Overnight Federal Funds
Fed Funds Effective Rate Overnight Index Swap Rate [Member]
Proceeds from warrant transactions
Proceeds from Issuance of Warrants
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
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]
Acclarent Acquisition
Goodwill, Acquired During Period
Statistical Measurement [Domain]
Statistical Measurement [Domain]
Durepair Regeneration Matrix
Durepair Regeneration Matrix [Member]
Durepair Regeneration Matrix
Net proceeds from swaps designated as net investment hedges
Payments for (Proceeds from) Derivative Instrument, Investing Activities
Remaining amount under share repurchase
Share Repurchase Program, Remaining Authorized, Amount
Derivatives, Fair Value [Line Items]
Derivatives, Fair Value [Line Items]
Cover [Abstract]
Cover [Abstract]
Thereafter
Lessee, Operating Lease, Liability, to be Paid, after Year Five
Net decrease in cash and cash equivalents
Cash, Cash Equivalents, Restricted Cash, and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect
Directors
Director [Member]
Transferor's interests in transferred financial assets, 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]
Measurement Input, Discount Rate
Measurement Input, Discount Rate [Member]
Schedule of Operating Lease Maturities
Lessee, Operating Lease, Liability, to be Paid, Maturity [Table Text Block]
Supplemental Balance Sheet Information
Assets And Liabilities, Lessee [Table Text Block]
Assets And Liabilities, Lessee [Table Text Block]
Trading Symbol
Trading Symbol
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]
Total derivatives designated as hedges — Assets
Derivative Asset, Subject to Master Netting Arrangement, before Offset
Non-NEOs
Non-NEOs [Member]
Basic and Diluted Net Income (Loss) Per Share
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
Stock options exercisable, 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
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]
Trade accounts receivable, allowance
Accounts Receivable, Allowance for Credit Loss, Current
Initial conversion rate
Debt Instrument, Convertible, Conversion Ratio
Position [Axis]
Position [Axis]
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]
Accounts receivable
Increase (Decrease) in Accounts Receivable
Derivative [Table]
Derivative [Table]
Foreign currency swaps
Currency Swap [Member]
Reporting unit, measurement input
Reporting Unit, Measurement Input
Reporting Unit, Measurement Input
BASIS OF PRESENTATION
Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]
Tissue Technologies
Tissue Technologies [Member]
Orthopedics and Tissue Technologies [Member]
Non-Rule 10b5-1 Arrangement Adopted
Non-Rule 10b5-1 Arrangement Adopted [Flag]
Hedging Relationship [Domain]
Hedging Relationship [Domain]
Schedule of Fair Value and Presentation of Derivatives
Schedule of Derivative Instruments in Statement of Financial Position, Fair Value [Table Text Block]
Proceeds from exercised stock options
Proceeds from Stock Options Exercised
Award Timing Disclosures [Line Items]
Net Investment Hedges
Net Investment Hedging [Member]
Other Performance Measure, Amount
Other Performance Measure, Amount
Expected annual amortization expense, in 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]
Lease liability - operating leases
Non-current lease liabilities
Long-term lease liabilities
Operating Lease, Liability, Noncurrent
Employees
Employee [Member]
Employee [Member]
Loss (gain) on disposal of property and equipment
Gain (Loss) on Disposition of Property Plant Equipment, Excluding Oil and Gas Property and Timber Property
Cash Flow Hedges
Cash Flow Hedging [Member]
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
Revenue from Contract with Customer [Abstract]
Revenue from Contract with Customer [Abstract]
Contract liabilities
Short-term portion of contract liability
Contract with Customer, Liability, Current
United States
UNITED STATES
Operating Leased Assets [Line Items]
Operating Leased Assets [Line Items]
Service cost component
Defined Benefit Plan, Service Cost
Other assets
Other Assets, Noncurrent
Entity Tax Identification Number
Entity Tax Identification Number
Leases [Abstract]
Leases [Abstract]
Schedule of Long-term Debt Maximum Leverage Ratios
Schedule of Long-Term Debt Instruments [Table Text Block]
Operating Segments
Operating Segments [Member]
Income tax benefit from prior year income taxes
Effective Income Tax Rate Reconciliation, Prior Year Income Taxes, Amount
Net cash provided by operating activities
Net Cash Provided by (Used in) Operating Activities
Treasury Stock
Treasury Stock, Common [Member]
OPERATING ACTIVITIES:
Net Cash Provided by (Used in) Operating Activities [Abstract]
Schedule of Derivative Instruments
Schedule of Derivative Instruments [Table Text Block]
Schedule of Changes in Accumulated Other Comprehensive Loss by Component
Schedule of Accumulated Other Comprehensive Income (Loss) [Table Text Block]
Secured Debt
Secured Debt [Member]
Instruments
Instruments [Member]
Instruments [Member]
Prepaid Expenses
Prepaid Expense, Current
Equity Components [Axis]
Equity Components [Axis]
Other Current Assets
Other Assets, Current
Award Timing Method
Award Timing Method [Text Block]
Net periodic benefit costs
Defined Benefit Plan, Net Periodic Benefit Cost (Credit)
Rest of World
Rest Of World [Member]
Revenues from rest of the world.
Trading Arrangements, by Individual
Trading Arrangements, by Individual [Table]
Acquired Finite-Lived Intangible Assets [Line Items]
Acquired Finite-Lived Intangible Assets [Line Items]
Codman tradename
Trade Names [Member]
Entity Common Stock, Shares Outstanding (in shares)
Entity Common Stock, Shares Outstanding
Insider Trading Policies and Procedures [Line Items]
Total costs and expenses
Costs and Expenses
Business Acquisition, Acquiree [Domain]
Business Acquisition, Acquiree [Domain]
Adjustment to Compensation, Amount
Adjustment to Compensation Amount
Additional paid-in capital
Additional Paid in Capital, Common Stock
Interest payments, year one
Interest Payments, Year One
Interest Payments, Year One
Compensation Amount
Outstanding Recovery Compensation Amount
Diluted net (loss) income per share:
Earnings Per Share, Diluted [Abstract]
Aggregate Change in Present Value of Accumulated Benefit for All Pension Plans Reported in Summary Compensation Table
Aggregate Change in Present Value of Accumulated Benefit for All Pension Plans Reported in Summary Compensation Table [Member]
Schedule of Operating Leased Assets [Table]
Schedule of Operating Leased Assets [Table]
Smaller Reporting Company
Entity Small Business
Period for extended lease
Lessee, Operating Lease, Option to Extend
Company Selected Measure Amount
Company Selected Measure Amount
Geographical [Axis]
Geographical [Axis]
Payment of debt issuance costs
Payments of Debt Issuance Costs
Tabular List, Table
Tabular List [Table Text Block]
2029
Lessee, Operating Lease, Liability, to be Paid, Year Five
Fair Value, Inputs, Level 3
Fair Value, Inputs, Level 3 [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-Based Compensation Arrangement by Share-Based Payment Award [Line Items]
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]
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
Accrued expenses and other current liabilities
Accrued Liabilities, Current
Shares excluded from computation as their effect would be antidilutive (in shares)
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
Notional amount terminated
Derivative, Notional Amount, Terminated
Derivative, Notional Amount, Terminated
Operating lease expense
Operating Lease, Expense
Asset Acquisition [Axis]
Asset Acquisition [Axis]
Cross Currency Interest Rate Swap Two
Cross Currency Interest Rate Contract Two [Member]
Cross Currency Interest Rate Contract Two [Member]
Credit Facility [Domain]
Credit Facility [Domain]
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
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]
Third Parties
Third Parties [Member]
Third Parties [Member]
Total unrecognized compensation costs
Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Amount
Arkis
Arkis BioSciences Inc. [Member]
Arkis BioSciences Inc. [Member]
Current assets:
Assets, Current [Abstract]
Goodwill
Goodwill at beginning of period
Goodwill at end of period
Goodwill
Consolidation Items [Axis]
Consolidation Items [Axis]
Derma Sciences
Derma Sciences [Member]
Derma Sciences [Member]
Indefinite-lived Intangible Assets, Major Class Name [Domain]
Indefinite-Lived Intangible Assets, Major Class Name [Domain]
Cash taxes paid in net equity settlement
Payment, Tax Withholding, Share-Based Payment Arrangement
Stock repurchase program, authorized amount
Share Repurchase Program, Authorized, Amount
INVENTORIES
Inventory Disclosure [Text Block]
Treasury stock (in shares)
Balance, beginning of period, treasury stock (in shares)
Balance, beginning 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
Product and Service [Domain]
Product and Service [Domain]
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
Revenue Based Performance Milestones
Revenue Based Performance Milestones [Member]
Revenue Based Performance Milestones
Stock Options
Share-Based Payment Arrangement, Option [Member]
Foreign currency forward contract
Foreign Exchange Forward [Member]
Interest payments, year two
Interest Payments, Year Two
Interest Payments, Year Two
Goodwill [Roll Forward]
Goodwill [Roll Forward]
Estimated Fair Value
Fair Value Asset (Liability)
Derivative, Fair Value, Net
2025
Lessee, Operating Lease, Liability, to be Paid, Year One
Comprehensive income (See Note 14)
Comprehensive (loss) income, net
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Preferred stock, outstanding shares (in shares)
Preferred Stock, Shares Outstanding
Security Exchange Name
Security Exchange Name
Interest rates available
Debt Instrument, Basis Spread on Variable Rate
Award Type [Axis]
Award Type [Axis]
Indefinite-lived intangible assets, measurement input
Indefinite-Lived Intangible Assets, Measurement Input
Intangible Assets, Indefinite-Lived, Measurement Input
Basic net (loss) income per share:
Earnings Per Share, Basic [Abstract]
Foreign currency translation
Goodwill, Foreign Currency Translation Gain (Loss)
Current assets:
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets [Abstract]
Write off of debt issuance costs
Deferred Debt Issuance Cost, Writeoff
Lease Contractual Term [Domain]
Lease Contractual Term [Domain]
Work in process
Inventory, Work in Process, Net of Reserves
Property, plant and equipment, net
Property, Plant and Equipment, Net
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]
Total liabilities
Liabilities
Convertible Debt
Convertible Debt [Member]
Common stock, par value (in dollars per share)
Common Stock, Par or Stated Value Per Share
Forgone Recovery, Explanation of Impracticability
Forgone Recovery, Explanation of Impracticability [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]
Estimated Useful Life
Estimated useful life
Acquired Finite-Lived Intangible Assets, Weighted Average Useful Life
Revolving Credit Facility
Revolving Credit Facility [Member]
Expiration Date
Trading Arrangement Expiration Date
INVESTING ACTIVITIES:
Net Cash Provided by (Used in) Investing Activities [Abstract]
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets Disclosure [Abstract]
Transferred to trade receivable from contract asset included in beginning of the year contract asset
Contract with Customer, Asset, Reclassified to Receivable
Current portion of lease liability - operating leases
Current lease liabilities
Less: Current lease liabilities
Operating Lease, Liability, Current
Total Shareholder Return Amount
Total Shareholder Return Amount
Common stock, issued shares (in shares)
Common Stock, Shares, Issued
Other assets
Other Assets [Member]
Equity Awards Adjustments, Footnote
Equity Awards Adjustments, Footnote [Text Block]
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
Insider Trading Policies and Procedures Adopted
Insider Trading Policies and Procedures Adopted [Flag]
Long-term borrowings under senior credit facility
Secured Long-Term Debt, Noncurrent
Gain (loss) recorded in AOCI, change in fair value
Amount of Gain (Loss) Recognized in AOCI
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification and Tax
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Named Executive Officers, Footnote
Named Executive Officers, Footnote [Text Block]
Europe
Europe [Member]
Common stock, authorized shares (in shares)
Common Stock, Shares Authorized
Interest rate adjustment
Debt Instrument, Basis Spread Adjustment On Variable Rate
Debt Instrument, Basis Spread Adjustment On Variable Rate
Product warranty period (up to)
Revenue, Product Warranty Period
Revenue, Product Warranty Period
Cash (paid) for business acquisitions, net of cash acquired
Payments to Acquire Businesses, Net of Cash Acquired
Interest payments, year four
Interest Payments, Year Four
Interest Payments, Year Four
Basis of Presentation
Basis of Accounting, Policy [Policy Text Block]
Diluted (in shares)
Weighted average common shares for diluted earnings per share (in shares)
Weighted Average Number of Shares Outstanding, Diluted
Interest Rate Swap Designated March 31, 2023
Interest Rate Swap Designated March 31, 2023 [Member]
Interest Rate Swap Designated March 31, 2023
Directors and Certain Executive Officers
Directors and Certain Executive Officers [Member]
Directors and Certain Executive Officers [Member]
Other income, net
Other Nonoperating Income (Expense) [Member]
MNPI Disclosure Timed for Compensation Value
MNPI Disclosure Timed for Compensation Value [Flag]
Expected annual amortization expense, remainder of 2024
Finite-Lived Intangible Asset, Expected Amortization, Remainder of Fiscal Year
Derivative Instruments, Gain (Loss) [Roll Forward]
Accumulated Other Comprehensive Income (Loss) [Roll Forward]
AOCI Attributable to Parent, Net of Tax [Roll Forward]
Long-term Debt, Type [Axis]
Long-Term Debt, Type [Axis]
Total stockholders’ equity
Balance, beginning of period
Balance, end of period
Equity, Attributable to Parent
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.
Related Party
Related Party [Member]
Option to extend lease, years
Lessee, Operating Lease, Renewal Term
Balance Sheet Location [Axis]
Statement of Financial Position Location, Balance [Axis]
Hedging Designation [Domain]
Hedging Designation [Domain]
Interest expense
Interest Expense, Nonoperating
Deferred income tax (benefit) provision
Deferred Income Tax Expense (Benefit)
Schedule of Changes in Carrying Amount of Goodwill
Schedule of Goodwill [Table Text Block]
Payments for Contingent Consideration
Payment for contingent consideration
Payment for Contingent Consideration Liability, Financing Activities
Letters of credit outstanding
Letters of Credit Outstanding, Amount
Selling, general and administrative
Selling, General and Administrative Expense
Other comprehensive income (loss), net of tax
Net current-period other comprehensive gain (loss)
Other Comprehensive Income (Loss), Net of Tax, Portion Attributable to Parent
Trade accounts receivable, net of allowances of $7,423 and $4,879
Accounts Receivable, after Allowance for Credit Loss, Current
Initial conversion price (in dollars per share)
Debt Instrument, Convertible, Conversion Price
Cost of Sales
Cost of Sales [Member]
Asset impairment charges
Asset Impairment Charges
Plainsboro, New Jersey Manufacturing Facility
Plainsboro, New Jersey Manufacturing Facility [Member]
Plainsboro, New Jersey Manufacturing Facility
Total long-term debt
Long-Term Debt
Pension Adjustments Prior Service Cost
Pension Adjustments Prior Service Cost [Member]
Document Fiscal Period Focus
Document Fiscal Period Focus
Estimated fair value of plan assets
Defined Benefit Plan, Plan Assets, Amount
All Executive Categories
All Executive Categories [Member]
Stock options and restricted stock (in shares)
Incremental Common Shares Attributable to Dilutive Effect of Share-Based Payment Arrangements
Balance Sheet Location [Domain]
Statement of Financial Position Location, Balance [Domain]
Expected annual amortization expense, in 2026
Finite-Lived Intangible Asset, Expected Amortization, Year Two
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
Changed Peer Group, Footnote
Changed Peer Group, Footnote [Text Block]
ACQUISITIONS AND DIVESTITURES
Mergers, Acquisitions and Dispositions Disclosures [Text Block]
ASSETS
Assets [Abstract]
Document Type
Document Type
Derivative Contract [Domain]
Derivative, Name [Domain]
Derivative Contract [Domain]
Line of credit, commitment fee percentage
Line of Credit Facility, Commitment Fee Percentage
Gain (loss) reclassified into other income
Gain (Loss) on Derivative Instruments, Net, Pretax
Pension Benefits Adjustments, Footnote
Pension Benefits Adjustments, Footnote [Text Block]
Schedule of Net Sales and Profit by Segments
Schedule of Geographic Revenue by Area
Schedule of Segment Reporting Information, by Segment [Table Text Block]
Total Shareholder Return Vs Peer Group
Total Shareholder Return Vs Peer Group [Text Block]
Treasury stock, average cost per share (in dollars per share)
Shares Acquired, Average Cost Per Share
Raw materials
Inventory, Raw Materials and Purchased Parts, Net of Reserves
Development Milestones
Milestone Payment One [Member]
Milestone Payment One [Member]
Deferred compensation plan, fair value of assets
Deferred Compensation Plan Assets
Schedule of Changes in Contract Assets and Contract Liabilities
Contract with Customer, Contract Asset, Contract Liability, and Receivable [Table Text Block]
Number of contingent liabilities remaining
Business Combination, Contingent Consideration, Number Of Liabilities
Business Combination, Contingent Consideration, Number Of Liabilities
Maximum
Maximum [Member]
Intangible asset amortization
Amortization
Amortization of Intangible Assets
Contract liability, beginning of period
Contract liability, end of period
Contract with Customer, Liability
Equity Valuation Assumption Difference, Footnote
Equity Valuation Assumption Difference, Footnote [Text Block]
Long-term borrowings under securitization facility
Secured Long-Term Debt, Securitization Program, Noncurrent
Secured Long-Term Debt, Securitization Program, Noncurrent
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table]
Current Fiscal Year End Date
Current Fiscal Year End Date
Less: Imputed interest
Lessee, Operating Lease, Liability, Undiscounted Excess Amount
Short-term investments
Short-Term Investments
Statistical Measurement [Axis]
Statistical Measurement [Axis]
PEO Name
PEO Name
Non-Rule 10b5-1 Arrangement Terminated
Non-Rule 10b5-1 Arrangement Terminated [Flag]
Non-PEO NEO Average Total Compensation Amount
Non-PEO NEO Average Total Compensation Amount
Award Type [Domain]
Award Type [Domain]
Name
Outstanding Recovery, Individual Name
Cash
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Cash and Equivalents
Disaggregation of Revenue [Line Items]
Disaggregation of Revenue [Line Items]
Issuance of common stock for vesting of share based awards, net of shares withheld for taxes and forfeitures (in shares)
Shares Issued, Shares, Share-Based Payment Arrangement, after Forfeiture
Proceeds from borrowings of long-term indebtedness
Proceeds from Issuance of Secured Debt
Impairment of goodwill
Goodwill, Impairment Loss
Compensation Actually Paid vs. Company Selected Measure
Compensation Actually Paid vs. Company Selected Measure [Text Block]
Net assets acquired
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net
Deferred tax assets, net
Deferred Income Tax Assets, Net
Non-PEO NEO
Non-PEO NEO [Member]
Title of Individual [Axis]
Title and Position [Axis]
Weighted Average Life
Finite-Lived Intangible Asset, Useful Life
Interest payments, year three
Interest Payments, Year Three
Interest Payments, Year Three
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
Loss on settlement of derivative
Gain (Loss) On Settlement Of Derivative
Gain (Loss) On Settlement Of Derivative
Other comprehensive gain (loss)
OCI, before Reclassifications, Net of Tax, Attributable to Parent
Neurosurgery
Neurosurgery [Member]
Neurosurgery [Member]
Additional Paid-In Capital
Additional Paid-in Capital [Member]
Hedging Relationship [Axis]
Hedging Relationship [Axis]
Award Timing Predetermined
Award Timing Predetermined [Flag]
Subsequent Event Type [Domain]
Subsequent Event Type [Domain]
RETIREMENT PLANS
Retirement Benefits [Text Block]
Class of Stock [Line Items]
Class of Stock [Line Items]
Redemption price, percentage
Debt Instrument, Redemption Price, Percentage
Deferred tax liabilities
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Liabilities
Customer relationships
Customer Relationships
Customer Relationships [Member]
Recent Accounting Pronouncements
New Accounting Pronouncements, Policy [Policy Text Block]
Current liabilities:
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities [Abstract]
Forecast
Forecast [Member]
Diluted (in dollars per share)
Diluted net (loss) income per common share (in dollars per share)
Earnings Per Share, Diluted
Title of Individual [Domain]
Title and Position [Domain]
Finite-Lived Intangible Assets by Major Class [Axis]
Finite-Lived Intangible Assets by Major Class [Axis]
Counterparty Name [Domain]
Counterparty Name [Domain]
Accumulated Amortization
Finite-Lived Intangible Assets, Accumulated Amortization
Summary of Accounting Policies on Revenue Recognition and Shipping and Handling Fees
Revenue from Contract with Customer [Policy Text Block]
Name
Measure Name
Entity Interactive Data Current
Entity Interactive Data Current
Contract liabilities
Increase (Decrease) in Contract with Customer, Liability
Restatement does not require Recovery
Restatement Does Not Require Recovery [Text Block]
Accelerated share repurchases, additional shares received (in shares)
Accelerated Share Repurchases, Additional Shares Received
Accelerated Share Repurchases, Additional Shares Received
Supplier relationships
Supplier Relation Ships [Member]
Supplier Relation Ships [Member]
Retirement Benefits [Abstract]
Retirement Benefits [Abstract]
Disaggregation of Revenue [Table]
Disaggregation of Revenue [Table]
Statement of Financial Position [Abstract]
Statement of Financial Position [Abstract]
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
Share-based compensation
Share-Based Payment Arrangement, Noncash Expense
Contingent Consideration Type [Domain]
Contingent Consideration Type [Domain]
Defined Benefit Pension Items
Accumulated Defined Benefit Plans Adjustment Attributable to Parent [Member]
Payments on debt
Repayments of Secured Debt
Inventories, net
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Inventory
Derivative instruments not designated as hedging instruments, gain (loss), net
Derivative Instruments Not Designated as Hedging Instruments, Gain (Loss), Net
(Benefit) provision for income taxes
Income Tax Expense (Benefit)
Convertible notes, interest rate
Debt Instrument, Interest Rate, Stated Percentage
Wound Reconstruction and Care
Regenerative Skin And Wound [Member]
Regenerative Skin And Wound [Member]
Notional Amount
Current notional amount
Aggregate Notional Amount
Derivative, Notional Amount
Corporate and other
Segment Reporting, Reconciling Item, Corporate Nonsegment [Member]
Weighted-average period for cost recognition
Share-Based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition
Total revenue, net
Total Revenues
Revenue from Contract with Customer, Excluding Assessed Tax
Effect of Derivative Instruments Designated as Cash Flow Hedges on Statements of Operations
Derivative Instruments, Gain (Loss) [Table Text Block]
Cross Currency Interest Rate Swap One
Cross Currency Interest Rate Contract One [Member]
Cross Currency Interest Rate Contract One [Member]
Other non-current liabilities
Increase (Decrease) in Other Noncurrent Liabilities
Reported tax rate
Effective income tax rate
Effective Income Tax Rate Reconciliation, Percent
Deferred tax assets
Business Combination Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Assets
Net cash used in investing activities
Net Cash Provided by (Used in) Investing Activities
Operating (loss) income
Operating income
Operating Income (Loss)
Variable Rate [Domain]
Variable Rate [Domain]
Business Acquisition [Line Items]
Business Acquisition [Line Items]
Research and development
Research and Development Expense (Excluding Acquired in Process Cost)
Number of reportable segments
Number of Reportable Segments
Total liabilities and stockholders’ equity
Liabilities and Equity
Related Parties
Related Parties [Member]
Related Parties [Member]
Rule 10b5-1 Arrangement Terminated
Rule 10b5-1 Arrangement Terminated [Flag]
All Adjustments to Compensation
All Adjustments to Compensation [Member]
Fair Value Hierarchy and NAV [Axis]
Fair Value Hierarchy and NAV [Axis]
Accrued compensation
Employee-related Liabilities, Current
Prepaid expenses and other current assets
Increase (Decrease) in Prepaid Expense and Other Assets
Hedging Designation [Axis]
Hedging Designation [Axis]
Operating lease, impairment loss
Operating Lease, Impairment Loss
DERIVATIVE INSTRUMENTS
Derivative Instruments and Hedging Activities Disclosure [Text Block]
Derivative Instruments, Gain (Loss) by Hedging Relationship, by Income Statement Location, by Derivative Instrument Risk [Table]
Derivative Instruments, Gain (Loss) [Table]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies Disclosure [Abstract]
Interest income
Investment Income, Interest
Finite-Lived Intangible Assets, Major Class Name [Domain]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Schedule of Contractual Repayments of Long-Term Debt
Schedule of Maturities of Long-Term Debt [Table Text Block]
Operating leases
Right-of-Use Asset Obtained in Exchange for Operating Lease Liability
Underlying Security Market Price Change
Underlying Security Market Price Change, Percent
Measurement Input Type [Axis]
Measurement Input Type [Axis]
Scenario [Domain]
Scenario [Domain]
Individual:
Individual [Axis]
Contract Asset
Change In Contract With Customer, Asset [Roll Forward]
Change In Contract With Customer, Asset [Roll Forward]
Accumulated Other Comprehensive Loss
Total
AOCI Attributable to Parent [Member]
Performance obligations expected to be satisfied, expected timing
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Period
Gains and Losses on Derivatives
Accumulated Gain (Loss), Net, Cash Flow Hedge, Parent [Member]
Inventories, net
Inventories, net
Inventory, Net
Long-term Debt, Type [Domain]
Long-Term Debt, Type [Domain]
Product and Service [Axis]
Product and Service [Axis]
Entity State
Entity Address, State or Province
Statement [Line Items]
Statement [Line Items]
Measurement Input Type [Domain]
Measurement Input Type [Domain]
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Commercial Sales Milestones
Milestone Payment Two [Member]
Milestone Payment Two [Member]
Erroneous Compensation Analysis
Erroneous Compensation Analysis [Text Block]
Accounts payable, trade
Accounts Payable, Trade, Current
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
Compensation Actually Paid vs. Total Shareholder Return
Compensation Actually Paid vs. Total Shareholder Return [Text Block]
Purchase price of business combination
Purchase price of business acquisition
Business Combination, Consideration Transferred
LIABILITIES AND STOCKHOLDERS’ EQUITY
Liabilities and Equity [Abstract]
Annual rate of lease agreement
Annual Rate Of Lease Agreement
Annual rate of lease agreement.
Balance, Beginning of Period
Balance, End of Period
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability Value
Asia Pacific
Asia Pacific [Member]
Fixed Interest Rate
Fixed Rate
Derivative, Fixed Interest Rate
Minimum
Minimum [Member]
Restatement Determination Date
Restatement Determination Date
Adoption Date
Trading Arrangement Adoption Date
Pay vs Performance Disclosure
Pay vs Performance Disclosure [Table]
Long-term portion of contract liability
Contract with Customer, Liability, Noncurrent
Right of use asset - operating leases
ROU assets
Operating Lease, Right-of-Use Asset
Erroneously Awarded Compensation Recovery
Erroneously Awarded Compensation Recovery [Table]
Derivative Instruments, Gain (Loss) [Line Items]
Derivative Instruments, Gain (Loss) [Line Items]
Final working capital adjustment
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Consideration Transferred
Segments [Axis]
Segments [Axis]
Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year
Change in Fair Value as of Vesting Date of Prior Year Equity Awards Vested in Covered Year [Member]
Derivative Instrument [Axis]
Derivative, by Nature [Axis]
Derivative Instrument [Axis]
Other Income
Other Income [Member]
Exercise Price
Award Exercise Price
Lease Contractual Term [Axis]
Lease Contractual Term [Axis]
NET INCOME PER SHARE
Earnings Per Share [Text Block]
Arrangement Duration
Trading Arrangement Duration
Schedule of Comprehensive Income (Loss)
Comprehensive Income (Loss) [Table Text Block]
Issuance of common stock through employee stock purchase plan
Stock Issued During Period, Value, Employee Stock Purchase Plan
Subsequent Event
Subsequent Event [Member]
Costs and expenses:
Costs and Expenses [Abstract]
GOODWILL AND OTHER INTANGIBLE ASSETS
Goodwill and Intangible Assets Disclosure [Text Block]
Product Warranties
Extended Product Warranty, Policy [Policy Text Block]
Stockholders’ equity:
Equity, Attributable to Parent [Abstract]
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
Debt instrument, securitization facility, agreement term (in years)
Debt Instrument, Securitization Facility, Agreement Term
Debt Instrument, Securitization Facility, Agreement Term
Peer Group Issuers, Footnote
Peer Group Issuers, Footnote [Text Block]
Interest Rate Swap Designated December 13, 2017 Tranche 2
Interest Rate Swap Designated December 13, 2017 Tranche 2 [Member]
Interest Rate Swap Designated December 13, 2017 Tranche 2
Swingline Loans
Swingline Loan [Member]
Swingline Loan [Member]
Segments [Domain]
Segments [Domain]
Segment Profit
Segment Reporting Information, Profit (Loss) [Abstract]
Material Terms of Trading Arrangement
Material Terms of Trading Arrangement [Text Block]
Share repurchase program, excise tax
Share Repurchase Program, Excise Tax
Contingent consideration
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Contingent Liability
Expected annual amortization expense, in 2028
Finite-Lived Intangible Asset, Expected Amortization, Year Four
All Individuals
All Individuals [Member]
Depreciation and amortization
Other Depreciation and Amortization
Trademarks and Trade Names
Trademarks and Trade Names [Member]
Leased facilities
Building [Member]
Reporting Unit [Axis]
Reporting Unit [Axis]
PEO
PEO [Member]
2025 Notes
Two Thousand Twenty Five Senior Convertible Notes [Member]
Two Thousand Twenty Five Senior Convertible Notes [Member]
Variable Rate [Axis]
Variable Rate [Axis]
Income Tax Disclosure [Abstract]
Income Tax Disclosure [Abstract]
Cross Currency Interest Rate Swap Three
Cross Currency Interest Rate Contract Three [Member]
Cross Currency Interest Rate Contract Three [Member]
Fair value
Debt Instrument, Fair Value Disclosure
Name
Trading Arrangement, Individual Name
Other income, net
Other Nonoperating Income (Expense)
Statement of Stockholders' Equity [Abstract]
Statement of Stockholders' Equity [Abstract]
Intangible assets, net
Intangible Assets, Net (Excluding Goodwill)
Accelerated share repurchases, shares received at inception (in shares)
Accelerated Share Repurchases, Shares Received at Inception
Accelerated Share Repurchases, Shares Received at Inception
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table]
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table]
Interest Rate Swap 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]
Long-Lived Tangible Asset [Axis]
Long-Lived Tangible Asset [Axis]
Treasury stock, at cost; 14,454 shares and 12,751 shares at September 30, 2024 and December 31, 2023, respectively
Treasury stock
Treasury Stock, Common, Value
Remainder of 2024
Long-Term Debt, Maturity, Remainder of Fiscal Year
Term Loan Facility
Term Loan Facility [Member]
Term Loan Facility [Member]
Call Option
Call Option [Member]
Notional amount settled
Derivative, Notional Amount, Settled
Derivative, Notional Amount, Settled
Awards Close in Time to MNPI Disclosures, Table
Awards Close in Time to MNPI Disclosures [Table Text Block]
Cost, amortization
Cost, Amortization
Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year
Prior Year End Fair Value of Equity Awards Granted in Any Prior Year that Fail to Meet Applicable Vesting Conditions During Covered Year [Member]
Related Party [Domain]
Related and Nonrelated Parties [Domain]
Fair value in excess of carrying amount, percent
Reporting Unit, Percentage of Fair Value in Excess of Carrying Amount
Aggregate Erroneous Compensation Amount
Aggregate Erroneous Compensation Amount
Segment Net Sales
Segment Reporting Information, Operating Income (Loss) [Abstract]
Recognition of revenue included in beginning of year contract liability
Contract With Customer, Liability, Net Of Revenue Recognized
Contract With Customer, Liability, Net Of Revenue Recognized
Local Phone Number
Local Phone Number
Accelerated share repurchase program, receipt (payment)
Accelerated Share Repurchases, Settlement (Payment) or Receipt
Cross Currency Interest Rate Swap Four
Cross Currency Interest Rate Contract Four [Member]
Cross Currency Interest Rate Contract Four
Prepaid expenses and other current assets
Prepaid Expenses and Other Current Assets [Member]
Liability Class [Axis]
Liability Class [Axis]
Aggregate Erroneous Compensation Not Yet Determined
Aggregate Erroneous Compensation Not Yet Determined [Text Block]
Total liabilities assumed
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities
Performance Stock and Restricted Stock Awards
Performance Stock And Restricted Stock Awards [Member]
Performance Stock And Restricted Stock Awards [Member]
Deferred tax liabilities
Deferred Income Tax Liabilities, Net
Interest expense
Interest Expense [Member]
Valuation Approach and Technique [Axis]
Valuation Approach and Technique [Axis]
Accelerated shares repurchased (shares)
Stock Repurchased During Period, Shares
Requisite service periods of awards
Share-Based Compensation Arrangement by Share-Based Payment Award, Award Requisite Service Period
Other non-current assets
Increase (Decrease) in Other Operating Assets
Changes in assets and liabilities:
Increase (Decrease) in Operating Capital [Abstract]
Secured Overnight Financing Rate (SOFR)
Secured Overnight Financing Rate (SOFR) [Member]
PEO Total Compensation Amount
PEO Total Compensation Amount
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]
Interest income
Interest Income [Member]
Intangible assets, net
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles
Total derivatives designated as hedges — Liabilities
Derivative Liability, Subject to Master Netting Arrangement, before Offset
Codman Specialty Surgical
Codman Specialty Surgical
Codman Specialty Surgical [Member]
Codman Specialty Surgical [Member]
2023 Share Repurchase Program
2023 Share Repurchase Program [Member]
2023 Share Repurchase Program
Long-Lived Tangible Asset [Domain]
Long-Lived Tangible Asset [Domain]
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
Income Statement Location [Axis]
Statement of Income Location, Balance [Axis]
Non-cash lease expense
Noncash Lease Expense
Noncash Lease Expense
Share Repurchase Program [Domain]
Share Repurchase Program [Domain]
Cost
Cost Of Definite And Indefinite Lived Intangible Assets Gross Excluding Goodwill
Cost Of Definite And Indefinite Lived Intangible Assets Gross Excluding Goodwill.
Cash and cash equivalents
Cash and Cash Equivalents, Policy [Policy Text Block]
Unusual or Infrequent Item, or Both [Axis]
Unusual or Infrequent Item, or Both [Axis]
Non-cash impairment charges
Impairment of Intangible Assets, Finite-Lived
COMMITMENTS AND CONTINGENCIES
Commitments and Contingencies Disclosure [Text Block]
Expected annual amortization expense, thereafter
Finite-Lived Intangible Asset, Expected Amortization, after Year Five
Debt Disclosure [Abstract]
Debt Disclosure [Abstract]
ROU assets obtained in exchange for lease liabilities, net of modifications:
Right Of Use Asset Obtained In Exchange For Lease Liability [Abstract]
Right Of Use Asset Obtained In Exchange For Lease Liability [Abstract]
Impairment, long-lived asset, held-for-use
Impairment, Long-Lived Asset, Held-for-Use
Common Stock
Common Stock [Member]
Measure:
Measure [Axis]
Issuance of common stock for vesting of share based awards, net of shares withheld for taxes and forfeitures
Shares Issued, Value, Share-Based Payment Arrangement, after Forfeiture
Preferred stock, authorized shares (in shares)
Preferred Stock, Shares Authorized
Forgone Recovery due to Expense of Enforcement, Amount
Forgone Recovery due to Expense of Enforcement, Amount
Other current assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Other
Schedule of Business Acquisitions, by Acquisition [Table]
Schedule of Business Acquisitions, by Acquisition [Table]
Schedule of Contingent Consideration
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]
Accelerated share repurchases, percentage of expected total repurchased
Accelerated Share Repurchases, Percentage Of Expected Total Repurchased
Accelerated Share Repurchases, Percentage Of Expected Total Repurchased
Grants in period, net of forfeitures (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Options, Grants in Period, Net of Forfeitures
Emerging Growth Company
Entity Emerging Growth Company
Indefinite-lived Intangible Assets [Axis]
Indefinite-Lived Intangible Assets [Axis]
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
Accelerated stock based compensation expenses
Share-Based Payment Arrangement, Accelerated Cost
Segment Reporting [Abstract]
Segment Reporting [Abstract]
Weighted average interest rate, accounts receivable securitization revolving loan facility
Debt, Weighted Average Interest Rate, From Securitization
Debt, Weighted Average Interest Rate, From Securitization
Entity Central Index Key
Entity Central Index Key
Short
Short [Member]
Completed Technology, Surgimend
Completed Technology, SurgiMend [Member]
Completed Technology, SurgiMend
Scenario [Axis]
Scenario [Axis]
Schedule of Inventories, Net
Schedule of Inventory, Current [Table Text Block]
Lessee, Lease, Description [Table]
Lessee, Lease, Description [Table]
Non-GAAP Measure Description
Non-GAAP Measure Description [Text Block]
Foreign Currency Items
Accumulated Foreign Currency Adjustment Attributable to Parent [Member]
Non-PEO NEO Average Compensation Actually Paid Amount
Non-PEO NEO Average Compensation Actually Paid Amount
Minimum settled in cash per principal amount
Debt Instrument, Combination Settlement For Debt Conversion, Minimum Settled In Cash Per Principal Amount
Debt 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]
Equity Component [Domain]
Equity Component [Domain]
Preferred stock, par value (in dollars per share)
Preferred Stock, Par or Stated Value Per Share
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
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Gain (Loss) Included in Earnings
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
Additional 402(v) Disclosure
Additional 402(v) Disclosure [Text Block]
Share-based compensation
APIC, Share-Based Payment Arrangement, Increase for Cost Recognition
Change in fair value of contingent consideration and others
Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability
Restricted Stock
Restricted Stock [Member]
Entity Shell Company
Entity Shell Company
Entity Incorporation, State or Country Code
Entity Incorporation, State or Country Code
Title
Trading Arrangement, Individual Title
Standby Letters of Credit
Standby Letters of Credit [Member]
Completed Technology, PriMatrix
Completed Technology, PriMatrix [Member]
Completed Technology, PriMatrix
Statement [Table]
Statement [Table]
Counterparty Name [Axis]
Counterparty Name [Axis]
Operating Activities [Domain]
Consolidation Items [Domain]
Position [Domain]
Position [Domain]
Reporting unit, fair value increase (decrease), percent
Goodwill Impairment, Sensitivity Analysis, Reporting Unit, Fair Value Increase (Decrease), Percent
Goodwill Impairment, Sensitivity Analysis, Reporting Unit, Fair Value Increase (Decrease), Percent
City Area Code
City Area Code
Current liabilities:
Liabilities, Current [Abstract]
Maximum average conversion value of notes
Debt Instrument, Maximum Average Conversion Value Of Notes
Debt Instrument, Maximum Average Conversion Value Of Notes
Derivatives Not Designated as Hedging Instruments
Derivatives Not Designated as Hedging Instruments [Table Text Block]
Contingent consideration, estimated fair value
Business Combination, Contingent Consideration, Liability
Trademarks/brand names
Trademarks Brand Names [Member]
Trademarks Brand Names.
Option Indexed to Issuer's Equity, Type [Domain]
Option Indexed to Issuer's Equity, Type [Domain]
Insider Trading Policies and Procedures Not Adopted
Insider Trading Policies and Procedures Not Adopted [Text Block]
Total current assets
Assets, Current
Statement of Cash Flows [Abstract]
Statement of Cash Flows [Abstract]
Current portion of borrowings under senior credit facility
Term loan component of senior credit facility
Secured Debt, Current
Completed technology
Completed Technology [Member]
Completed technology.
BioD Earnout Payments and Medihoney Earnout Payments
BioD Earnout Payments and Medihoney Earnout Payments [Member]
BioD Earnout Payments and Medihoney Earnout Payments [Member]
Purchases of treasury stock
Payments for Repurchase of Common Stock
2027
Long-Term Debt, Maturity, Year Three
Revenue of acquiree since acquisition date
Business Combination, Pro Forma Information, Revenue of Acquiree since Acquisition Date, Actual
Schedule of Long-term Debt Instruments [Table]
Schedule of Long-Term Debt Instruments [Table]
Schedule of Segment Reporting Information, by Segment [Table]
Schedule of Segment Reporting Information, by Segment [Table]
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
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
Accumulated Other Comprehensive Income (Loss) [Table]
Accumulated Other Comprehensive Income (Loss) [Table]
Other Intangible Assets
Other Intangible Assets [Member]
Subsequent Event Type [Axis]
Subsequent Event Type [Axis]
Expected performance obligation, percentage
Revenue, Remaining Performance Obligation, Percentage
INCOME TAXES
Income Tax Disclosure [Text Block]
2028
Lessee, Operating Lease, Liability, to be Paid, Year Four
Net (loss) income per share
Earnings Per Share [Abstract]
Earnings Per Share [Abstract]
Equity [Abstract]
Equity [Abstract]
Total current assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets
Retained earnings
Retained Earnings (Accumulated Deficit)
Long
Long [Member]
Contract liabilities
Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Contract With Customer, Liability, Current
Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Contract With Customer, Liability, Current
Codman
Codman [Member]
Codman [Member]
ACell, Inc.
ACell, Inc. [Member]
ACell, Inc.
Inventories
Increase (Decrease) in Inventories
Interest payments, remainder of fiscal year
Interest Payments, Reminder Of Fiscal Year
Interest Payments, Reminder Of Fiscal Year
Valuation Technique, Discounted Cash Flow
Valuation Technique, Discounted Cash Flow [Member]
Incremental financing costs capitalized
Debt Issuance Costs, Gross
Other Long-term Liabilities
Other Noncurrent Liabilities [Member]
2026
Long-Term Debt, Maturity, Year Two
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Organization, Consolidation and Presentation of Financial Statements [Abstract]
Aggregate Available
Trading Arrangement, Securities Aggregate Available Amount
Equity Awards Adjustments
Equity Awards Adjustments [Member]
Weighted average discount rate
Operating Lease, Weighted Average Discount Rate, Percent
Total lease liabilities
Total lease liabilities
Operating Lease, Liability
Transferor's interests in transferred financial assets, issuance costs
Transferor's Interests In Transferred Financial Assets, Issuance Costs
Transferor's Interests In Transferred Financial Assets, Issuance Costs
Net cash provided by (used in) financing activities
Net Cash Provided by (Used in) Financing Activities
Underlying Securities
Award Underlying Securities Amount
Performance Stock
Performance Shares [Member]
Credit Facility [Axis]
Credit Facility [Axis]
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]
Entity Registrant Name
Entity Registrant Name
Trade accounts receivable, net
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Receivables
Adjustment to Non-PEO NEO Compensation Footnote
Adjustment to Non-PEO NEO Compensation Footnote [Text Block]
Stock Appreciation Rights (SARs)
Stock Appreciation Rights (SARs) [Member]
Unusual or Infrequent Item, or Both [Domain]
Unusual or Infrequent Item, or Both [Domain]
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Table]
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Table]
Foreign currency translation adjustment
Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, Net of Tax, Portion Attributable to Parent
Cost of call transactions
Payments For Option Index To Issuers Equity
Payments For Options Indexed to Issuer's Equity
Convertible securities
Convertible Debt, Current
Fair Value as of Grant Date
Award Grant Date Fair Value
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
Leased vehicles
Vehicles [Member]
Debt issuance costs capitalized
Debt Issuance Costs, Net
Fair Value, Inputs, Level 2
Fair Value, Inputs, Level 2 [Member]
DEBT
Debt Disclosure [Text Block]
Fair Value Hierarchy and NAV [Domain]
Fair Value Hierarchy and NAV [Domain]
Geographical [Domain]
Geographical [Domain]
Schedule of Indefinite-Lived Intangible Assets
Schedule of Indefinite-Lived Intangible Assets [Table Text Block]
Recovery of Erroneously Awarded Compensation Disclosure [Line Items]
Convertible notes, maximum borrowing capacity
Debt Instrument, Face Amount
Supplemental Cash Flow Information
Cash Flow, Lessee [Table Text Block]
Cash Flow, Lessee [Table Text Block]
Schedule of Disaggregation of Revenue
Disaggregation of Revenue [Table Text Block]
Payment
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Settlements
Securitization facility, outstanding borrowings, fair value
Securitization Facility, Fair Value Of Amount Outstanding
Securitization Facility, Fair Value Of Amount Outstanding
Entity Postal Zip Code
Entity Address, Postal Zip Code
Number of contingent liabilities
Business Acquisition, Number Of Contingent Liabilities
Business Acquisition, Number Of Contingent Liabilities
Interest Rate Swap
Interest rate swap
Interest Rate Swap [Member]
Restatement Determination Date:
Restatement Determination Date [Axis]
Title of 12(b) Security
Title of 12(b) Security
Common stock; $0.01 par value; 240,000 authorized shares; 91,588 and 90,920 issued at September 30, 2024 and December 31, 2023, respectively
Common Stock, Value, Issued
Contract liability, acquired with Acclarent
Contract with Customer, Liability, Increase (Decrease) for Contract Acquired in Business Combination
Share-based Payment Arrangement [Abstract]
Share-Based Payment Arrangement [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)
Option Indexed to Issuer's Equity [Axis]
Option Indexed to Issuer's Equity [Axis]
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]
2028
Long-Term Debt, Maturity, after Year Three
Long-Term Debt, Maturity, after Year Three
Other Current Liabilities
Other Current Liabilities [Member]
Fair Value by Liability Class [Domain]
Fair Value by Liability Class [Domain]
FINANCING ACTIVITIES:
Net Cash Provided by (Used in) Financing Activities [Abstract]
Long-term convertible securities
Convertible Debt, Noncurrent
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]
Preferred stock; no par value; 15,000 authorized shares; none outstanding
Preferred Stock, Value, Issued
Reporting Unit [Domain]
Reporting Unit [Domain]
Line of credit facility, fair value of amount outstanding
Line of Credit Facility, Fair Value of Amount Outstanding
Valuation Approach and Technique [Domain]
Valuation Approach and Technique [Domain]
Basic (in dollars per share)
Basic net (loss) income per common share (in dollars per share)
Earnings Per Share, Basic
Income tax benefit from excess tax benefits from share-based payment arrangement
Effective Income Tax Rate Reconciliation, Tax Expense (Benefit), Share-Based Payment Arrangement, Amount
Operating cash flows from operating leases
Operating Lease, Payments
Accrued expenses and other current liabilities
Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Current Liabilities, Accrued Liabilities
Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Current Liabilities, Accrued Liabilities
Adjustment To PEO Compensation, Footnote
Adjustment To PEO Compensation, Footnote [Text Block]
Award Timing MNPI Disclosure
Award Timing MNPI Disclosure [Text Block]
Expiration period
Share-Based Compensation Arrangement by Share-Based Payment Award, Expiration Period
September 30, 2026 and the last day of each fiscal quarter thereafter
Debt Covenant Period 4 [Member]
Debt Covenant Period 4
Total current liabilities
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities
Contingent Consideration Liability
Contingent Consideration Liability [Member]
Contingent Consideration Liability [Member]
Aggregate Pension Adjustments Service Cost
Aggregate Pension Adjustments Service Cost [Member]
Amortization
Amortization
Schedule of Goodwill [Table]
Goodwill [Table]
Designated as Hedging Instrument
Designated as Hedging Instrument [Member]
Foreign currency translation
Contract With Customer, Liability, Increase (Decrease) From Foreign Currency Translation
Contract With Customer, Liability, Increase (Decrease) From Foreign Currency Translation
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.
Schedule of Stock by Class [Table]
Stock, Class of Stock [Table]
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]
Total current liabilities
Liabilities, Current
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]
Share Repurchase Program [Axis]
Share Repurchase Program [Axis]
Total assets
Assets
Plan modification, compensation expense
Share-Based Payment Arrangement, Plan Modification, Incremental Cost
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
Expected annual amortization expense, in 2025
Finite-Lived Intangible Asset, Expected Amortization, Year One
Cost of goods sold
Cost of Goods and Services Sold
Contingent consideration, maximum undiscounted payment amount
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High
Line of credit facility outstanding
Long-Term Line of Credit
Awards granted during the period (in shares)
Share-Based Compensation Arrangement by Share-Based Payment Award, Equity Instruments Other than Options, Grants in Period
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]
Schedule of Effective Income Tax Rate
Schedule of Effective Income Tax Rate Reconciliation [Table Text Block]
Plan modification, expiration period (in months)
Share-Based Payment Arrangement, Plan Modification, Expiration Period
Share-Based Payment Arrangement, Plan Modification, Expiration Period
Termination Date
Trading Arrangement Termination Date
Intercompany loan quarterly payments
Intercompany Loan, Quarterly Payment
Intercompany Loan, Quarterly Payment
Warrant strike price (in dollars per share)
Class of Warrant or Right, Exercise Price of Warrants or Rights
2026
Lessee, Operating Lease, Liability, to be Paid, Year Two
2025
Long-Term Debt, Maturity, Year One
STOCK-BASED COMPENSATION
Share-Based Payment Arrangement [Text Block]
Not Designated as Hedging Instrument
Not Designated as Hedging Instrument [Member]
Upfront payment
Asset Acquisition, Consideration Transferred
Entity City
Entity Address, City or Town
Schedule of Assets Acquired and Liabilities Assumed
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]
March 31, 2023 through September 30, 2024
Debt Covenant Period 1 [Member]
Debt Covenant Period 1
Debt Instrument [Axis]
Debt Instrument [Axis]
Proceeds from maturities of short term investments
Proceeds from Maturities, Prepayments and Calls of Short-Term Investments
Net (loss) income
Net (Loss) Income
Net (loss) income
Net Income (Loss) Attributable to Parent
Trading Arrangement:
Trading Arrangement [Axis]
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
ACCUMULATED OTHER COMPREHENSIVE (LOSS) INCOME
Comprehensive Income (Loss) Note [Text Block]
Pay vs Performance Disclosure, Table
Pay vs Performance [Table Text Block]
Loss Contingencies [Table]
Loss Contingencies [Table]
Business Acquisition [Axis]
Business Acquisition [Axis]
Schedule of Finite-Lived Intangible Assets
Schedule of Finite-Lived Intangible Assets [Table Text Block]
Equity Awards Adjustments, Excluding Value Reported in Compensation Table
Equity Awards Adjustments, Excluding Value Reported in the Compensation Table [Member]
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
Dividends or Other Earnings Paid on Equity Awards not Otherwise Reflected in Total Compensation for Covered Year
Dividends or Other Earnings Paid on Equity Awards not Otherwise Reflected in Total Compensation for Covered Year [Member]
Entity File Number
Entity File Number
Mergers, Acquisitions and Dispositions [Abstract]
Mergers, Acquisitions and Dispositions
Other comprehensive income (loss), cash flow hedge, gain (loss), after reclassification and tax
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification and Tax
REVENUES FROM CONTRACTS WITH CUSTOMERS
Revenue from Contract with Customer [Text Block]
Document Fiscal Year Focus
Document Fiscal Year Focus
Income Statement [Abstract]
Income Statement [Abstract]
Entity Address
Entity Address, Address Line One
Surgical Innovation Associates, Inc.
Surgical Innovation Associates Inc [Member]
Surgical Innovation Associates Inc
Debt Instrument, Name [Domain]
Debt Instrument, Name [Domain]
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
Remainder of 2024
Lessee, Operating Lease, Liability, to be Paid, Remainder of Fiscal Year
Weighted average remaining lease term (in years)
Operating Lease, Weighted Average Remaining Lease Term
Expected annual amortization expense, in 2029
Finite-Lived Intangible Asset, Expected Amortization, Year Five
Document Period End Date
Document Period End Date
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]
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)
Finished goods
Inventory, Finished Goods, Net of Reserves
Short-term investments
Investment, Policy [Policy Text Block]
Award Timing MNPI Considered
Award Timing MNPI Considered [Flag]
December 31, 2025 through June 30, 2026
Debt Covenant Period 3 [Member]
Debt Covenant Period 3 [Member]
Total minimum lease payments
Lessee, Operating Lease, Liability, to be Paid
Cross-currency swap
Cross Currency Interest Rate Contract [Member]
Private Label
Private Label [Member]
Private Label [Member]
All other
All Other [Member]
All Other [Member]
Insider Trading Arrangements [Line Items]
Contract asset, beginning of period
Contract asset, end of Period
Contract with Customer, Asset, after Allowance for Credit Loss
Accrued expenses and other current liabilities
Accrued Expenses And Other Current Liabilities [Member]
Accrued expenses and other current liabilities.
ENT
ENT [Member]
ENT
Inventory Disclosure [Abstract]
Outstanding Aggregate Erroneous Compensation Amount
Outstanding Aggregate Erroneous Compensation Amount
Intangible asset acquired, discount rate (percent)
Business Combination, Intangible Asset Acquired, Discount Rate
Business Combination, Intangible Asset Acquired, Discount Rate
2027
Lessee, Operating Lease, Liability, to be Paid, Year Three
PEO Actually Paid Compensation Amount
PEO Actually Paid Compensation Amount
Effect of dilutive securities:
Dilutive Securities, Effect on Basic Earnings Per Share [Abstract]
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
Contract liability, net of revenue recognized on contracts during the period
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]
Adjustment to Compensation:
Adjustment to Compensation [Axis]
Document Transition Report
Document Transition Report
Document Quarterly Report
Document Quarterly Report
Amount of Gain (Loss) Reclassified from AOCI into Earnings
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, after Tax
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
Initial strike price (in dollars per share)
Option Indexed to Issuer's Equity, Strike Price
Pension liability adjustment, net of tax
Other Comprehensive (Income) Loss, Defined Benefit Plan, after Tax and Reclassification Adjustment, Attributable to Parent
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]
Accumulated other comprehensive loss
Accumulated Other Comprehensive Income (Loss), Net of Tax
Entity Current Reporting Status
Entity Current Reporting Status
Retained Earnings
Retained Earnings [Member]
Pension Adjustments Service Cost
Pension Adjustments Service Cost [Member]
Asset Acquisition [Domain]
Asset Acquisition [Domain]
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]
December 31, 2024 through September 30, 2025
Debt Covenant Period 2 [Member]
Debt Covenant Period 2
Cash paid for amounts included in the measurement of lease liabilities:
Cash Flow, Lessee [Abstract]
Cash Flow, Lessee [Abstract]
Property, plant and equipment, net
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment
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
Name
Awards Close in Time to MNPI Disclosures, Individual Name
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
Entity Filer Category
Entity Filer Category
Less: Amounts reclassified from accumulated other comprehensive income, net
Gain (loss) reclassified from AOCI
Reclassification from AOCI, Current Period, Net of Tax, Attributable to Parent
Balance, beginning of period, (in shares)
Balance, end of period (in shares)
Shares, Issued
Income Statement Location [Domain]
Statement of Income Location, Balance [Domain]
Senior Credit Facility
Senior Credit Facility [Member]
Senior Credit Facility.
Loss Contingencies [Line Items]
Loss Contingencies [Line Items]
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