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Instrument, Combination Settlement For Debt Conversion, Minimum Settled In Cash Per Principal Amount Accounts payable, accrued expenses and other current liabilities Increase (Decrease) in Accounts Payable and Accrued Liabilities Award Timing, How MNPI Considered Award Timing, How MNPI Considered [Text Block] SEGMENT AND GEOGRAPHIC INFORMATION Segment Reporting Disclosure [Text Block] Number of products offered (more than) Segment Reporting Information, Number Of Products Offered Number of products sold by a segment ACell ACell [Member] ACell Change in fair value of contingent consideration liabilities Change in fair value Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Gain (Loss) Included in Earnings Accumulated Other Comprehensive Income (Loss) [Roll Forward] Accumulated Other Comprehensive Income (Loss) [Roll Forward] Accumulated Other Comprehensive Income (Loss) [Roll Forward] Text Block [Abstract] Share-based compensation APIC, Share-Based Payment Arrangement, Increase for Cost Recognition Restricted Stock Awards Restricted Stock [Member] Measurement Basis [Axis] Measurement Basis [Axis] Title Trading Arrangement, Individual Title Completed Technology, PriMatrix Completed Technology, PriMatrix [Member] Completed Technology, PriMatrix Schedule of Income (Loss) Before Income Taxes Schedule of Income before Income Tax, Domestic and Foreign [Table Text Block] Balance, beginning of year Balance, end of year Unrecognized Tax Benefits Position [Domain] Position [Domain] City Area Code City Area Code Current Liabilities: Liabilities, Current [Abstract] Auditor Location Auditor Location Contingent consideration, cash payments due upon achievement of certain milestones Contingent consideration Business Combination, Contingent Consideration, Liability Trademarks/brand names Trademarks Brand Names [Member] Trademarks Brand Names. 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BioD Earnout Payments and Medihoney Earnout Payments BioD Earnout Payments and Medihoney Earnout Payments [Member] BioD Earnout Payments and Medihoney Earnout Payments [Member] Purchase of treasury stock Payments for Repurchase of Common Stock SEC Schedule, 12-09, Valuation Allowance, Deferred Tax Asset SEC Schedule, 12-09, Valuation Allowance, Deferred Tax Asset [Member] Retirement Benefit Plans Pension and Other Postretirement Plans, Policy [Policy Text Block] Schedule of Segment Reporting Information, by Segment [Table] Schedule of Segment Reporting Information, by Segment [Table] SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Table] SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Table] Weighted Average Grant Date Fair Value Per Share Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Abstract] Restructuring Reserve [Roll Forward] Restructuring Reserve [Roll Forward] Subsequent Event Type [Axis] Subsequent Event Type [Axis] Net (loss) income per share Earnings Per Share [Abstract] Equity [Abstract] Retained earnings Retained Earnings (Accumulated Deficit) Long Long [Member] Codman Codman [Member] Codman [Member] Inventories Increase (Decrease) in Inventories Debt issuance costs, gross Debt Issuance Costs, Gross 2026 Long-Term Debt, Maturity, Year Two Aggregate Available Trading Arrangement, Securities Aggregate Available Amount Equity Awards Adjustments Equity Awards Adjustments [Member] Total lease liabilities Operating Lease, Liability Underlying Securities Award Underlying Securities Amount Measurement Input, Long-Term Revenue Growth Rate Measurement Input, Long-Term Revenue Growth Rate [Member] Amendment Flag Amendment Flag 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] Carrying Value Reported Value Measurement [Member] Employee contribution Defined Benefit Plan, Benefit Obligation, Contributions by Plan Participant Trade accounts receivable, net of allowances of $3,885 Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Receivables Stock Appreciation Rights (SARs) Stock Appreciation Rights (SARs) [Member] Machinery and equipment Machinery and Equipment [Member] Convertible securities Convertible Debt, Current Subsequent Events [Abstract] Subsequent Events [Abstract] Integra Foundation Foundation [Policy Text Block] Foundation [Policy Text Block]. Actual return on plan assets Defined Benefit Plan, Plan Assets, Increase (Decrease) for Actual Return (Loss) Leased vehicles Vehicles [Member] Debt issuance costs, net Debt issuance costs Debt Issuance Costs, Net DEBT Debt Disclosure [Text Block] Unrealized foreign exchange gain Deferred Tax Assets, Unrealized Currency Losses Fair Value Hierarchy and NAV [Domain] Fair Value Hierarchy and NAV [Domain] Schedule of Components of Indefinite-Lived Intangible Assets Schedule of Indefinite-Lived Intangible Assets [Table Text Block] Recovery of Erroneously Awarded Compensation Disclosure [Line Items] Convertible notes, aggregate principal amount Debt Instrument, Face Amount Supplemental Cash Flow Information Cash Flow, Lessee [Table Text Block] Cash Flow, Lessee [Table Text Block] Charitable contributions carryforward Deferred Tax Assets, Charitable Contribution Carryforwards Payments Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Settlements Entity Address, Postal Zip Code Entity Address, Postal Zip Code Interest Rate Swap Interest rate swap Interest Rate Swap [Member] Business acquisition, number of payments Business Acquisition, Number Of Contingent Liabilities Business Acquisition, Number Of Contingent Liabilities Unrealized gain (loss) on derivatives Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification, before Tax [Abstract] Cash and cash equivalents Cash and Cash Equivalents, at Carrying Value Impairment of indefinite-lived intangible assets Impairment of Intangible Assets, Indefinite-Lived (Excluding Goodwill) Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested Year-over-Year Change in Fair Value of Equity Awards Granted in Prior Years That are Outstanding and Unvested [Member] Auditor Name Auditor Name Cancellations (in dollars per share) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Forfeitures, Weighted Average Grant Date Fair Value Raw materials Inventory, Raw Materials, Gross Current: Current Income Tax Expense (Benefit), Continuing Operations [Abstract] Foreign currency translation Contract With Customer, Liability, Increase From Foreign Currency Translation Contract With Customer, Liability, Increase From Foreign Currency Translation Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested Year-end Fair Value of Equity Awards Granted in Covered Year that are Outstanding and Unvested [Member] Useful Lives Property, Plant and Equipment, Useful Life Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding [Roll Forward] Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding [Roll Forward] Employee Stock Purchase Plan Employee Stock [Member] Fair Value Measurement [Domain] Fair Value Measurement [Domain] Effective income tax reconciliation, tax benefit, excess stock-based compensation deductions Effective Income Tax Rate Reconciliation, Tax Expense (Benefit), Share-Based Payment Arrangement, Amount Adjustment To PEO Compensation, Footnote Adjustment To PEO Compensation, Footnote [Text Block] Deferred revenue Deferred Tax Assets, Deferred Income Nondeductible executive compensation & stock compensation shortfall Effective Income Tax Rate Reconciliation, Nondeductible Expense, Executive Compensation, Percent Effective Income Tax Rate Reconciliation, Nondeductible Expense, Executive Compensation, Percent Foreign currency transaction gain (loss) Realized Gain (Loss), Foreign Currency Transaction, before Tax Summary Of Significant Accounting Policies [Line Items] Summary Of Significant Accounting Policies [Line Items] Summary Of Significant Accounting Policies [Line Items] Amortization Amortization Designated as Hedging Instrument Designated as Hedging Instrument [Member] Period for revenue based performance milestone Disposal Group, Including Discontinued Operation, Consideration, Contingent Consideration, Period Disposal Group, Including Discontinued Operation, Consideration, Contingent Consideration, Period Compensation Actually Paid vs. Other Measure Compensation Actually Paid vs. Other Measure [Text Block] Net Definite And Indefinite Lived Intangible Assets Net Excluding Goodwill Definite And Indefinite Lived Intangible Assets Net Excluding Goodwill. Effect of foreign currency exchange rates Defined Benefit Plan, Benefit Obligation, Foreign Currency Translation Gain (Loss) Stock, Class of Stock [Table] Stock, Class of Stock [Table] Debt Covenant Period [Domain] Debt Covenant Period [Domain] [Domain] for Debt Covenant Period [Axis] Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year Vesting Date Fair Value of Equity Awards Granted and Vested in Covered Year [Member] Weighted average common shares outstanding (See Note 13): Weighted Average Number of Shares Outstanding, Diluted [Abstract] Total assets Assets 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 Cost of goods sold Cost of Goods and Services Sold Business combination, recognize deferred tax liabilities Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Deferred Tax Liabilities Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Deferred Tax Liabilities Purchases of property and equipment Payments to Acquire Property, Plant, and Equipment Other liabilities Other Liabilities, Noncurrent TREASURY STOCK Treasury Stock [Text Block] Forgone Recovery due to Violation of Home Country Law, Amount Forgone Recovery due to Violation of Home Country Law, Amount Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items] Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items] Stock-Based Compensation Share-Based Payment Arrangement [Policy Text Block] Transaction and deal related costs Effective Income Tax Rate Reconciliation, Transaction Costs, Percent Effective Income Tax Rate Reconciliation, Transaction Costs, Percent Schedule of Effective Income Tax Rate Reconciliation Schedule of Effective Income Tax Rate Reconciliation [Table Text Block] Termination Date Trading Arrangement Termination Date BUSINESS Business Description and Basis of Presentation [Text Block] Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items] 2026 Lessee, Operating Lease, Liability, to be Paid, Year Two 2025 Long-Term Debt, Maturity, Year One Not Designated as Hedging Instrument Not Designated as Hedging Instrument [Member] Assets: Deferred Tax Assets, Gross [Abstract] Schedule of Assets Acquired and Liabilities Assumed Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block] Debt Instrument [Axis] Debt Instrument [Axis] Proceeds from maturities of short-term investments Proceeds from Maturities, Prepayments and Calls of Short-Term Investments Reconciliation Of Funded Status Defined Benefit Plan, Funded (Unfunded) Status of Plan [Abstract] Net (loss) income Net (loss) income Net Income (Loss) Attributable to Parent Trading Arrangement: Trading Arrangement [Axis] Next five years Defined Benefit Plan, Expected Future Benefit Payment, after Year Five for Next Five Years Pay vs Performance Disclosure, Table Pay vs Performance [Table Text Block] Adjustments for performance achievement related to award target (in dollars per share) Share-based Compensation Arrangement By Share-based Payment Award, Equity Instruments Other Than Options, Adjustments For Performance Achievement, Weighted Average Grant Date Fair Value Share-based Compensation Arrangement By Share-based Payment Award, Equity Instruments Other Than Options, Adjustments For Performance Achievement, Weighted Average Grant Date Fair Value Equity Awards Adjustments, Excluding Value Reported in Compensation Table Equity Awards Adjustments, Excluding Value Reported in the Compensation Table [Member] Entity File Number Entity File Number Schedule of Weighted Average Assumptions Used Defined Benefit Plan, Assumptions [Table Text Block] Income Statement [Abstract] Income Statement [Abstract] Entity Address, Address Line One Entity Address, Address Line One Federal Current Federal Tax Expense (Benefit) Surgical Innovations Associates, Inc. Surgical Innovation Associates Inc [Member] Surgical Innovation Associates Inc Effect of exchange rate changes on cash and cash equivalents Effect of Exchange Rate on Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Continuing Operations Name Forgone Recovery, Individual Name Aggregate Intrinsic Value, Exercisable at end of year Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Exercisable, Intrinsic Value Weighted average remaining lease term (in years) Operating Lease, Weighted Average Remaining Lease Term Unrealized gain (loss) on derivatives Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification, before Tax, Parent Contingent Consideration by Type [Axis] Contingent Consideration by Type [Axis] Reporting unit, measurement input increase (decrease) Goodwill Impairment, Sensitivity Analysis, Reporting Unit, Measurement Input Increase (Decrease) Goodwill Impairment, Sensitivity Analysis, Reporting Unit, Measurement Input Increase (Decrease) Short Term Investments Investment, Policy [Policy Text Block] Award Timing MNPI Considered Award Timing MNPI Considered [Flag] Private Label Private Label [Member] Private Label [Member] Schedule of Expected Benefit Payments Schedule of Expected Benefit Payments [Table Text Block] All other All Other [Member] All Other [Member] Contract asset, Beginning of period Contract asset, End of Period Contract with Customer, Asset, after Allowance for Credit Loss ENT ENT [Member] ENT Outstanding Aggregate Erroneous Compensation Amount Outstanding Aggregate Erroneous Compensation Amount PEO Actually Paid Compensation Amount PEO Actually Paid Compensation Amount Effect of dilutive securities: Dilutive Securities, Effect on Basic Earnings Per Share [Abstract] Adjustment to Compensation: Adjustment to Compensation [Axis] Amount of Gain (Loss) Reclassified from AOCI into Earnings Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, after Tax Pension liability adjustment, net of tax Other Comprehensive (Income) Loss, Defined Benefit Plan, after Tax and Reclassification Adjustment, Attributable to Parent Accumulated other comprehensive (loss) Accumulated Other Comprehensive Income (Loss), Net of Tax Return to provision Effective Income Tax Rate Reconciliation, Prior Year Income Taxes, Percent Pension Adjustments Service Cost Pension Adjustments Service Cost [Member] Related Party [Axis] Related and Nonrelated Parties [Axis] Basic (in shares) Weighted average common shares outstanding - Basic (in shares) Weighted Average Number of Shares Outstanding, Basic Stock Price or TSR Estimation Method Stock Price or TSR Estimation Method [Text Block] Property, plant and equipment, net Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment Name Awards Close in Time to MNPI Disclosures, Individual Name Construction-in-progress Construction in Progress [Member] Sales Revenue, Net Revenue Benchmark [Member] Forfeited or Expired (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Forfeitures in Period Entity Filer Category Entity Filer Category Balance, beginning of period (in shares) Balance, end of period (in shares) Shares, Issued Performance obligations expected to be satisfied Revenue, Remaining Performance Obligation, Amount Overnight Federal Funds Rate Fed Funds Effective Rate Overnight Index Swap Rate [Member] Acclarent Acquisition Goodwill, Acquired During Period Work in process Inventory, Work in Process, Gross Statistical Measurement [Domain] Statistical Measurement [Domain] Net proceeds on swaps designated as net investment hedges Payments for (Proceeds from) Derivative Instrument, Investing Activities Derivatives, Fair Value [Line Items] Derivatives, Fair Value [Line Items] Director Director [Member] Remaining unamortized issuance costs Transferor's Interests In Transferred Financial Assets, Unamortized Issuance Costs Transferor's Interests In Transferred Financial Assets, Unamortized Issuance Costs Contract Liability Change In Contract With Customer, Liability [Roll Forward] Change In Contract With Customer, Liability [Roll Forward] Unrecognized tax benefits that would impact effective tax rate Unrecognized Tax Benefits that Would Impact Effective Tax Rate Supplemental Balance Sheet Information Assets And Liabilities, Lessee [Table Text Block] Assets And Liabilities, Lessee [Table Text Block] Segment Reporting Information [Line Items] Segment Reporting Information [Line Items] Debt Covenant Period [Axis] Debt Covenant Period [Axis] Debt Covenant Period [Axis] All Trading Arrangements All Trading Arrangements [Member] Compensation Actually Paid vs. Net Income Compensation Actually Paid vs. Net Income [Text Block] Basic And Diluted Net Income Per Share Schedule of Earnings Per Share, Basic and Diluted [Table Text Block] Award vesting period Share-Based Compensation Arrangement by Share-Based Payment Award, Award Vesting Period Number of renewal options (or more) Lessee, Operating Lease, Number Of Renewal Options Lessee, Operating Lease, Number Of Renewal Options FDA Approval Of Premarket Approval FDA Approval Of Premarket Approval [Member] FDA Approval Of Premarket Approval Rule 10b5-1 Arrangement Adopted Rule 10b5-1 Arrangement Adopted [Flag] Awards Close in Time to MNPI Disclosures Awards Close in Time to MNPI Disclosures [Table] Derivative [Line Items] Derivative [Line Items] SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items] SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items] Inventory, capitalized expenses Inventory, Capitalized Expenses Inventory, Capitalized Expenses SIA Acquisition Goodwill, Measurement Period Adjustment Debt, initial conversion rate Debt Instrument, Convertible, Conversion Ratio Summary Of Employee Stock-Based Compensation Expense Share-Based Payment Arrangement, Cost by Plan [Table Text Block] Pay vs Performance Disclosure [Line Items] Peer Group Total Shareholder Return Amount Peer Group Total Shareholder Return Amount Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis] Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis] Derivative [Table] Derivative [Table] Employee Termination Benefits Costs Associated with Exit or Disposal Activities or Restructurings, Policy [Policy Text Block] Deferred: Deferred Income Tax Expense (Benefit), Continuing Operations [Abstract] Summary of Fair Value in Balance Sheet for Derivatives Designated as Hedging Instruments Schedule of Derivative Instruments in Statement of Financial Position, Fair Value [Table Text Block] Rest of the World Rest Of The World [Member] Revenues from rest of the world. Net effect on net income Share-Based Payment Arrangement, Expense, after Tax Other Performance Measure, Amount Other Performance Measure, Amount Rate of compensation increase Defined Benefit Plan, Assumptions Used Calculating Net Periodic Benefit Cost, Rate of Compensation Increase Expected annual amortization expense, 2027 Finite-Lived Intangible Asset, Expected Amortization, Year Three Goodwill [Line Items] Goodwill [Line Items] LEASES AND RELATED PARTY LEASES Lessee, Operating Leases [Text Block] Schedule of Acquired Finite-Lived Intangible Asset by Major Class [Table] Schedule of Acquired Finite-Lived Intangible Asset by Major Class [Table] Documents Incorporated by Reference Documents Incorporated by Reference [Text Block] Shares available for purchase (in shares) Share-Based Compensation Arrangement by Share-Based Payment Award, Number of Shares Available for Grant Lease liability - operating leases Non-current lease liabilities Long-term lease liabilities Operating Lease, Liability, Noncurrent Benefit payment Defined Benefit Plan, Benefit Obligation, Benefits Paid Cash Flow Hedges Cash Flow Hedging [Member] Contract liabilities Short-term portion of contract liability Contract with Customer, Liability, Current Service cost Service cost Defined Benefit Plan, Service Cost Entity Tax Identification Number Entity Tax Identification Number Schedule of Long-term Debt Maximum Leverage Ratios Schedule of Long-Term Debt Instruments [Table Text Block] Prior years' tax positions Unrecognized Tax Benefits, Increase Resulting from Prior Period Tax Positions Foreign Deferred Foreign Income Tax Expense (Benefit) Selling, general and administrative Selling, General and Administrative Expenses [Member] Treasury Stock Treasury Stock, Common [Member] Schedule of Derivative Instruments Schedule of Derivative Instruments [Table Text Block] Instruments Instruments [Member] Instruments [Member] Plan Name [Axis] Plan Name [Axis] Equity Components [Axis] Equity Components [Axis] Future minimum lease payments, finance leases Finance Lease, Liability, to be Paid Capitalized Interest Interest Capitalization, Policy [Policy Text Block] Other Current Assets Other Assets, Current Research And Development Research and Development Expense, Policy [Policy Text Block] Trade Accounts Receivable And Allowances For Doubtful Accounts Receivable Accounts Receivable [Policy Text Block] Trade name Codman trade name Trade Names [Member] Capitalized share-based compensation cost Share-Based Payment Arrangement, Amount Capitalized Total costs and expenses Total costs and expenses Costs and Expenses Business Acquisition, Acquiree [Domain] Business Acquisition, Acquiree [Domain] Aggregate Intrinsic Value, Outstanding Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Outstanding, Intrinsic Value Diluted net (loss) income per share: Earnings Per Share, Diluted [Abstract] Schedule of Operating Leased Assets [Table] Schedule of Operating Leased Assets [Table] Period for extended lease Lessee, Operating Lease, Option to Extend Geographical [Axis] Geographical [Axis] Option to extend lease, years Option To Extend Lease, Years Option to extend lease, years. Restructuring and Related Costs Restructuring and Related Costs [Table Text Block] Total net deferred tax (liabilities) assets Deferred Tax Assets, Net 2029 Lessee, Operating Lease, Liability, to be Paid, Year Five Valuation allowance, period increase (decrease) Valuation Allowance, Deferred Tax Asset, Increase (Decrease), Amount Gain from sale of businesses Gain from the sale of businesses Gain on sale of business Gain (Loss) on Disposition of Business Payments and other adjustments Restructuring Reserve, Accrual Adjustment Change in foreign currency translation adjustments Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, before Tax, Portion Attributable to Parent Accelerated shares repurchased Stock Repurchased During Period, Value Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table Aggregate Grant Date Fair Value of Equity Award Amounts Reported in Summary Compensation Table [Member] Other liabilities Other Liabilities [Member] Chief Executive Officer Chief Executive Officer [Member] Accounts Receivable, Allowance for Credit Loss Accounts Receivable, Allowance for Credit Loss [Table Text Block] Lessee, Lease, Description [Line Items] Lessee, Lease, Description [Line Items] Issuance of common stock through employee stock purchase plan (in shares) Stock Issued During Period, Shares, Employee Stock Purchase Plans Operating lease expense Operating Lease, Expense Concentration risk, number of customers over benchmark Concentration Risk, Number Of Customers Over Benchmark Concentration Risk, Number Of Customers Over Benchmark Cross-Currency Interest Rate Swap Two Cross Currency Interest Rate Contract Two [Member] Cross Currency Interest Rate Contract Two [Member] 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 Weighted average interest rate on debt Debt, Weighted Average Interest Rate 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] Total unrecognized compensation costs related to unvested awards Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Amount Arkis Arkis BioSciences Inc. [Member] Arkis BioSciences Inc. [Member] Foreign Current Foreign Tax Expense (Benefit) Defined benefit pension plan - net gain (loss) arising during period Other Comprehensive Income (Loss), Defined Benefit Plan, Gain (Loss) Arising During Period, before Tax Current Assets: Assets, Current [Abstract] Consolidation Items [Axis] Consolidation Items [Axis] Indefinite-lived Intangible Assets, Major Class Name [Domain] Indefinite-Lived Intangible Assets, Major Class Name [Domain] Treasury stock outstanding (in shares) Balance, beginning of period, treasury stock (in shares) Balance, end of period, treasury stock (in shares) Treasury Stock, Common, Shares Forgone Recovery due to Disqualification of Tax Benefits, Amount Forgone Recovery due to Disqualification of Tax Benefits, Amount Interest paid Interest Paid, Including Capitalized Interest, Operating and Investing Activities Accrued compensation Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Current Liabilities, Employee-related Liabilities Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Current Liabilities, Employee-related Liabilities Product and Service [Domain] Product and Service [Domain] 2022 Share Repurchase Program 2022 Share Repurchase Program [Member] 2022 Share Repurchase Program Revenue Based Performance Milestones Revenue Based Performance Milestones [Member] Revenue Based Performance Milestones Interest payments, year two Interest Payments, Year Two Interest Payments, Year Two SEC Schedule, 12-09, Allowance, Credit Loss SEC Schedule, 12-09, Allowance, Credit Loss [Member] Released (in dollars per share) Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Vested in Period, Weighted Average Grant Date Fair Value Goodwill [Roll Forward] Goodwill [Roll Forward] Fair Value Disclosures [Abstract] Premiums paid Defined Benefit Plan, Plan Assets, Premiums Paid Defined Benefit Plan, Plan Assets, Premiums Paid Preferred stock, outstanding (in shares) Preferred Stock, Shares Outstanding Security Exchange Name Security Exchange Name Interest rates available to the company at its option Debt Instrument, Basis Spread on Variable Rate Accrued vacation Deferred Tax Assets, Tax Deferred Expense, Compensation And Benefits, Employee Vacation Deferred Tax Assets, Tax Deferred Expense, Compensation And Benefits, Employee Vacation Indefinite-lived intangible assets, measurement input Indefinite-Lived Intangible Assets, Measurement Input Indefinite-Lived Intangible Assets, Measurement Input Current assets: Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets [Abstract] Weighted Average Exercise Price, Exercised (in dollars per share) Share-Based Compensation Arrangements by Share-Based Payment Award, Options, Exercises in Period, Weighted Average Exercise Price Lease Contractual Term [Domain] Lease Contractual Term [Domain] Shares Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward] State Current State and Local Tax Expense (Benefit) Pension plan assets Pension Plan Assets, Fair Value Disclosure Pension Plan Assets, Fair Value Disclosure Forgone Recovery, Explanation of Impracticability Forgone Recovery, Explanation of Impracticability [Text Block] Goodwill and Intangible Assets Disclosure [Abstract] Goodwill and Intangible Assets Disclosure [Abstract] Increase in authorized shares (in shares) Increase In Authorized Shares The increase in the number of authorized shares under the Plan. Common stock, issued (in shares) Common Stock, Shares, Issued Other assets Other Assets [Member] Maximum borrowing capacity Line of Credit Facility, Maximum Borrowing Capacity Payments for asset acquisitions Payments For Asset Acquisitions Payments For Asset Acquisitions Secured long-term debt, securitization program Secured Long-Term Debt, Securitization Program Secured Long-Term Debt, Securitization Program Derivative liabilities Derivative Liability Insider Trading Policies and Procedures Adopted Insider Trading Policies and Procedures Adopted [Flag] Less: Accumulated depreciation Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment Schedule of Benefit Obligations and Plan Assets Defined Benefit Plan, Plan with Projected Benefit Obligation in Excess of Plan Assets [Table Text Block] Long-term borrowings under senior credit facility Secured Long-Term Debt, Noncurrent Valuation Allowance by Deferred Tax Asset [Axis] Valuation Allowance by Deferred Tax Asset [Axis] Net transfer in/(out) Defined Benefit Plan, Plan Assets, Increase (Decrease) for Assets Transferred to (from) Plan Europe Europe [Member] Common stock, authorized shares (in shares) Common Stock, Shares Authorized Debt instrument, basis spread adjustment on variable rate Debt Instrument, Basis Spread Adjustment On Variable Rate Debt Instrument, Basis Spread Adjustment On Variable Rate Derivative assets (liabilities), at fair value, net Derivative Assets (Liabilities), at Fair Value, Net Interest Rate Swap Designated March 31, 2023 Interest Rate Swap Designated March 31, 2023 [Member] Interest Rate Swap Designated March 31, 2023 Plan settlements Defined Benefit Plan, Plan Assets, Payment for Settlement Long-term Debt, Type [Axis] Long-Term Debt, Type [Axis] Prepaid expenses Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Prepaid Expense and Other Assets Acclarent, Inc. Acclarent, Inc. [Member] Acclarent, Inc. Entity Voluntary Filers Entity Voluntary Filers Related Party Related Party [Member] Actuarial losses Defined Benefit Plan, Amortization of Gain (Loss) Statement of Financial Position Location, Balance [Axis] Statement of Financial Position Location, Balance [Axis] Hedging Designation [Domain] Hedging Designation [Domain] Interest expense Interest expense Interest Expense, Nonoperating Deferred income tax benefit Total deferred Deferred Income Tax Expense (Benefit) Payments for contingent considerations Payment for contingent consideration Payment for Contingent Consideration Liability, Financing Activities Less: Reclassification adjustments for gain (loss) included in net income Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, before Tax Settlements Defined Benefit Plan, Net Periodic Benefit Cost (Credit), Gain (Loss) Due to Settlement Tax benefit realized from stock options exercised Share-Based Payment Arrangement, Exercise of Option, Tax Benefit 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Discount rate Business Combination, Intangible Asset Acquired, Discount Rate Business Combination, Intangible Asset Acquired, Discount Rate Deferred Tax Asset, Valuation Allowance [Table] Deferred Tax Asset, Valuation Allowance [Table] 2027 Lessee, Operating Lease, Liability, to be Paid, Year Three Accumulated benefit obligation Defined Benefit Plan, Accumulated Benefit Obligation 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 Accounts payable, trade Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Accounts Payable Definite-lived intangible assets acquired, amount included in liabilities Definite-Lived Intangible Assets Acquired, Not Yet Paid Definite-Lived Intangible Assets Acquired, Not Yet Paid Recognition of revenue included in beginning of year contract liability Contract with Customer, Liability, Revenue Recognized 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] Document Transition Report Document Transition Report 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 Performance Stock and Contract Stock Awards Performance Stock and Contract Stock [Member] Performance Stock and Contract Stock [Member] Schedule of Uncertain Tax Benefits Reconciliation Schedule of Unrecognized Tax Benefits Roll Forward [Table Text Block] Fair Value, Recurring and Nonrecurring [Table] Fair Value, Recurring and Nonrecurring [Table] Current portion of lease liability - operating leases Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Current Liabilities, Lease Liability, Operating Leases Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Current Liabilities, Lease Liability, Operating Leases Taxes Collected from Customers Revenue, Transaction Price Measurement, Tax Exclusion [Policy Text Block] Entity Current Reporting Status Entity Current Reporting Status Retained Earnings Retained Earnings [Member] Asset Acquisition [Domain] Asset Acquisition [Domain] Lease incentive Lease Incentive Expense Lease Incentive Expense December 31, 2024 through September 30, 2025 Debt Covenant Period 2 [Member] Debt Covenant Period 2 [Member] Schedule of Revenues from External Customers and Long-Lived Assets [Table] Schedule of Revenues from External Customers and Long-Lived Assets [Table] Cash paid for amounts included in the measurement of lease liabilities: Cash Flow, Lessee [Abstract] Cash Flow, Lessee [Abstract] Restricted Stock Units (RSUs) Restricted Stock Units (RSUs) [Member] Increase (Decrease) in Stockholders' Equity [Roll Forward] Increase (Decrease) in Stockholders' Equity [Roll Forward] Executive Category: Executive Category [Axis] Purchases of short term investments Payments to Acquire Investments Schedule of Provision for Income Taxes Schedule of Components of Income Tax Expense (Benefit) [Table Text Block] 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 Less: Amounts reclassified from accumulated other comprehensive income, net Gain (loss) reclassified from AOCL Reclassification from AOCI, Current Period, Net of Tax, Attributable to Parent Balance, beginning of the year Balance, end of the year Restructuring Reserve Operating loss carryforwards, subject to expiration Deferred Tax Assets, Operating Loss Carryforwards, Subject to Expiration Senior Credit Facility Senior Credit Facility [Member] Senior Credit Facility. Statement of Income Location, Balance [Domain] Statement of Income Location, Balance [Domain] Change in unrealized loss/(gain) on derivatives, net of tax Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification and Tax, Parent Company Selected Measure Name Company Selected Measure Name