Derivative Instruments and Hedging Activities Disclosure [Abstract]
Schedule of Derivative Instruments
Schedule of Derivative Instruments [Table Text Block]
Schedule of Derivative Instruments in Statement of Financial Position, Fair Value
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]
Commitments and Contingencies Disclosure [Abstract]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table]
Liability Class [Axis]
Liability Class [Axis]
Fair Value by Liability Class [Domain]
Fair Value by Liability Class [Domain]
Supply Commitments
Commitments [Member]
Balance Sheet Location [Axis]
Balance Sheet Location [Axis]
Balance Sheet Location [Domain]
Balance Sheet Location [Domain]
Accrued Expenses And Other Short-term Liabilities
Accrued Expenses And Other Current Liabilities [Member]
Accrued expenses and other current liabilities.
Other Long-term Liabilities
Other Noncurrent Liabilities [Member]
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]
Supply Commitment [Axis]
Supply Commitment [Axis]
Supply Commitment Arrangement [Domain]
Supply Commitment Arrangement [Domain]
Supply Agreement Liability
Supply Commitment [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]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Balance as of January 1, 2017
Fair Value, Measurement with Unobservable Inputs Reconciliations, Recurring Basis, Liability Value
Payments
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Settlements
Transfer from long-term to current portion
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
Balance as of March 31, 2017
Segment Reporting [Abstract]
SEGMENT AND GEOGRAPHIC INFORMATION
Segment Reporting Disclosure [Text Block]
Earnings Per Share [Abstract]
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Award Type [Axis]
Award Type [Axis]
Equity Award [Domain]
Equity Award [Domain]
Restricted Units and Performance Units
Performance Shares and Restricted Units [Member]
Performance Shares and Restricted Units
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Shares excluded from computation as their effect would be anti-dilutive (in shares)
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
Weighted average number of shares outstanding, basic and diluted (in shares)
Weighted Average Number of Shares Outstanding, Basic and Diluted
Equity [Abstract]
Schedule of Comprehensive Income
Comprehensive Income (Loss) [Table Text Block]
Schedule of Changes in Accumulated Other Comprehensive Income by Component
Schedule of Accumulated Other Comprehensive Income (Loss) [Table Text Block]
Loss Contingencies [Table]
Loss Contingencies [Table]
Contingent Consideration Liability
Contingent Consideration Liability [Member]
Contingent Consideration 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]
Subsequent Event Type [Axis]
Subsequent Event Type [Axis]
Subsequent Event Type [Domain]
Subsequent Event Type [Domain]
Subsequent Event
Subsequent Event [Member]
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 - up to fifteen months after close
Indemnification Period One [Member]
Indemnification Period One [Member]
Indemnification period - up to 3 years after close
Indemnification Period Two [Member]
Indemnification Period Two [Member]
Business Acquisition [Axis]
Business Acquisition [Axis]
Business Acquisition, Acquiree [Domain]
Business Acquisition, Acquiree [Domain]
TEI
TEI [Member]
TEI
Confluent Surgical, Inc.
Confluent Surgical, Inc. [Member]
Confluent Surgical, Inc. [Member]
Derma Sciences
Derma Sciences [Member]
Derma Sciences [Member]
Contingent Consideration by Type [Axis]
Contingent Consideration by Type [Axis]
Contingent Consideration Type [Domain]
Contingent Consideration Type [Domain]
BioD Earnout Payment
BioD Earnout Payment [Member]
BioD Earnout Payment [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
Fair value inputs, discount rate
Fair Value Inputs, Discount Rate
Indemnification payments received
Loss Contingency, Receivable, Proceeds
Indemnification payments owed
Loss Contingency, Receivable
Contingent consideration range of outcomes, value, high
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High
Income Tax Disclosure [Abstract]
Reported tax rate
Effective Income Tax Rate Reconciliation, Percent
INCOME TAXES
Income Tax Disclosure [Text Block]
Debt Disclosure [Abstract]
DEBT
Debt Disclosure [Text Block]
Schedule of Segment Reporting Information, by Segment [Table]
Schedule of Segment Reporting Information, by Segment [Table]
Consolidation Items [Axis]
Consolidation Items [Axis]
Operating Activities [Domain]
Consolidation Items [Domain]
Operating Segments
Operating Segments [Member]
Segment Reconciling Items
Segment Reconciling Items [Member]
Corporate and other
Corporate, Non-Segment [Member]
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]
Segment Reporting Information [Line Items]
Segment Reporting Information [Line Items]
Segment Net Sales
Segment Reporting Information, Operating Income (Loss) [Abstract]
Revenues
Revenues
Segment Profit
Segment Reporting Information, Profit (Loss) [Abstract]
Operating income
Operating Income (Loss)
Amortization
Amortization of Intangible Assets
Net cash flow hedge ineffectiveness gain (loss)
Derivative, Net Hedge Ineffectiveness Gain (Loss)
Geographical [Axis]
Geographical [Axis]
Geographical [Domain]
Geographical [Domain]
United States
UNITED STATES
Europe
Europe [Member]
Rest of World
Rest Of World [Member]
Revenues from rest of the world.
Basic and Diluted Net Income Per Share
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
Business Combinations [Abstract]
Total revenue
Business Acquisition, Pro Forma Revenue
Net income
Business Acquisition, Pro Forma Net Income (Loss)
Earnings Per Share [Abstract]
Basic (in dollars per share)
Business Acquisition, Pro Forma Earnings Per Share, Basic
Treasury Stock Transactions, Excluding Value of Shares Reissued [Abstract]
TREASURY STOCK
Treasury Stock [Text Block]
Accumulated Other Comprehensive Income (Loss) [Table]
Accumulated Other Comprehensive Income (Loss) [Table]
Equity Components [Axis]
Equity Components [Axis]
Equity Component [Domain]
Equity Component [Domain]
Gain 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]
Gain on Short-term Investment
Accumulated Net Investment Gain (Loss) Attributable to Parent [Member]
Total
AOCI Attributable to Parent [Member]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Accumulated Other Comprehensive Income (Loss) [Roll Forward]
AOCI Attributable to Parent, Net of Tax [Roll Forward]
Beginning balance
Stockholders' Equity Attributable to Parent
Other comprehensive (loss) income
Other Comprehensive Income (Loss), Net of Tax, Portion Attributable to Parent
Ending balance
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
STOCK-BASED COMPENSATION
Disclosure of Compensation Related Costs, Share-based Payments [Text Block]
Income Statement [Abstract]
Total revenue, net
Sales Revenue, Goods, Net
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 expense, net
Other Nonoperating Income (Expense)
Income before income taxes
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest
Income tax (benefit) expense
Income Tax Expense (Benefit)
Net income
Net Income (Loss) Attributable to Parent
Net income per share
Basic (in dollars per share)
Earnings Per Share, Basic
Diluted (in dollars per share)
Earnings Per Share, Diluted
Weighted average common shares outstanding (See Note 10):
Weighted Average Number of Shares Outstanding, Diluted [Abstract]
Basic (in shares)
Weighted Average Number of Shares Outstanding, Basic
Diluted (in shares)
Weighted Average Number of Shares Outstanding, Diluted
Comprehensive income (See Note 11)
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Schedule of Long-term Debt Instruments
Schedule of Long-term Debt Instruments [Table Text Block]
Schedule of Maturities of Long-term Debt
Schedule of Maturities of Long-term Debt [Table Text Block]
Components of Interest Expense
Components Of Interest Expense Table [Table Text Block]
Components Of Interest Expense Table [Table Text Block]
Goodwill and Intangible Assets Disclosure [Abstract]
Schedule of Goodwill [Table]
Schedule of Goodwill [Table]
Goodwill [Line Items]
Goodwill [Line Items]
Goodwill [Roll Forward]
Goodwill [Roll Forward]
Goodwill at December 31, 2016
Goodwill
Derma Sciences acquisition
Goodwill, Acquired During Period
Foreign currency translation
Goodwill, Foreign Currency Translation Gain (Loss)
Balance, March 31, 2017
Organization, Consolidation and Presentation of Financial Statements [Abstract]
BASIS OF PRESENTATION
Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]
Statement of Financial Position [Abstract]
ASSETS
Assets [Abstract]
Current assets:
Assets, Current [Abstract]
Cash and cash equivalents
Cash and Cash Equivalents, at Carrying Value
Short-term investments
Short-term Investments
Trade accounts receivable, net of allowances of $7,529 and $6,319
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
Property, Plant and Equipment, Net
Intangible assets, net
Intangible Assets, Net (Excluding Goodwill)
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]
Short-term portion of 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
Short-term portion of contingent considerations
Business Combination, Contingent Consideration, Liability, 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
Deferred tax liabilities
Deferred Tax Liabilities, Net, 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; 78,185 and 77,666 issued at March 31, 2017 and December 31, 2016, respectively
Common Stock, Value, Issued
Additional paid-in capital
Additional Paid in Capital, Common Stock
Treasury stock, at cost; 2,946 shares at March 31, 2017 and December 31, 2016
Treasury Stock, Value
Accumulated other comprehensive loss
Accumulated Other Comprehensive Income (Loss), Net of Tax
Retained earnings
Retained Earnings (Accumulated Deficit)
Total stockholders’ equity
Total liabilities and stockholders’ equity
Liabilities and Equity
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 Common Stock, Shares Outstanding (in shares)
Entity Common Stock, Shares Outstanding
COMMITMENTS AND CONTINGENCIES
Commitments and Contingencies Disclosure [Text Block]
Specialty Surgical Solutions
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
Subsequent Events [Abstract]
SUBSEQUENT EVENT
Subsequent Events [Text Block]
NET INCOME PER SHARE
Earnings Per Share [Text Block]
Annual amortization expense expected to approximate in 2017
Finite-Lived Intangible Assets, Amortization Expense, Remainder of Fiscal Year
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
Annual amortization expense expected to approximate in 2022
Finite-Lived Intangible Assets, Amortization expense, Year Six
Finite-Lived Intangible Assets, Amortization expense, Year Six
Stock repurchase program, authorized amount
Stock Repurchase Program, Authorized Amount
Amount available for share repurchase under this latest authorization
Stock Repurchase Program, Remaining Authorized Repurchase Amount
Stock repurchased during period (in shares)
Stock Repurchased During Period, Shares
Stock called during period (in shares)
Stock Redeemed or Called During Period, Shares
Treasury stock, average cost per share (in dollars per share)
Treasury Stock Acquired, Average Cost Per Share
Treasury stock
Treasury Stock, Common, Value
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]
Pro Forma Information
Business Acquisition, Pro Forma Information [Table Text Block]
Schedule of Contingent Consideration
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]
GOODWILL AND OTHER INTANGIBLE ASSETS
Goodwill and Intangible Assets Disclosure [Text Block]
Schedule of Business Acquisitions, by Acquisition [Table]
Schedule of Business Acquisitions, by Acquisition [Table]
Product Payment Contingent Consideration
Product Payment Contingent Consideration [Member]
Product Payment Contingent Consideration [Member]
Medihoney Earnout Payment
Medihoney Earnout Payment [Member]
Medihoney Earnout Payment [Member]
Nonrecurring Adjustment [Axis]
Nonrecurring Adjustment [Axis]
Nonrecurring Adjustment [Domain]
Nonrecurring Adjustment [Domain]
Interest Expense, Intangible Asset Amortization, and External Expenses Related to Acquisition
Interest Expense, Intangible Asset Amortization, and External Expenses Related to Acquisition [Member]
Interest Expense, Intangible Asset Amortization, and External Expenses Related to Acquisition [Member]
Business Acquisition [Line Items]
Business Acquisition [Line Items]
Equity securities, estimated fair value
Available-for-sale Securities, Equity Securities, Current
Acquired deferred taxes
Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Assets
Deferred tax asset, federal net operating loss
Deferred Tax Assets, Operating Loss Carryforwards, Domestic
Deferred tax asset, intangibles
Deferred Tax Assets, Goodwill and Intangible Assets
Deferred tax liabilities, intangibles
Deferred Tax Liabilities, Intangible Assets
Consideration for acquisition
Business Combination, Consideration Transferred
Payment of closing expenses
Business Combination, Consideration Transferred, Other, Closing Expenses
Business Combination, Consideration Transferred, Other, Closing Expenses
Settlement of stock compensation plan
Business Combination, Consideration Transferred, Other, Stock Plan Settlement
Business Combination, Consideration Transferred, Other, Stock Plan Settlement
Payments to Acquire Businesses, Net of Cash Acquired
Payments to Acquire Businesses, Gross
Revenue of acquired company since acquisition
Business Combination, Pro Forma Information, Revenue of Acquiree since Acquisition Date, Actual
Contingent consideration, liability
Business Combination, Contingent Consideration, Liability
Fair Value Inputs, Product Payment Rate
Fair Value Inputs, Product Payment Rate
Fair Value Inputs, Product Payment Rate
Fair Value Inputs, Revenue Volatility
Fair Value Inputs, Revenue Volatility
Fair Value Inputs, Revenue Volatility
Acquisition adjustment expense
Inventory, Net [Abstract]
Schedule of Inventory, Net
Schedule of Inventory, Current [Table Text Block]
Schedule of Long-term Debt Instruments [Table]
Schedule of Long-term Debt Instruments [Table]
Debt Instrument [Axis]
Debt Instrument [Axis]
Debt Instrument, Name [Domain]
Debt Instrument, Name [Domain]
2016 Convertible Senior Notes
Two Thousand Sixteen Senior Convertible Notes [Member]
Two Thousand Sixteen Senior Convertible Notes [Member]
Debt Instrument [Line Items]
Debt Instrument [Line Items]
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 (premium), interest costs capitalized
Amortization of Debt Discount (Premium), Interest Costs Capitalized
Amortization of Debt Discount (Premium), Interest Costs Capitalized
COMPREHENSIVE INCOME
Comprehensive Income (Loss) Note [Text Block]
Schedule of effective income tax rate reconciliation
Schedule of Effective Income Tax Rate Reconciliation [Table Text Block]
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table]
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table]
Derivative Instrument [Axis]
Derivative Instrument [Axis]
Derivative Contract [Domain]
Derivative Contract [Domain]
Interest Rate Swap
Interest Rate Swap [Member]
Hedging Designation [Axis]
Hedging Designation [Axis]
Hedging Designation [Domain]
Hedging Designation [Domain]
Designated as Hedging Instrument
Designated as Hedging Instrument [Member]
Prepaid Expenses and Other Current Assets [Member]
Prepaid Expenses and Other Current Assets [Member]
Other assets
Other Assets [Member]
Accrued Expenses And Other Current Liabilities
Derivatives, Fair Value [Line Items]
Derivatives, Fair Value [Line Items]
Derivative asset, fair value, gross asset
Derivative Asset, Fair Value, Gross Asset
Derivative liability, fair value, gross liability
Derivative Liability, Fair Value, Gross Liability
Current Notional Amount
Derivative, Notional Amount
Reduction In notional amount of interest rate derivatives In next twelve months
Reduction In Notional Amount Of Interest Rate Derivatives In Next Twelve Months
Reduction in Notional Amount of Interest Rate Derivatives in the next twelve months.
Net income
Foreign currency translation adjustment
Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Gain (Loss) Arising During Period, Net of Tax
Change in unrealized gain on derivatives, net of tax
Other Comprehensive Income (Loss), Unrealized Gain (Loss) on Derivatives Arising During Period, Net of Tax
Unrealized gain on short-term investments
Other Comprehensive Income (Loss), Unrealized Holding Gain (Loss) on Securities Arising During Period, Net of Tax
Pension liability adjustment, net of tax
Other Comprehensive Income (Loss), Pension and Other Postretirement Benefit Plans, Net Unamortized Gain (Loss) Arising During Period, Net of Tax
Comprehensive income, net
INVENTORIES
Inventory Disclosure [Text Block]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Title of Individual [Axis]
Title of Individual [Axis]
Relationship to Entity [Domain]
Relationship to Entity [Domain]
Employee
Employee [Member]
Employee [Member]
Directors and certain executive officers
Directors and Certain Executive Officers [Member]
Directors and Certain Executive Officers [Member]
Range [Axis]
Range [Axis]
Range [Domain]
Range [Domain]
Minimum
Minimum [Member]
Maximum
Maximum [Member]
Stock options
Employee Stock Option [Member]
Restricted stock awards/stock units
Restricted Stock Awards And Units [Member]
Restricted Stock Awards And Units [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]
Share-based compensation arrangement by share-based payment award, number of plans
Share-based Compensation Arrangement by Share-based Payment Award, Number of Plans
Share-based Compensation Arrangement by Share-based Payment Award, Number of Plans
Stock options exercisable, vesting period, in years
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period
Expiration period, in years
Share-based Compensation Arrangement by Share-based Payment Award, Expiration Period
Total unrecognized compensation costs
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized
Weighted-average period for cost recognition, in years
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized, Period for Recognition
Grants in period, net of forfeitures (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Net of Forfeitures
Requisite service periods of awards, in years
Share-based Compensation Arrangement by Share-based Payment Award, Award Requisite Service Period
Awards granted during the period (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period
BUSINESS ACQUISITION
Business Combination Disclosure [Text Block]
Recently Issued Accounting Standards
New Accounting Pronouncements, Policy [Policy Text Block]
Statement of Cash Flows [Abstract]
OPERATING ACTIVITIES:
Net Cash Provided by (Used in) Operating Activities [Abstract]
Net income
Adjustments to reconcile net income to net cash provided by operating activities:
Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract]
Depreciation and amortization
Depreciation, Depletion and Amortization
Deferred income tax
Deferred Income Tax Expense (Benefit)
Amortization of debt issuance costs
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 other
Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability
Share-based compensation
Share-based Compensation
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
Net Cash Provided by (Used in) Operating Activities
INVESTING ACTIVITIES:
Net Cash Provided by (Used in) Investing Activities [Abstract]
Purchases of property and equipment
Payments to Acquire Property, Plant, and Equipment
Cash used in business acquisition, net of cash acquired
Payments to Acquire Businesses, Net of Cash Acquired
Change in restricted cash
Proceeds from Sale of Short-term Investments
Proceeds from sale of short-term investments
Payments for (Proceeds from) Previous Acquisition
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
Principal payments under capital lease obligations
Repayments of Long-term Capital Lease Obligations
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 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 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 end of period
Income Tax Contingency [Table]
Income Tax Contingency [Table]
Scenario, Forecast
Scenario, Forecast [Member]
Income Tax Contingency [Line Items]
Income Tax Contingency [Line Items]
Reported tax rate
Excess tax benefit, share-based compensation
Proceeds and Excess Tax Benefit from Share-based Compensation
Income tax benefit from release of uncertain tax positions
Effective Income Tax Rate Reconciliation, Tax Contingency, Amount
Debt Covenant Period [Axis]
Debt Covenant Period [Axis]
Debt Covenant Period [Axis]
Debt Covenant Period [Domain]
Debt Covenant Period [Domain]
[Domain] for Debt Covenant Period [Axis]
First fiscal quarter ended after the delayed draw date of Term Loan A-1 through September 30, 2018
Debt Covenant Period 1 [Member]
Debt Covenant Period 1 [Member]
October 1, 2018 through September 30, 2019
Debt Covenant Period 2 [Member]
Debt Covenant Period 2 [Member]
October 1, 2019 through September 30, 2020
Debt Covenant Period 3 [Member]
Debt Covenant Period 3 [Member]
October 1, 2020 and thereafter
Debt Covenant Period 4 [Member]
Debt Covenant Period 4 [Member]
Hedging Relationship [Axis]
Hedging Relationship [Axis]
Hedging Relationship [Domain]
Hedging Relationship [Domain]
Cash Flow Hedging
Cash Flow Hedging [Member]
Fair Value, Inputs, Level 2
Fair Value, Inputs, Level 2 [Member]
Senior Credit Facility [Member]
Senior Credit Facility [Member]
Senior Credit Facility.
Term Loan A Facility
Term Loan A Facility [Member]
Term Loan A Facility [Member]
Term loan A-1
Term loan A-1 [Member]
Term loan A-1 [Member]
Long-term Debt, Type [Axis]
Long-term Debt, Type [Axis]
Long-term Debt, Type [Domain]
Long-term Debt, Type [Domain]
Convertible Debt
Convertible Debt [Member]
Variable Rate [Axis]
Variable Rate [Axis]
Variable Rate [Domain]
Variable Rate [Domain]
Eurodollar
Eurodollar [Member]
Federal Funds
Federal Funds Effective Swap Rate [Member]
One Month Eurodollar Rate
One Month Eurodollar Rate [Member]
One Month Eurodollar Rate [Member]
Credit Facility [Axis]
Credit Facility [Axis]
Credit Facility [Domain]
Credit Facility [Domain]
Secured Debt
Secured Debt [Member]
Revolving Credit Facility
Revolving Credit Facility [Member]
Standby Letters of Credit
Standby Letters of Credit [Member]
Swingline Loan
Swingline Loan [Member]
Swingline Loan [Member]
Debt Instrument, Covenant, Maximum Leverage Ratio
Debt Instrument, Covenant, Maximum Leverage Ratio
Debt Instrument, Covenant, Maximum Leverage Ratio
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
Deferred finance costs, gross
Debt Issuance Costs, Gross
Line of credit facility outstanding
Long-term Line of Credit
Weighted average interest rate on debt
Debt, Weighted Average Interest Rate
Available borrowings under senior secured revolving credit facility
Line of Credit Facility, Remaining Borrowing Capacity
Line of credit facility, fair value of amount outstanding
Line of Credit Facility, Fair Value of Amount Outstanding
Letters of credit outstanding
Letters of Credit Outstanding, Amount
Interest rate on debt
Debt Instrument, Interest Rate, Stated Percentage
Repayments of Convertible Debt
Repayments of Convertible Debt
Shares issued during period (in shares)
Stock Issued During Period, Shares, New Issues
Fair value of stock issued
Stock Issued
Gain (Loss) on Extinguishment of Debt
Gain (Loss) on Extinguishment of Debt
Stock called during period, value
Stock Redeemed or Called During Period, Value
Debt instrument, principal
Debt Instrument, Face Amount
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.
Warrants exercised (in shares)
Class of Warrant or Right, Exercised
Class of Warrant or Right, Exercised
Warrants expired (in shares)
Class of Warrant or Right, Expired
Class of Warrant or Right, Expired
Warrants outstanding (in shares)
Class of Warrant or Right, Outstanding
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]
Customer relationship
Customer Relationships [Member]
Trademarks/brand names
Trademarks and Trade Names [Member]
Completed technology
Technology-Based Intangible Assets [Member]
Non-compete agreement
Noncompete Agreements [Member]
Cash and cash equivalents
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Cash and Equivalents
Short-term investments
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Short-term Investments
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Short-term Investments
Accounts receivable
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 and other current assets
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
Intangible assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles
Deferred tax assets
Other assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Other Noncurrent Assets
Total assets acquired
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets
Accounts payable
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Accounts Payable
Accrued expenses and other current liabilities
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Other
Contingent liability
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Contingent Liability
Other liabilities
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Noncurrent Liabilities, Other
Net assets acquired
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net
Wtd. Avg. Life
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life
Subsequent Event [Table]
Subsequent Event [Table]
TGX Medical
TGX Medical [Member]
TGX Medical [Member]
Subsequent Event [Line Items]
Subsequent Event [Line Items]
Basic net income per share:
Earnings Per Share, Basic [Abstract]
Weighted average common shares outstanding, basic (in shares)
Net income per share - basic (in dollars per share)
Diluted net income per share:
Earnings Per Share, Diluted [Abstract]
Effect of dilutive securities:
Dilutive Securities, Effect on Basic Earnings Per Share [Abstract]
2016 Convertible notes (in shares)
Incremental Common Shares Attributable to Dilutive Effect of Conversion of Debt Securities
Warrants (in shares)
Incremental Common Shares Attributable to Dilutive Effect of Call Options and 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)
Net income per share - diluted (in dollars per share)
Derivative [Table]
Derivative [Table]
3-month BBA LIBOR
Three month BBA LIBOR [Member]
Three month BBA LIBOR [Member]
1-Month USD LIBOR
One Month USD LIBOR [Member]
One Month USD LIBOR [Member]
3-Month USD LIBOR
Three Month USD LIBOR [Member]
Three Month USD LIBOR [Member]
Interest Rate Swap Designated June 22, 2016 Tranche 1
Interest Rate Swap Designated June 22, 2016 Tranche 1 [Member]
Interest Rate Swap Designated June 22, 2016 Tranche 1 [Member]
Interest Rate Swap Designated June 22, 2016 Tranche 2
Interest Rate Swap Designated June 22, 2016 Tranche 2 [Member]
Interest Rate Swap Designated June 22, 2016 Tranche 2 [Member]
Interest Rate Swap Designated July 12, 2016
Interest Rate Swap Designated July 12, 2016 [Member]
Interest Rate Swap Designated July 12, 2016 [Member]
Interest Rate Swap Designated February 6, 2017 Tranche 1
Interest Rate Swap Designated February 6, 2017 Tranche 1 [Member]
Interest Rate Swap Designated February 6, 2017 Tranche 1 [Member]
Interest Rate Swap Designated February 6, 2017 Tranche 2
Interest Rate Swap Designated February 6, 2017 Tranche 2 [Member]
Interest Rate Swap Designated February 6, 2017 Tranche 2 [Member]
Interest Rate Swap Designated March 27, 2017
Interest Rate Swap Designated March 27, 2017 [Member]
Interest Rate Swap Designated March 27, 2017 [Member]
Derivative [Line Items]
Derivative [Line Items]
Fixed Interest Rate
Derivative, Fixed Interest Rate
Estimated Fair Value
Derivative, Fair Value, Net
DERIVATIVE INSTRUMENTS
Derivative Instruments and Hedging Activities Disclosure [Text Block]
Finished goods
Inventory, Finished Goods, Net of Reserves
Work in process
Inventory, Work in Process, Net of Reserves
Raw materials
Inventory, Raw Materials and Purchased Parts, Net of Reserves
Inventories, net
Derivative Instruments, Gain (Loss) by Hedging Relationship, by Income Statement Location, by Derivative Instrument Risk [Table]
Derivative Instruments, Gain (Loss) [Table]
Derivative, by Nature [Axis]
Derivative, Name [Domain]
Interest rate swap
Interest expense
Interest Expense [Member]
Derivative Instruments, Gain (Loss) [Line Items]
Derivative Instruments, Gain (Loss) [Line Items]
Derivative Instruments, Gain (Loss) [Roll Forward]
Balance in AOCI Beginning of Quarter
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 Recognized in AOCI- Effective Portion
Derivative Instruments, Gain (Loss) Recognized in Other Comprehensive Income (Loss), Effective Portion, Net
Amount of 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 Quarter
Line of Credit Facility [Table]
Line of Credit Facility [Table]
Line of Credit Facility [Line Items]
Line of Credit Facility [Line Items]
2017
Long-term Debt, Maturities, Repayments of Principal, Remainder of Fiscal Year
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
Total repayments
Secured Debt
Disposal Groups, Including Discontinued Operations [Table]
Disposal Groups, Including Discontinued Operations [Table]
DePuy Synthes
DePuy Synthes [Member]
DePuy Synthes [Member]
Scenario, Previously Reported
Scenario, Previously Reported [Member]
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 Pronouncement, Early Adoption [Axis]
New Accounting Pronouncement, Early Adoption [Axis]
New Accounting Principles, Early Adoption [Domain]
New Accounting Principles, Early Adoption [Domain]
New Accounting Pronouncement, Early Adoption, Effect
New Accounting Pronouncement, Early Adoption, Effect [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]
Common stock, shares authorized (in shares)
Common Stock, Shares Authorized
Common stock, par value (in dollars per share)
Common Stock, Par or Stated Value Per Share
Stock split, conversion ratio
Stockholders' Equity Note, Stock Split, Conversion Ratio
Alternative transaction threshold, percentage of assets
Business Combination, Alternative Transaction Threshold, Percentage of Assets
Business Combination, Alternative Transaction Threshold, Percentage of Assets
Reimbursement fee 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 due if alternate proposal accepted
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
Income tax benefit
Effective Income Tax Rate Reconciliation, Share-based Compensation, Excess Tax Benefit, Amount
Effective Income Tax Rate Reconciliation, Share-based Compensation, Excess Tax Benefit, Amount
Net cash provided by operating activities
Net cash used in financing activities
Total Revenue By Major Geographic Area
Schedule of Segment Reporting Information, by Segment [Table Text Block]
Trade accounts receivable, allowances
Allowance for Doubtful Accounts Receivable, Current
Preferred stock, authorized shares (in shares)
Preferred Stock, Shares Authorized
Preferred stock, outstanding (in shares)
Preferred Stock, Shares Outstanding
Common stock, shares issued (in shares)
Common Stock, Shares, Issued
Treasury stock, shares (in shares)
Treasury Stock, Shares
Additions from acquisition of Derma Sciences
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Issuances
Schedule of Changes In Carrying Amount Of Goodwill
Schedule of Goodwill [Table Text Block]
Components of Company's Identifiable Intangible Assets
Schedule Of Definite And Indefinite Lived Intangible Assets Table [Table Text Block]
Schedule Of Definite And Indefinite Lived Intangible Assets [Table Text Block]
Schedule of Acquired Finite-Lived Intangible Asset by Major Class [Table]
Schedule of Acquired Finite-Lived Intangible Asset by Major Class [Table]
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]
Completed technology
Completed Technology [Member]
Completed technology.
Customer relationships
Trademarks/brand names
Trademarks Brand Names [Member]
Trademarks Brand Names.
Supplier relationships
Supplier Relation Ships [Member]
Supplier Relation Ships [Member]
All other
All Other [Member]
All Other [Member]
Acquired Finite-Lived Intangible Assets [Line Items]
Acquired Finite-Lived Intangible Assets [Line Items]
Weighted Average Life
Finite-Lived Intangible Asset, Useful Life
Cost
Cost Of Definite And Indefinite Lived Intangible Assets Gross Excluding Goodwill
Cost Of Definite And Indefinite Lived Intangible Assets Gross Excluding Goodwill.
Accumulated Amortization
Finite-Lived Intangible Assets, Accumulated Amortization
Net
Definite And Indefinite Lived Intangible Assets Net Excluding Goodwill
Definite And Indefinite Lived Intangible Assets Net Excluding Goodwill.
Other Indefinite-lived Intangible Assets
Other Indefinite-lived Intangible Assets