Accounting Policies [Abstract]
Schedule of Property, Plant and Equipment [Table]
Property, Plant and Equipment [Table]
Property, Plant and Equipment by Type [Axis]
Property, Plant and Equipment, Type [Axis]
Property, Plant and Equipment, Type [Domain]
Property, Plant and Equipment, Type [Domain]
Land
Land [Member]
Buildings and building improvements
Building and Building Improvements [Member]
Leasehold improvements
Leasehold Improvements [Member]
Machinery and production equipment
Machinery and Equipment [Member]
Surgical instrument kits
Surgical Instrument Kits [Member]
Surgical Instrument Kits [Member]
Information systems and hardware
Information Systems and Hardware [Member]
Information Systems and Hardware [Member]
Furniture, fixtures, and office equipment
Furniture and Fixtures [Member]
Construction-in-progress
Construction in Progress [Member]
Range [Axis]
Range [Axis]
Range [Domain]
Range [Domain]
Minimum
Minimum [Member]
Maximum
Maximum [Member]
Property, Plant and Equipment [Line Items]
Property, Plant and Equipment [Line Items]
Property, plant, and equipment, gross
Property, Plant and Equipment, Gross
Less: Accumulated depreciation
Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment
Property, plant and equipment, net
Property, Plant and Equipment, Net
Property, plant and equipment, useful life
Property, Plant and Equipment, Useful Life
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
Schedule of Share-Based Compensation, Arrangements by Share-Based Payment Award [Table]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Subsidiary, Sale of Stock [Axis]
Sale of Stock [Axis]
Sale of Stock, Name of Transaction [Domain]
Sale of Stock [Domain]
Employee Stock Purchase Plan
Employee Stock [Member]
Plan Name [Axis]
Plan Name [Axis]
Plan Name [Domain]
Plan Name [Domain]
2003 Plan
Two Thousand Three Plan [Member]
Two thousand three Plan [Member]
2000 and 2001 Plan
Two Thousand And Two Thousand One Plan [Member]
Two thousand and two thousand one Plan [Member]
Disposal Group Classification [Axis]
Disposal Group Classification [Axis]
Disposal Group Classification [Domain]
Disposal Group Classification [Domain]
Discontinued Operations, Disposed of by Means Other than Sale, Spinoff
Discontinued Operations, Disposed of by Means Other than Sale, Spinoff [Member]
Disposal Group Name [Axis]
Disposal Group Name [Axis]
Disposal Group Name [Domain]
Disposal Group Name [Domain]
SeaSpine Inc.
SeaSpine Inc. [Member]
SeaSpine Inc. [Member]
Award Type [Axis]
Award Type [Axis]
Award Type [Domain]
Equity Award [Domain]
Stock Options
Employee Stock Option [Member]
Restricted Stock, Performance Stock and Contract Stock
Restricted Stock, Performance Stock, And Contract Stock [Member]
Restricted stock, performance stock and contract stock member
Restricted Stock Units (RSUs)
Restricted Stock Units (RSUs) [Member]
Performance Shares
Performance Shares [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Price per share (in dollars per share)
Treasury Stock Acquired, Average Cost Per Share
Common stock reserved for issuance (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Authorized
Shares available for purchase (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Available for Grant
Shares issued (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Shares Issued in Period
ESPP proceeds received
Employee Stock Purchase Plan Proceeds
Proceeds received from employees in connection with the employee stock purchase plan.
Number of stock-based compensation 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
Increase in authorized shares (in shares)
Increase In Authorized Shares
The increase in the number of authorized shares under the Plan.
Stock options exercisable for officers and employees, vesting period, in years
Share Based Compensation Arrangement By Share Based Payment Award Vesting Period Employees
Share Based Compensation Arrangement By Share Based Payment Award Vesting Period Employees
Stock options exercisable for directors, vesting period, in years
Share Based Compensation Arrangement By Share Based Payment Award Vesting Period Directors
Share Based Compensation Arrangement By Share Based Payment Award Vesting Period Directors
Stock options exercisable for employees, expiration period, in years
Share Based Compensation Arrangement By Share Based Payment Award Expiration Period Employees
Share Based Compensation Arrangement By Share Based Payment Award Expiration Period Employees
Stock options exercisable for directors, expiration period, in years
Share Based Compensation Arrangement By Share Based Payment Award Expiration Period Directors
Share Based Compensation Arrangement By Share Based Payment Award Expiration Period Directors
Award vesting period
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period
Incremental increase in stock based award expense after spinoff
Share-based Compensation Arrangement by Share-based Payment Award, Plan Modification, Incremental Compensation Cost
Share-based compensation expense recognized
Allocated Share-based Compensation Expense
Total unrecognized compensation costs related to unvested awards
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized
Dividend yield
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Dividend Rate
Intrinsic value, options exercised
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period, Intrinsic Value
Weighted average grant date fair value of options granted (in dollars per share)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value
Cash received from option exercises
Employee Service Share-based Compensation, Cash Received from Exercise of Stock Options
Weighted-average period for cost recognition, in years
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized, Period for Recognition
Fair value of shares vested
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period, Fair Value
Requisite service periods of performance stock, restricted stock and contract stock awards, in years
Share-based Compensation Arrangement by Share-based Payment Award, Award Requisite Service Period
Non issued vested restricted stock units (in shares)
Non Issued Vested Restricted Stock Units
The number of vested Restricted Units that are held by various employees where the shares have not been released
Capitalized compensation cost
Share-based Compensation Arrangement by Share-based Payment Award, Compensation Cost
Leases [Abstract]
Schedule of Operating Leased Assets [Table]
Schedule of Operating Leased Assets [Table]
Related Party Transactions, by Related Party [Axis]
Related Party [Axis]
Related Party [Domain]
Related Party [Domain]
Related Party
Related Party [Member]
Related Party [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]
Operating Leased Assets [Line Items]
Operating Leased Assets [Line Items]
Total rental expense
Operating Leases, Rent Expense, Net
Capital leases,future minimum payments
Capital Leases, Future Minimum Payments Due
Payment per year to related party lessor
Payment Per Year To Related Party Lessor
Payment per year to related party lessor.
Production equipment purchased
Payments to Acquire Property, Plant, and Equipment
Percent of manufacturing facility owned by corporation whose shareholders are trusts whose beneficiaries include family members of company's former chairman
Percent Of Manufacturing Facility Owned By Corporation Whose Shareholders Are Trusts, Whose Beneficiaries Include Family Members Of Company's Former Chairman
Percent of manufacturing facility owned by corporation whose shareholders are trusts, whose beneficiaries include family members of Company's former Chairman, who is a current 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
Period For Extended Lease
Period for extended lease.
Income Tax Disclosure [Abstract]
Current:
Current Income Tax Expense (Benefit), Continuing Operations [Abstract]
Federal
Current Federal Tax Expense (Benefit)
State
Current State and Local Tax Expense (Benefit)
Foreign
Current Foreign Tax Expense (Benefit)
Total current
Current Income Tax Expense (Benefit)
Deferred:
Deferred Income Tax Expense (Benefit), Continuing Operations [Abstract]
Federal
Deferred Federal Income Tax Expense (Benefit)
State
Deferred State and Local Income Tax Expense (Benefit)
Foreign
Deferred Foreign Income Tax Expense (Benefit)
Total deferred
Deferred Income Tax Expense (Benefit)
Provision for income taxes
Income Tax Expense (Benefit)
Expected volatility
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Weighted Average Volatility Rate
Risk free interest rate
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Risk Free Interest Rate
Expected life of option from grant date
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Term
Derivative Instruments and Hedging Activities Disclosure [Abstract]
DERIVATIVE INSTRUMENTS
Derivative Instruments and Hedging Activities Disclosure [Text Block]
Statement of Stockholders' Equity [Abstract]
Stock split ratio, Common stock
Stockholders' Equity Note, Stock Split, Conversion Ratio
Segment Reporting [Abstract]
SEGMENT AND GEOGRAPHIC INFORMATION
Segment Reporting Disclosure [Text Block]
Federal statutory rate
Effective Income Tax Rate Reconciliation, at Federal Statutory Income Tax Rate, Percent
Increase (decrease) in income taxes resulting from:
Effective Income Tax Rate Reconciliation, Percent [Abstract]
State income taxes, net of federal tax benefit
Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Percent
Foreign operations
Effective Income Tax Rate Reconciliation, Foreign Income Tax Rate Differential, Percent
Spine valuation allowance
Effective Income Tax Rate Reconciliation, Change in Deferred Tax Assets Valuation Allowance Due to Acquisition, Percent
Effective Income Tax Rate Reconciliation, Change in Deferred Tax Assets Valuation Allowance Due to Acquisition, Percent
Excess tax benefits from stock compensation
Effective Income Tax Rate Reconciliation, Nondeductible Expense, Share-based Compensation Cost, Percent
Charitable contributions
Effective Income Tax Rate Reconciliation, Disposition of Asset, Percent
Domestic production activities deduction
Effective Income Tax Rate Reconciliation, Deduction, Qualified Production Activity, Percent
Intercompany profit in inventory
Effective Income Tax Rate Reconciliation, Deduction, Intercompany Inventory, Percent
Effective Income Tax Rate Reconciliation, Deduction, Intercompany Inventory, Percent
Nondeductible facilitative costs
Effective Income Tax Rate Reconciliation, Nondeductible Expense, Legal and Professional, Percent
Effective Income Tax Rate Reconciliation, Nondeductible Expense, Legal and Professional, Percent
Changes in valuation allowances
Effective Income Tax Rate Reconciliation, Change in Deferred Tax Assets Valuation Allowance, Percent
Uncertain tax positions
Effective Income Tax Rate Reconciliation, Tax Contingency, Other, Percent
Research and development credit
Effective Income Tax Rate Reconciliation, Tax Credit, Research, Percent
Return to provision
Effective Income Tax Rate Reconciliation, Prior Year Income Taxes, Percent
Other
Effective Income Tax Rate Reconciliation, Other Adjustments, Percent
Effective tax rate
Effective Income Tax Rate Reconciliation, Percent
Schedule Of Inventories, Net
Schedule of Inventory, Current [Table Text Block]
Schedule Of Property, Plant And Equipment Balances And Corresponding Lives
Property, Plant and Equipment [Table Text Block]
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]
Treasury Stock Transactions, Excluding Value of Shares Reissued [Abstract]
Treasury stock, shares, retired (in shares)
Treasury Stock, Shares, Retired
Treasury stock, aggregate cost
Treasury Stock, Value
Stock repurchase program, authorized amount (up to)
Stock Repurchase Program, Authorized Amount
Amount available for share repurchase under this latest authorization
Stock Repurchase Program, Remaining Authorized Repurchase Amount
Common stock from the exercise of call option with hedge participants (in shares)
Stock Redeemed or Called During Period, Shares
Common stock from the exercise of call option with hedge participants, value
Stock Redeemed or Called During Period, Value
Stock repurchased during period (in shares)
Treasury Stock, Shares, Acquired
Related Parties
Related Parties [Member]
Related Parties [Member]
Third Parties
Third Parties [Member]
Third Parties [Member]
2017
Operating Leases, Future Minimum Payments Due, Next Twelve Months
2018
Operating Leases, Future Minimum Payments, Due in Two Years
2019
Operating Leases, Future Minimum Payments, Due in Three Years
2020
Operating Leases, Future Minimum Payments, Due in Four Years
2021
Operating Leases, Future Minimum Payments, Due in Five Years
Thereafter
Operating Leases, Future Minimum Payments, Due Thereafter
Total minimum lease payments
Operating Leases, Future Minimum Payments Due
Selected Quarterly Financial Information [Abstract]
New Accounting Pronouncements or Change in Accounting Principle [Table]
New Accounting Pronouncements or Change in Accounting Principle [Table]
Adjustments for New Accounting Pronouncements [Axis]
Adjustments for New Accounting Pronouncements [Axis]
Type of Adoption [Domain]
Type of Adoption [Domain]
Accounting Standards Update 2016-09
Accounting Standards Update 2016-09 [Member]
Accounting Standards Update 2016-09 [Member]
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
New Accounting Pronouncements or Change in Accounting Principle [Line Items]
Total revenue, net
Sales Revenue, Goods, Net
Gross margin
Gross Profit
Continuing Operations, Net (loss) income
Income (Loss) from Continuing Operations, Net of Tax, Attributable to Parent
Continuing Operations, Per Share-Basic (in dollars per share)
Income (Loss) from Continuing Operations, Per Basic Share
Continuing Operations, Per Share-Diluted (in dollars per share)
Income (Loss) from Continuing Operations, Per Diluted Share
Net income (loss)
Net Income (Loss) Attributable to Parent
Net Income, Per Share-Basic (in dollars per share)
Earnings Per Share, Basic
Net Income, Per Share-Diluted (in dollars per share)
Earnings Per Share, Diluted
Net income, restated to reflect the effect of adoption
New Accounting Pronouncement or Change in Accounting Principle, Effect of Change on Net Income
Debt Disclosure [Abstract]
Schedule of Long-term Debt Instruments [Table]
Debt Instrument [Axis]
Debt Instrument [Axis]
Debt Instrument, Name [Domain]
Debt Instrument, Name [Domain]
December 2016 Amendment
Fourth Amendment [Member]
Fourth Amendment [Member]
August 2015 Amendment
August Two Thousand Fifteen Amendment [Member]
August Two Thousand Fifteen Amendment [Member]
July 2014 Amendment
July Two Thousand Fourteen Amendment [Member]
July Two Thousand Fourteen Amendment [Member]
Senior Credit Facility
Senior Credit Facility [Member]
Senior Credit Facility.
2016 Convertible Senior Notes
Two Thousand Sixteen Senior Convertible Notes [Member]
Two Thousand Sixteen Senior Convertible Notes [Member]
Credit Facility [Axis]
Credit Facility [Axis]
Credit Facility [Domain]
Credit Facility [Domain]
Revolving Credit Facility
Revolving Credit Facility [Member]
Standby Letters of Credit
Standby Letters of Credit [Member]
Swingline Loan
Swingline Loan [Member]
Swingline Loan [Member]
Long-term Debt, Type [Axis]
Long-term Debt, Type [Axis]
Long-term Debt, Type [Domain]
Long-term Debt, Type [Domain]
Term Loan
Term Loan [Member]
Term Loan [Member]
Convertible Debt
Convertible Debt [Member]
Equity Components [Axis]
Equity Components [Axis]
Equity Component [Domain]
Equity Component [Domain]
Common Stock
Common Stock [Member]
Treasury Stock
Treasury Stock [Member]
Variable Rate [Axis]
Variable Rate [Axis]
Variable Rate [Domain]
Variable Rate [Domain]
Eurodollar
Eurodollar [Member]
Federal Funds
Federal Funds Effective Swap Rate [Member]
Weighted Average
Weighted Average [Member]
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Senior credit facility, maximum borrowing capacity
Line of Credit Facility, Maximum Borrowing Capacity
Interest rates available to the company at its option
Debt Instrument, Basis Spread on Variable Rate
Cash balance threshold above which excess amount is not subject to any restriction of use or investment
Cash Balance Threshold Above Which Excess Cash Is Not Subject To Restriction Of Use
Cash Balance Threshold Above Which Excess Cash Is Not Subject to Restriction of Use
Line of credit, commitment fee percentage
Line of Credit Facility, Commitment Fee Percentage
Capitalized incremental financing costs
Debt Issuance Costs, Gross
Amortization of debt issuance costs
Amortization of Debt Issuance Costs
Line of credit facility outstanding
Long-term Line of Credit
Weighted average interest rate on debt
Debt, Weighted Average Interest Rate
Term loan, amount outstanding
Term Loan, Amount Outstanding
Term loan - The term loan portion of the Senior Credit Facility outstanding on the balance sheet date.
Available borrowings under senior secured revolving credit facility
Line of Credit Facility, Remaining Borrowing Capacity
Fair value of outstanding borrowings
Debt Instrument, Fair Value Disclosure
Principal amount outstanding
Debt Instrument, Face Amount
Interest rate on debt
Debt Instrument, Interest Rate, Stated Percentage
Carrying amount of liability
Convertible Debt, Noncurrent
Unamortized discount
Debt Instrument, Unamortized Discount
Amounts drawn
Proceeds from Lines of Credit
Principal amount paid
Repayments of Convertible Debt
Stock issued during period, shares, conversion of convertible securities (in shares)
Stock Issued During Period, Shares, Conversion of Convertible Securities
Settlement of convertible notes
Stock Issued During Period, Value, Conversion of Convertible Securities
Gain or loss on extinguishment
Gain (Loss) on Extinguishment of Debt
Strike price of the call transaction (in dollars per share)
Derivative Price Of Call Transaction Strike Price
Derivative price of the call transaction, strike price.
Strike price of warrant transactions (in dollars per share)
Strike Price Of Warrant Transactions
Strike price of the warrant transactions entered into with affiliates of the initial purchasers of the Notes.
Schedule of Long-term Debt Instruments [Table]
Senior Credit Facility [Axis]
Senior Credit Facility [Axis]
Senior Credit Facility [Axis]
Senior Credit Facility [Domain]
Senior Credit Facility [Domain]
Senior Credit Facility [Domain]
2017
Long-term Debt, Maturities, Repayments of Principal in Next Twelve Months
2018
Long-term Debt, Maturities, Repayments of Principal in Year Two
2019
Long-term Debt, Maturities, Repayments of Principal in Year Three
2020
Long-term Debt, Maturities, Repayments of Principal in Year Four
2021
Long-term Debt, Maturities, Repayments of Principal in Year Five
Reconciliation of Uncertain Tax Benefits [Roll Forward]
Reconciliation of Unrecognized Tax Benefits, Excluding Amounts Pertaining to Examined Tax Returns [Roll Forward]
Balance, beginning of year
Unrecognized Tax Benefits
Gross increases:
Unrecognized Tax Benefits, Increases During Period [Abstract]
Unrecognized Tax Benefits, Increases During Period [Abstract]
Prior years' tax positions
Unrecognized Tax Benefits, Increase Resulting from Prior Period Tax Positions
Gross decreases:
Unrecognized Tax Benefits, Decreases During Period [Abstract]
Unrecognized Tax Benefits, Decreases During Period [Abstract]
Prior years' tax positions
Unrecognized Tax Benefits, Decrease Resulting from Prior Period Tax Positions
Settlements
Unrecognized Tax Benefits, Decrease Resulting from Settlements with Taxing Authorities
Statute of limitations lapses
Unrecognized Tax Benefits, Reduction Resulting from Lapse of Applicable Statute of Limitations
Other
Unrecognized Tax Benefits, Reductions Resulting From Other
Unrecognized Tax Benefits, Reductions Resulting From Other
Balance, end of year
Earnings Per Share [Abstract]
NET INCOME (LOSS) PER SHARE
Earnings Per Share [Text Block]
Statement of Cash Flows [Abstract]
OPERATING ACTIVITIES:
Net Cash Provided by (Used in) Operating Activities [Abstract]
Adjustments to reconcile net (loss) income to net cash provided by operating activities:
Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract]
Loss from discontinued operations, net of tax
Income (Loss) from Discontinued Operations, Net of Tax, Attributable to Parent
Depreciation and amortization
Depreciation, Depletion and Amortization
Non-cash impairment charges
Asset Impairment Charges
Deferred income tax provision (benefit)
Non-cash valuation allowance
Adjustments, Noncash Items, to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities
Share-based compensation
Share-based Compensation
Amortization of debt issuance costs
Non-cash interest expense
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
Other Noncash Income (Expense)
Gain on bargain purchase
Business Combination, Bargain Purchase, Gain Recognized, Amount
Payment of accreted interest
Payment Of Accreted Interest Cash Flow
The accreted interest component paid related to repurchases of convertible debt and thus is deducted when calculating net cash flows from operating activities using the indirect cash flow method.
Changes in assets and liabilities, net of business acquisitions:
Increase (Decrease) in Operating Capital [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
Deferred revenue
Increase (Decrease) in Deferred Revenue
Other non-current liabilities
Increase (Decrease) in Other Noncurrent Liabilities
Net cash provided by operating activities of continuing operations
Net Cash Provided by (Used in) Operating Activities, Continuing Operations
Net cash (used in) provided by operating activities of discontinued operations
Cash Provided by (Used in) Operating Activities, Discontinued Operations
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]
Change in restricted cash
Increase (Decrease) in Restricted Cash
Cash used in business acquisitions, net of cash acquired
Payments to Acquire Businesses, Net of Cash Acquired
Purchases of property and equipment
Sales of property and equipment
Proceeds from Sale of Property, Plant, and Equipment
Other changes in intangible assets
Payments for (Proceeds from) Other Investing Activities
Net cash used in investing activities of continuing operations
Net Cash Provided by (Used in) Investing Activities, Continuing Operations
Net cash used in investing activities of discontinued operations
Cash Provided by (Used in) Investing Activities, Discontinued Operations
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]
Borrowings under senior credit facility
Proceeds from Issuance of Secured Debt
Repayments under senior credit facility
Repayments of Secured Debt
Proceeds from the issuance of common stock, net of issuance costs
Proceeds from Issuance of Common Stock
Distribution to SeaSpine
Cash Provided by (Used in) Financing Activities, Discontinued Operations
Payment of liability component of convertible notes
Payment of capital lease obligation
Repayments of Long-term Capital Lease Obligations
Debt issuance costs
Payments of Debt Issuance Costs
Proceeds from exercised stock options
Proceeds from Stock Options Exercised
Cash taxes paid in net equity settlement
Excess Tax Benefit from Share-based Compensation, Financing Activities
Net cash (used in) 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 and Cash Equivalents
Net increase (decrease) in cash and cash equivalents
Cash and Cash Equivalents, Period Increase (Decrease)
Cash and cash equivalents at beginning of period
Cash and Cash Equivalents, at Carrying Value, Including Discontinued Operations
Cash and cash equivalents at end of period
United States operations
Income (Loss) from Continuing Operations before Income Taxes, Domestic
Foreign operations
Income (Loss) from Continuing Operations before Income Taxes, Foreign
Income from continuing operations before income taxes
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest
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]
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]
Increase in incremental fair value, stock-based compensation awards
Allocated share-based compensation expense
Compensation cost not yet recognized
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
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
Summary of Fair Value in Balance Sheet for Derivatives Designated as Hedging Instruments
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]
Schedule of Business Acquisitions, by Acquisition [Table]
Schedule of Business Acquisitions, by Acquisition [Table]
Segments [Axis]
Segments [Axis]
Segments [Domain]
Segments [Domain]
Specialty Surgical Solutions
Specialty Surgical Solutions [Member]
Specialty Surgical Solutions [Member]
Orthopedics and Tissue Technologies
Orthopedics and Tissue Technologies [Member]
Orthopedics and Tissue Technologies [Member]
Goodwill And Other Intangible Assets [Line Items]
Business Acquisition [Line Items]
Goodwill [Roll Forward]
Goodwill [Roll Forward]
Beginning of period
Goodwill
TEI acquisition working capital adjustment
Goodwill, Purchase Accounting Adjustments
Foreign currency translation and other
Goodwill, Foreign Currency Translation Gain (Loss)
End of period
Discontinued Operations and Disposal Groups [Abstract]
Disposal Groups, Including Discontinued Operations [Table]
Disposal Groups, Including Discontinued Operations [Table]
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]
Total revenue
Disposal Group, Including Discontinued Operation, Revenue
Costs and expenses
Disposal Group, Including Discontinued Operation, Operating Expense and Cost of Goods Sold
Disposal Group, Including Discontinued Operation, Operating Expense and Cost of Goods Sold
Operating loss
Disposal Group, Including Discontinued Operation, Operating Income (Loss)
Other expense, net
Disposal Group, Including Discontinued Operation, Other Income (Expense), Net
Disposal Group, Including Discontinued Operation, Other Income (Expense), Net
Loss from discontinued operations before tax
Discontinued Operation, Income (Loss) from Discontinued Operation, before Income Tax
Benefit for income taxes
Discontinued Operation, Tax Effect of Discontinued Operation
Loss from discontinued operations
Schedule of Segment Reporting Information, by Segment [Table]
Schedule of Segment Reporting Information, by Segment [Table]
Consolidation Items [Axis]
Consolidation Items [Axis]
Consolidation Items [Domain]
Consolidation Items [Domain]
Operating Segments
Operating Segments [Member]
Segment Reconciling Items
Segment Reconciling Items [Member]
Corporate, Non-Segment
Corporate, Non-Segment [Member]
Segment Reporting Information [Line Items]
Segment Reporting Information [Line Items]
Segment Net Sales
Segment Reporting Information, Operating Income (Loss) [Abstract]
Revenues
Segment Profit
Segment Reporting Information, Profit (Loss) [Abstract]
Operating income
Operating Income (Loss)
Amortization
Amortization of Intangible Assets
Basic net income (loss) per share:
Earnings Per Share, Basic [Abstract]
Net income from continuing operations
Net loss from discontinued operations
Net income (loss)
Weighted average common shares outstanding, basic (in shares)
Weighted Average Number of Shares Outstanding, Basic
Basic net income per common share from continuing operations (in dollars per share)
Basic net loss per common share from discontinued operations (in dollars per share)
Income (Loss) from Discontinued Operations and Disposal of Discontinued Operations, Net of Tax, Per Basic Share
Net income (loss) per share - basic (in dollars per share)
Diluted net income (loss) per share:
Earnings Per Share, Diluted [Abstract]
Loss from discontinued operations (net of tax benefit)
Effect of dilutive securities:
Dilutive Securities, Effect on Basic Earnings Per Share [Abstract]
2016 Convertible notes and related warrants (in shares)
Incremental Common Shares Attributable to Dilutive Effect of Conversion of Debt Securities and Related Warrants
Incremental Common Shares Attributable to Dilutive Effect of Conversion of Debt Securities and Related Warrants
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)
Weighted Average Number of Shares Outstanding, Diluted
Diluted net income per common share from continuing operations (in dollars per share)
Diluted net loss per common share from discontinued operations (in dollars per share)
Income (Loss) from Discontinued Operations and Disposal of Discontinued Operations, Net of Tax, Per Diluted Share
Net income (loss) per share - diluted (in dollars per share)
Basis Of Presentation
Basis of Accounting, Policy [Policy Text Block]
Principles Of Consolidation
Consolidation, Policy [Policy Text Block]
Use Of Estimates
Use of Estimates, Policy [Policy Text Block]
Reclassifications
Reclassification, Policy [Policy Text Block]
Cash And Cash Equivalents
Cash and Cash Equivalents, Policy [Policy Text Block]
Restricted Cash And Cash Equivalents
Cash and Cash Equivalents, Restricted Cash and Cash Equivalents, Policy [Policy Text Block]
Trade Accounts Receivable And Allowances For Doubtful Accounts Receivable
Trade and Other Accounts Receivable, Policy [Policy Text Block]
Inventories
Inventory, Policy [Policy Text Block]
Property, Plant And Equipment
Property, Plant and Equipment, Policy [Policy Text Block]
Capitalized Interest
Interest Capitalization, Policy [Policy Text Block]
Goodwill And Other Intangible Assets
Goodwill and Intangible Assets, Policy [Policy Text Block]
Long-Lived Assets
Impairment or Disposal of Long-Lived Assets, Including Intangible Assets, Policy [Policy Text Block]
Integra Foundation
Foundation [Policy Text Block]
Foundation [Policy Text Block].
Derivatives
Derivatives, Policy [Policy Text Block]
Foreign Currency
Foreign Currency Transactions and Translations Policy [Policy Text Block]
Income Taxes
Income Tax, Policy [Policy Text Block]
Revenue Recognition
Revenue Recognition, Policy [Policy Text Block]
Shipping And Handling Fees And Costs
Shipping and Handling Cost, Policy [Policy Text Block]
Product Warranties
Extended Product Warranty, Policy [Policy Text Block]
Research And Development
Research and Development Expense, Policy [Policy Text Block]
Employee Termination Benefits And Other Exit-Related Costs
Costs Associated with Exit or Disposal Activities or Restructurings, Policy [Policy Text Block]
Amendment to the Certificate of Incorporation and Stock Split
Amendment to the Certificate of Incorporation and Stock Split [Policy Text Block]
Amendment to the Certificate of Incorporation and Stock Split [Policy Text Block]
Stock-Based Compensation
Share-based Compensation, Option and Incentive Plans Policy [Policy Text Block]
Pension Benefits
Pension and Other Postretirement Plans, Policy [Policy Text Block]
Concentration Of Credit Risk
Concentration Risk, Credit Risk, Policy [Policy Text Block]
Recently Issued and Adopted Accounting Standards
New Accounting Pronouncements, Policy [Policy Text Block]
Income Statement [Abstract]
Costs and Expenses:
Costs and Expenses [Abstract]
Cost of goods sold
Cost of Goods Sold
Research and development
Research and Development Expense
Selling, general and administrative
Selling, General and Administrative Expense
Intangible asset amortization
Total costs and expenses
Costs and Expenses
Operating income
Interest income
Investment Income, Interest
Interest expense
Interest Expense
Other income (expense), net
Other Nonoperating Income (Expense)
Provision for income taxes
Net income from continuing operations
Net income (loss) per share - basic:
Income from continuing operations (in dollars per share)
Loss from discontinued operations (in dollars per share)
Discontinued Operation, Income (Loss) from Discontinued Operation, Net of Tax, Per Basic Share
Net income (loss) per share - diluted:
Income from continuing operations (in dollars per share)
Loss from discontinued operations (in dollars per share)
Discontinued Operation, Income (Loss) from Discontinued Operation, Net of Tax, Per Diluted Share
Weighted average common shares outstanding (See Note 12):
Weighted Average Number of Shares Outstanding, Diluted [Abstract]
Basic (in shares)
Diluted (in shares)
Business Combinations [Abstract]
Business Acquisition [Axis]
Business Acquisition [Axis]
Business Acquisition, Acquiree [Domain]
Business Acquisition, Acquiree [Domain]
Tekmed
Tekmed [Member]
Tekmed [Member]
Salto and Futura
Salto and Futura [Member]
Salto and Futura [Member]
TEI Biosciences Inc and TEI Medical Inc.
TEI Biosciences Inc and TEI Medical Inc. [Member]
TEI Biosciences Inc and TEI Medical Inc. [Member]
Metasurg
Metasurg [Member]
Metasurg [Member]
Medtronic MicroFrance
Medtronic MicroFrance [Member]
Medtronic MicroFrance [Member]
Confluent Surgical, Inc.
Confluent Surgical, Inc. [Member]
Confluent Surgical, Inc. [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]
In-process research and development
In Process Research and Development [Member]
Acquired 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]
Supplier Contracts
integra Supplier Contract [Member]
integra Supplier Contract
Ankle product family
Ankle Product Family [Member]
Ankle Product Family
Toe product family
Toe Product Family [Member]
Toe Product Family
Developed Technology
Developed Technology Rights [Member]
Contractual Relationships
Contractual Rights [Member]
Leasehold interest
Leaseholds and Leasehold Improvements [Member]
Technology
Technology-Based Intangible Assets [Member]
Trade name
Trade Names [Member]
Customer Relationships
Customer Relationships [Member]
Other
Other Intangible Assets [Member]
Business Acquisition [Line Items]
Cash
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Cash and Equivalents
Accounts receivable, net
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Receivables
Inventory
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Inventory
Prepaid expenses
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Prepaid Expense and Other Assets
Property, plant, and equipment
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment
Income tax receivable
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Income Tax Receivable
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Income Tax Receivable
Other current assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Other
Intangible assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles
Deferred tax assets - long term
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Assets Noncurrent
Goodwill
Total assets acquired
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets
Accrued expenses and other liabilities
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Accrued Expenses and Other Liabilities
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Accrued Expenses and Other Liabilities
Deferred tax liabilities
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Liabilities
Contingent supply liability
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Contingent Liability
Other
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Noncurrent Liabilities, Other
In-process research and development
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Indefinite-Lived Intangible Assets
Accounts payable and other liabilities
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Other
Deferred tax liability
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Liabilities Noncurrent
Wtd. Avg. Life
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life
Net assets acquired
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net
Statement of Comprehensive Income [Abstract]
Other comprehensive income (loss), before tax:
Other Comprehensive Income (Loss), before Tax, Portion Attributable to Parent [Abstract]
Change in foreign currency translation adjustments
Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, before Tax
Unrealized gain (loss) on derivatives
Other Comprehensive Income (Loss), Derivatives Qualifying as Hedges, before Tax [Abstract]
Unrealized derivative gain (loss) arising during period
Other Comprehensive Income (Loss), Unrealized Gain (Loss) on Derivatives Arising During Period, before Tax
Less: Reclassification adjustments for losses included in net loss
Other Comprehensive Income (Loss), Reclassification Adjustment from AOCI on Derivatives, before Tax
Unrealized gain on derivatives
Other Comprehensive Income (Loss), Derivatives Qualifying as Hedges, before Tax, Portion Attributable to Parent
Defined benefit pension plan
Other Comprehensive (Income) Loss, Pension and Other Postretirement Benefit Plans, Adjustment, before Tax, Portion Attributable to Parent [Abstract]
Defined benefit pension plan - net (loss) gain arising during period
Other Comprehensive Income (Loss), Pension and Other Postretirement Benefit Plans, Net Unamortized Gain (Loss) Arising During Period, before Tax
Total other comprehensive loss, before tax
Other Comprehensive Income (Loss), before Tax, Portion Attributable to Parent
Income tax expense related to items in other comprehensive loss
Other Comprehensive Income (Loss), Tax
Total other comprehensive loss, net of tax
Other Comprehensive Income (Loss), Net of Tax, Portion Attributable to Parent
Comprehensive income (loss), net of tax
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
ACQUISITIONS AND PRO FORMA RESULTS
Business Combination Disclosure [Text Block]
Organization, Consolidation and Presentation of Financial Statements [Abstract]
BUSINESS
Business Description and Basis of Presentation [Text Block]
Assets:
Deferred Tax Assets, Gross [Abstract]
Doubtful accounts
Deferred Tax Assets, Tax Deferred Expense, Reserves and Accruals, Allowance for Doubtful Accounts
Inventory related items
Deferred Tax Assets, Inventory
Tax credits
Deferred Tax Assets, Tax Credit Carryforwards
Accrued vacation
Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Employee Vacation
Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Employee Vacation
Accrued bonus
Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Employee Bonuses
Stock compensation
Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Share-based Compensation Cost
Deferred revenue
Deferred Tax Assets, Deferred Income
Net operating loss carryforwards
Deferred Tax Assets, Operating Loss Carryforwards
Federal & state tax credits
Deferred Tax Assets, Tax Credit Carryforwards, Federal and State
Deferred Tax Assets, Tax Credit Carryforwards, Federal and State
Others
Deferred Tax Assets, Other
Total deferred tax assets
Deferred Tax Assets, Gross
Less valuation allowance
Deferred Tax Assets, Valuation Allowance
Deferred tax assets after valuation allowance
Deferred Tax Assets, Net
Liabilities:
Deferred Tax Liabilities, Gross [Abstract]
Intangible and fixed assets
Deferred Tax Liabilities, Goodwill and Intangible Assets
Others
Deferred Tax Liabilities, Other
Total deferred tax liabilities
Deferred Tax Liabilities, Gross
Total net deferred tax liabilities
Deferred Tax Liabilities, Net
DISCONTINUED OPERATIONS
Disposal Groups, Including Discontinued Operations, Disclosure [Text Block]
INCOME TAXES
Income Tax Disclosure [Text Block]
Schedule Of Companys Identifiable Intangible Assets [Table]
Schedule Of Companys Identifiable Intangible Assets [Table]
Companys Identifiable Intangible Assets.
Finite-Lived Intangible Assets, Major Class [Axis]
Completed technology
Completed Technology [Member]
Completed technology.
Customer relationships
Customer Lists [Member]
Trademarks/brand names
Trademarks Brand Names [Member]
Trademarks Brand Names.
Supplier relationships
Supplier Relationships Identifiable Intangible Assets [Member]
Supplier Relationships - Identifiable Intangible Assets [Member]
All other
Goodwill And Other Intangible Assets [Line Items]
Goodwill And Other Intangible Assets [Line Items]
Goodwill And Other Intangible Assets [Line Items]
Weighted Average Life
Finite-Lived Intangible Asset, Useful Life
Finite-lived intangible assets, cost
Finite-Lived Intangible Assets, Gross
Accumulated Amortization
Finite-Lived Intangible Assets, Accumulated Amortization
Finite-lived intangible assets, net
Finite-Lived Intangible Assets, Net
Finite and indefinite-lived intangible assets, cost
Intangible Assets, Gross (Excluding Goodwill)
Finite and indefinite-lived assets, net
Intangible Assets, Net (Excluding Goodwill)
Schedule of Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Table]
Schedule of Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Table]
Income Statement Location [Axis]
Income Statement Location [Axis]
Income Statement Location [Domain]
Income Statement Location [Domain]
Selling, general and administrative
Selling, General and Administrative Expenses [Member]
Research and development
Research and Development Expense [Member]
Cost of goods sold
Cost of Sales [Member]
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award, Compensation Cost [Line Items]
Total stock-based compensation expense
Total estimated tax benefit related to stock-based compensation expense
Employee Service Share-based Compensation, Tax Benefit from Compensation Expense
Net effect on net income
Allocated Share-based Compensation Expense, Net of Tax
Derivative Instruments, Gain (Loss) by Hedging Relationship, by Income Statement Location, by Derivative Instrument Risk [Table]
Derivative Instruments, Gain (Loss) [Table]
Interest (expense)
Interest Expense [Member]
Derivative, by Nature [Axis]
Derivative Instrument [Axis]
Derivative, Name [Domain]
Derivative Contract [Domain]
Interest rate swap
Interest Rate Swap [Member]
Derivative Instruments, Gain (Loss) [Line Items]
Derivative Instruments, Gain (Loss) [Line Items]
Accumulated Other Comprehensive Income (Loss) [Roll Forward]
Accumulated Other Comprehensive Income (Loss) [Roll Forward]
Accumulated Other Comprehensive Income (Loss) [Roll Forward]
Balance in AOCI Beginning of Year
Accumulated Other Comprehensive Income Loss Cumulative Changes In Net Gain Loss From Cash Flow Hedge Effect Before Tax
Accumulated Other Comprehensive Income Loss Cumulative Changes in Net Gain Loss from Cash Flow Hedge Effect Before Tax
Amount of Gain (Loss) Recognized in AOCI- (Effective Portion)
Derivative Instruments, Gain (Loss) Recognized in Other Comprehensive Income (Loss), Effective Portion, Net
Amount of Gain (Loss) Reclassified from AOCI into Earnings-(Effective Portion)
Derivative Instruments, Gain (Loss) Reclassified from Accumulated OCI into Income, Effective Portion, Net
Balance in AOCI End of Year
Business Acquisition, Contingent Consideration [Roll Forward]
Business Acquisition, Contingent Consideration [Roll Forward]
Business Acquisition, Contingent Consideration [Roll Forward]
Beginning of Period
Business Combination, Contingent Consideration, Liability
Loss from decrease in fair value of contingent consideration liability
Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability
Ending of Period
Summary Of Employee Stock-Based Compensation Expense
Schedule of Compensation Cost for Share-based Payment Arrangements, Allocation of Share-based Compensation Costs by Plan [Table Text Block]
Summary Of Weighted-Average Assumptions
Schedule of Share-based Payment Award, Stock Options, Valuation Assumptions [Table Text Block]
Summary Of Stock Option Activity
Schedule of Share-based Compensation, Stock Options, Activity [Table Text Block]
Summary Of Restricted Stock, Performance Stock, and Contract Stock
Schedule of Share-based Compensation, Activity [Table Text Block]
Statement of Financial Position [Abstract]
Trade accounts receivable, allowances
Allowance for Doubtful Accounts Receivable, Current
Preferred Stock, par value (in dollars per share)
Preferred Stock, No Par Value
Preferred Stock, authorized shares (in shares)
Preferred Stock, Shares Authorized
Preferred Stock, outstanding (in shares)
Preferred Stock, Shares Outstanding
Common stock, par value (in dollars per share)
Common Stock, Par or Stated Value Per Share
Common stock, shares authorized (in shares)
Common Stock, Shares Authorized
Common stock, shares issued (in shares)
Common Stock, Shares, Issued
Treasury stock, shares (in shares)
Treasury Stock, Shares
Valuation and Qualifying Accounts [Abstract]
SCHEDULE II - VALUATION AND QUALIFYING ACCOUNTS
Schedule of Valuation and Qualifying Accounts Disclosure [Text Block]
Compensation and Retirement Disclosure [Abstract]
RETIREMENT BENEFIT PLANS
Pension and Other Postretirement Benefits Disclosure [Text Block]
Income Tax [Table]
Income Tax [Table]
Income Tax [Table]
Income Tax Authority [Axis]
Income Tax Authority [Axis]
Income Tax Authority [Domain]
Income Tax Authority [Domain]
Internal Revenue Service (IRS)
Internal Revenue Service (IRS) [Member]
Foreign Tax Authority
Foreign Tax Authority [Member]
State and Local Jurisdiction
State and Local Jurisdiction [Member]
Income Tax [Line Items]
Income Tax [Line Items]
Income Tax [Line Items]
Change in effective income tax rate during the period
Effective Income Tax Rate Reconciliation, Increase (Decrease) During Period, Percent
Effective Income Tax Rate Reconciliation, Increase (Decrease) During Period, Percent
Effective income tax rate reconciliation, share-based compensation, excess tax benefit, amount
Effective Income Tax Rate Reconciliation, Share-based Compensation, Excess Tax Benefit, Amount
Effective Income Tax Rate Reconciliation, Share-based Compensation, Excess Tax Benefit, Amount
Tax benefit, Federal research credit study
Effective Income Tax Rate Reconciliation, Tax Credit, Research, Amount
Amount of unrecorded benefit expected to be recognized
Significant Change in Unrecognized Tax Benefits is Reasonably Possible, Amount of Unrecorded Benefit
Effective income tax rate reconciliation, foreign income tax rate differential, increase (decrease), amount
Effective Income Tax Rate Reconciliation, Foreign Income Tax Rate Differential, Amount
Effective foreign income tax rate
Effective Foreign Income Tax Rate Reconciliation, Continuing Operations
Effective Foreign Income Tax Rate Reconciliation, Continuing Operations
Change in effective foreign income tax rate during period
Effective Foreign Income Tax Rate Reconciliation, Increase (Decrease) During Period, Percent
Effective Foreign Income Tax Rate Reconciliation, Increase (Decrease) During Period, Percent
Undistributed earnings of foreign subsidiaries
Undistributed Earnings of Foreign Subsidiaries
Estimated tax liability on undistributed earnings of foreign subsidiaries
Estimated Tax Liability on Undistributed Earnings of Foreign Subsidiaries
Estimated Tax Liability on Undistributed Earnings of Foreign Subsidiaries
Operating loss carryforwards
Operating Loss Carryforwards
Operating loss carryforwards, subject to expiration
Deferred Tax Assets, Operating Loss Carryforwards, Subject to Expiration
Operating loss carryforwards, not subject to expiration
Deferred Tax Assets, Operating Loss Carryforwards, Not Subject to Expiration
Less valuation allowance
Deferred tax assets, gross
Valuation allowances and reserves, period increase (decrease)
Valuation Allowances and Reserves, Period Increase (Decrease)
Unrecognized tax benefits that would impact effective tax rate
Unrecognized Tax Benefits that Would Impact Effective Tax Rate
Benefit for income tax penalties and interest expense
Unrecognized Tax Benefits, Income Tax Penalties and Interest Expense
Penalties and interest accrued
Income Tax Examination, Penalties and Interest Accrued
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding [Roll Forward]
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding [Roll Forward]
Outstanding at beginning of year (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Number
Granted (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Net of Forfeitures
Exercised (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period
Forfeited or Expired (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Forfeitures in Period
Outstanding at end of year (in shares)
Vested or expected to vest at end of year (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding, Number
Exercisable at end of year (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Number
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Roll Forward]
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Abstract]
Weighted Average Exercise Price, Outstanding at beginning of year (in dollars per share)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price
Weighted Average Exercise Price, Granted (in dollars per share)
Share-based Compensation Arrangements by Share-based Payment Award, Options, Grants in Period, Weighted Average Exercise Price
Weighted Average Exercise Price, Exercised (in dollars per share)
Share-based Compensation Arrangements by Share-based Payment Award, Options, Exercises in Period, Weighted Average Exercise Price
Weighted Average Exercise Price, Forfeited or Expired (in dollars per share)
Share-based Compensation Arrangements by Share-based Payment Award, Options, Forfeitures in Period, Weighted Average Exercise Price
Weighted Average Exercise Price, Outstanding at end of year (in dollars per share)
Weighted Average Exercise Price, Vested or expected to vest at end of year (in dollars per share)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding, Weighted Average Exercise Price
Weighted Average Exercise Price, Exercisable at end of year (in dollars per share)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Exercise Price
Weighted Average Contractual Term in Years, Outstanding at end of year
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term
Weighted Average Contractual Term in Years, Vested or expected to vest at end of year
Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Exercisable, Weighted Average Remaining Contractual Term
Weighted Average Contractual Term in Years, Exercisable at end of year
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Remaining Contractual Term
Aggregate Intrinsic Value, Outstanding at end of year
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Intrinsic Value
Aggregate Intrinsic Value, Vested or expected to vest at end of year
Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding, Aggregate Intrinsic Value
Aggregate Intrinsic Value, Exercisable at end of year
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Intrinsic Value
Stockholders' Equity Note [Abstract]
Accumulated Other Comprehensive Income (Loss) [Table]
Accumulated Other Comprehensive Income (Loss) [Table]
Gains and Losses on Cash Flow Hedges
Accumulated Net Gain (Loss) from Cash Flow Hedges Attributable to 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]
AOCI Attributable to Parent
AOCI Attributable to Parent [Member]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Beginning Balance
Stockholders' Equity Attributable to Parent
Other comprehensive income (loss) before reclassifications
Other Comprehensive Income (Loss), before Reclassifications, Net of Tax
Current period other comprehensive income (loss)
Other Comprehensive Income (Loss), Net of Tax
Ending Balance
Reclassification adjustment out of accumulated comprehensive loss
Reclassification from Accumulated Other Comprehensive Income, Current Period, Net of Tax
TREASURY STOCK
Treasury Stock [Text Block]
DEBT
Debt Disclosure [Text Block]
Total revenue from continuing operations, As reported
Total revenue from continuing operations, Pro forma
Business Acquisition, Pro Forma Revenue
Net income from continuing operations, As reported
Net income from continuing operations, Pro forma
Business Acquisition, Pro Forma Net Income (Loss)
Net income from continuing operations per share:
Basic, Pro forma (in dollars per share)
Business Acquisition, Pro Forma Earnings Per Share, Basic
Employer contributions
Defined Benefit Plan, Contributions by Employer
Selling, general and administrative expenses recorded in conjunction with the buy-out of the plan
Defined Benefit Plan, Recognized Net Gain (Loss) Due to Settlements and Curtailments
Total contributions made by the Company
Defined Contribution Plan, Cost Recognized
Schedule of Accumulated Other Comprehensive Income (Loss)
Schedule of Accumulated Other Comprehensive Income (Loss) [Table Text Block]
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Significant Accounting Policies [Text Block]
Basic And Diluted Net Income (Loss) Per Share
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
Valuation and Qualifying Accounts Disclosure [Table]
Valuation and Qualifying Accounts Disclosure [Table]
Valuation Allowances and Reserves Type [Axis]
Valuation Allowances and Reserves Type [Axis]
Valuation Allowances and Reserves [Domain]
Valuation Allowances and Reserves [Domain]
Allowance for doubtful accounts and sales returns and allowances
Allowance for Doubtful Accounts [Member]
Deferred tax assets valuation allowance
Valuation Allowance of Deferred Tax Assets [Member]
Valuation and Qualifying Accounts Disclosure [Line Items]
Valuation and Qualifying Accounts Disclosure [Line Items]
Movement in Valuation Allowances and Reserves [Roll Forward]
Movement in Valuation Allowances and Reserves [Roll Forward]
Balance at Beginning of Period
Valuation Allowances and Reserves, Balance
Charged to Costs and Expenses
Valuation Allowances and Reserves, Additions for Charges to Cost and Expense
Deductions
Valuation Allowances and Reserves, Deductions
Balance at End of Period
Schedule Of Income Before Income Taxes
Schedule of Income before Income Tax, Domestic and Foreign [Table Text Block]
Schedule Of Effective Income Tax Rate Reconciliation
Schedule of Effective Income Tax Rate Reconciliation [Table Text Block]
Schedule Of Provision For Income Taxes
Schedule of Components of Income Tax Expense (Benefit) [Table Text Block]
Schedule Of Deferred Tax Assets And Liabilities
Schedule of Deferred Tax Assets and Liabilities [Table Text Block]
Schedule Of Uncertain Tax Benefits Reconciliation
Schedule of Unrecognized Tax Benefits Roll Forward [Table Text Block]
Balance Sheet and Income Statement of Disposal Group
Disposal Groups, Including Discontinued Operations [Table Text Block]
Statement [Table]
Statement [Table]
Additional Paid-In Capital
Additional Paid-in Capital [Member]
Accumulated Other Comprehensive Income (Loss)
Retained Earnings
Retained Earnings [Member]
Statement [Line Items]
Statement [Line Items]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Beginning Balance, shares (in shares)
Shares, Issued
Beginning Balance, Treasury Stock, shares (in shares)
Adjustment for two-for-one stock split, effective December 21, 2016
Adjustments to Additional Paid in Capital, Stock Split
Adjustment for two-for-one stock split, effective December 21, 2016 (in shares)
Stock Issued During Period, Shares, Stock Splits
Net income (loss)
Other comprehensive income (loss), net of tax
Separation of SeaSpine
Stockholders' Equity Note, Spinoff Transaction
Other comprehensive income (loss), net of tax and SeaSpine
Other Comprehensive Income (Loss), Net of Tax, Portion Attributable to Parent, Net of Spin-off
Other Comprehensive Income (Loss), Net of Tax, Portion Attributable to Parent, Net of Spin-off
Treasury Share purchases (in shares)
Treasury shares retirement
Treasury Stock, Retired, Cost Method, Amount
Treasury shares retirement (in shares)
Issuance of common stock
Stock Issued During Period, Value, New Issues
Issuance of common stock, shares (in shares)
Stock Issued During Period, Shares, New Issues
Issuance of common stock through employee stock purchase plan
Stock Issued During Period, Value, Employee Stock Purchase Plan
Issuance of common stock through employee stock purchase plan (in shares)
Stock Issued During Period, Shares, Employee Stock Purchase Plans
Settlement of convertible notes (in shares)
Exercise of convertible note hedge
Exercise of convertible note hedge (in shares)
Issuance of common stock for vesting of share based awards, net of shares withheld for taxes
Stock Issued During Period, Value, Share-based Compensation, Net of Forfeitures
Issuance of common stock for vesting of share based awards, net of shares withheld for taxes (in shares)
Stock Issued During Period, Shares, Share-based Compensation, Net of Forfeitures
Share-based compensation
Adjustments to Additional Paid in Capital, Share-based Compensation, Requisite Service Period Recognition
Ending Balance, shares (in shares)
Ending Balance, Treasury Stock, shares (in shares)
Subsequent Events [Abstract]
SUBSEQUENT EVENTS
Subsequent Events [Text Block]
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
Geographical [Axis]
Geographical [Axis]
Geographical [Domain]
Geographical [Domain]
United States
UNITED STATES
Europe
Europe [Member]
Rest of the World
Rest Of World [Member]
Revenues from rest of the world.
Total long-lived assets
Long-Lived Assets
Selected Quarterly Information
Quarterly Financial Information [Table Text Block]
Related Party [Axis]
Director
Director [Member]
Supply Commitment [Axis]
Supply Commitment [Axis]
Supply Commitment Arrangement [Domain]
Supply Commitment Arrangement [Domain]
Supply Agreement Liability - Current
Supply Commitment [Member]
Information Technology and Administrative Support
Information Technology and Administrative Support [Member]
Information Technology and Administrative Support [Member]
Distribution of spinoff shares
Disposal Group, Including Discontinued Operation, Distribution of Spinoff Shares, Percent
Percentage of shares distributed to shareholders as part of a spinoff transaction
Shares of Integra for share of SeaSpine
Share Ratio for Issuance of Spinoff Company Stock
Share Ratio for Issuance of Spinoff Company Stock
Number of shared board members
Related Party, Shared Management, Number of Common Employees
Related Party, Shared Management, Number of Common Employees
Cash following distribution
Disposal Group, Including Discontinued Operation, Cash and Cash Equivalents
Gain (loss) recognized as result of distribution
Discontinued Operation, Gain (Loss) on Disposal of Discontinued Operation, Net of Tax
Income or expense after separation
Revenue, SeaSpine
Discontinued Operation, Intra-Entity Amounts, Discontinued Operation after Disposal, Revenue
Cost of goods sold, SeaSpine
Discontinued Operation, Intra-Entity Amounts, Discontinued Operation after Disposal, Expense
Summary Of Significant Accounting Policies [Table]
Summary Of Significant Accounting Policies [Table]
Summary Of Significant Accounting Policies [Table]
Computer Equipment
Computer Equipment [Member]
Trademarks Brand Names
Technology
Technology [Member]
Technology.
Concentration Risk Benchmark [Axis]
Concentration Risk Benchmark [Axis]
Concentration Risk Benchmark [Domain]
Concentration Risk Benchmark [Domain]
Sales Revenue, Net
Sales Revenue, Net [Member]
Summary Of Significant Accounting Policies [Line Items]
Summary Of Significant Accounting Policies [Line Items]
Summary Of Significant Accounting Policies [Line Items]
Tax benefit
Restricted cash and cash equivalents
Restricted Cash and Cash Equivalents, Current
Inventory, capitalized expenses
Inventory, Capitalized Expenses
Inventory, Capitalized Expenses
Depreciation expense
Depreciation
Capital leased assets, gross
Capital Leased Assets, Gross
Capital leases, accumulated depreciation
Capital Leases, Lessee Balance Sheet, Assets by Major Class, Accumulated Depreciation
Interest expense capitalized to property, plant, and equipment
Interest Costs Capitalized Adjustment
Number of reportable segments, goodwill reallocated
Number of Reportable Segments. Goodwill Reallocated
Number of Reportable Segments. Goodwill Reallocated
Goodwill, impairment loss
Goodwill, Impairment Loss
Other Indefinite-lived intangible assets
Other Indefinite-lived Intangible Assets
Finite-lived intangible asset, useful life
Impairment of indefinite-lived Assets
Impairment of Intangible Assets, Indefinite-lived (Excluding Goodwill)
Impairment charges
Impairment of Intangible Assets (Excluding Goodwill)
Impairment of finite-lived assets
Impairment of Intangible Assets, Finite-lived
Amortization expense
Amortization
Annual amortization expense expected to approximate in 2017
Finite-Lived Intangible Assets, Amortization Expense, Next Twelve Months
Annual amortization expense expected to approximate in 2018
Finite-Lived Intangible Assets, Amortization Expense, Year Two
Annual amortization expense expected to approximate in 2019
Finite-Lived Intangible Assets, Amortization Expense, Year Three
Annual amortization expense expected to approximate in 2020
Finite-Lived Intangible Assets, Amortization Expense, Year Four
Annual amortization expense expected to approximate in 2021
Finite-Lived Intangible Assets, Amortization Expense, Year Five
Amortization expense, included in cost of product revenues
Cost of Goods Sold, Amortization
Charitable contributions
Charitable contributions
Charitable contributions
Amount of unrecognized deferred tax liability
Deferred Tax Liability Not Recognized, Amount of Unrecognized Deferred Tax Liability, Undistributed Earnings of Foreign Subsidiaries
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
Distribution and handling costs
Shipping, Handling and Transportation Costs
Extended warranties, in years (up to)
Extended warranties, in years
Extended warranties, in years
Accrued warranty expense
Standard and Extended Product Warranty Accrual
Fractional shares issued (in shares)
Common Stock, Fractional Shares Issued
Common Stock, Fractional Shares Issued
Stock split, number of additional shares of common stock for each share held
Common Stock, Stock Split, Number of Additional Shares of Common Stock For Each Share Held
Common Stock, Stock Split, Number of Additional Shares of Common Stock For Each Share Held
Defined benefit plan, contributions by employer
Defined benefit plan, recognized net gain (loss) due to settlements and curtailments
Pension contributions
Pension Contributions
Concentration risk, percentage
Concentration Risk, Percentage
Concentration risk, number of customers over benchmark
Concentration Risk, Number of Customers Over Benchmark
Concentration Risk, Number of Customers Over Benchmark
Increase in net cash provided by operating activities
Decrease in net cash used in financing activities
Payment of accreted interest
Interest paid
Interest Paid
Interest paid, capitalized into construction in progress
Interest Paid, Capitalized
Income taxes paid
Income Taxes Paid
Property and equipment purchases included in liabilities
Capital Expenditures Incurred but Not yet Paid
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]
Schedule of Assets Acquired and Liabilities Assumed
Schedule of Business Acquisitions, by Acquisition [Table Text Block]
Schedule of Business Acquisitions by Acquisition, Contingent Consideration
Schedule of Business Acquisitions by Acquisition, Contingent Consideration [Table Text Block]
Pro Forma Financial Information, Summary of Results of Operations
Business Acquisition, Pro Forma Information [Table Text Block]
Fair Value, Liabilities Measured on Recurring and Nonrecurring Basis
Fair Value, Net Derivative Asset (Liability) Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]
Document and Entity Information [Abstract]
Document and Entity Information [Abstract]
Document Type
Document Type
Amendment Flag
Amendment Flag
Document Period End Date
Document Period End Date
Document Fiscal Year Focus
Document Fiscal Year Focus
Document Fiscal Period Focus
Document Fiscal Period Focus
Trading Symbol
Trading Symbol
Entity Registrant Name
Entity Registrant Name
Entity Central Index Key
Entity Central Index Key
Current Fiscal Year End Date
Current Fiscal Year End Date
Entity Filer Category
Entity Filer Category
Entity Well-known Seasoned Issuer
Entity Well-known Seasoned Issuer
Entity Voluntary Filers
Entity Voluntary Filers
Entity Current Reporting Status
Entity Current Reporting Status
Entity Public Float
Entity Public Float
Entity Common Stock, Shares Outstanding (in shares)
Entity Common Stock, Shares Outstanding
Assets:
Assets [Abstract]
Disposal Group, Including Discontinued Operation, Assets, Current [Abstract]
Disposal Group, Including Discontinued Operation, Assets, Current [Abstract]
Cash
Accounts receivable
Disposal Group, Including Discontinued Operation, Accounts, Notes and Loans Receivable, Net
Inventory
Disposal Group, Including Discontinued Operation, Inventory, Current
Other current assets
Disposal Group, Including Discontinued Operation, Other Assets, Current
Current assets of discontinued operations
Disposal Group, Including Discontinued Operation, Assets, Current
Disposal Group, Including Discontinued Operation, Assets, Noncurrent [Abstract]
Disposal Group, Including Discontinued Operation, Assets, Noncurrent [Abstract]
Property, plant, and equipment, net
Disposal Group, Including Discontinued Operation, Property, Plant and Equipment, Noncurrent
Intangible assets, net
Disposal Group, Including Discontinued Operation, Intangible Assets, Noncurrent
Other assets
Disposal Group, Including Discontinued Operation, Other Assets, Noncurrent
Non-current assets of discontinued operations
Disposal Group, Including Discontinued Operation, Assets, Noncurrent
Total assets of discontinued operations
Disposal Group, Including Discontinued Operation, Assets
Liabilities:
Liabilities [Abstract]
Disposal Group, Including Discontinued Operation, Liabilities, Current [Abstract]
Disposal Group, Including Discontinued Operation, Liabilities, Current [Abstract]
Accounts payable
Disposal Group, Including Discontinued Operation, Accounts Payable, Current
Accrued compensation
Disposal Group, Including Discontinued Operation, Accrued Compensation, Current
Disposal Group, Including Discontinued Operation, Accrued Compensation, Current
Accrued expenses and other current liabilities
Disposal Group, Including Discontinued Operation, Other Liabilities, Current
Current liabilities of discontinued operations
Disposal Group, Including Discontinued Operation, Liabilities, Current
Disposal Group, Including Discontinued Operation, Liabilities, Noncurrent [Abstract]
Disposal Group, Including Discontinued Operation, Liabilities, Noncurrent [Abstract]
Deferred tax liabilities
Disposal Group, Including Discontinued Operation, Deferred Tax Liabilities, Noncurrent
Other liabilities
Disposal Group, Including Discontinued Operation, Other Liabilities, Noncurrent
Long-term liabilities of discontinued operations
Disposal Group, Including Discontinued Operation, Liabilities, Noncurrent
Total liabilities of discontinued operations
Disposal Group, Including Discontinued Operation, Liabilities
Amortization of the discount on the liability component
Amortization of Debt Discount (Premium)
Cash interest related to the contractual interest coupon
Interest Expense, Debt, Excluding Amortization
Total
Interest Expense, Debt
Amortization of debt discount, capitalized interest
Amortization of Debt Discount (Premium), Interest Costs Capitalized
Amortization of Debt Discount (Premium), Interest Costs Capitalized
Cash interest related to contractual interest coupon, capitalized interest
Interest Expense, Debt, Excluding Amortization, Interest Costs Capitalized
Interest Expense, Debt, Excluding Amortization, Interest Costs Capitalized
LEASES AND RELATED PARTY LEASES
Operating Leases of Lessor Disclosure [Text Block]
ASSETS
Current Assets:
Assets, Current [Abstract]
Cash and cash equivalents
Cash and Cash Equivalents, at Carrying Value
Trade accounts receivable, net of allowances of $6,319 and $5,572
Accounts Receivable, Net, Current
Inventories, net
Inventory, Net
Prepaid expenses and other current assets
Prepaid Expense and Other Assets, Current
Total current assets
Assets, Current
Property, plant and equipment, net
Intangible assets, net
Goodwill
Deferred tax assets
Deferred Tax Assets, Net of Valuation Allowance, Noncurrent
Other assets
Other Assets, Noncurrent
Total assets
Assets
LIABILITIES AND STOCKHOLDERS’ EQUITY
Liabilities and Equity [Abstract]
Current Liabilities:
Liabilities, Current [Abstract]
Borrowings under senior credit facility
Secured Debt, Current
Accounts payable, trade
Accounts Payable, Trade, Current
Deferred revenue
Deferred Revenue, Current
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 convertible securities
Deferred tax liabilities
Deferred Tax Liabilities, Gross, Noncurrent
Other liabilities
Other Liabilities, Noncurrent
Total liabilities
Liabilities
Commitments and contingencies
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; 77,666 and 91,714 issued at December 31, 2016 and 2015, respectively
Common Stock, Value, Issued
Additional paid-in capital
Additional Paid in Capital, Common Stock
Treasury stock, at cost; 2,946 and 17,830 shares at December 31, 2016 and 2015, respectively
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
Commitments and Contingencies Disclosure [Abstract]
COMMITMENTS AND CONTINGENCIES
Commitments and Contingencies Disclosure [Text Block]
ACCUMULATED OTHER COMPREHENSIVE INCOME (LOSS)
Comprehensive Income (Loss) Note [Text Block]
SELECTED QUARTERLY INFORMATION - UNAUDITED
Quarterly Financial Information [Text Block]
TEI
TEI [Member]
TEI
TEI Biosciences Inc.
TEI Biosciences Inc. [Member]
TEI Biosciences Inc. [Member]
TEI Medical Inc.
TEI Medical Inc. [Member]
TEI Medical Inc. [Member]
Other Income
Other Income [Member]
Selling, general and administrative
Selling General And Administrative [Member]
Selling, General And Administrative [Member]
Contingent Consideration by Type [Axis]
Contingent Consideration by Type [Axis]
Contingent Consideration Type [Domain]
Contingent Consideration Type [Domain]
Cash Consideration One
Cash Consideration One [Member]
Cash Consideration One [Member]
Cash Consideration Two
Cash Consideration Two [Member]
Cash Consideration Two
Balance Sheet Location [Axis]
Balance Sheet Location [Axis]
Balance Sheet Location [Domain]
Balance Sheet Location [Domain]
Prepaid Expenses and Other Current Assets
Prepaid Expenses and Other Current Assets [Member]
Other Assets
Other Assets [Member]
Deferred Tax Liability
Deferred Tax Liability [Member]
Deferred Tax Liability [Member]
Supply Commitment, Current, Long-Term, and Above Market
Supply Commitment, Current, Long-Term, and Above Market [Member]
Supply Commitment, Current, Long-Term, and Above Market [Member]
Consideration transferred
Business Combination, Consideration Transferred
Revenue since acquisition date
Business Combination, Pro Forma Information, Revenue of Acquiree since Acquisition Date, Actual
Payments to acquire business
Payments to Acquire Businesses, Gross
Gain recognized, amount
Number of businesses acquired
Number of Businesses Acquired
Cash used in business acquisition, net of cash acquired
Business combination, cash acquired
Contingent receivable
Business Combination, Contingent Consideration, Asset
Contingent consideration, asset, revenue threshold to realize asset
Business Combination, Contingent Consideration, Asset, Revenue Threshold To Realize Asset
Business Combination, Contingent Consideration, Asset, Revenue Threshold To Realize Asset
Discount rate
Fair Value Inputs, Discount Rate
Increase in fair value of contingent receivable
Business Combination, Contingent Consideration, Asset, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset, Period Increase (Decrease)
Business Combination, Contingent Consideration, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Asset, Period Increase (Decrease)
Contingent consideration, liability
Contingent consideration arrangements, maximum payout
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High
Business combination, contingent consideration arrangements, change in amount of contingent consideration, liability
Payment for contingent consideration liability
Payment for Contingent Consideration Liability, Investing Activities
Amount of cash outflow, made soon after acquisition date of business combination, to settle contingent consideration liability.
Adjustment on consideration transferred
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Consideration Transferred
Net assets acquired
Payment for business interest
Payments to Acquire Businesses, Payment for Business Interest
Payments to Acquire Businesses, Payment for Business Interest
Payments for transitional supply agreement
Payments to Acquire Businesses, Payments for Transitional Supply Agreement
Payments to Acquire Businesses, Payments for Transitional Supply Agreement
Arrangement extension period
Business Combination, Contingent Consideration Arrangements, Arrangement Extension Period
Period of extension able to be exercised as part of the contingent consideration arrangement
Required number of days for extension (at least)
Business Combination, Contingent Consideration Arrangements, Required Number of Days for Extension
Business Combination, Contingent Consideration Arrangements, Required Number of Days for Extension
Period of contingent consideration arrangement
Business Combination, Contingent Consideration Arrangements, Period of Contingent Consideration Arrangement
Business Combination, Contingent Consideration Arrangements, Period of Contingent Consideration Arrangement
Period of transitional supply price increases
Business Combinations, Contingent Consideration Arrangement, Period of Transitional Supply Price Increases
Period during which the price of the agreement increases based upon the contingent consideration arrangement
Number of assets impaired
Impairment of Intangible Assets, Finite-lived, Number of Assets Impaired
Impairment of Intangible Assets, Finite-lived, Number of Assets Impaired
Probability of event
Fair Value Input, Probability of Event
Fair Value Input, Probability of Event
Incremental increase in liability
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, Incremental Increase in Liability
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, Incremental Increase in Liability
Incremental decrease in liability
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, Incremental Decrease in Liability
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, Incremental Decrease in Liability
Schedule of Maturities of Long-term Debt
Schedule of Maturities of Long-term Debt [Table Text Block]
Components of Interest Expense
Components Of Interest Expense Table [Table Text Block]
Components Of Interest Expense Table [Table Text Block]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table]
Goodwill
Goodwill [Member]
Supply Agreement Liability - Long-term
Supply Commitment, Long-Term [Member]
Supply Commitment, Long-Term [Member]
Above Market Supply Agreement Liability
Supply Commitment, Above Market [Member]
Supply Commitment, Above Market [Member]
Fair Value, Hierarchy [Axis]
Fair Value, Hierarchy [Axis]
Fair Value Hierarchy [Domain]
Fair Value Hierarchy [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]
Balance as of January 1, 2016
Fair Value, Measurement with Unobservable Inputs Reconciliations, Recurring Basis, Liability Value
Payments
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Settlements
Transfer
Fair Value, Measurement with Unobservable Inputs Reconciliation, Liability, Transfers From Long-Term to Current
Fair Value, Measurement with Unobservable Inputs Reconciliation, Liability, Transfers From Long-Term to Current
Loss from increase in fair value
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Gain (Loss) Included in Earnings
Other
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Other
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Other
Balance as of December 31, 2016
Restricted Stock Awards
Restricted Stock [Member]
Performance Stock and Contract Stock Awards
Performance Stock and Contract Stock [Member]
Performance Stock and Contract Stock [Member]
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward]
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward]
Unvested beginning balance (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number
Granted (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period
Adjustments for performance achievement related to award target (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Adjustments for Performance Achievement, Shares
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Adjustments for Performance Achievement, Shares
Cancellations (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Forfeited in Period
Released (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period
Vested but not released (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested but Not Released in Period
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested but Not Released in Period
Unvested ending balance (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Roll Forward]
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Abstract]
Weighted Average Grant Date Fair Value Per Share, Unvested beginning balance (in dollars per share)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value
Weighted Average Grant Date Fair Value Per Share, Granted (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
Adjustments for performance achievement related to award target (in dollars per share)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Adjustments for Performance Achievement, Weighted Average Grant Date Fair Value
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Adjustments for Performance Achievement, Weighted Average Grant Date Fair Value
Weighted Average Grant Date Fair Value Per Share, Cancellations (in dollars per share)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Forfeitures, Weighted Average Grant Date Fair Value
Weighted Average Grant Date Fair Value Per Share, Released (in dollars per share)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period, Weighted Average Grant Date Fair Value
Weighted Average Grant Date Fair Value Per Share, Vested but not released (in dollars per share)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested but Not Released in Period, Weighted Average Grant Date Fair Value
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested but Not Released in Period, Weighted Average Grant Date Fair Value
Weighted Average Grant Date Fair Value Per Share, Unvested ending balance (in dollars per share)
Finished goods
Inventory, Finished Goods, Gross
Work in process
Inventory, Work in Process, Gross
Raw materials
Inventory, Raw Materials, Gross
Total inventories, net
Derivative [Table]
Derivative [Table]
Hedging Relationship [Axis]
Hedging Relationship [Axis]
Hedging Relationship [Domain]
Hedging Relationship [Domain]
Cash flow hedging
Cash Flow Hedging [Member]
Hedging Designation [Axis]
Hedging Designation [Axis]
Hedging Designation [Domain]
Hedging Designation [Domain]
Designated as hedging instrument
Designated as Hedging Instrument [Member]
Interest rate swap one
Interest Rate Swap One [Member]
Interest Rate Swap One
Interest rate swap two
Interest Rate Swap Two [Member]
Interest Rate Swap Two
Derivative [Line Items]
Derivative [Line Items]
Number of derivative contracts
Derivative, Number of Instruments Held
Derivative, notional amount
Derivative, Notional Amount
Interest rate swap expiration date
Derivative, Description of Terms
Reclassification of pre-tax losses recorded as net in AOCI
Derivative Instruments, Gain (Loss) Reclassification from Accumulated OCI to Income, Estimated Net Amount to be Transferred
Amount estimated to be reclassified to earnings during next twelve months
Interest Rate Cash Flow Hedge Gain (Loss) to be Reclassified During Next 12 Months, Net
Gain (loss) on hedging ineffectiveness
Derivative, Net Hedge Ineffectiveness Gain (Loss)
Loss Contingencies [Table]
Loss Contingencies [Table]
Legal Entity [Axis]
Legal Entity [Axis]
Entity [Domain]
Entity [Domain]
Third party insurer
Third Party Insurer [Member]
Third Party Insurer [Member]
Scenario [Axis]
Scenario [Axis]
Scenario, Unspecified [Domain]
Scenario, Unspecified [Domain]
Indemnification period one - up to fifteen months after close
Indemnification Period One [Member]
Indemnification Period One [Member]
Indemnification period two - up to three years after close
Indemnification Period Two [Member]
Indemnification Period Two [Member]
Subsequent Event Type [Axis]
Subsequent Event Type [Axis]
Subsequent Event Type [Domain]
Subsequent Event Type [Domain]
Subsequent Event
Subsequent Event [Member]
Loss Contingencies [Line Items]
Loss Contingencies [Line Items]
Number of active cases
Loss Contingency, Pending Claims, Number
Indemnification policy in place
Business Combination, Indemnification Assets, Amount as of Acquisition Date
Maximum indemnification from acquisition
Business Combination, Indemnification Assets, Range of Outcomes, Value, High
Period of indemnification
Business Combination, Indemnification Assets, Period of Indemnification
Business Combination, Indemnification Assets, Period of Indemnification
Minimum indemnification from acquisition
Business Combination, Indemnification Assets, Range of Outcomes, Value, Low
Indemnification payments received
Loss Contingency, Receivable, Proceeds
Indemnification payments owed
Loss Contingency, Receivable
Derivative Instruments and Hedging Activities Disclosure [Table]
Interest rate swap
Derivatives, Fair Value [Line Items]
Derivatives, Fair Value [Line Items]
Derivative asset, fair value
Derivative Asset, Fair Value, Gross Asset
Derivative, number of instruments
Subsequent Event [Table]
Subsequent Event [Table]
Class of Stock [Axis]
Class of Stock [Axis]
Class of Stock [Domain]
Class of Stock [Domain]
Series A Preferred Stock
Series A Preferred Stock [Member]
Series B Preferred Stock
Series B Preferred Stock [Member]
Derma Sciences
Derma Sciences [Member]
Derma Sciences [Member]
DePuy Synthes
DePuy Synthes [Member]
DePuy Synthes [Member]
Interest Rate Swap Three
Interest Rate Swap Three [Member]
Interest Rate Swap Three [Member]
Interest Rate Swap Four
Interest Rate Swap Four [Member]
Interest Rate Swap Four [Member]
Subsequent Event [Line Items]
Subsequent Event [Line Items]
Share price (in dollars per share)
Business Acquisition, Share Price
Expected consideration to be transferred
Business Combination, Expected Consideration To Be Transferred
Business Combination, Expected Consideration To Be Transferred
Alternative transaction, percentage of assets (or more)
Business Combination, Alternative Transaction Threshold, Percentage of Assets
Business Combination, Alternative Transaction Threshold, Percentage of Assets
Reimbursement expense, if offer not accepted prior to expiration
Business Combination, Reimbursement Expense, Offer Not Accepted Prior to Expiration
Business Combination, Reimbursement Expense, Offer Not Accepted Prior to Expiration
Termination fee, if requirements not met
Business Combination, Contingent Consideration, Potential Termination Fee
Business Combination, Contingent Consideration, Potential Termination Fee
Termination fee due if alternate proposal accepted, period after termination of offer
Business Combination, Termination Fee Due if Alternate Proposal Accepted, Period After Termination of Offer
Business Combination, Termination Fee Due if Alternate Proposal Accepted, Period After Termination of Offer
Derivative, number of financial institutions
Derivative, Number of Financial Institutions
Derivative, Number of Financial Institutions
STOCK-BASED COMPENSATION
Disclosure of Compensation Related Costs, Share-based Payments [Text Block]
Schedule Of Minimum Lease Payments for Operating Leases
Operating Leases of Lessee Disclosure [Table Text Block]
Schedule Of Net Sales And Operating Income By Reportable Segment
Schedule Of Net Sales And Operating Income By Reportable Segment Table [Table Text Block]
Schedule Of Net Sales And Operating Income By Reportable Segment [Table Text Block]
Schedule of Segment Reporting Information, by Segment
Schedule of Segment Reporting Information, by Segment [Table Text Block]