Position [Axis] Position [Axis] Deferred tax assets Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Assets Stock repurchase program, authorized amount (up to) Stock Repurchase Program, Authorized Amount Hedging Designation [Domain] Hedging Designation [Domain] Goodwill Disposal Group, Including Discontinued Operation, Goodwill Convertible Debt Convertible Debt [Member] Disposal group, payment related to working capital and closing adjustments Disposal Group, Including Discontinued Operation, Payment Related To Working Capital And Closing Adjustments Disposal Group, Including Discontinued Operation, Payment Related To Working Capital And Closing Adjustments Fair Value Hierarchy and NAV [Domain] Fair Value Hierarchy and NAV [Domain] Net income Net income (loss) Net income Net Income (Loss) Attributable to Parent Emerging Growth Company Entity Emerging Growth Company Contingent consideration Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Contingent Liability Right of use asset - operating leases ROU assets Operating Lease, Right-of-Use Asset Preferred stock, outstanding shares (in shares) Preferred Stock, Shares Outstanding Accrued compensation Employee-related Liabilities, Current Contract Liability Change In Contract With Customer, Liability [Roll Forward] Change In Contract With Customer, Liability [Roll Forward] Income Statement Location [Axis] Income Statement Location [Axis] Accumulated Amortization Finite-Lived Intangible Assets, Accumulated Amortization Statistical Measurement [Domain] Statistical Measurement [Domain] Entity Address Entity Address, Address Line One Supplemental Balance Sheet Information Assets And Liabilities, Lessee [Table Text Block] Assets And Liabilities, Lessee [Table Text Block] Schedule of Contractual Repayments of Long-Term Debt Schedule of Maturities of Long-term Debt [Table Text Block] Lease liability - operating leases Disposal Group, Including Discontinued Operation, Lease Liability, Noncurrent Disposal Group, Including Discontinued Operation, Lease Liability, Noncurrent Debt Covenant Period [Axis] Debt Covenant Period [Axis] Debt Covenant Period [Axis] Accrued expenses Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Accrued Expenses Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Accrued Expenses Sale of business, disposition price Disposal Group, Including Discontinued Operation, Consideration Initial conversion price (in dollars per share) Debt Instrument, Convertible, Conversion Price Proceeds from sale of property and equipment Proceeds from Sale of Property, Plant, and Equipment Period for extended lease Lessee, Operating Lease, Option to Extend Number of renewal options (or more) Lessee, Operating Lease, Number Of Renewal Options Lessee, Operating Lease, Number Of Renewal Options Revenue from Contract with Customer [Abstract] Revenue from Contract with Customer [Abstract] Payment for contingent consideration Payment for Contingent Consideration Liability, Financing Activities Pension liability adjustment, net of tax Other Comprehensive (Income) Loss, Defined Benefit Plan, after Tax and Reclassification Adjustment, Attributable to Parent Schedule of Changes in Contract Assets and Contract Liabilities Contract with Customer, Contract Asset, Contract Liability, and Receivable [Table Text Block] Additional paid-in capital Additional Paid in Capital, Common Stock Entity Filer Category Entity Filer Category Weighted average remaining lease term (in years) Operating Lease, Weighted Average Remaining Lease Term Other assets Other Assets, Noncurrent Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table] Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table] Segments [Axis] Segments [Axis] Retirement Benefits [Abstract] Retirement Benefits [Abstract] Net increase in cash and cash equivalents Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect Acquired Finite-Lived Intangible Assets [Line Items] Acquired Finite-Lived Intangible Assets [Line Items] Performance Shares and Restricted Units Performance Shares and Restricted Units [Member] Performance Shares and Restricted Units Redemption price, percentage Debt Instrument, Redemption Price, Percentage Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward] 2023 Long-Term Debt, Maturity, Year Two Tissue Technologies Tissue Technologies [Member] Orthopedics and Tissue Technologies [Member] Share-based compensation APIC, Share-based Payment Arrangement, Increase for Cost Recognition Change in fair value of contingent consideration liabilities Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Gain (Loss) Included in Earnings Remainder of 2021 Long-Term Debt, Maturity, Remainder of Fiscal Year Document Fiscal Year Focus Document Fiscal Year Focus Lessee, Lease, Description [Line Items] Lessee, Lease, Description [Line Items] Subsequent Event Type [Domain] Subsequent Event Type [Domain] Deferred tax liability Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Liabilities Organization, Consolidation and Presentation of Financial Statements [Abstract] Organization, Consolidation and Presentation of Financial Statements [Abstract] Intangible asset amortization Amortization Amortization of Intangible Assets Weighted Average Life Acquired Finite-lived Intangible Assets, Weighted Average Useful Life Employees Employee [Member] Employee [Member] Shares excluded from computation as their effect would be antidilutive (in shares) Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount Weighted average discount rate Operating Lease, Weighted Average Discount Rate, Percent Securitization program outstanding borrowings, maximum limit Transferor's Interests In Transferred Financial Assets, Maximum Investment Limit Transferor's Interests In Transferred Financial Assets, Maximum Investment Limit Schedule of Inventories, Net Schedule of Inventory, Current [Table Text Block] Recognition of revenue included in beginning of year contract liability Contract with Customer, Liability, Revenue Recognized Liability Class [Axis] Liability Class [Axis] Leased facilities Building [Member] Other than options, weighted average grant date fair value (in dollars per share) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period, Weighted Average Grant Date Fair Value Line of credit, commitment fee percentage Line of Credit Facility, Commitment Fee Percentage Business Acquisition [Axis] Business Acquisition [Axis] Cash Flow Hedges Cash Flow Hedging [Member] Title of Individual [Domain] Title of Individual [Domain] Schedule of Operating Leased Assets [Table] Schedule of Operating Leased Assets [Table] Disposal Group Name [Axis] Disposal Group Name [Axis] Shares included in computation (in shares) Additional EPS Shares Additional shares included in the basic and diluted calculation from their date of issuance because no further consideration is due related to the issuance of the underlying common shares Schedule of Indefinite-Lived Intangible Assets Schedule of Indefinite-Lived Intangible Assets [Table Text Block] Taxes Collected from Customers Revenue, Transaction Price Measurement, Tax Exclusion [Policy Text Block] Award Type [Domain] Award Type [Domain] Credit Facility [Domain] Credit Facility [Domain] ASSETS Assets [Abstract] Instruments Instruments [Member] Instruments [Member] 2024 Long-Term Debt, Maturity, Year Three Product Warranties Extended Product Warranty, Policy [Policy Text Block] Other liabilities Other Liabilities [Member] Other non-current liabilities Increase (Decrease) in Other Noncurrent Liabilities DERIVATIVE INSTRUMENTS Derivative Instruments and Hedging Activities Disclosure [Text Block] Rest of World Rest Of World [Member] Revenues from rest of the world. Awards granted during the period (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period New Accounting Pronouncements or Change in Accounting Principle [Line Items] New Accounting Pronouncements or Change in Accounting Principle [Line Items] Research and development Research and Development Expense (Excluding Acquired in Process Cost) GOODWILL AND OTHER INTANGIBLE ASSETS Goodwill and Intangible Assets Disclosure [Text Block] Preferred stock; no par value; 15,000 authorized shares; none outstanding Preferred Stock, Value, Issued Accounting Standards Update and Change in Accounting Principle [Table] Accounting Standards Update and Change in Accounting Principle [Table] Effective income tax rate reconciliation, tax expense, sale of Extremity Orthopedic business Effective Income Tax Rate Reconciliation, Disposition of Business, Amount Entity City Entity Address, City or Town Codman tradename Trade Names [Member] Retained Earnings Retained Earnings [Member] Debt Instrument [Axis] Debt Instrument [Axis] Prepaid expenses and other current assets Increase (Decrease) in Prepaid Expense and Other Assets Fair value Debt Instrument, Fair Value Disclosure Accrued compensation Disposal Group, Including Discontinued Operation, Accrued Liabilities COMMITMENTS AND CONTINGENCIES Commitments and Contingencies Disclosure [Text Block] Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table] Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table] Deferred tax assets Disposal Group, Including Discontinued Operation, Deferred Tax Assets Related Party [Axis] Related Party [Axis] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items] Treasury shares retirement Stock Repurchased and Retired During Period, Value Secured Debt Secured Debt [Member] Inventory, Current [Table] Inventory, Current [Table] Accounts receivable Increase (Decrease) in Accounts Receivable Interest Rate Swap Designated December 13, 2017 Tranche 1 Interest Rate Swap Designated December 13, 2017 Tranche 1 [Member] Interest Rate Swap Designated December 13, 2017 Tranche 1 [Member] Operating leases Right-of-Use Asset Obtained in Exchange for Operating Lease Liability Inventories, net Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Inventory Derivative Instruments and Hedging Activities Disclosure [Abstract] Derivative Instruments and Hedging Activities Disclosure [Abstract] Other long-term liability Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Noncurrent Liabilities, Other Commitments and Contingencies Disclosure [Abstract] Commitments and Contingencies Disclosure [Abstract] Weighted average interest rate on debt Debt, Weighted Average Interest Rate Schedule of Segment Reporting Information, by Segment [Table] Schedule of Segment Reporting Information, by Segment [Table] Property, plant and equipment, net Disposal Group, Including Discontinued Operation, Property, Plant and Equipment Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table] Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table] Entity Interactive Data Current Entity Interactive Data Current Cross Currency Interest Rate Swap Two Cross Currency Interest Rate Contract Two [Member] Cross Currency Interest Rate Contract Two [Member] Gain expected to be reclassified to earnings in the next twelve months Interest Rate Cash Flow Hedge Gain (Loss) to be Reclassified During Next 12 Months, Net Cash paid for business acquisitions, net of cash acquired Payments For (Proceeds From) Business Acquisitions Payments For (Proceeds From) Business Acquisitions Interest Rate Swap Designated October 10, 2018 Tranche 2 Interest Rate Swap Designated October 10, 2018 Tranche 2 [Member] Interest Rate Swap Designated October 10, 2018 Tranche 2 [Member] Other income (expense),net Other Nonoperating Income (Expense) [Member] Fixed Interest Rate Fixed Rate Derivative, Fixed Interest Rate Basic (in dollars per share) Basic net income (loss) per common share (in dollars per share) Earnings Per Share, Basic Gain (loss) from the sale of business Gain from the sale of business Gain (Loss) on Disposition of Business Third Parties Third Parties [Member] Third Parties [Member] Operating lease expense Operating Lease, Expense Indefinite-lived Intangible Assets, Major Class Name [Domain] Indefinite-lived Intangible Assets, Major Class Name [Domain] Arkis Arkis BioSciences Inc. [Member] Arkis BioSciences Inc. [Member] 2024 Lessee, Operating Lease, Liability, to be Paid, Year Three REVENUES FROM CONTRACTS WITH CUSTOMERS Revenue from Contract with Customer [Text Block] Execution of July 2020 Amendment through June 30, 2021 Debt Covenant Period 6 [Member] Debt Covenant Period 6 [Member] Derma Sciences Derma Sciences [Member] Derma Sciences [Member] Expected annual amortization expense, thereafter Finite-Lived Intangible Asset, Expected Amortization, after Year Five Balance, Beginning of Period Balance, End of Period Additions from acquisition of ACell Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability Value Document Type Document Type 2022 Long-Term Debt, Maturity, Year One Loss on foreign currency derivatives Derivative, Loss on Derivative Interest expense Interest Expense, Debt Schedule of Disaggregation of Revenue Disaggregation of Revenue [Table Text Block] Diluted net income per share: Earnings Per Share, Diluted [Abstract] Intangible assets Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles Entity Current Reporting Status Entity Current Reporting Status Cumulative Effect, Period of Adoption, Adjustment Cumulative Effect, Period of Adoption, Adjustment [Member] Operating cash flows from operating leases Operating Lease, Payments Total derivatives designated as hedges — Assets Derivative Asset, Fair Value, Gross Asset Gain (loss) recorded in AOCL, change in fair value Amount of Gain (Loss) Recognized in AOCL Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification and Tax Deferred compensation plan, fair value of assets Deferred Compensation Plan Assets Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items] Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items] Purchase price of business combination Business Combination, Consideration Transferred Depreciation and amortization Other Depreciation and Amortization Disposal Groups, Including Discontinued Operations [Table] Disposal Groups, Including Discontinued Operations [Table] Goodwill [Roll Forward] Goodwill [Roll Forward] Interest Rate Swap Designated December 13, 2017 Tranche 3 Interest Rate Swap Designated December 13, 2017 Tranche 3 [Member] Interest Rate Swap Designated December 13, 2017 Tranche 3 [Member] Proceeds from borrowings of long-term indebtedness Proceeds from Issuance of Secured Debt Principal Repayment Long-term Debt INVESTING ACTIVITIES: Net Cash Provided by (Used in) Investing Activities [Abstract] Fair Value by Liability Class [Domain] Fair Value by Liability Class [Domain] Document Transition Report Document Transition Report TREASURY STOCK Treasury Stock [Text Block] Income Tax Disclosure [Abstract] Income Tax Disclosure [Abstract] Total liabilities and stockholders’ equity Liabilities and Equity Contract liabilities Short-term portion of contract liability Contract with Customer, Liability, Current 2026 Lessee, Operating Lease, Liability, to be Paid, Year Five Secured long-term debt, securitization program Secured Long-Term Debt, Securitization Program Secured Long-Term Debt, Securitization Program Additional paid-in capital Additional Paid in Capital Lessee, Lease, Description [Table] Lessee, Lease, Description [Table] LIABILITIES AND STOCKHOLDERS’ EQUITY Liabilities and Equity [Abstract] September 30, 2022 through June 30, 2023 Debt Covenant Period 8 [Member] Debt Covenant Period 8 [Member] Additions from acquisition of ACell Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Purchases Interest rate swap Interest Rate Swap [Member] Derivative [Line Items] Derivative [Line Items] Hedging Relationship [Domain] Hedging Relationship [Domain] Intangible assets, net Disposal Group, Including Discontinued Operation, Intangible Assets NET INCOME PER SHARE Earnings Per Share [Text Block] Product warranty period (up to) Revenue, Product Warranty Period Revenue, Product Warranty Period Total assets held for sale Disposal Group, Including Discontinued Operation, Assets Treasury stock, average cost per share (in dollars per share) Treasury Stock Acquired, Average Cost Per Share Option Indexed to Issuer's Equity, Type [Domain] Option Indexed to Issuer's Equity, Type [Domain] Expected annual amortization expense, in 2025 Finite-Lived Intangible Asset, Expected Amortization, Year Four Segment Profit Segment Reporting Information, Profit (Loss) [Abstract] Directors and Certain Executive Officers Directors and Certain Executive Officers [Member] Directors and Certain Executive Officers [Member] Standby Letters of Credit Standby Letters of Credit [Member] Minimum Minimum [Member] Debt proceeds, classified as equity at time of offering Debt Instrument, Convertible, Carrying Amount of Equity Component BASIS OF PRESENTATION Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block] Change in fair value of contingent consideration and others Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability Affiliated Entity Affiliated Entity [Member] 2023 Lessee, Operating Lease, Liability, to be Paid, Year Two Line of credit facility outstanding Long-term Line of Credit Effect of exchange rate changes on cash and cash equivalents Effect of Exchange Rate on Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents Balance Sheet Location [Domain] Balance Sheet Location [Domain] Initial conversion rate Debt Instrument, Convertible, Conversion Ratio Selling, general and administrative Selling, General and Administrative Expense Indefinite-lived Intangible Assets [Axis] Indefinite-lived Intangible Assets [Axis] Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Table] Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Table] Preferred stock, authorized shares (in shares) Preferred Stock, Shares Authorized Current portion of lease liability - operating leases Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Current Portion of Lease Liability, Operating Leases Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Current Portion of Lease Liability, Operating Leases Cumulative Effect, Period of Adoption [Axis] Cumulative Effect, Period of Adoption [Axis] Certain Purchasers Certain Purchasers [Member] Certain Purchasers [Member] Trading Symbol Trading Symbol Less: Amounts reclassified from accumulated other comprehensive loss Gain (loss) reclassified from AOCI Reclassification from AOCI, Current Period, Net of Tax, Attributable to Parent Deferred tax assets, net Deferred Income Tax Assets, Net Interest Rate Swap Designated March 27, 2017 Interest Rate Swap Designated March 27, 2017 [Member] Interest Rate Swap Designated March 27, 2017 [Member] Current liabilities: Liabilities, Current [Abstract] 2025 Long-Term Debt, Maturity, Year Four Number of days from shipment to issue a credit Return Policy, Issue Of Credit, Number Of Days From Shipment Return Policy, Issue of Credit, Number of Days from Shipment Extremity Orthopedics Extremity Orthopedics [Member] Extremity Orthopedics [Member] Foreign Currency Items Accumulated Foreign Currency Adjustment Attributable to Parent [Member] DEBT Debt Disclosure [Text Block] STOCK-BASED COMPENSATION Share-based Payment Arrangement [Text Block] Fair Value, Inputs, Level 3 Fair Value, Inputs, Level 3 [Member] INVENTORIES Inventory Disclosure [Text Block] Derivative Instrument [Axis] Derivative, by Nature [Axis] Derivative Instrument [Axis] Deferred tax liabilities Disposal Group, Including Discontinued Operation, Deferred Tax Liabilities Number of reportable segments Number of Reportable Segments Right of use asset-operating leases and Other assets Disposal Group, Including Discontinued Operation, Right of Use Asset Operating Leases and Other Assets Disposal Group, Including Discontinued Operation, Right of Use Asset Operating Leases and Other Assets Other assets Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Other Noncurrent Assets Development Milestones Milestone Payment One [Member] Milestone Payment One [Member] Total lease liabilities Total lease liabilities Operating Lease, Liability Letters of credit outstanding Letters of Credit Outstanding, Amount Call Option Call Option [Member] Common stock; $0.01 par value; 240,000 authorized shares; 89,597 and 89,251 issued at September 30, 2021 and December 31, 2020, respectively Common Stock, Value, Issued Disaggregation of Revenue [Line Items] Disaggregation of Revenue [Line Items] Number of contingent liabilities remaining Business Combination, Contingent Consideration, Number Of Liabilities Business Combination, Contingent Consideration, Number Of Liabilities Total liabilities held for sale Disposal Group, Including Discontinued Operation, Liabilities Weighted-average period for cost recognition Share-based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition ACell Acquisition Goodwill, Acquired During Period Basis Of Presentation Basis of Accounting, Policy [Policy Text Block] Performance Stock Performance Shares [Member] Long-term borrowings under securitization facility Secured Long-Term Debt, Securitization Program, Noncurrent Secured Long-Term Debt, Securitization Program, Noncurrent LEASES AND RELATED PARTY LEASES Lessee, Operating Leases [Text Block] Accumulated other comprehensive loss Accumulated Other Comprehensive Income (Loss), Net of Tax Class of Treasury Stock [Table] Class of Treasury Stock [Table] Trade accounts receivable, allowance Accounts Receivable, Allowance for Credit Loss, Current 2021 Lessee, Operating Lease, Liability, to be Paid, Remainder of Fiscal Year Restricted Stock Restricted Stock [Member] Payment of debt issuance costs Payments of Debt Issuance Costs Short Short [Member] Disposal Group Classification [Axis] Disposal Group Classification [Axis] Document Period End Date Document Period End Date Stock options and restricted stock (in shares) Incremental Common Shares Attributable to Dilutive Effect of Share-based Payment Arrangements Current portion of borrowings under senior credit facility Term loan component of senior credit facility Secured Debt, Current Goodwill [Line Items] Goodwill [Line Items] Total costs and expenses Costs and Expenses Entity Registrant Name Entity Registrant Name Treasury stock, shares (in shares) Balance, Beginning of Period, Treasury Stock, Shares (in shares) Balance, End of Period, Treasury Stock, Shares (in shares) Treasury Stock, Shares Defer payment and taxation, base salary, percentage (up to) Defined Benefit Plan, Defer Payment And Taxation, Base Salary, Percentage Defined Benefit Plan, Defer Payment And Taxation, Base Salary, Percentage Less: Imputed interest Lessee, Operating Lease, Liability, Undiscounted Excess Amount Neurosurgery Neurosurgery [Member] Neurosurgery [Member] Work in process Inventory, Work in Process, Net of Reserves Prepaid expenses and other current assets Prepaid Expense and Other Assets, Current Accrued expenses and other current liabilities Accrued Liabilities, Current Total revenue, net Total Revenues Revenue from Contract with Customer, Excluding Assessed Tax Finished goods Inventory, Finished Goods, Net of Reserves Supplier relationships Supplier Relation Ships [Member] Supplier Relation Ships [Member] Stock Options Share-based Payment Arrangement, Option [Member] Operating Activities [Domain] Consolidation Items [Domain] Equity [Abstract] Equity [Abstract] Fair Value Hierarchy and NAV [Axis] Fair Value Hierarchy and NAV [Axis] Lease liability - operating leases Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Noncurrent Liabilities, Lease Liability, Operating Leases Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Noncurrent Liabilities, Lease Liability, Operating Leases Gain (loss) recorded, net investment hedge, change in fair value Other Comprehensive Income (Loss), Net Investment Hedge, Gain (Loss), before Reclassification and Tax Common Stock Common Stock [Member] Interest income Investment Income, Interest Variable Rate [Axis] Variable Rate [Axis] Inventories Disposal Group, Including Discontinued Operation, Inventory SEGMENT AND GEOGRAPHIC INFORMATION Segment Reporting Disclosure [Text Block] Other comprehensive income (loss) OCI, before Reclassifications, Net of Tax, Attributable to Parent Operating income Operating income Operating Income (Loss) Raw materials Inventory, Raw Materials and Purchased Parts, Net of Reserves Current portion of lease liability - operating leases Current lease liabilities Less: Current lease liabilities Operating Lease, Liability, Current Treasury stock (in shares) Treasury Stock, Common, Shares Expected annual amortization expense, in 2023 Finite-Lived Intangible Asset, Expected Amortization, Year Two Wound Reconstruction and Care Regenerative Skin And Wound [Member] Regenerative Skin And Wound [Member] Hedging Designation [Axis] Hedging Designation [Axis] Increase (Decrease) in Stockholders' Equity [Roll Forward] Increase (Decrease) in Stockholders' Equity [Roll Forward] Share-based compensation Share-based Payment Arrangement, Noncash Expense Variable Rate [Domain] Variable Rate [Domain] Derivative Instruments, Gain (Loss) [Roll Forward] Accumulated Other Comprehensive Income (Loss) [Roll Forward] AOCI Attributable to Parent, Net of Tax [Roll Forward] Additional Paid-In Capital Additional Paid-in Capital [Member] Cash and cash equivalents Cash and Cash Equivalents, at Carrying Value Transfers Fair Value, Measurement with Unobservable Inputs Reconciliation, Liability, Transfers Fair Value, Measurement with Unobservable Inputs Reconciliation, Liability, Transfers Schedule of Acquired Finite-Lived Intangible Asset by Major Class [Table] Schedule of Acquired Finite-Lived Intangible Asset by Major Class [Table] Consortium of Focused Orthopedists, LLC Consortium of Focused Orthopedists, LLC [Member] Consortium of Focused Orthopedists, LLC [Member] Cross Currency Interest Rate Swap One Cross Currency Interest Rate Contract One [Member] Cross Currency Interest Rate Contract One [Member] Long-term Debt, Type [Domain] Long-term Debt, Type [Domain] Treasury Stock Treasury Stock [Member] Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis] Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis] Gain (loss) reclassified into other income Gain (Loss) on Derivative Instruments, Net, Pretax Accounting Standards Update Accounting Standards Update and Change in Accounting Principle [Table Text Block] Notional amount Current notional amount Aggregate Notional Amount Derivative, Notional Amount Related Parties Related Parties [Member] Related Parties [Member] Other assets Other Assets [Member] Other income, net Other Nonoperating Income (Expense) Purchases of property and equipment Payments to Acquire Property, Plant, and Equipment Estimated Fair Value, Asset (Liability) Fair Value Asset (Liability) Derivative, Fair Value, Net Contingent Consideration by Type [Axis] Contingent Consideration by Type [Axis] Maximum Maximum [Member] Share-based Payment Arrangement [Abstract] Share-based Payment Arrangement [Abstract] Total liabilities Liabilities Award Type [Axis] Award Type [Axis] Expected annual amortization expense, in 2022 Finite-Lived Intangible Asset, Expected Amortization, Year One FINANCING ACTIVITIES: Net Cash Provided by (Used in) Financing Activities [Abstract] Contract Asset Change In Contract With Customer, Asset [Roll Forward] Change In Contract With Customer, Asset [Roll Forward] Schedule of Operating Lease Maturities Lessee, Operating Lease, Liability, Maturity [Table Text Block] Consolidation Items [Axis] Consolidation Items [Axis] Total stockholders’ equity Balance, Beginning of Period Balance, End of Period Stockholders' Equity Attributable to Parent Common stock, issued shares (in shares) Common Stock, Shares, Issued Accounts payable, accrued expenses and other current liabilities Increase (Decrease) in Accounts Payable and Accrued Liabilities Commercial Sales Milestones Milestone Payment Two [Member] Milestone Payment Two [Member] Prepaids expenses and other current assets Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Prepaid Expense and Other Assets Designated as Hedging Instrument Designated as Hedging Instrument [Member] Goodwill and Intangible Assets Disclosure [Abstract] Goodwill and Intangible Assets Disclosure [Abstract] Contract asset, net of transferred to trade receivables on contracts during the period Contract With Customer, Asset, Net Of Reclassified To Receivable Contract With Customer, Asset, Net Of Reclassified To Receivable Purchases of treasury stock Payments for Repurchase of Common Stock Eurodollar Eurodollar [Member] Annual rate of lease agreement Annual Rate Of Lease Agreement Annual rate of lease agreement. Stockholders’ equity: Stockholders' Equity Attributable to Parent [Abstract] Schedule of Changes in Accumulated Other Comprehensive Loss by Component Schedule of Accumulated Other Comprehensive Income (Loss) [Table Text Block] Change in unrealized loss on derivatives, net of tax Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification and Tax, Parent Equity, Class of Treasury Stock [Line Items] Equity, Class of Treasury Stock [Line Items] Interest income Interest income Interest Income [Member] Balance Sheet Location [Axis] Balance Sheet Location [Axis] ACCUMULATED OTHER COMPREHENSIVE LOSS Comprehensive Income (Loss) Note [Text Block] Lease liability - operating leases Non-current lease liabilities Long-term lease liabilities Operating Lease, Liability, Noncurrent Convertible notes, maximum borrowing capacity Debt Instrument, Face Amount Interest expense Interest Expense Net periodic benefit costs Defined Benefit Plan, Net Periodic Benefit Cost (Credit) Effective interest rate Debt Instrument, Interest Rate, Effective Percentage Net assets acquired Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net City Area Code City Area Code Retained earnings Retained Earnings (Accumulated Deficit) Operating Segments Operating Segments [Member] Expiration period Share-based Compensation Arrangement by Share-based Payment Award, Expiration Period Derivatives, Fair Value [Line Items] Derivatives, Fair Value [Line Items] Statement of Stockholders' Equity [Abstract] Statement of Stockholders' Equity [Abstract] Schedule of Assets Acquired and Liabilities Assumed Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block] Issuance of common stock through employee stock purchase plan (in shares) Stock Issued During Period, Shares, Employee Stock Purchase Plans Line of credit facility, fair value of amount outstanding Line of Credit Facility, Fair Value of Amount Outstanding Cross-currency swap Cross Currency Interest Rate Contract [Member] Payment related to contract termination Disposal Group, Including Discontinued Operation, Payment Related To Contract Termination Disposal Group, Including Discontinued Operation, Payment Related To Contract Termination Business Acquisition [Line Items] Business Acquisition [Line Items] Effect of Derivative Instruments Designated as Cash Flow Hedges on Statements of Operations Derivative Instruments, Gain (Loss) [Table Text Block] Income Statement [Abstract] Income Statement [Abstract] Amendment Flag Amendment Flag Long-term borrowings under senior credit facility Secured Long-term Debt, Noncurrent Inventory Disclosure [Abstract] Schedule of Contingent Consideration Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block] Trade accounts receivable, net Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Receivables One Month Eurodollar Rate One Month Eurodollar Rate [Member] One Month Eurodollar Rate [Member] Convertible debt Convertible Debt Proceeds from exercised stock options Proceeds from Stock Options Exercised Accretion of bond issuance discount Accretion Expense Swingline Loans Swingline Loan [Member] Swingline Loan [Member] Finite-Lived Intangible Assets by Major Class [Axis] Finite-Lived Intangible Assets by Major Class [Axis] Provision for income taxes Income Tax Expense (Benefit) Trade accounts receivable, net of allowances of $6,251 and $6,439 Accounts Receivable, after Allowance for Credit Loss, Current Asia Pacific Asia Pacific [Member] Equity Components [Axis] Equity Components [Axis] Accumulated Other Comprehensive Income (Loss) [Table] Accumulated Other Comprehensive Income (Loss) [Table] Total current assets Assets, Current Total minimum lease payments Lessee, Operating Lease, Liability, to be Paid Disaggregation of Revenue [Table] Disaggregation of Revenue [Table] 2025 Notes Two Thousand Twenty Five Senior Convertible Notes [Member] Two Thousand Twenty Five Senior Convertible Notes [Member] Inventories, net Inventories, net Inventory, Net Amount of Gain (Loss) Reclassified from AOCL into Earnings Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, after Tax Schedule of Net Sales and Profit by Segments Schedule of Geographic Revenue by Area Schedule of Segment Reporting Information, by Segment [Table Text Block] Change in deferred tax assets valuation allowance, amount Effective Income Tax Rate Reconciliation, Change in Deferred Tax Assets Valuation Allowance, Amount Grants in period, net of forfeitures (in shares) Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Net of Forfeitures Cross Currency Interest Rate Swap Three Cross Currency Interest Rate Contract Three [Member] Cross Currency Interest Rate Contract Three [Member] Entity File Number Entity File Number Accelerated shares repurchased Stock Repurchased During Period, Value Statement of Financial Position [Abstract] Statement of Financial Position [Abstract] Thereafter Lessee, Operating Lease, Liability, to be Paid, after Year Five Other liabilities Disposal Group, Including Discontinued Operation, Other Liabilities Interest Rate Swap Designated October 10, 2018 Tranche 1 Interest Rate Swap Designated October 10, 2018 Tranche 1 [Member] Interest Rate Swap Designated October 10, 2018 Tranche 1 [Member] Accelerated share repurchases, remaining share repurchases expected to be completed, value Accelerated Share Repurchases, Remaining Share Repurchases Expected To Be Completed, Value Accelerated Share Repurchases, Remaining Share Repurchases Expected To Be Completed, Value Product and Service [Axis] Product and Service [Axis] Long-Lived Tangible Asset [Domain] Long-Lived Tangible Asset [Domain] Entity Incorporation, State or Country Code Entity Incorporation, State or Country Code Derivative Instruments, Gain (Loss) [Line Items] Derivative Instruments, Gain (Loss) [Line Items] Smaller Reporting Company Entity Small Business Preferred stock, par value (in dollars per share) Preferred Stock, Par or Stated Value Per Share Current portion of lease liability - operating leases Disposal Group, Including Discontinued Operation, Lease Liability, Current Disposal Group, Including Discontinued Operation, Lease Liability, Current Term Loan Facility Term Loan Facility [Member] Term Loan Facility [Member] Options, weighted average grant date fair value (in dollars per share) Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value Equity Component [Domain] Equity Component [Domain] Issuance of common stock for vesting of share based awards, net of shares withheld for taxes (in shares) Shares Issued, Shares, Share-based Payment Arrangement, after Forfeiture 2022 Lessee, Operating Lease, Liability, to be Paid, Year One Accelerated shares repurchased (in shares) Stock repurchased during period (in shares) Stock Repurchased During Period, Shares Disposal Group Name [Domain] Disposal Group Name [Domain] Incremental financing costs capitalized Debt Issuance Costs, Gross Long-term convertible securities Carrying amount, liability component Convertible Debt, Noncurrent Leased vehicles Vehicles [Member] Statement [Line Items] Statement [Line Items] Current portion of borrowings under securitization facility Secured Long-Term Debt, Securitization Program, Current Secured Long-Term Debt, Securitization Program, Current Contract liabilities Increase (Decrease) in Contract with Customer, Liability Total current assets Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets Loss on disposal of property and equipment Gain (Loss) on Disposition of Property Plant Equipment, Excluding Oil and Gas Property and Timber Property Non-cash impairment charges Impairment of Intangible Assets, Finite-lived Cross Currency Interest Rate Swap Four Cross Currency Interest Rate Contract Four [Member] Cross Currency Interest Rate Contract Four [Member] Issuance of common stock for vesting of share based awards, net of shares withheld for taxes Shares Issued, Value, Share-based Payment Arrangement, after Forfeiture Performance Stock and Restricted Stock Awards Performance Stock And Restricted Stock Awards [Member] Performance Stock And Restricted Stock Awards [Member] Contingent consideration, maximum undiscounted payment amount Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High Counterparty Name [Domain] Counterparty Name [Domain] 2025 Lessee, Operating Lease, Liability, to be Paid, Year Four Debt Disclosure [Abstract] Debt Disclosure [Abstract] Entity State Entity Address, State or Province Income before income taxes Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest Fair Value, Inputs, Level 2 Fair Value, Inputs, Level 2 [Member] Long-Lived Tangible Asset [Axis] Long-Lived Tangible Asset [Axis] Codman Specialty Surgical Codman Specialty Surgical Codman Specialty Surgical [Member] Codman Specialty Surgical [Member] Cash interest Interest Expense, Debt, Excluding Amortization Long-term portion of contract liability Contract with Customer, Liability, Noncurrent Liabilities held for sale Disposal Group, Including Discontinued Operation, Liabilities, Current Proceeds from sale of stock purchase warrants Proceeds from warrant transactions Proceeds from Issuance of Warrants Corporate and other Corporate, Non-Segment [Member] Total assets acquired Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets Acquired Including Goodwill Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets Acquired Including Goodwill Segment Reporting [Abstract] Segment Reporting [Abstract] Cost Cost Of Definite And Indefinite Lived Intangible Assets Gross Excluding Goodwill Cost Of Definite And Indefinite Lived Intangible Assets Gross Excluding Goodwill. Weighted Average Life Finite-Lived Intangible Asset, Useful Life Other income (expense) Other Expense [Member] ROU assets obtained in exchange for lease liabilities: Right Of Use Asset Obtained In Exchange For Lease Liability [Abstract] Right Of Use Asset Obtained In Exchange For Lease Liability [Abstract] RETIREMENT PLANS Retirement Benefits [Text Block] Initial strike price (in dollars per share) Option Indexed to Issuer's Equity, Strike Price Basic and Diluted Net Income (Loss) Per Share Schedule of Earnings Per Share, Basic and Diluted [Table Text Block] Entity Shell Company Entity Shell Company Schedule of Business Acquisitions, by Acquisition [Table] Schedule of Business Acquisitions, by Acquisition [Table] Local Phone Number Local Phone Number Other comprehensive income (loss), net of tax Net current-period other comprehensive income (loss) Other Comprehensive Income (Loss), Net of Tax, Portion Attributable to Parent Accelerated share repurchases, percentage of expected total repurchased Accelerated Share Repurchases, Percentage Of Expected Total Repurchased Accelerated Share Repurchases, Percentage Of Expected Total Repurchased Disposal Group, Disposed of by Sale, Not Discontinued Operations Disposal Group, Disposed of by Sale, Not Discontinued Operations [Member] Total current liabilities Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities Five Year Option Lease From November 1, 2034 Through October 31, 2039 Five Year Option Lease Period Two [Member] Five-Year Option Lease Period Two Prepaid expenses and other current assets Disposal Group, Including Discontinued Operation, Prepaid and Other Assets, Current Total assets Assets Directors Director [Member] Weighted average interest rate, accounts receivable securitization revolving loan facility Debt, Weighted Average Interest Rate, From Securitization Debt, Weighted Average Interest Rate, From Securitization Common stock, authorized shares (in shares) Common Stock, Shares Authorized September 30, 2023 and the last day of each fiscal quarter thereafter Debt Covenant Period 9 [Member] Debt Covenant Period 9 [Member] Geographical [Domain] Geographical [Domain] Payments on debt Repayments of Secured Debt Title of Individual [Axis] Title of Individual [Axis] Product and Service [Domain] Product and Service [Domain] Convertible notes, interest rate Debt Instrument, Interest Rate, Stated Percentage Derivative Contract [Domain] Derivative, Name [Domain] Derivative Contract [Domain] Option to extend lease, years Lessee, Operating Lease, Renewal Term Current assets: Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets [Abstract] Contingent consideration, estimated fair value Business Combination, Contingent Consideration, Liability Share-based Compensation Arrangement by Share-based Payment Award [Line Items] Share-based Compensation Arrangement by Share-based Payment Award [Line Items] Number of products offered (more than) Segment Reporting Information, Number Of Products Offered Number of products sold by a segment Revolving Credit Facility Revolving Credit Facility [Member] ACell ACell [Member] ACell Transitional supply agreement, payable Disposal Group, Including Discontinued Operation, Transitional Supply Agreement, Payable Disposal Group, Including Discontinued Operation, Transitional Supply Agreement, Payable Defer payment and taxation, bonus and other eligible cash compensation, percentage (up to) Defined Benefit Plan, Defer Payment And Taxation, Bonus And Other Compensation, Percentage Defined Benefit Plan, Defer Payment And Taxation, Bonus And Other Compensation, Percentage Performance obligations expected to be satisfied, expected timing Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Period Cumulative Effect, Period of Adoption [Domain] Cumulative Effect, Period of Adoption [Domain] Net cash provided by operating activities Net Cash Provided by (Used in) Operating Activities Schedule of Long-term Debt Instruments [Table] Schedule of Long-term Debt Instruments [Table] Entity Tax Identification Number Entity Tax Identification Number Basic net income per share: Earnings Per Share, Basic [Abstract] Geographical [Axis] Geographical [Axis] Lease Contractual Term [Domain] Lease Contractual Term [Domain] Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table] Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table] Basic (in shares) Weighted average common shares outstanding - Basic (in shares) Weighted Average Number of Shares Outstanding, Basic Diluted (in dollars per share) Diluted net income (loss) per common share (in dollars per share) Earnings Per Share, Diluted Segments [Domain] Segments [Domain] Non-cash lease expense Operating Lease, Right-of-Use Asset, Amortization Expense September 30, 2021 through June 30, 2022 Debt Covenant Period 7 [Member] Debt Covenant Period 7 [Member] Service cost component Defined Benefit Plan, Service Cost Net Investment Hedges Net Investment Hedging [Member] Hedging Relationship [Axis] Hedging Relationship [Axis] Maximum average conversion value of notes Debt Instrument, Maximum Average Conversion Value Of Notes Debt Instrument, Maximum Average Conversion Value Of Notes ACQUISITIONS AND DIVESTITURES Mergers, Acquisitions and Dispositions Disclosures [Text Block] Interest expense Interest Expense [Member] Accounting Standards Update [Extensible List] Accounting Standards Update [Extensible Enumeration] Share repurchase and equity component of the convertible note issuance, net (in shares) Stock Issued During Period, Shares, Treasury Stock Reissued Cumulative Effect, Period of Adoption, Adjustment, Debt Discount Reclassification Cumulative Effect, Period of Adoption, Adjustment, Debt Discount Reclassification [Member] Cumulative Effect, Period of Adoption, Adjustment, Debt Discount Reclassification Trademarks/brand names Trademarks Brand Names [Member] Trademarks Brand Names. Intangible assets, net Intangible Assets, Net (Excluding Goodwill) Comprehensive income (See Note 14) Comprehensive income, net Comprehensive Income (Loss), Net of Tax, Attributable to Parent Contract liability, Beginning of Period Contract liability, End of Period Contract with Customer, Liability Net cash (used) provided by financing activities Net Cash Provided by (Used in) Financing Activities Completed technology Completed Technology [Member] Completed technology. Treasury stock, at cost; 4,899 shares and 4,914 shares at September 30, 2021 and December 31, 2020, respectively Treasury Stock, Value BioD Earnout Payments and Medihoney Earnout Payments BioD Earnout Payments and Medihoney Earnout Payments [Member] BioD Earnout Payments and Medihoney Earnout Payments [Member] Weighted average common shares outstanding (See Note 13): Weighted Average Number of Shares Outstanding, Diluted [Abstract] Cumulative Effect, Period of Adoption, Adjustment, Debt Discount Amortization and Equity Costs Reclassification Cumulative Effect, Period of Adoption, Adjustment, Debt Discount Amortization and Equity Costs Reclassification [Member] Cumulative Effect, Period of Adoption, Adjustment, Debt Discount Amortization and Equity Costs Reclassification Deferred tax liabilities Deferred tax liabilities Deferred Income Tax Liabilities, Net Stock options exercisable, vesting period Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period Other Long-term Liabilities Other Noncurrent Liabilities [Member] Schedule of Comprehensive Income (Loss) Comprehensive Income (Loss) [Table Text Block] Business Acquisition, Acquiree [Domain] Business Acquisition, Acquiree [Domain] Property, plant and equipment, net Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment Schedule of Effective Income Tax Rate Schedule of Effective Income Tax Rate Reconciliation [Table Text Block] 1-Month USD LIBOR One Month USD LIBOR [Member] One Month USD LIBOR [Member] Expected annual amortization expense, in 2024 Finite-Lived Intangible Asset, Expected Amortization, Year Three Codman Codman [Member] Codman [Member] Current liabilities: Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities [Abstract] ACell, Inc. ACell, Inc. [Member] ACell, Inc. Accumulated Other Comprehensive Loss Total AOCI Attributable to Parent [Member] Proceeds from convertible notes issuance Net proceeds from offering of convertible senior notes Proceeds from Convertible Debt Expected annual amortization expense, remainder of 2021 Finite-Lived Intangible Asset, Expected Amortization, Remainder of Fiscal Year Inventories Increase (Decrease) in Inventories Contract asset, Beginning of period Contract asset, End of Period Contract with Customer, Asset, after Allowance for Credit Loss Accounts payable Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Accounts Payable Derivative [Table] Derivative [Table] Long Long [Member] Cost of goods sold Cost of Goods and Services Sold Interest Rate Swap Designated December 13, 2017 Tranche 5 Interest Rate Swap Designated December 13, 2017 Tranche 5 [Member] Interest Rate Swap Designated December 13, 2017 Tranche 5 [Member] Number of reporting units Number of Reporting Units Proceeds from sale of Extremity Orthopedics business Proceeds from Divestiture of Businesses Lease Contractual Term [Axis] Lease Contractual Term [Axis] Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items] Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items] Interest Rate Swap Designated October 10, 2018 Tranche 3 Interest Rate Swap Designated October 10, 2018 Tranche 3 [Member] Interest Rate Swap Designated October 10, 2018 Tranche 3 [Member] 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] Purchase of option hedge on convertible notes Cost of call transactions Payments For Option Index To Issuers Equity Payments For Options Indexed to Issuer's Equity Income Statement Location [Domain] Income Statement Location [Domain] Contingent Consideration Type [Domain] Contingent Consideration Type [Domain] Percent of manufacturing facility owned by corporation whose shareholders are trusts whose beneficiaries include family members of company's former director Percent Of Manufacturing Facility Owned By Corporation Whose Shareholders Are Trusts, Whose Beneficiaries Include Family Members Of Company's Former Director Percent Of Manufacturing Facility Owned By Corporation Whose Shareholders Are Trusts, Whose Beneficiaries Include Family Members Of Company's Former Director Customer relationships Customer Relationships [Member] Segment Net Sales Segment Reporting Information, Operating Income (Loss) [Abstract] Supplemental Cash Flow Information Cash Flow, Lessee [Table Text Block] Cash Flow, Lessee [Table Text Block] Loss Contingencies [Line Items] Loss Contingencies [Line Items] Property, plant and equipment, net Property, Plant and Equipment, Net Securitization facility, outstanding borrowings, fair value Securitization Facility, Fair Value Of Amount Outstanding Securitization Facility, Fair Value Of Amount Outstanding Other liabilities Other Liabilities, Noncurrent Schedule of Long-term Debt Maximum Leverage Ratios Schedule of Long-term Debt Instruments [Table Text Block] Debt Instrument [Line Items] Debt Instrument [Line Items] Business combination, working capital adjustment Business Combination, Working Capital Adjustment Business Combination, Working Capital Adjustment Net income per share Earnings Per Share [Abstract] Earnings Per Share [Abstract] Business acquisition, pro forma revenue Business Acquisition, Pro Forma Revenue Foreign currency translation adjustment Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, Net of Tax, Portion Attributable to Parent Document Quarterly Report Document Quarterly Report Other non-current assets Increase (Decrease) in Other Operating Assets Warrant strike price (in dollars per share) Class of Warrant or Right, Exercise Price of Warrants or Rights Expected performance obligation through 2021, percentage Revenue, Remaining Performance Obligation, Percentage Other Current Liabilities Other Current Liabilities [Member] Treasury stock Treasury Stock, Common, Value Net proceeds on swaps designated as net investment hedges Proceeds from Derivative Instrument, Investing Activities Entity Common Stock, Shares Outstanding (in shares) Entity Common Stock, Shares Outstanding Costs and expenses: Costs and Expenses [Abstract] Schedule of Goodwill [Table] Schedule of Goodwill [Table] Europe Europe [Member] Estimated fair value of plan assets Defined Benefit Plan, Plan Assets, Amount Document Fiscal Period Focus Document Fiscal Period Focus Reported tax rate Effective income tax rate Effective Income Tax Rate Reconciliation, Percent Contingent Consideration Liability Contingent Consideration Liability [Member] Contingent Consideration Liability [Member] Foreign currency translation Contract With Customer, Liability, Increase (Decrease) From Foreign Currency Translation Contract With Customer, Liability, Increase (Decrease) From Foreign Currency Translation Incremental financing cost expense Amortization of Debt Issuance Costs Net Definite And Indefinite Lived Intangible Assets Net Excluding Goodwill Definite And Indefinite Lived Intangible Assets Net Excluding Goodwill. Accelerated share repurchase program, payment Accelerated Share Repurchases, Settlement (Payment) or Receipt Maximum Consolidated Total Leverage Ratio Debt Instrument, Covenant, Maximum Leverage Ratio Debt Instrument, Covenant, Maximum Leverage Ratio Debt Covenant Period [Domain] Debt Covenant Period [Domain] [Domain] for Debt Covenant Period [Axis] Counterparty Name [Axis] Counterparty Name [Axis] Total liabilities assumed Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities Maximum selling price of the company's common stock of the conversion price Debt Instrument, Maximum Selling Price Of Common Stock Of The Conversion Price During Period Debt Instrument, Maximum Selling Price Of Common Stock Of The Conversion Price During Period Cash and cash equivalents at beginning of period Cash and cash equivalents at end of period Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents Schedule of Derivative Instruments Schedule of Derivative Instruments [Table Text Block] Balance Beginning of Period, Shares (in shares) Balance End of Period, Shares (in shares) Shares, Issued United States UNITED STATES Common stock, par value (in dollars per share) Common Stock, Par or Stated Value Per Share 2020 Notes 2020 Notes [Member] 2020 Notes Income taxes payable Taxes Payable, Current Current assets: Assets, Current [Abstract] Leases [Abstract] Leases [Abstract] Entity Central Index Key Entity Central Index Key Schedule of Finite-Lived Intangible Assets Schedule of Finite-Lived Intangible Assets [Table Text Block] Security Exchange Name Security Exchange Name Accumulated Other Comprehensive Income (Loss) [Line Items] Accumulated Other Comprehensive Income (Loss) [Line Items] Intercompany loan quarterly payments Intercompany Loan, Quarterly Payment Intercompany Loan, Quarterly Payment Option Indexed to Issuer's Equity [Axis] Option Indexed to Issuer's Equity [Axis] Disposal Group Classification [Domain] Disposal Group Classification [Domain] Summary of Accounting Policies on Revenue Recognition and Shipping and Handling Fees Revenue from Contract with Customer [Policy Text Block] Diluted (in shares) Weighted average common shares for diluted earnings per share (in shares) Weighted Average Number of Shares Outstanding, Diluted Acquired in-process research and development Payments to Acquire in Process Research and Development INCOME TAXES Income Tax Disclosure [Text Block] Requisite service periods of awards Share-based Compensation Arrangement by Share-based Payment Award, Award Requisite Service Period Related Party [Domain] Related Party [Domain] Long-term Debt, Type [Axis] Long-term Debt, Type [Axis] Current Fiscal Year End Date Current Fiscal Year End Date Interest rates available Debt Instrument, Basis Spread on Variable Rate Disposal Groups, Including Discontinued Operations Disposal Groups, Including Discontinued Operations [Table Text Block] Gains and Losses on Derivatives Accumulated Gain (Loss), Net, Cash Flow Hedge, Parent [Member] Share repurchase and equity component of the convertible note issuance, net Adjustments to Additional Paid in Capital, Equity Component of Convertible Debt Expected annual amortization expense, in 2026 Finite-Lived Intangible Asset, Expected Amortization, Year Five Five Year Option Lease From November 1, 2029 Through October 31, 2034 Five Year Option Lease Period One [Member] Five-Year Option Lease Period One Statement of Cash Flows [Abstract] Statement of Cash Flows [Abstract] Not Designated as Hedging Instrument Not Designated as Hedging Instrument [Member] Credit Facility [Axis] Credit Facility [Axis] Finite-Lived Intangible Assets, Major Class Name [Domain] Finite-Lived Intangible Assets, Major Class Name [Domain] Net cash used in investing activities Net Cash Provided by (Used in) Investing Activities Interest Rate Swap Designated December 15, 2020 Tranche 2 Interest Rate Swap Designated December 15, 2020 Tranche 2 [Member] Interest Rate Swap Designated December 15, 2020 Tranche 2 Issuance of common stock through employee stock purchase plan Stock Issued During Period, Value, Employee Stock Purchase Plan Mergers, Acquisitions and Dispositions [Abstract] Mergers, Acquisitions and Dispositions OPERATING ACTIVITIES: Net Cash Provided by (Used in) Operating Activities [Abstract] Total current liabilities Liabilities, Current Cash taxes paid in net equity settlement Payment, Tax Withholding, Share-based Payment Arrangement Payments to acquire businesses, gross Payments to Acquire Businesses, Gross Foreign Exchange Forward Foreign Exchange Forward [Member] Interest Rate Swap Designated December 18, 2018 Tranche 1 Interest Rate Swap Designated December 18, 2018 Tranche 1 [Member] Interest Rate Swap Designated December 18, 2018 Tranche 1 [Member] Maximum borrowing capacity Line of Credit Facility, Maximum Borrowing Capacity Foreign currency translation Goodwill, Foreign Currency Translation Gain (Loss) Accounts payable, trade Accounts Payable, Trade, Current Loss Contingencies [Table] Loss Contingencies [Table] Cash Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Cash and Equivalents Segment Reporting Information [Line Items] Segment Reporting Information [Line Items] Entity Postal Zip Code Entity Address, Postal Zip Code Position [Domain] Position [Domain] Private Label Private Label [Member] Private Label [Member] Contract liability, net of revenue recognized on contracts during the period Contract with Customer, Liability, Net Of Revenue Recognized Contract with Customer, Liability, Net Of Revenue Recognized All other All Other [Member] All Other [Member] Derivative Instruments, Gain (Loss) by Hedging Relationship, by Income Statement Location, by Derivative Instrument Risk [Table] Derivative Instruments, Gain (Loss) [Table] Accrued expenses and other current liabilities Accrued Expenses And Other Current Liabilities [Member] Accrued expenses and other current liabilities. Transferred to trade receivable of contract asset included in beginning of the year contract asset Contract with Customer, Asset, Reclassified to Receivable Assets held for sale Disposal Group, Including Discontinued Operation, Assets, Current Intangible asset acquired, discount rate (percent) Business Combination, Intangible Asset Acquired, Discount Rate Business Combination, Intangible Asset Acquired, Discount Rate Debt Instrument, Name [Domain] Debt Instrument, Name [Domain] Title of 12(b) Security Title of 12(b) Security Operating Leased Assets [Line Items] Operating Leased Assets [Line Items] Overnight Federal Funds Fed Funds Effective Rate Overnight Index Swap Rate [Member] Statement [Table] Statement [Table] Interest Rate Swap Designated December 15, 2020 Tranche 1 Interest Rate Swap Designated December 15, 2020 Tranche 1 [Member] Interest Rate Swap Designated December 15, 2020 Tranche 1 Recent Accounting Pronouncements New Accounting Pronouncements, Policy [Policy Text Block] Interest Rate Swap Designated December 18, 2018 Tranche 2 Interest Rate Swap Designated December 18, 2018 Tranche 2 [Member] Interest Rate Swap Designated December 18, 2018 Tranche 2 [Member] Effect of dilutive securities: Dilutive Securities, Effect on Basic Earnings Per Share [Abstract] Prepaid expenses and other current assets Prepaid Expenses and Other Current Assets [Member] Total unrecognized compensation costs Share-based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Amount Statistical Measurement [Axis] Statistical Measurement [Axis] Right of use asset - operating leases Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Right of Use Asset, Operating Leases Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Right of Use Asset, Operating Leases Total derivatives designated as hedges — Liabilities Derivative Liability, Fair Value, Gross Liability Subsequent Event Subsequent Event [Member] Cover [Abstract] Cover [Abstract] Goodwill Beginning of Period End of Period Goodwill Previously capitalized financing costs, written-off Write off of Deferred Debt Issuance Cost Schedule of Changes in Carrying Amount of Goodwill Schedule of Goodwill [Table Text Block] Adjustments to reconcile net income to net cash provided by operating activities: Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract] Cash paid for amounts included in the measurement of lease liabilities: Cash Flow, Lessee [Abstract] Cash Flow, Lessee [Abstract] Changes in assets and liabilities: Changes In Assets And Liabilities [Abstract] Changes In Assets And Liabilities [Abstract] Subsequent Event Type [Axis] Subsequent Event Type [Axis] Schedule of Fair Value and Presentation of Derivatives Schedule of Derivative Instruments in Statement of Financial Position, Fair Value [Table Text Block] Unamortized discount Debt Instrument, Unamortized Discount Defined Benefit Pension Items Accumulated Defined Benefit Plans Adjustment Attributable to Parent [Member] Inventory [Line Items] Inventory [Line Items] Amortization of debt issuance costs and expenses associated with debt refinancing Amortization Of Debt Issuance Costs And Debt Refinanced Fees Amortization Of Debt Issuance Costs And Debt Refinanced Fees Deferred income tax (benefit) provision Deferred Income Tax Expense (Benefit) Senior Credit Facility Senior Credit Facility [Member] Senior Credit Facility. Accounting Standards Update 2016-13 [Member]