]
Completed technology.
BioD Earnout Payments and Medihoney Earnout Payments
BioD Earnout Payments and Medihoney Earnout Payments [Member]
BioD Earnout Payments and Medihoney Earnout Payments [Member]
Total stockholders’ equity
Balance, Beginning of Period
Balance, End of Period
Stockholders' Equity Attributable to Parent
Cumulative Effect, Period of Adoption, Adjustment, Debt Discount Amortization and Equity Costs Reclassification
Cumulative Effect, Period of Adoption, Adjustment, Debt Discount Amortization and Equity Costs Reclassification [Member]
Cumulative Effect, Period of Adoption, Adjustment, Debt Discount Amortization and Equity Costs Reclassification
Liabilities held for sale
Disposal Group, Including Discontinued Operation, Liabilities, Current
Purchase price of business combination
Business Combination, Consideration Transferred
Total liabilities and stockholders’ equity
Liabilities and Equity
Loss Contingencies [Line Items]
Loss Contingencies [Line Items]
Accumulated other comprehensive loss
Accumulated Other Comprehensive Income (Loss), Net of Tax
INCOME TAXES
Income Tax Disclosure [Text Block]
Entity City
Entity Address, City or Town
Accrued compensation
Employee-related Liabilities, Current
Fair Value Hierarchy and NAV [Axis]
Fair Value Hierarchy and NAV [Axis]
1-Month USD LIBOR
One Month USD LIBOR [Member]
One Month USD LIBOR [Member]
2026
Lessee, Operating Lease, Liability, to be Paid, Year Five
Net assets acquired
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net
Total liabilities assumed
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities
Other assets
Other Assets [Member]
Hedging Relationship [Axis]
Hedging Relationship [Axis]
Shares excluded from computation as their effect would be antidilutive (in shares)
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
Codman
Codman [Member]
Codman [Member]
ACell, Inc.
ACell, Inc. [Member]
ACell, Inc.
Indefinite-lived Intangible Assets [Axis]
Indefinite-lived Intangible Assets [Axis]
Weighted Average Life
Finite-Lived Intangible Asset, Useful Life
Equity Component [Domain]
Equity Component [Domain]
Deferred tax assets, valuation allowance
Deferred Tax Assets, Valuation Allowance
Property, plant and equipment, net
Property, Plant and Equipment, Net
Expected annual amortization expense, in 2024
Finite-Lived Intangible Asset, Expected Amortization, Year Three
Total assets held for sale
Disposal Group, Including Discontinued Operation, Assets
Interest Rate Swap Designated December 13, 2017 Tranche 5
Interest Rate Swap Designated December 13, 2017 Tranche 5 [Member]
Interest Rate Swap Designated December 13, 2017 Tranche 5 [Member]
Entity Tax Identification Number
Entity Tax Identification Number
Summary of Accounting Policies on Revenue Recognition and Shipping and Handling Fees
Revenue from Contract with Customer [Policy Text Block]
Lessee, Lease, Description [Table]
Lessee, Lease, Description [Table]
STOCK-BASED COMPENSATION
Share-based Payment Arrangement [Text Block]
Net income
Net income
Net income
Net Income (Loss) Attributable to Parent
2021
Lessee, Operating Lease, Liability, to be Paid, Remainder of Fiscal Year
Debt proceeds, classified as equity at time of offering
Debt Instrument, Convertible, Carrying Amount of Equity Component
Interest Rate Swap Designated October 10, 2018 Tranche 3
Interest Rate Swap Designated October 10, 2018 Tranche 3 [Member]
Interest Rate Swap Designated October 10, 2018 Tranche 3 [Member]
INVENTORIES
Inventory Disclosure [Text Block]
Codman tradename
Trade Names [Member]
Leases [Abstract]
Leases [Abstract]
Purchase of option hedge on convertible notes
Cost of call transactions
Payments For Option Index To Issuers Equity
Payments For Options Indexed to Issuer's Equity
Long-term Debt, Type [Axis]
Long-term Debt, Type [Axis]
Total current assets
Assets, Current
Current Fiscal Year End Date
Current Fiscal Year End Date
Percent of manufacturing facility owned by corporation whose shareholders are trusts whose beneficiaries include family members of company's former director
Percent Of Manufacturing Facility Owned By Corporation Whose Shareholders Are Trusts, Whose Beneficiaries Include Family Members Of Company's Former Director
Percent Of Manufacturing Facility Owned By Corporation Whose Shareholders Are Trusts, Whose Beneficiaries Include Family Members Of Company's Former Director
Net income per share
Earnings Per Share [Abstract]
Earnings Per Share [Abstract]
Property, plant and equipment, net
Disposal Group, Including Discontinued Operation, Property, Plant and Equipment
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Supplemental Cash Flow Information
Cash Flow, Lessee [Table Text Block]
Cash Flow, Lessee [Table Text Block]
Securitization facility, outstanding borrowings, fair value
Securitization Facility, Fair Value Of Amount Outstanding
Securitization Facility, Fair Value Of Amount Outstanding
Defined Benefit Pension Items
Accumulated Defined Benefit Plans Adjustment Attributable to Parent [Member]
Gain from the sale of business
Gain from the sale of business
Gain (Loss) on Disposition of Business
Disposal Group Name [Domain]
Disposal Group Name [Domain]
Stockholders’ equity:
Stockholders' Equity Attributable to Parent [Abstract]
Deferred tax liabilities
Disposal Group, Including Discontinued Operation, Deferred Tax Liabilities
Accumulated Other Comprehensive Income (Loss) [Line Items]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Expected annual amortization expense, in 2026
Finite-Lived Intangible Asset, Expected Amortization, Year Five
Document Fiscal Period Focus
Document Fiscal Period Focus
Convertible debt
Convertible Debt
Pension liability adjustment, net of tax
Other Comprehensive (Income) Loss, Defined Benefit Plan, after Tax and Reclassification Adjustment, Attributable to Parent
Long-term portion of contract liability
Contract with Customer, Liability, Noncurrent
Grants in period, net of forfeitures (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Net of Forfeitures
Business Acquisition, Acquiree [Domain]
Business Acquisition, Acquiree [Domain]
Redemption price, percentage
Debt Instrument, Redemption Price, Percentage
Issuance of common stock through employee stock purchase plan (in shares)
Stock Issued During Period, Shares, Employee Stock Purchase Plans
Entity Filer Category
Entity Filer Category
Common Stock
Common Stock [Member]
Foreign Currency Items
Accumulated Foreign Currency Adjustment Attributable to Parent [Member]
Product and Service [Domain]
Product and Service [Domain]
Accrued compensation
Disposal Group, Including Discontinued Operation, Accrued Liabilities
Change in unrealized loss on derivatives, net of tax
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification and Tax, Parent
Long-Lived Tangible Asset [Domain]
Long-Lived Tangible Asset [Domain]
Convertible Debt
Convertible Debt [Member]
Lease Contractual Term [Axis]
Lease Contractual Term [Axis]
Accelerated share repurchase program, payment
Accelerated Share Repurchases, Settlement (Payment) or Receipt
Secured Debt
Secured Debt [Member]
Class of Treasury Stock [Table]
Class of Treasury Stock [Table]
Contingent Consideration Liability
Contingent Consideration Liability [Member]
Contingent Consideration Liability [Member]
Other income (expense),net
Other Nonoperating Income (Expense) [Member]
Foreign currency translation
Contract With Customer, Liability, Increase (Decrease) From Foreign Currency Translation
Contract With Customer, Liability, Increase (Decrease) From Foreign Currency Translation
Option Indexed to Issuer's Equity [Axis]
Option Indexed to Issuer's Equity [Axis]
Net
Definite And Indefinite Lived Intangible Assets Net Excluding Goodwill
Definite And Indefinite Lived Intangible Assets Net Excluding Goodwill.
New Accounting Pronouncement, Early Adoption [Line Items]
New Accounting Pronouncement, Early Adoption [Line Items]
Maximum Consolidated Total Leverage Ratio
Debt Instrument, Covenant, Maximum Leverage Ratio
Debt Instrument, Covenant, Maximum Leverage Ratio
Debt Covenant Period [Domain]
Debt Covenant Period [Domain]
[Domain] for Debt Covenant Period [Axis]
Convertible notes, interest rate
Debt Instrument, Interest Rate, Stated Percentage
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table]
Performance obligations expected to be satisfied, expected timing
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Period
Previously capitalized financing costs, written-off
Write off of Deferred Debt Issuance Cost
Maximum selling price of the company's common stock of the conversion price
Debt Instrument, Maximum Selling Price Of Common Stock Of The Conversion Price During Period
Debt Instrument, Maximum Selling Price Of Common Stock Of The Conversion Price During Period
Diluted net income per share:
Earnings Per Share, Diluted [Abstract]
2020 Notes
2020 Notes [Member]
2020 Notes
Net increase in cash and cash equivalents
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect
Hedging Relationship [Domain]
Hedging Relationship [Domain]
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table]
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table]
Schedule of Operating Lease Maturities
Lessee, Operating Lease, Liability, Maturity [Table Text Block]
Stock Options
Share-based Payment Arrangement, Option [Member]
Basis Of Presentation
Basis of Accounting, Policy [Policy Text Block]
Equity, Class of Treasury Stock [Line Items]
Equity, Class of Treasury Stock [Line Items]
Intercompany loan quarterly payments
Intercompany Loan, Quarterly Payment
Intercompany Loan, Quarterly Payment
Basic (in shares)
Weighted average common shares outstanding - Basic (in shares)
Weighted Average Number of Shares Outstanding, Basic
Interest rates available
Debt Instrument, Basis Spread on Variable Rate
Costs and expenses:
Costs and Expenses [Abstract]
Segment Net Sales
Segment Reporting Information, Operating Income (Loss) [Abstract]
Treasury stock, shares (in shares)
Balance, Beginning of Period, Treasury Stock, Shares (in shares)
Balance, End of Period, Treasury Stock, Shares (in shares)
Treasury Stock, Shares
Treasury stock (in shares)
Treasury Stock, Common, Shares
Cash Flow Hedges
Cash Flow Hedging [Member]
Loss Contingencies [Table]
Loss Contingencies [Table]
REVENUES FROM CONTRACTS WITH CUSTOMERS
Revenue from Contract with Customer [Text Block]
Interest income
Interest income
Interest Income [Member]
Operating leases
Right-of-Use Asset Obtained in Exchange for Operating Lease Liability
BASIS OF PRESENTATION
Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]
Additional paid-in capital
Additional Paid in Capital
Expected annual amortization expense, in 2022
Finite-Lived Intangible Asset, Expected Amortization, Year One
Five Year Option Lease From November 1, 2029 Through October 31, 2034
Five Year Option Lease Period One [Member]
Five-Year Option Lease Period One
Schedule of Derivative Instruments
Schedule of Derivative Instruments [Table Text Block]
Provision for income taxes
Income Tax Expense (Benefit)
Proceeds from sale of Extremity Orthopedics business
Proceeds from Divestiture of Businesses
Cash and cash equivalents at beginning of period
Cash and cash equivalents at end of period
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents
Schedule of Contractual Repayments of Long-Term Debt
Schedule of Maturities of Long-term Debt [Table Text Block]
Accounting Standards Update and Change in Accounting Principle [Table]
Accounting Standards Update and Change in Accounting Principle [Table]
Title of Individual [Domain]
Title of Individual [Domain]
Interest Rate Swap Designated December 15, 2020 Tranche 2
Interest Rate Swap Designated December 15, 2020 Tranche 2 [Member]
Interest Rate Swap Designated December 15, 2020 Tranche 2
Indefinite-lived Intangible Assets, Major Class Name [Domain]
Indefinite-lived Intangible Assets, Major Class Name [Domain]
Accrued expenses and other current liabilities
Accrued Liabilities, Current
Diluted (in dollars per share)
Diluted net income (loss) per common share (in dollars per share)
Earnings Per Share, Diluted
Local Phone Number
Local Phone Number
Mergers, Acquisitions and Dispositions [Abstract]
Mergers, Acquisitions and Dispositions
Payments to acquire businesses, gross
Payments to Acquire Businesses, Gross
Entity Bankruptcy Proceedings, Reporting Current
Entity Bankruptcy Proceedings, Reporting Current
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Cumulative Effect, Period of Adoption [Domain]
Cumulative Effect, Period of Adoption [Domain]
Schedule of Contingent Consideration
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]
Derivative [Line Items]
Derivative [Line Items]
Schedule of Indefinite-Lived Intangible Assets
Schedule of Indefinite-Lived Intangible Assets [Table Text Block]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Schedule of Long-term Debt Maximum Leverage Ratios
Schedule of Long-term Debt Instruments [Table Text Block]
Raw materials
Inventory, Raw Materials and Purchased Parts, Net of Reserves
Entity Address
Entity Address, Address Line One
Interest Rate Swap Designated December 18, 2018 Tranche 1
Interest Rate Swap Designated December 18, 2018 Tranche 1 [Member]
Interest Rate Swap Designated December 18, 2018 Tranche 1 [Member]
Contract liability, Beginning of Period
Contract liability, End of Period
Contract with Customer, Liability
Deferred tax assets
Disposal Group, Including Discontinued Operation, Deferred Tax Assets
Other non-current assets
Increase (Decrease) in Other Operating Assets
Emerging Growth Company
Entity Emerging Growth Company
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Table]
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Table]
Contingent consideration, maximum undiscounted payment amount
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High
Business acquisition, pro forma revenue
Business Acquisition, Pro Forma Revenue
Deferred income tax (benefit) provision
Deferred Income Tax Expense (Benefit)
Private Label
Private Label [Member]
Private Label [Member]
Total derivatives designated as hedges — Liabilities
Derivative Liability, Fair Value, Gross Liability
Contract liability, net of revenue recognized on contracts during the period
Contract with Customer, Liability, Net Of Revenue Recognized
Contract with Customer, Liability, Net Of Revenue Recognized
All other
All Other [Member]
All Other [Member]
Maximum borrowing capacity
Line of Credit Facility, Maximum Borrowing Capacity
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Award Type [Axis]
Award Type [Axis]
Accrued expenses and other current liabilities
Accrued Expenses And Other Current Liabilities [Member]
Accrued expenses and other current liabilities.
Other liabilities
Disposal Group, Including Discontinued Operation, Other Liabilities
Prepaid expenses and other current assets
Prepaid Expenses and Other Current Assets [Member]
Accumulated Amortization
Finite-Lived Intangible Assets, Accumulated Amortization
Intangible asset acquired, discount rate (percent)
Business Combination, Intangible Asset Acquired, Discount Rate
Business Combination, Intangible Asset Acquired, Discount Rate
Payments on debt
Repayments of Secured Debt
Lease Contractual Term [Domain]
Lease Contractual Term [Domain]
Incremental financing cost expense
Amortization of Debt Issuance Costs
Maximum
Maximum [Member]
Overnight Federal Funds
Fed Funds Effective Rate Overnight Index Swap Rate [Member]
Other assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Other Noncurrent Assets
Preferred stock, authorized shares (in shares)
Preferred Stock, Shares Authorized
Segment Profit
Segment Reporting Information, Profit (Loss) [Abstract]
Interest Rate Swap Designated December 15, 2020 Tranche 1
Interest Rate Swap Designated December 15, 2020 Tranche 1 [Member]
Interest Rate Swap Designated December 15, 2020 Tranche 1
Interest Rate Swap Designated December 18, 2018 Tranche 2
Interest Rate Swap Designated December 18, 2018 Tranche 2 [Member]
Interest Rate Swap Designated December 18, 2018 Tranche 2 [Member]
Retained Earnings
Retained Earnings [Member]
Preferred stock, outstanding shares (in shares)
Preferred Stock, Shares Outstanding
Payment for contingent consideration
Payment for Contingent Consideration Liability, Financing Activities
Reported tax rate
Effective income tax rate
Effective Income Tax Rate Reconciliation, Percent
Net cash used in investing activities
Net Cash Provided by (Used in) Investing Activities
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Right of use asset - operating leases
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Right of Use Asset, Operating Leases
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Right of Use Asset, Operating Leases
Award Type [Domain]
Award Type [Domain]
Trading Symbol
Trading Symbol
Accumulated Other Comprehensive Income (Loss) [Table]
Accumulated Other Comprehensive Income (Loss) [Table]
Disposal Group Classification [Domain]
Disposal Group Classification [Domain]
Treasury stock, at cost; 4,899 shares and 4,914 shares at March 31, 2021 and December 31, 2020, respectively
Treasury Stock, Value
Contract asset, Beginning of period
Contract asset, End of Period
Contract with Customer, Asset, after Allowance for Credit Loss
Cash paid for amounts included in the measurement of lease liabilities:
Cash Flow, Lessee [Abstract]
Cash Flow, Lessee [Abstract]
NET INCOME PER SHARE
Earnings Per Share [Text Block]
Changes in assets and liabilities:
Changes In Assets And Liabilities [Abstract]
Changes In Assets And Liabilities [Abstract]
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Current liabilities:
Liabilities, Current [Abstract]
Entity Shell Company
Entity Shell Company
Research and development
Research and Development Expense (Excluding Acquired in Process Cost)
Segment Reporting Information [Line Items]
Segment Reporting Information [Line Items]
Amortization of debt issuance costs and expenses associated with debt refinancing
Amortization Of Debt Issuance Costs And Debt Refinanced Fees
Amortization Of Debt Issuance Costs And Debt Refinanced Fees
Income Tax Contingency [Table]
Income Tax Contingency [Table]
Recently Issued Accounting Standards
New Accounting Pronouncements, Policy [Policy Text Block]
Senior Credit Facility
Senior Credit Facility [Member]
Senior Credit Facility.
Statement of Financial Position [Abstract]
Statement of Financial Position [Abstract]
Basic net income per share:
Earnings Per Share, Basic [Abstract]