Segment Reporting [Abstract]
Schedule of Segment Reporting Information, by Segment [Table]
Schedule of Segment Reporting Information, by Segment [Table]
Geographical [Axis]
Geographical [Axis]
Geographical [Domain]
Geographical [Domain]
United States
UNITED STATES
Europe
Europe [Member]
Asia Pacific
Asia Pacific [Member]
Rest of World
Rest Of World [Member]
Revenues from rest of the world.
Segment Reporting Information [Line Items]
Segment Reporting Information [Line Items]
Total Revenues
Revenue from Contract with Customer, Excluding Assessed Tax
Revenue from Contract with Customer [Abstract]
Revenue, Initial Application Period Cumulative Effect Transition [Table]
Revenue, Initial Application Period Cumulative Effect Transition [Table]
Statistical Measurement [Axis]
Statistical Measurement [Axis]
Statistical Measurement [Domain]
Statistical Measurement [Domain]
Minimum
Minimum [Member]
Maximum
Maximum [Member]
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]
Manufacturing period for products shipped with no alternative use and right of payment for performance
Revenue From Contract With Customer, Products Shipped With No Alternative Use And Right Of Payment For Performance, Manufacturing Period
Revenue From Contract With Customer, Products Shipped With No Alternative Use And Right Of Payment For Performance, Manufacturing Period
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
Short-term portion of contract liability
Contract with Customer, Liability, Current
Long-term portion of contract liability
Contract with Customer, Liability, Noncurrent
Product warranty period (up to)
Revenue, Product Warranty Period
Revenue, Product Warranty Period
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Schedule of Derivative Instruments
Schedule of Derivative Instruments [Table Text Block]
Schedule of Fair Value and Presentation of Derivatives
Schedule of Derivative Instruments in Statement of Financial Position, Fair Value [Table Text Block]
Effect of Derivative Instruments Designated as Cash Flow Hedges on Statements of Operations
Derivative Instruments, Gain (Loss) [Table Text Block]
Derivative [Table]
Derivative [Table]
Hedging Designation [Axis]
Hedging Designation [Axis]
Hedging Designation [Domain]
Hedging Designation [Domain]
Designated as Hedging Instrument
Designated as Hedging Instrument [Member]
Hedging Relationship [Axis]
Hedging Relationship [Axis]
Hedging Relationship [Domain]
Hedging Relationship [Domain]
Net Investment Hedges
Net Investment Hedging [Member]
Derivative Instrument [Axis]
Derivative Instrument [Axis]
Derivative Contract [Domain]
Derivative Contract [Domain]
Cross Currency Interest Rate Swap One
Cross Currency Interest Rate Contract One [Member]
Cross Currency Interest Rate Contract One [Member]
Cross Currency Interest Rate Swap Two
Cross Currency Interest Rate Contract Two [Member]
Cross Currency Interest Rate Contract Two [Member]
Cross Currency Interest Rate Swap Three
Cross Currency Interest Rate Contract Three [Member]
Cross Currency Interest Rate Contract Three [Member]
Cross Currency Interest Rate Swap Four
Cross Currency Interest Rate Contract Four [Member]
Cross Currency Interest Rate Contract Four [Member]
Cross Currency Interest Rate Swap Five
Cross Currency Interest Rate Contract Five [Member]
Cross Currency Interest Rate Contract Five [Member]
Cross Currency Interest Rate Swap
Cross Currency Interest Rate Contract [Member]
Position [Axis]
Position [Axis]
Position [Domain]
Position [Domain]
Long
Long [Member]
Short
Short [Member]
Derivative [Line Items]
Derivative [Line Items]
Fixed Rate
Derivative, Fixed Interest Rate
Aggregate Notional Amount
Derivative, Notional Amount
Fair Value Asset (Liability)
Derivative, Fair Value, Net
Income Statement [Abstract]
Total revenue, net
Costs and expenses:
Costs and Expenses [Abstract]
Cost of goods sold
Cost of Goods and Services Sold
Research and development
Research and Development Expense
Selling, general and administrative
Selling, General and Administrative Expense
Intangible asset amortization
Amortization of Intangible Assets
Total costs and expenses
Costs and Expenses
Operating income
Operating Income (Loss)
Interest income
Investment Income, Interest
Interest expense
Interest Expense
Other income(expense), net
Other Nonoperating Income (Expense)
Income before income taxes
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest
Provision (benefit) for income taxes
Income Tax Expense (Benefit)
Net income
Net Income (Loss) Attributable to Parent
Net income per share
Earnings Per Share [Abstract]
Basic (in dollars per share)
Earnings Per Share, Basic
Diluted (in dollars per share)
Earnings Per Share, Diluted
Weighted average common shares outstanding (See Note 13):
Weighted Average Number of Shares Outstanding, Diluted [Abstract]
Basic (in shares)
Weighted Average Number of Shares Outstanding, Basic
Diluted (in shares)
Weighted Average Number of Shares Outstanding, Diluted
Comprehensive income (loss) (See Note 14)
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Commitments and Contingencies Disclosure [Abstract]
COMMITMENTS AND CONTINGENCIES
Commitments and Contingencies Disclosure [Text Block]
Equity [Abstract]
Accumulated Other Comprehensive Income (Loss) [Table]
Accumulated Other Comprehensive Income (Loss) [Table]
Equity Components [Axis]
Equity Components [Axis]
Equity Component [Domain]
Equity Component [Domain]
Gains and Losses on Derivatives
Accumulated Gain (Loss), Net, Cash Flow Hedge, Parent [Member]
Defined Benefit Pension Items
Accumulated Defined Benefit Plans Adjustment Attributable to Parent [Member]
Foreign Currency Items
Accumulated Foreign Currency Adjustment Attributable to Parent [Member]
Total
AOCI Attributable to Parent [Member]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Accumulated Other Comprehensive Income (Loss) [Roll Forward]
AOCI Attributable to Parent, Net of Tax [Roll Forward]
Balance, Beginning of Period
Stockholders' Equity Attributable to Parent
Other comprehensive loss
OCI, before Reclassifications, Net of Tax, Attributable to Parent
Less: Amounts reclassified from accumulated other comprehensive loss
Reclassification from AOCI, Current Period, Net of Tax, Attributable to Parent
Net current-period other comprehensive loss
Other Comprehensive Income (Loss), Net of Tax, Portion Attributable to Parent
Balance, End of Period
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Basis Of Presentation
Basis of Accounting, Policy [Policy Text Block]
Recently Issued Accounting Standards
New Accounting Pronouncements, Policy [Policy Text Block]
Summary of Accounting Policies on Revenue Recognition and Shipping and Handling Fees
Revenue from Contract with Customer [Policy Text Block]
Product Warranties
Extended Product Warranty, Policy [Policy Text Block]
Taxes Collected from Customers
Revenue, Transaction Price Measurement, Tax Exclusion [Policy Text Block]
Basic and Diluted Net Income Per Share
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
Leases [Abstract]
Supplemental Balance Sheet Information
Assets And Liabilities, Lessee [Table Text Block]
Assets And Liabilities, Lessee [Table Text Block]
Supplemental Cash Flow Information
Cash Flow, Lessee [Table Text Block]
Cash Flow, Lessee [Table Text Block]
Schedule of Operating Lease Maturities
Lessee, Operating Lease, Liability, Maturity [Table Text Block]
Statement of Stockholders' Equity [Abstract]
Statement [Table]
Statement [Table]
Common Stock
Common Stock [Member]
Treasury Stock
Treasury Stock [Member]
Additional Paid-In Capital
Additional Paid-in Capital [Member]
Accumulated Other Comprehensive Loss
Retained Earnings
Retained Earnings [Member]
Cumulative Effect, Period Of Adoption [Axis]
Cumulative Effect, Period Of Adoption [Axis]
Cumulative Effect, Period Of Adoption [Axis]
Cumulative Effect, Period Of Adoption [Domain]
Cumulative Effect, Period Of Adoption [Domain]
[Domain] for Cumulative Effect, Period Of Adoption [Axis]
Cumulative Effect, Period Of Adoption, Adjustment
Cumulative Effect, Period Of Adoption, Adjustment [Member]
Cumulative Effect, Period Of Adoption, Adjustment [Member]
Statement [Line Items]
Statement [Line Items]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Balance Beginning of Period, Shares (in shares)
Shares, Issued
Balance, Beginning of Period, Treasury Stock, Shares (in shares)
Treasury Stock, Shares
Net income
Other comprehensive loss, net of tax
Issuance of common stock through employee stock purchase plan (in shares)
Stock Issued During Period, Shares, Employee Stock Purchase Plans
Issuance of common stock through employee stock purchase plan
Stock Issued During Period, Value, Employee Stock Purchase Plan
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
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
Share-based compensation
APIC, Share-based Payment Arrangement, Increase for Cost Recognition
Share repurchase and equity component of the convertible note issuance, net (in shares)
Stock Issued During Period, Shares, Treasury Stock Reissued
Share repurchase and equity component of the convertible note issuance, net
Adjustments to Additional Paid in Capital, Equity Component of Convertible Debt
Accelerated shares repurchased (in shares)
Stock Repurchased During Period, Shares
Accelerated shares repurchased
Stock Repurchased During Period, Value
Balance End of Period, Shares (in shares)
Balance, End of Period, Treasury Stock, Shares (in shares)
Cash Flow Hedges
Cash Flow Hedging [Member]
Investment, Name [Axis]
Investment, Name [Axis]
Investment, Name [Domain]
Investment, Name [Domain]
Swap One
Swap One [Member]
Swap One [Member]
Swap Two
Swap Two [Member]
Swap Two [Member]
Swap Three
Swap Three [Member]
Swap Three [Member]
Business Acquisition [Axis]
Business Acquisition [Axis]
Business Acquisition, Acquiree [Domain]
Business Acquisition, Acquiree [Domain]
Codman
Codman [Member]
Codman [Member]
Cross-currency swap
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table]
Arkis
Arkis BioSciences Inc. [Member]
Arkis BioSciences Inc. [Member]
Derma Sciences
Derma Sciences [Member]
Derma Sciences [Member]
Liability Class [Axis]
Liability Class [Axis]
Fair Value by Liability Class [Domain]
Fair Value by Liability Class [Domain]
Contingent Consideration Liability
Contingent Consideration Liability [Member]
Contingent Consideration Liability [Member]
Fair Value Hierarchy and NAV [Axis]
Fair Value Hierarchy and NAV [Axis]
Fair Value Hierarchy and NAV [Domain]
Fair Value Hierarchy and NAV [Domain]
Fair Value, Inputs, Level 3
Fair Value, Inputs, Level 3 [Member]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
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]
Balance, Beginning of Period
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability Value
Payments
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Settlements
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
Balance, End of Period
Segments [Axis]
Segments [Axis]
Segments [Domain]
Segments [Domain]
Codman Specialty Surgical
Codman Specialty Surgical [Member]
Codman Specialty Surgical [Member]
Number of reportable segments
Number of Reportable Segments
Number of products offered (more than)
Segment Reporting Information, Number Of Products Offered
Number of products sold by a segment
Treasury Stock Transactions, Excluding Value of Shares Reissued [Abstract]
Class of Treasury Stock [Table]
Class of Treasury Stock [Table]
Long-term Debt, Type [Axis]
Long-term Debt, Type [Axis]
Long-term Debt, Type [Domain]
Long-term Debt, Type [Domain]
Convertible Debt
Convertible Debt [Member]
Counterparty Name [Axis]
Counterparty Name [Axis]
Counterparty Name [Domain]
Counterparty Name [Domain]
Certain Purchasers
Certain Purchasers [Member]
Certain Purchasers [Member]
Scenario [Axis]
Scenario [Axis]
Scenario [Domain]
Scenario [Domain]
Forecast
Forecast [Member]
Subsequent Event Type [Axis]
Subsequent Event Type [Axis]
Subsequent Event Type [Domain]
Subsequent Event Type [Domain]
Subsequent Event
Subsequent Event [Member]
Equity, Class of Treasury Stock [Line Items]
Equity, Class of Treasury Stock [Line Items]
Treasury stock (in shares)
Treasury Stock, Common, Shares
Treasury stock
Treasury Stock, Common, Value
Treasury stock, average cost per share (in dollars per share)
Treasury Stock Acquired, Average Cost Per Share
Stock repurchase program, authorized amount (up to)
Stock Repurchase Program, Authorized Amount
Stock repurchased during period (in shares)
Net proceeds from offering of convertible senior notes
Proceeds from Convertible Debt
Accelerated share repurchase program, payment
Accelerated Share Repurchases, Settlement (Payment) or Receipt
Accelerated shares repurchased, amount
Accelerated share repurchases, percentage of expected total repurchased
Accelerated Share Repurchases, Percentage Of Expected Total Repurchased
Accelerated Share Repurchases, Percentage Of Expected Total Repurchased
Remaining amount under share repurchase
Stock Repurchase Program, Remaining Authorized Repurchase Amount
Inventory, Net [Abstract]
Finished goods
Inventory, Finished Goods, Net of Reserves
Work in process
Inventory, Work in Process, Net of Reserves
Raw materials
Inventory, Raw Materials and Purchased Parts, Net of Reserves
Inventories, net
Inventory, Net
Goodwill and Intangible Assets Disclosure [Abstract]
Expected annual amortization expense, remainder of 2020
Finite-Lived Intangible Assets, Amortization Expense, Remainder of Fiscal Year
Expected annual amortization expense, in 2021
Finite-Lived Intangible Assets, Amortization Expense, Year Two
Expected annual amortization expense, in 2022
Finite-Lived Intangible Assets, Amortization Expense, Year Three
Expected annual amortization expense, in 2023
Finite-Lived Intangible Assets, Amortization Expense, Year Four
Expected annual amortization expense, in 2024
Finite-Lived Intangible Assets, Amortization Expense, Year Five
Expected annual amortization expense, in 2025
Finite-Lived Intangible Assets, Amortization Expense, Year Six
Finite-Lived Intangible Assets, Amortization Expense, Year Six
Expected annual amortization expense, thereafter
Finite-Lived Intangible Assets, Amortization Expense, After Year Six
Finite-Lived Intangible Assets, Amortization Expense, After Year Six
Schedule of Comprehensive Income (Loss)
Comprehensive Income (Loss) [Table Text Block]
Schedule of Changes in Accumulated Other Comprehensive Loss by Component
Schedule of Accumulated Other Comprehensive Income (Loss) [Table Text Block]
Debt Disclosure [Abstract]
Schedule of Long-term Debt Maximum Leverage Ratios
Schedule of Long-term Debt Instruments [Table Text Block]
Schedule of Maturities of Long-term Debt
Schedule of Maturities of Long-term Debt [Table Text Block]
Income Tax Disclosure [Abstract]
Schedule of Effective Income Tax Rate Reconciliation
Schedule of Effective Income Tax Rate Reconciliation [Table Text Block]
Derivative Instruments, Gain (Loss) by Hedging Relationship, by Income Statement Location, by Derivative Instrument Risk [Table]
Derivative Instruments, Gain (Loss) [Table]
Derivative, by Nature [Axis]
Derivative, Name [Domain]
Interest rate swap
Interest Rate Swap [Member]
Income Statement Location [Axis]
Income Statement Location [Axis]
Income Statement Location [Domain]
Income Statement Location [Domain]
Interest expense
Interest Expense [Member]
Other income (expense), net
Other Nonoperating Income (Expense) [Member]
Interest income
Interest Income [Member]
Derivative Instruments, Gain (Loss) [Line Items]
Derivative Instruments, Gain (Loss) [Line Items]
Derivative Instruments, Gain (Loss) [Roll Forward]
Amount of Gain (Loss) Recognized in AOCL
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification and Tax
Amount of Gain (Loss) Reclassified from AOCL into Earnings
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, after Tax
SEGMENT AND GEOGRAPHIC INFORMATION
Segment Reporting Disclosure [Text Block]
Business Combinations [Abstract]
Schedule of Assets Acquired and Liabilities Assumed
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]
Schedule of Acquired Finite-Lived Intangible Asset by Major Class [Table]
Schedule of Acquired Finite-Lived Intangible Asset by Major Class [Table]
Finite-Lived Intangible Assets by Major Class [Axis]
Finite-Lived Intangible Assets by Major Class [Axis]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Completed technology
Completed Technology [Member]
Completed technology.
Customer relationships
Customer Relationships [Member]
Trademarks/brand names
Trademarks Brand Names [Member]
Trademarks Brand Names.
Supplier relationships
Supplier Relation Ships [Member]
Supplier Relation Ships [Member]
All other
All Other [Member]
All Other [Member]
Indefinite-lived Intangible Assets [Axis]
Indefinite-lived Intangible Assets [Axis]
Indefinite-lived Intangible Assets, Major Class Name [Domain]
Indefinite-lived Intangible Assets, Major Class Name [Domain]
Codman tradename
Trade Names [Member]
IPR&D
In Process Research and Development [Member]
Acquired Finite-Lived Intangible Assets [Line Items]
Acquired Finite-Lived Intangible Assets [Line Items]
Weighted Average Life
Finite-Lived Intangible Asset, Useful Life
Cost
Cost Of Definite And Indefinite Lived Intangible Assets Gross Excluding Goodwill
Cost Of Definite And Indefinite Lived Intangible Assets Gross Excluding Goodwill.
Accumulated Amortization
Finite-Lived Intangible Assets, Accumulated Amortization
Net
Definite And Indefinite Lived Intangible Assets Net Excluding Goodwill
Definite And Indefinite Lived Intangible Assets Net Excluding Goodwill.
Other Indefinite-lived Intangible Assets
Other Indefinite-lived Intangible Assets
Retirement Benefits [Abstract]
Net periodic benefit costs
Defined Benefit Plan, Net Periodic Benefit Cost (Credit)
Service cost component
Defined Benefit Plan, Service Cost
Estimated fair value of plan assets
Defined Benefit Plan, Plan Assets, Amount
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
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
Deferred compensation plan, fair value of assets
Deferred Compensation Plan Assets
RETIREMENT PLANS
Pension and Other Postretirement Benefits Disclosure [Text Block]
Total Revenue By Major Geographic Area
Schedule of Segment Reporting Information, by Segment [Table Text Block]
Schedule of Business Acquisitions, by Acquisition [Table]
Schedule of Business Acquisitions, by Acquisition [Table]
Contingent Consideration by Type [Axis]
Contingent Consideration by Type [Axis]
Contingent Consideration Type [Domain]
Contingent Consideration Type [Domain]
Development Milestones
Milestone Payment One [Member]
Milestone Payment One [Member]
Commercial Sales Milestones
Milestone Payment Two [Member]
Milestone Payment Two [Member]
Business Acquisition [Line Items]
Business Acquisition [Line Items]
Purchase price of business combination
Business Combination, Consideration Transferred
Contingent consideration, liability (up to)
Business Combination, Contingent Consideration, Liability
Contingent consideration, fair value
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Contingent Liability
Acquired intangible assets, discount rate
Acquired Finite-lived Intangible Assets, Discount Rate
Acquired Finite-lived Intangible Assets, Discount Rate
TREASURY STOCK
Treasury Stock [Text Block]
Statement of Financial Position [Abstract]
ASSETS
Assets [Abstract]
Current assets:
Assets, Current [Abstract]
Cash and cash equivalents
Cash and Cash Equivalents, at Carrying Value
Trade accounts receivable, net of allowances of $6,652 and $4,303
Accounts Receivable, after Allowance for Credit Loss, Current
Inventories, net
Prepaid expenses and other current assets
Prepaid Expense and Other Assets, Current
Total current assets
Assets, Current
Property, plant and equipment, net
Property, Plant and Equipment, Net
Right of use asset - operating leases
Operating Lease, Right-of-Use Asset
Intangible assets, net
Intangible Assets, Net (Excluding Goodwill)
Goodwill
Goodwill
Deferred tax assets, net
Deferred Income Tax Assets, Net
Other assets
Other Assets, Noncurrent
Total assets
Assets
LIABILITIES AND STOCKHOLDERS’ EQUITY
Liabilities and Equity [Abstract]
Current liabilities:
Liabilities, Current [Abstract]
Current portion of borrowings under senior credit facility
Secured Debt, Current
Current portion of lease liability - operating leases
Operating Lease, Liability, Current
Accounts payable, trade
Accounts Payable, Trade, Current
Contract liabilities
Accrued compensation
Employee-related Liabilities, Current
Accrued expenses and other current liabilities
Accrued Liabilities, Current
Total current liabilities
Liabilities, Current
Long-term borrowings under senior credit facility
Secured Long-term Debt, Noncurrent
Long-term borrowings under securitization facility
Secured Long-Term Debt, Securitization Program, Noncurrent
Secured Long-Term Debt, Securitization Program, Noncurrent
Long-term convertible securities
Convertible Debt, Noncurrent
Lease liability - operating leases
Operating Lease, Liability, Noncurrent
Deferred tax liabilities
Deferred Income Tax Liabilities, Net
Other liabilities
Other Liabilities, Noncurrent
Total liabilities
Liabilities
Commitments and contingencies (Refer to Note 16)
Commitments and Contingencies
Stockholders’ equity:
Stockholders' Equity Attributable to Parent [Abstract]
Preferred stock; no par value; 15,000 authorized shares; none outstanding
Preferred Stock, Value, Issued
Common stock; $0.01 par value; 240,000 authorized shares; 89,104 and 88,735 issued at March 31, 2020 and December 31, 2019, respectively
Common Stock, Value, Issued
Additional paid-in capital
Additional Paid in Capital, Common Stock
Treasury stock, at cost; 4,294 shares and 2,865 shares at March 31, 2020 and December 31, 2019, respectively
Treasury Stock, Value
Accumulated other comprehensive loss
Accumulated Other Comprehensive Income (Loss), Net of Tax
Retained earnings
Retained Earnings (Accumulated Deficit)
Total stockholders’ equity
Total liabilities and stockholders’ equity
Liabilities and Equity
Schedule of Long-term Debt Instruments [Table]
Schedule of Long-term Debt Instruments [Table]
Debt Covenant Period [Axis]
Debt Covenant Period [Axis]
Debt Covenant Period [Axis]
Debt Covenant Period [Domain]
Debt Covenant Period [Domain]
[Domain] for Debt Covenant Period [Axis]
First fiscal quarter ending after the Closing Date through June 30, 2022
Debt Covenant Period 1 [Member]
Debt Covenant Period 1 [Member]
September 30, 2022 through June 30, 2023
Debt Covenant Period 2 [Member]
Debt Covenant Period 2 [Member]
September 30, 2023 and the last day of each fiscal quarter thereafter
Debt Covenant Period 3 [Member]
Debt Covenant Period 3 [Member]
Debt Instrument [Axis]
Debt Instrument [Axis]
Debt Instrument, Name [Domain]
Debt Instrument, Name [Domain]
Senior Credit Facility
Senior Credit Facility [Member]
Senior Credit Facility.
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Maximum Consolidated Total Leverage Ratio
Debt Instrument, Covenant, Maximum Leverage Ratio
Debt Instrument, Covenant, Maximum Leverage Ratio
Share-based Payment Arrangement [Abstract]
STOCK-BASED COMPENSATION
Share-based Payment Arrangement [Text Block]
DERIVATIVE INSTRUMENTS
Derivative Instruments and Hedging Activities Disclosure [Text Block]
Reported tax rate
Effective Income Tax Rate Reconciliation, Percent
NET INCOME PER SHARE
Earnings Per Share [Text Block]
Schedule of Operating Leased Assets [Table]
Schedule of Operating Leased Assets [Table]
Related Parties
Related Parties [Member]
Related Parties [Member]
Third Parties
Third Parties [Member]
Third Parties [Member]
Operating Leased Assets [Line Items]
Operating Leased Assets [Line Items]
2020
Lessee, Operating Lease, Liability, Payments, Due Next Twelve Months
2020
Lessee, Operating Lease, Liability, Payments, Remainder of Fiscal Year
2021
Lessee, Operating Lease, Liability, Payments, Due Year Two
2022
Lessee, Operating Lease, Liability, Payments, Due Year Three
2023
Lessee, Operating Lease, Liability, Payments, Due Year Four
2024
Lessee, Operating Lease, Liability, Payments, Due Year Five
Thereafter
Lessee, Operating Lease, Liability, Payments, Due after Year Five
Total minimum lease payments
Lessee, Operating Lease, Liability, Payments, Due
Less: Imputed interest
Lessee, Operating Lease, Liability, Undiscounted Excess Amount
Total lease liabilities
Operating Lease, Liability
Less: Current lease liabilities
Long-term lease liabilities
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Award Type [Axis]
Award Type [Axis]
Award Type [Domain]
Award Type [Domain]
Performance Shares and Restricted Units
Performance Shares and Restricted Units [Member]
Performance Shares and Restricted Units
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Shares excluded from computation as their effect would be antidilutive (in shares)
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
Additional EPS shares (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
CerebroFlo developed technology
Developed Technology Rights [Member]
Enabling technology license
Licensing Agreements [Member]
Cash
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Cash and Equivalents
Other current assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Other
Property, plant and equipment
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment
Deferred tax assets
Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Assets
Intangible assets:
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill [Abstract]
Intangible assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles
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
Accounts payable, accrued expenses and other liabilities
Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Current Liabilities, Accounts Payable, Accrued Expenses And Other Liabilities
Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Current Liabilities, Accounts Payable, Accrued Expenses And Other Liabilities
Contingent consideration
Deferred tax liabilities
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Liabilities
Net assets acquired
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net
Weighted Average Life
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Table]
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Table]
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items]
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items]
Expected performance obligation through 2020, percentage
Revenue, Remaining Performance Obligation, Percentage
Performance obligations expected to be satisfied, expected timing
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Period
Variable Rate [Axis]
Variable Rate [Axis]
Variable Rate [Domain]
Variable Rate [Domain]
3-Month USD LIBOR
Three Month USD LIBOR [Member]
Three Month USD LIBOR [Member]
1-Month USD LIBOR
One Month USD LIBOR [Member]
One Month USD LIBOR [Member]
Interest Rate Swap Designated February 6, 2017 Tranche 1
Interest Rate Swap Designated February 6, 2017 Tranche 1 [Member]
Interest Rate Swap Designated February 6, 2017 Tranche 1 [Member]
Interest Rate Swap Designated February 6, 2017 Tranche 2
Interest Rate Swap Designated February 6, 2017 Tranche 2 [Member]
Interest Rate Swap Designated February 6, 2017 Tranche 2 [Member]
Interest Rate Swap Designated March 27, 2017
Interest Rate Swap Designated March 27, 2017 [Member]
Interest Rate Swap Designated March 27, 2017 [Member]
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]
Interest Rate Swap Designated December 13, 2017 Tranche 2
Interest Rate Swap Designated December 13, 2017 Tranche 2 [Member]
Interest Rate Swap Designated December 13, 2017 Tranche 2 [Member]
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]
Interest Rate Swap Designated December 13, 2017 Tranche 4
Interest Rate Swap Designated December 13, 2017 Tranche 4 [Member]
Interest Rate Swap Designated December 13, 2017 Tranche 4 [Member]
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]
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]
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]
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]
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]
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]
Current Notional Amount
Fixed Interest Rate
Estimated Fair Value, Assets (Liabilities)
GOODWILL AND OTHER INTANGIBLE ASSETS
Goodwill and Intangible Assets Disclosure [Text Block]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Stock options
Share-based Payment Arrangement, Option [Member]
Restricted stock awards/stock units
Restricted Stock Awards And Units [Member]
Restricted Stock Awards And Units [Member]
Performance stock and Restricted stock awards
Performance Stock And Restricted Stock Awards [Member]
Performance Stock And Restricted Stock Awards [Member]
Performance shares
Performance Shares [Member]
Title of Individual [Axis]
Title of Individual [Axis]
Title of Individual [Domain]
Title of Individual [Domain]
Directors
Director [Member]
Employees
Employee [Member]
Employee [Member]
Directors and Certain Executive Officers
Directors and Certain Executive Officers [Member]
Directors and Certain Executive Officers [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based compensation arrangement by share-based payment award, number of plans
Share-based Compensation Arrangement by Share-based Payment Award, Number of Plans
Share-based Compensation Arrangement by Share-based Payment Award, Number of Plans
Stock options exercisable, vesting period
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period
Expiration period
Share-based Compensation Arrangement by Share-based Payment Award, Expiration Period
Total unrecognized compensation costs
Share-based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Amount
Weighted-average period for cost recognition
Share-based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition
Grants in period, net of forfeitures (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Net of Forfeitures
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
Requisite service periods of awards
Share-based Compensation Arrangement by Share-based Payment Award, Award Requisite Service Period
Awards granted during the period (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period
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
Cover [Abstract]
Document Type
Document Type
Document Quarterly Report
Document Quarterly Report
Document Period End Date
Document Period End Date
Document Transition Report
Document Transition Report
Entity File Number
Entity File Number
Entity Registrant Name
Entity Registrant Name
Entity Incorporation, State or Country Code
Entity Incorporation, State or Country Code
Entity Tax Identification Number
Entity Tax Identification Number
Entity Address
Entity Address, Address Line One
Entity City
Entity Address, City or Town
Entity State
Entity Address, State or Province
Entity Postal Zip Code
Entity Address, Postal Zip Code
City Area Code
City Area Code
Local Phone Number
Local Phone Number
Title of 12(b) Security
Title of 12(b) Security
Trading Symbol
Trading Symbol
Security Exchange Name
Security Exchange Name
Entity Current Reporting Status
Entity Current Reporting Status
Entity Interactive Data Current
Entity Interactive Data Current
Entity Filer Category
Entity Filer Category
Smaller Reporting Company
Entity Small Business
Emerging Growth Company
Entity Emerging Growth Company
Entity Shell Company
Entity Shell Company
Entity Bankruptcy Proceedings, Reporting Current
Entity Bankruptcy Proceedings, Reporting Current
Entity Common Stock, Shares Outstanding (in shares)
Entity Common Stock, Shares Outstanding
Amendment Flag
Amendment Flag
Document Fiscal Year Focus
Document Fiscal Year Focus
Document Fiscal Period Focus
Document Fiscal Period Focus
Entity Central Index Key
Entity Central Index Key
Current Fiscal Year End Date
Current Fiscal Year End Date
Statement of Cash Flows [Abstract]
OPERATING ACTIVITIES:
Net Cash Provided by (Used in) Operating Activities [Abstract]
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]
Depreciation and amortization
Depreciation, Depletion and Amortization
Deferred income tax benefit/provision
Deferred Income Tax Expense (Benefit)
Share-based compensation
Share-based Payment Arrangement, Noncash Expense
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
Accretion of bond issuance discount
Accretion Expense
Loss on disposal of property and equipment
Gain (Loss) on Disposition of Property Plant Equipment, Excluding Oil and Gas Property and Timber Property
Change in fair value of contingent consideration and others
Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability
Changes in assets and liabilities:
Changes In Assets And Liabilities [Abstract]
Changes In Assets And Liabilities [Abstract]
Accounts receivable
Increase (Decrease) in Accounts Receivable
Inventories
Increase (Decrease) in Inventories
Prepaid expenses and other current assets
Increase (Decrease) in Prepaid Expense and Other Assets
Other non-current assets
Increase (Decrease) in Other Operating Assets
Accounts payable, accrued expenses and other current liabilities
Increase (Decrease) in Accounts Payable and Accrued Liabilities
Contract liabilities
Increase (Decrease) in Contract with Customer, Liability
Other non-current liabilities
Increase (Decrease) in Other Noncurrent Liabilities
Net cash provided by operating activities
Net Cash Provided by (Used in) Operating Activities
INVESTING ACTIVITIES:
Net Cash Provided by (Used in) Investing Activities [Abstract]
Purchases of property and equipment
Payments to Acquire Property, Plant, and Equipment
Acquired in-process research and development
Payments to Acquire in Process Research and Development
Proceeds from note receivable
Proceeds from Collection of Notes Receivable
Proceeds from sale of property and equipment
Proceeds from Sale of Property, Plant, and Equipment
Net cash used in investing activities
Net Cash Provided by (Used in) Investing Activities
FINANCING ACTIVITIES:
Net Cash Provided by (Used in) Financing Activities [Abstract]
Proceeds from borrowings of long-term indebtedness
Proceeds from Issuance of Secured Debt
Payments on debt
Repayments of Secured Debt
Purchase of option hedge on convertible notes
Payments For Option Index To Issuers Equity
Payments For Options Indexed to Issuer's Equity
Proceeds from convertible notes issuance
Proceeds from sale of stock purchase warrants
Proceeds from Issuance of Warrants
Payment of debt issuance costs
Payments of Debt Issuance Costs
Purchases of treasury stock
Payments for Repurchase of Common Stock
Proceeds from exercised stock options
Proceeds from Stock Options Exercised
Cash taxes paid in net equity settlement
Payment, Tax Withholding, Share-based Payment Arrangement
Net cash provided by financing activities
Net Cash Provided by (Used in) Financing Activities
Effect of exchange rate changes on cash and cash equivalents
Effect of Exchange Rate on Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents
Net increase in cash and cash equivalents
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect
Cash and cash equivalents at beginning of period
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents
Cash and cash equivalents at end of period
Lessee, Lease, Description [Table]
Lessee, Lease, Description [Table]
Property, Plant and Equipment, Type [Axis]
Property, Plant and Equipment, Type [Axis]
Property, Plant and Equipment, Type [Domain]
Property, Plant and Equipment, Type [Domain]
Leased facilities
Building [Member]
Leased vehicles
Vehicles [Member]
Lessee, Lease, Description [Line Items]
Lessee, Lease, Description [Line Items]
ROU assets
Current lease liabilities
Non-current lease liabilities
Weighted average remaining lease term (in years)
Operating Lease, Weighted Average Remaining Lease Term
Weighted average discount rate
Operating Lease, Weighted Average Discount Rate, Percent
INVENTORIES
Inventory Disclosure [Text Block]
BUSINESS DEVELOPMENT
Business Combination And Asset Acquisition Disclosure [Text Block]
Business Combination And Asset Acquisition Disclosure [Text Block]
Cash paid for amounts included in the measurement of lease liabilities:
Cash Flow, Lessee [Abstract]
Cash Flow, Lessee [Abstract]
Operating cash flows from operating leases
Operating Lease, Payments
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]
Operating leases
Right-of-Use Asset Obtained in Exchange for Operating Lease Liability
INCOME TAXES
Income Tax Disclosure [Text Block]
Schedule of Goodwill [Table]
Schedule of Goodwill [Table]
Orthopedics and Tissue Technologies
Orthopedics and Tissue Technologies [Member]
Orthopedics and Tissue Technologies [Member]
Goodwill [Line Items]
Goodwill [Line Items]
Goodwill [Roll Forward]
Goodwill [Roll Forward]
Beginning of Period
Foreign currency translation
Goodwill, Foreign Currency Translation Gain (Loss)
End of Period
Income Tax Contingency [Table]
Income Tax Contingency [Table]
Income Tax Authority [Axis]
Income Tax Authority [Axis]
Income Tax Authority [Domain]
Income Tax Authority [Domain]
Foreign Tax Authority
Foreign Tax Authority [Member]
Income Tax Authority, Name [Axis]
Income Tax Authority, Name [Axis]
Income Tax Authority, Name [Domain]
Income Tax Authority, Name [Domain]
Swiss Federal Tax Administration (FTA)
Swiss Federal Tax Administration (FTA) [Member]
Income Tax Contingency [Line Items]
Income Tax Contingency [Line Items]
Effective income tax rate
Valuation Allowance, foreign deferred tax assets
Deferred Tax Assets, Valuation Allowance
Tax benefit related to equity compensation
Effective Income Tax Rate Reconciliation, Tax Expense (Benefit), Share-based Payment Arrangement, Amount
Effective income tax rate reconciliation, tax benefit, federal tax holiday
Effective Income Tax Rate Reconciliation, Tax Holiday, Amount
Effective income tax rate reconciliation, tax benefit, federal tax holiday (in dollars per share)
Effective Income Tax Rate Reconciliation, Tax Holiday, Per Share
Effective Income Tax Rate Reconciliation, Tax Holiday, Per Share
Federal tax credit
Effective Income Tax Rate Reconciliation, Tax Credit, Foreign, Amount
Schedule of Inventories, Net
Schedule of Inventory, Current [Table Text Block]
Contract Asset
Change In Contract With Customer, Asset [Roll Forward]
Change In Contract With Customer, Asset [Roll Forward]
Contract asset, Beginning of period
Contract with Customer, Asset, after Allowance for Credit Loss
Transferred to trade receivable of contract asset included in beginning of the year contract asset
Contract with Customer, Asset, Reclassified to Receivable
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
Contract asset, End of Period
Contract Liability
Change In Contract With Customer, Liability [Roll Forward]
Change In Contract With Customer, Liability [Roll Forward]
Contract liability, Beginning of Period
Contract with Customer, Liability
Recognition of revenue included in beginning of year contract liability
Contract with Customer, Liability, Revenue Recognized
Contract liability, net of revenue recognized on contracts during the period
Contract With Customer, Liability, Net Of Revenue Recognized And Foreign Currency Translation
Contract With Customer, Liability, Net Of Revenue Recognized And Foreign Currency Translation
Foreign currency translation
Contract With Customer, Liability, Increase From Foreign Currency Translation
Contract With Customer, Liability, Increase From Foreign Currency Translation
Contract liability, End of Period
Codman Specialty Surgical
Consolidation Items [Axis]
Consolidation Items [Axis]
Operating Activities [Domain]
Consolidation Items [Domain]
Operating Segments
Operating Segments [Member]
Corporate and other
Corporate, Non-Segment [Member]
Segment Net Sales
Segment Reporting Information, Operating Income (Loss) [Abstract]
Segment Profit
Segment Reporting Information, Profit (Loss) [Abstract]
Operating income
Amortization
Related Party [Axis]
Related Party [Axis]
Related Party [Domain]
Related Party [Domain]
Affiliated Entity
Affiliated Entity [Member]
Property Subject to or Available for Operating Lease [Axis]
Property Subject to or Available for Operating Lease [Axis]
Property Subject to or Available for Operating Lease [Domain]
Property Subject to or Available for Operating Lease [Domain]
Five Year Option Lease From November 1, 2032 Through October 31, 2037
Five Year Option Lease From November12032 Through October312037 [Member]
Five-Year Option Lease From November 1, 2032 Through October 31, 2037 member
Five Year Option Lease From November 1, 2037 Through October 31, 2042
Five Year Option Lease From November12037 Through October312042 [Member]
Five-Year Option Lease From November 1, 2037 Through October 31, 2042 [Member]
Number of renewal options (or more)
Lessee, Operating Lease, Number Of Renewal Options
Lessee, Operating Lease, Number Of Renewal Options
Operating lease expense
Operating Lease, Expense
Future minimum lease payments capital leases
Finance Lease, Liability, Payment, Due
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
Annual rate of lease agreement
Annual Rate Of Lease Agreement
Annual rate of lease agreement.
Option to extend lease, years
Option To Extend Lease, Years
Option to extend lease, years.
Period for extended lease
Lessee, Operating Lease, Option to Extend
Schedule Of Asset Acquisition [Table]
Schedule Of Asset Acquisition [Table]
Schedule Of Asset Acquisition [Table]
Asset Acquisition [Axis]
Asset Acquisition [Axis]
Asset Acquisition [Axis]
Asset Acquisition [Domain]
Asset Acquisition [Domain]
[Domain] for Asset Acquisition [Axis]
Rebound
Rebound Therapeutics Corporation [Member]
Rebound Therapeutics Corporation [Member]
ISC
Integrated Shoulder Collaboration, Inc. [Member]
Integrated Shoulder Collaboration, Inc. [Member]
In-Process Research and Development Expense
Balance Sheet Location [Axis]
Balance Sheet Location [Axis]
Balance Sheet Location [Domain]
Balance Sheet Location [Domain]
Cash and Cash Equivalents
Cash and Cash Equivalents [Member]
Deferred Tax Asset
Deferred Tax Asset [Member]
Deferred Tax Asset [Member]
Schedule Of Asset Acquisition [Line Items]
Schedule Of Asset Acquisition [Line Items]
[Line Items] for Schedule Of Asset Acquisition [Table]
Upfront payment
Asset Acquisition, Consideration Transferred
Asset Acquisition, Consideration Transferred
Contingent development milestone payments commitment (up to)
Asset Acquisition, Maximum Contingent Development Milestone Payments, If Circumstances Met
Asset Acquisition, Maximum Contingent Development Milestone Payments
Number of assets acquired
Asset Acquisition, Number Of Assets Acquired
Asset Acquisition, Number Of Assets Acquired
Remaining net assets acquired
Asset Acquisition, Assets Acquired And Liabilities Assumed, Net
Asset Acquisition, Assets Acquired And Liabilities Assumed, Net
Development milestone
Asset Acquisition, Development Milestone Payment To Be Paid
Asset Acquisition, Development Milestone Payment
In-process research and development
Research and Development in Process
Upfront payment, intangible assets
Payments to Acquire Intangible Assets
Option to acquire, period subsequent to first commercial sale
Asset Acquisition, Option To Acquire, Period Subsequent To Commercial Sale, If Circumstances Met
Asset Acquisition, Option To Acquire, Period Subsequent To Commercial Sale, If Circumstances Met
Maximum future purchase price, if circumstances met (not to exceed)
Asset Acquisition, Maximum Future Consideration Transferred, If Circumstances Met
Asset Acquisition, Maximum Future Consideration Transferred, If Circumstances Met
Disaggregation of Revenue [Table]
Disaggregation of Revenue [Table]
Product and Service [Axis]
Product and Service [Axis]
Product and Service [Domain]
Product and Service [Domain]
Neurosurgery
Neurosurgery [Member]
Neurosurgery [Member]
Instruments
Instruments [Member]
Instruments [Member]
Wound Reconstruction and Care
Regenerative Skin And Wound [Member]
Regenerative Skin And Wound [Member]
Extremity Orthopedics
Extremity Orthopedics [Member]
Extremity Orthopedics [Member]
Private Label
Private Label [Member]
Private Label [Member]
Disaggregation of Revenue [Line Items]
Disaggregation of Revenue [Line Items]
LEASES AND RELATED PARTY LEASES
Lessee, Operating Leases [Text Block]
Basic net income per share:
Earnings Per Share, Basic [Abstract]
Net income
Weighted average common shares outstanding - Basic (in shares)
Basic net income per common share (in dollars per share)
Diluted net income per share:
Earnings Per Share, Diluted [Abstract]
Effect of dilutive securities:
Dilutive Securities, Effect on Basic Earnings Per Share [Abstract]
Stock options and restricted stock (in shares)
Incremental Common Shares Attributable to Dilutive Effect of Share-based Payment Arrangements
Weighted average common shares for diluted earnings per share (in shares)
Diluted net income per common share (in dollars per share)
Current notional amount
Gain (loss) recorded in other income, net
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, before Tax
Gain recorded in AOCI, change in fair value
Gain reclassified into other income
Gain (Loss) on Derivative Instruments, Net, Pretax
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
Gain recorded in AOCL, net investment hedge, change in fair value
Other Comprehensive Income (Loss), Net Investment Hedge, Gain (Loss), before Reclassification and Tax
Remainder of 2020
Long-term Debt, Maturities, Repayments of Principal, Remainder of Fiscal Year
2021
Long-term Debt, Maturities, Repayments of Principal in Year Two
2022
Long-term Debt, Maturities, Repayments of Principal in Year Three
2023
Long-term Debt, Maturities, Repayments of Principal in Year Four
2024
Long-term Debt, Maturities, Repayments of Principal in Year Five
2025
Long-term Debt, Maturities, Repayments of Principal after Year Five
Principal Repayment
Long-term Debt
Credit Facility [Axis]
Credit Facility [Axis]
Credit Facility [Domain]
Credit Facility [Domain]
Secured Debt
Secured Debt [Member]
Revolving Credit Facility
Revolving Credit Facility [Member]
Standby Letters of Credit
Standby Letters of Credit [Member]
Swingline Loans
Swingline Loan [Member]
Swingline Loan [Member]
Eurodollar
Eurodollar [Member]
Overnight Federal Funds
Fed Funds Effective Rate Overnight Index Swap Rate [Member]
One Month Eurodollar Rate
One Month Eurodollar Rate [Member]
One Month Eurodollar Rate [Member]
Term Loan A
Term Loan A Facility [Member]
Term Loan A Facility [Member]
2025 Notes
Two Thousand Twenty Five Senior Convertible Notes [Member]
Two Thousand Twenty Five Senior Convertible Notes [Member]
Term Loan Facility
Term Loan Facility [Member]
Term Loan Facility [Member]
Secured Debt, Current
Secured Debt, Current [Member]
Secured Debt, Current [Member]
Option Indexed to Issuer's Equity [Axis]
Option Indexed to Issuer's Equity [Axis]
Option Indexed to Issuer's Equity, Type [Domain]
Option Indexed to Issuer's Equity, Type [Domain]
Call Option
Call Option [Member]
Fair Value, Inputs, Level 2
Fair Value, Inputs, Level 2 [Member]
Maximum borrowing capacity
Line of Credit Facility, Maximum Borrowing Capacity
Interest rates available
Debt Instrument, Basis Spread on Variable Rate
Line of credit, commitment fee percentage
Line of Credit Facility, Commitment Fee Percentage
Incremental financing costs capitalized
Debt Issuance Costs, Gross
Previously capitalized financing costs, written-off
Write off of Deferred Debt Issuance Cost
Line of credit facility outstanding
Long-term Line of Credit
Weighted average interest rate on debt
Debt, Weighted Average Interest Rate
Convertible notes, maximum borrowing capacity
Debt Instrument, Face Amount
Convertible notes, interest rate
Debt Instrument, Interest Rate, Stated Percentage
Debt proceeds, classified as equity at time of offering
Debt Instrument, Convertible, Carrying Amount of Equity Component
Effective interest rate
Debt Instrument, Interest Rate, Effective Percentage
Carrying amount, liability component
Unamortized discount
Debt Instrument, Unamortized Discount
Fair value
Debt Instrument, Fair Value Disclosure
Initial conversion rate
Debt Instrument, Convertible, Conversion Ratio
Initial conversion price (in dollars per share)
Debt Instrument, Convertible, Conversion Price
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
Maximum average conversion value of notes
Debt Instrument, Maximum Average Conversion Value Of Notes
Debt Instrument, Maximum Average Conversion Value Of Notes
Redemption price, percentage
Debt Instrument, Redemption Price, Percentage
Cost of call transactions
Proceeds from warrant transactions
Initial strike price (in dollars per share)
Option Indexed to Issuer's Equity, Strike Price
Warrant strike price (in dollars per share)
Class of Warrant or Right, Exercise Price of Warrants or Rights
Cash interest
Interest Expense, Debt, Excluding Amortization
Amortization of discount
Amortization of Debt Discount (Premium)
Interest expense
Interest Expense, Debt
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
Securitization program, term
Debt, Accounts Receivable Securitization, Term
Debt, Accounts Receivable Securitization, Term
Weighted average interest rate, accounts receivable securitization revolving loan facility
Debt, Weighted Average Interest Rate, From Securitization
Debt, Weighted Average Interest Rate, From Securitization
Line of credit facility, fair value of amount outstanding
Line of Credit Facility, Fair Value of Amount Outstanding
Securitization facility, outstanding borrowings, fair value
Securitization Facility, Fair Value Of Amount Outstanding
Securitization Facility, Fair Value Of Amount Outstanding
Letters of credit outstanding
Letters of Credit Outstanding, Amount
REVENUES FROM CONTRACTS WITH CUSTOMERS
Revenue from Contract with Customer [Text Block]
Schedule of Changes in Contract Assets and Contract Liabilities
Contract with Customer, Asset and Liability [Table Text Block]
Schedule of Disaggregation of Revenue
Disaggregation of Revenue [Table Text Block]
Loss Contingencies [Table]
Loss Contingencies [Table]
BioD Earnout Payments and Medihoney Earnout Payments
BioD Earnout Payments and Medihoney Earnout Payments [Member]
BioD Earnout Payments and Medihoney Earnout Payments [Member]
Loss Contingencies [Line Items]
Loss Contingencies [Line Items]
Payment for contingent consideration
Payment for Contingent Consideration Liability, Financing Activities
Number of contingent liabilities remaining
Business Combination, Contingent Consideration, Number Of Liabilities
Business Combination, Contingent Consideration, Number Of Liabilities
Maximum contingent consideration
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High
Contingent consideration, liability
Schedule of Changes in Carrying Amount of Goodwill
Schedule of Goodwill [Table Text Block]
Schedule of Finite-Lived Intangible Assets
Schedule of Finite-Lived Intangible Assets [Table Text Block]
Schedule of Indefinite-Lived Intangible Assets
Schedule of Indefinite-Lived Intangible Assets [Table Text Block]
DEBT
Debt Disclosure [Text Block]
Other Income (Expense), net
Other Expense [Member]
Interest income
Amounts gain (loss) reclassified from accumulated other comprehensive loss
Trade accounts receivable, allowance
Accounts Receivable, Allowance for Credit Loss, Current
Preferred stock, authorized shares (in shares)
Preferred Stock, Shares Authorized
Preferred stock, outstanding shares (in shares)
Preferred Stock, Shares Outstanding
Common stock, par value (in dollars per share)
Common Stock, Par or Stated Value Per Share
Common stock, authorized shares (in shares)
Common Stock, Shares Authorized
Common stock, issued shares (in shares)
Common Stock, Shares, Issued
Treasury stock, shares (in shares)
Schedule of Contingent Consideration
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]
Foreign currency translation adjustment
Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, Net of Tax, Portion Attributable to Parent
Change in unrealized loss on derivatives, net of tax
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification and Tax, Parent
Pension liability adjustment, net of tax
Other Comprehensive (Income) Loss, Defined Benefit Plan, after Tax and Reclassification Adjustment, Attributable to Parent
Comprehensive income (loss), net
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table]
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table]
Interest Rate Swap
Prepaid expenses and other current assets
Prepaid Expenses and Other Current Assets [Member]
Other assets
Other Assets [Member]
Accrued expenses and other current liabilities
Accrued Expenses And Other Current Liabilities [Member]
Accrued expenses and other current liabilities.
Other liabilities
Other Liabilities [Member]
Derivatives, Fair Value [Line Items]
Derivatives, Fair Value [Line Items]
Total derivatives designated as hedges — Assets
Derivative Asset, Fair Value, Gross Asset
Total derivatives designated as hedges — Liabilities
Derivative Liability, Fair Value, Gross Liability
COMPREHENSIVE INCOME (LOSS)
Comprehensive Income (Loss) Note [Text Block]
BASIS OF PRESENTATION
Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]