Revenue from Contract with Customer [Abstract]
Disaggregation of Revenue [Table]
Disaggregation of Revenue [Table]
Segments [Axis]
Segments [Axis]
Segments [Domain]
Segments [Domain]
Codman Specialty Surgical
Codman Specialty Surgical [Member]
Codman Specialty Surgical [Member]
Orthopedics and Tissue Technologies
Orthopedics and Tissue Technologies [Member]
Orthopedics and Tissue Technologies [Member]
Product and Service [Axis]
Product and Service [Axis]
Product and Service [Domain]
Product and Service [Domain]
Neurosurgery
Neurosurgery [Member]
Neurosurgery [Member]
Precision Tools and Instruments
Instruments [Member]
Instruments [Member]
Wound Reconstruction and Care
Regenerative Skin And Wound [Member]
Regenerative Skin And Wound [Member]
Extremity Orthopedics
Extremity Orthopedics [Member]
Extremity Orthopedics [Member]
Private Label
Private Label [Member]
Private Label [Member]
Disaggregation of Revenue [Line Items]
Disaggregation of Revenue [Line Items]
Total Revenues
Revenue from Contract with Customer, Excluding Assessed Tax
Leases [Abstract]
Supplemental Balance Sheet Information
Assets And Liabilities, Lessee [Table Text Block]
Assets And Liabilities, Lessee [Table Text Block]
Supplemental Cash Flow Information
Cash Flow, Lessee [Table Text Block]
Cash Flow, Lessee [Table Text Block]
Future Minimum Lease Payment Obligations Under Operating Leases, After Adoption of 842
Lessee, Operating Lease, Liability, Maturity [Table Text Block]
Future Minimum Lease Payment Obligations Under Operating Leases, Before Adoption of 842
Lessee, Operating Lease, Disclosure [Table Text Block]
Segment Reporting [Abstract]
SEGMENT AND GEOGRAPHIC INFORMATION
Segment Reporting Disclosure [Text Block]
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table]
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table]
Derivative Instrument [Axis]
Derivative Instrument [Axis]
Derivative Contract [Domain]
Derivative Contract [Domain]
Interest Rate Swap
Interest Rate Swap [Member]
Cross-currency swap
Cross Currency Interest Rate Contract [Member]
Hedging Relationship [Axis]
Hedging Relationship [Axis]
Hedging Relationship [Domain]
Hedging Relationship [Domain]
Net Investment Hedges
Net Investment Hedging [Member]
Hedging Designation [Axis]
Hedging Designation [Axis]
Hedging Designation [Domain]
Hedging Designation [Domain]
Designated as Hedging Instrument
Designated as Hedging Instrument [Member]
Balance Sheet Location [Axis]
Balance Sheet Location [Axis]
Balance Sheet Location [Domain]
Balance Sheet Location [Domain]
Prepaid expenses and other current assets
Prepaid Expenses and Other Current Assets [Member]
Other assets
Other Assets [Member]
Accrued expenses and other current liabilities
Accrued Expenses And Other Current Liabilities [Member]
Accrued expenses and other current liabilities.
Other liabilities
Other Liabilities [Member]
Derivatives, Fair Value [Line Items]
Derivatives, Fair Value [Line Items]
Derivatives designated as hedges — Assets
Derivative Asset, Fair Value, Gross Asset
Derivatives designated as hedges — Liabilities
Derivative Liability, Fair Value, Gross Liability
Notional amount
Derivative, Notional Amount
Schedule of Derivative Instruments
Schedule of Derivative Instruments [Table Text Block]
Schedule of Fair Value and Presentation of Derivatives
Schedule of Derivative Instruments in Statement of Financial Position, Fair Value [Table Text Block]
Effect of Derivative Instruments Designated as Cash Flow Hedges on Statements of Operations
Derivative Instruments, Gain (Loss) [Table Text Block]
Revenue, Initial Application Period Cumulative Effect Transition [Table]
Revenue, Initial Application Period Cumulative Effect Transition [Table]
Initial Application Period Cumulative Effect Transition [Axis]
Initial Application Period Cumulative Effect Transition [Axis]
Initial Application Period Cumulative Effect Transition [Domain]
Initial Application Period Cumulative Effect Transition [Domain]
Excluding Impact of Topic 606
Calculated under Revenue Guidance in Effect before Topic 606 [Member]
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]
Revenue, Initial Application Period Cumulative Effect Transition [Line Items]
Statement of Operations
Income Statement [Abstract]
Total revenue, net
Cost of goods sold
Cost of Goods and Services Sold
Income tax benefit
Income Tax Expense (Benefit)
Net income
Net Income (Loss) Attributable to Parent
Debt Disclosure [Abstract]
Schedule of Long-term Debt Maximum Leverage Ratios
Schedule of Long-term Debt Instruments [Table Text Block]
Schedule of Maturities of Long-term Debt
Schedule of Maturities of Long-term Debt [Table Text Block]
Earnings Per Share [Abstract]
NET INCOME PER SHARE
Earnings Per Share [Text Block]
Contract Asset
Change In Contract With Customer, Asset [Roll Forward]
Change In Contract With Customer, Asset [Roll Forward]
Contract asset, Beginning of period
Contract with Customer, Asset, Net
Transferred to trade receivable of contract asset included in beginning of the year contract asset
Contract with Customer, Asset, Reclassified to Receivable
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
Contract asset, End of Period
Contract Liability
Change In Contract With Customer, Liability [Roll Forward]
Change In Contract With Customer, Liability [Roll Forward]
Contract liability, Beginning of Period
Contract with Customer, Liability
Recognition of revenue included in beginning of year contract liability
Contract with Customer, Liability, Revenue Recognized
Contract liability, net of revenue recognized on contracts during the period
Contract With Customer, Liability, Net Of Revenue Recognized And Foreign Currency Translation
Contract With Customer, Liability, Net Of Revenue Recognized And Foreign Currency Translation
Foreign currency translation
Contract With Customer, Liability, Increase From Foreign Currency Translation
Contract With Customer, Liability, Increase From Foreign Currency Translation
Contract liability, End of Period
Equity [Abstract]
Accumulated Other Comprehensive Income (Loss) [Table]
Accumulated Other Comprehensive Income (Loss) [Table]
Equity Components [Axis]
Equity Components [Axis]
Equity Component [Domain]
Equity Component [Domain]
Gains and Losses on Derivatives
Accumulated Gain (Loss), Net, Cash Flow Hedge, Parent [Member]
Defined Benefit Pension Items
Accumulated Defined Benefit Plans Adjustment Attributable to Parent [Member]
Foreign Currency Items
Accumulated Foreign Currency Adjustment Attributable to Parent [Member]
Total
AOCI Attributable to Parent [Member]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Accumulated Other Comprehensive Income (Loss) [Roll Forward]
AOCI Attributable to Parent, Net of Tax [Roll Forward]
Balance, Beginning of Period
Stockholders' Equity Attributable to Parent
Other comprehensive income (loss)
OCI, before Reclassifications, Net of Tax, Attributable to Parent
Less: Amounts reclassified from accumulated other comprehensive income
Reclassification from AOCI, Current Period, Net of Tax, Attributable to Parent
Net current-period other comprehensive income (loss)
Other Comprehensive Income (Loss), Net of Tax, Portion Attributable to Parent
Balance, End of Period
Schedule of Segment Reporting Information, by Segment [Table]
Schedule of Segment Reporting Information, by Segment [Table]
Geographical [Axis]
Geographical [Axis]
Geographical [Domain]
Geographical [Domain]
United States
UNITED STATES
Europe
Europe [Member]
Asia Pacific
Asia Pacific [Member]
Rest of World
Rest Of World [Member]
Revenues from rest of the world.
Segment Reporting Information [Line Items]
Segment Reporting Information [Line Items]
Asset Acquisition [Abstract]
Asset Acquisition [Abstract]
Schedule Of Asset Acquisition [Table]
Schedule Of Asset Acquisition [Table]
Schedule Of Asset Acquisition [Table]
Asset Acquisition [Axis]
Asset Acquisition [Axis]
Asset Acquisition [Axis]
Asset Acquisition [Domain]
Asset Acquisition [Domain]
[Domain] for Asset Acquisition [Axis]
ISC
Integrated Shoulder Collaboration, Inc. [Member]
Integrated Shoulder Collaboration, Inc. [Member]
Finite-Lived Intangible Assets by Major Class [Axis]
Finite-Lived Intangible Assets by Major Class [Axis]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Licensing Agreements
Licensing Agreements [Member]
Schedule Of Asset Acquisition [Line Items]
Schedule Of Asset Acquisition [Line Items]
[Line Items] for Schedule Of Asset Acquisition [Table]
Upfront payment
Payments to Acquire Intangible Assets
Option to acquire, period subsequent to commercial sale
Asset Acquisition, Option To Acquire, Period Subsequent To Commercial Sale, If Circumstances Met
Asset Acquisition, Option To Acquire, Period Subsequent To Commercial Sale, If Circumstances Met
Maximum future purchase price, if circumstances met (not to exceed)
Asset Acquisition, Maximum Future Consideration Transferred, If Circumstances Met
Asset Acquisition, Maximum Future Consideration Transferred, If Circumstances Met
Number of assets acquired
Asset Acquisition, Number Of Assets Acquired
Asset Acquisition, Number Of Assets Acquired
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Award Type [Axis]
Award Type [Axis]
Equity Award [Domain]
Equity Award [Domain]
Vested Restricted Units and Vested Performance Units
Vested Performance Shares and Vested Restricted Units [Member]
Vested Performance Shares and Vested Restricted Units [Member]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Shares excluded from computation as their effect would be anti-dilutive (in shares)
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
Weighted average number of shares outstanding, basic and diluted (in shares)
Weighted Average Number of Shares Outstanding, Basic and Diluted
Schedule of Long-term Debt Instruments [Table]
Schedule of Long-term Debt Instruments [Table]
Debt Covenant Period [Axis]
Debt Covenant Period [Axis]
Debt Covenant Period [Axis]
Debt Covenant Period [Domain]
Debt Covenant Period [Domain]
[Domain] for Debt Covenant Period [Axis]
Execution of May 2018 Amendment through March 31, 2019
Debt Covenant Period 1 [Member]
Debt Covenant Period 1 [Member]
June 30, 2019 through March 31, 2020
Debt Covenant Period 2 [Member]
Debt Covenant Period 2 [Member]
June 30, 2020 through March 31, 2021
Debt Covenant Period 3 [Member]
Debt Covenant Period 3 [Member]
June 30, 2021 and thereafter
Debt Covenant Period 4 [Member]
Debt Covenant Period 4 [Member]
Debt Instrument [Axis]
Debt Instrument [Axis]
Debt Instrument, Name [Domain]
Debt Instrument, Name [Domain]
Senior Credit Facility
Senior Credit Facility [Member]
Senior Credit Facility.
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Maximum Consolidated Total Leverage Ratio
Debt Instrument, Covenant, Maximum Leverage Ratio
Debt Instrument, Covenant, Maximum Leverage Ratio
Total Revenue By Major Geographic Area
Schedule of Segment Reporting Information, by Segment [Table Text Block]
COMPREHENSIVE INCOME
Comprehensive Income (Loss) Note [Text Block]
Treasury Stock Transactions, Excluding Value of Shares Reissued [Abstract]
TREASURY STOCK
Treasury Stock [Text Block]
Cash paid for amounts included in the measurement of lease liabilities:
Cash Flow, Lessee [Abstract]
Cash Flow, Lessee [Abstract]
Operating cash flows from operating leases
Operating Lease, Payments
ROU assets obtained in exchange for lease liabilities:
Right Of Use Asset Obtained In Exchange For Lease Liability [Abstract]
Right Of Use Asset Obtained In Exchange For Lease Liability [Abstract]
Operating leases
Right-of-Use Asset Obtained in Exchange for Operating Lease Liability
Income Tax Disclosure [Abstract]
Reported tax rate
Effective Income Tax Rate Reconciliation, Percent
Derivative [Table]
Derivative [Table]
Position [Axis]
Position [Axis]
Position [Domain]
Position [Domain]
Short
Short [Member]
Long
Long [Member]
Business Acquisition [Axis]
Business Acquisition [Axis]
Business Acquisition, Acquiree [Domain]
Business Acquisition, Acquiree [Domain]
Codman
Codman [Member]
Codman [Member]
Income Statement Location [Axis]
Income Statement Location [Axis]
Income Statement Location [Domain]
Income Statement Location [Domain]
Other income, net
Other Nonoperating Income (Expense) [Member]
Cash Flow Hedges
Cash Flow Hedging [Member]
Derivative [Line Items]
Derivative [Line Items]
Loss recorded in other income, net
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, before Tax
Gain (loss), reclassification from AOCI, foreign currency rate translation, intercompany loan
Change in Unrealized Gain (Loss) on Foreign Currency Fair Value Hedging Instruments
Gain (loss) recorded to AOCI
Other Comprehensive Income (Loss), Unrealized Gain (Loss) on Derivatives Arising During Period, before Tax
Gain reclassified into other income
Gain (Loss) on Derivative Instruments, Net, Pretax
Pre-tax income recorded in AOCI related to cash flow hedges 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
Gain recorded in AOCI, change in fair value
Other Comprehensive Income (Loss), Net Investment Hedge, Gain (Loss), before Reclassification and Tax
Organization, Consolidation and Presentation of Financial Statements [Abstract]
BASIS OF PRESENTATION
Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]
Schedule of Effective Income Tax Rate Reconciliation
Schedule of Effective Income Tax Rate Reconciliation [Table Text Block]
Goodwill and Intangible Assets Disclosure [Abstract]
GOODWILL AND OTHER INTANGIBLE ASSETS
Goodwill and Intangible Assets Disclosure [Text Block]
Statement of Financial Position [Abstract]
ASSETS
Assets [Abstract]
Current assets:
Assets, Current [Abstract]
Cash and cash equivalents
Cash and Cash Equivalents, at Carrying Value
Trade accounts receivable, net of allowances of $4,099 and $3,719
Accounts Receivable, Net, Current
Inventories, net
Inventory, Net
Prepaid expenses and other current assets
Prepaid Expense and Other Assets, Current
Total current assets
Assets, Current
Property, plant and equipment, net
Property, Plant and Equipment, Net
Intangible assets, net
Intangible Assets, Net (Excluding Goodwill)
Goodwill
Goodwill
Deferred tax assets, net
Deferred Income Tax Assets, Net
Other assets
Other Assets, Noncurrent
Total assets
Assets
LIABILITIES AND STOCKHOLDERS’ EQUITY
Liabilities and Equity [Abstract]
Current liabilities:
Liabilities, Current [Abstract]
Short-term portion of borrowings under senior credit facility
Secured Debt, Current
Accounts payable, trade
Accounts Payable, Trade, Current
Deferred revenue
Contract with Customer, Liability, Current
Accrued compensation
Employee-related Liabilities, Current
Accrued expenses and other current liabilities
Accrued Liabilities, Current
Total current liabilities
Liabilities, Current
Long-term borrowings under senior credit facility
Secured Long-term Debt, Noncurrent
Long-term borrowings under securitization facility
Secured Long-term Debt, Securitization Program, Noncurrent
Secured Long-term Debt, Securitization Program, Noncurrent
Deferred tax liabilities
Deferred Income Tax Liabilities, Net
Other liabilities
Other Liabilities, Noncurrent
Total liabilities
Liabilities
Commitments and contingencies (Refer to Note 16)
Commitments and Contingencies
Stockholders’ equity:
Stockholders' Equity Attributable to Parent [Abstract]
Preferred stock; no par value; 15,000 authorized shares; none outstanding
Preferred Stock, Value, Issued
Common stock; $0.01 par value; 240,000 authorized shares; 88,304 and 88,044 issued at March 31, 2019 and December 31, 2018, respectively
Common Stock, Value, Issued
Additional paid-in capital
Additional Paid in Capital, Common Stock
Treasury stock, at cost; 2,869 shares and 2,881 shares at March 31, 2019 and December 31, 2018, respectively
Treasury Stock, Value
Accumulated other comprehensive loss
Accumulated Other Comprehensive Income (Loss), Net of Tax
Retained earnings
Retained Earnings (Accumulated Deficit)
Total stockholders’ equity
Total liabilities and stockholders’ equity
Liabilities and Equity
Other Income (Expense), net
Other Expense [Member]
Interest income
Interest Income [Member]
Gain reclassified from accumulated other comprehensive income
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Table]
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Table]
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Start Date [Axis]
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items]
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction [Line Items]
Performance obligations expected to be satisfied
Revenue, Remaining Performance Obligation, Amount
Performance obligations expected to be satisfied, expected timing
Revenue, Remaining Performance Obligation, Expected Timing of Satisfaction, Period
Recently Issued Accounting Standards
New Accounting Pronouncements, Policy [Policy Text Block]
Summary of Accounting Policies on Revenue Recognition and Shipping and Handling Fees
Revenue from Contract with Customer [Policy Text Block]
Product Warranties
Extended Product Warranty, Policy [Policy Text Block]
Taxes Collected from Customers
Revenue, Transaction Price Measurement, Tax Exclusion [Policy Text Block]
Schedule of Comprehensive Income
Comprehensive Income (Loss) [Table Text Block]
Schedule of Changes in Accumulated Other Comprehensive Income by Component
Schedule of Accumulated Other Comprehensive Income (Loss) [Table Text Block]
Commitments and Contingencies Disclosure [Abstract]
Schedule of Contingent Consideration
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]
Term Loan Facility
Term Loan Facility [Member]
Term Loan Facility [Member]
Term Loan A
Term Loan A Facility [Member]
Term Loan A Facility [Member]
Credit Facility [Axis]
Credit Facility [Axis]
Credit Facility [Domain]
Credit Facility [Domain]
Secured Debt
Secured Debt [Member]
Revolving Credit Facility
Revolving Credit Facility [Member]
Standby Letters of Credit
Standby Letters of Credit [Member]
Swingline Loans
Swingline Loan [Member]
Swingline Loan [Member]
Range [Axis]
Range [Axis]
Range [Domain]
Range [Domain]
Minimum
Minimum [Member]
Maximum
Maximum [Member]
Secured Debt, Current
Secured Debt, Current [Member]
Secured Debt, Current [Member]
Variable Rate [Axis]
Variable Rate [Axis]
Variable Rate [Domain]
Variable Rate [Domain]
Eurodollar
Eurodollar [Member]
Federal Funds
Federal Funds Effective Swap Rate [Member]
Prime Rate
Prime Rate [Member]
One Month Eurodollar Rate
One Month Eurodollar Rate [Member]
One Month Eurodollar Rate [Member]
Fair Value Hierarchy and NAV [Axis]
Fair Value Hierarchy and NAV [Axis]
Fair Value Hierarchy and NAV [Domain]
Fair Value Hierarchy and NAV [Domain]
Fair Value, Inputs, Level 2
Fair Value, Inputs, Level 2 [Member]
Maximum borrowing capacity
Line of Credit Facility, Maximum Borrowing Capacity
Interest rates available to the Company at its option
Debt Instrument, Basis Spread on Variable Rate
Line of credit, commitment fee percentage
Line of Credit Facility, Commitment Fee Percentage
Incremental financing costs capitalized
Debt Issuance Costs, Gross
Previously capitalized financing costs, written-off
Write off of Deferred Debt Issuance Cost
Line of credit facility outstanding
Long-term Line of Credit
Weighted average interest rate on debt
Debt, Weighted Average Interest Rate
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
Securitization program, term
Debt, Accounts Receivable Securitization, Term
Debt, Accounts Receivable Securitization, Term
Weighted average interest rate, accounts receivable securitization revolving loan facility
Debt, Weighted Average Interest Rate, From Securitization
Debt, Weighted Average Interest Rate, From Securitization
Line of credit facility, fair value of amount outstanding
Line of Credit Facility, Fair Value of Amount Outstanding
Securitization facility, outstanding borrowings, fair value
Securitization Facility, Fair Value Of Amount Outstanding
Securitization Facility, Fair Value Of Amount Outstanding
Letters of credit outstanding
Letters of Credit Outstanding, Amount
Document and Entity Information [Abstract]
Document and Entity Information [Abstract]
Document Type
Document Type
Amendment Flag
Amendment Flag
Document Period End Date
Document Period End Date
Document Fiscal Year Focus
Document Fiscal Year Focus
Document Fiscal Period Focus
Document Fiscal Period Focus
Trading Symbol
Trading Symbol
Entity Registrant Name
Entity Registrant Name
Entity Central Index Key
Entity Central Index Key
Current Fiscal Year End Date
Current Fiscal Year End Date
Entity Filer Category
Entity Filer Category
Smaller Reporting Company
Entity Small Business
Emerging Growth Company
Entity Emerging Growth Company
Entity Common Stock, Shares Outstanding (in shares)
Entity Common Stock, Shares Outstanding
3-Month USD LIBOR
Three Month USD LIBOR [Member]
Three Month USD LIBOR [Member]
1-Month USD LIBOR
One Month USD LIBOR [Member]
One Month USD LIBOR [Member]
Interest Rate Swap Designated June 22, 2016 Tranche 1
Interest Rate Swap Designated June 22, 2016 Tranche 1 [Member]
Interest Rate Swap Designated June 22, 2016 Tranche 1 [Member]
Interest Rate Swap Designated June 22, 2016 Tranche 2
Interest Rate Swap Designated June 22, 2016 Tranche 2 [Member]
Interest Rate Swap Designated June 22, 2016 Tranche 2 [Member]
Interest Rate Swap Designated July 12, 2016
Interest Rate Swap Designated July 12, 2016 [Member]
Interest Rate Swap Designated July 12, 2016 [Member]
Interest Rate Swap Designated February 6, 2017 Tranche 1
Interest Rate Swap Designated February 6, 2017 Tranche 1 [Member]
Interest Rate Swap Designated February 6, 2017 Tranche 1 [Member]
Interest Rate Swap Designated February 6, 2017 Tranche 2
Interest Rate Swap Designated February 6, 2017 Tranche 2 [Member]
Interest Rate Swap Designated February 6, 2017 Tranche 2 [Member]
Interest Rate Swap Designated March 27, 2017
Interest Rate Swap Designated March 27, 2017 [Member]
Interest Rate Swap Designated March 27, 2017 [Member]
Interest Rate Swap Designated December 13, 2017 Tranche 1
Interest Rate Swap Designated December 13, 2017 Tranche 1 [Member]
Interest Rate Swap Designated December 13, 2017 Tranche 1 [Member]
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 [Member]
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]
Interest Rate Swap Designated December 13, 2017 Tranche 4
Interest Rate Swap Designated December 13, 2017 Tranche 4 [Member]
Interest Rate Swap Designated December 13, 2017 Tranche 4 [Member]
Interest Rate Swap Designated December 13, 2017 Tranche 5
Interest Rate Swap Designated December 13, 2017 Tranche 5 [Member]
Interest Rate Swap Designated December 13, 2017 Tranche 5 [Member]
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]
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]
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]
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]
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]
Current Notional Amount
Fixed Interest Rate
Derivative, Fixed Interest Rate
Estimated Fair Value, Assets (Liabilities)
Derivative, Fair Value, Net
Schedule of Operating Leased Assets [Table]
Schedule of Operating Leased Assets [Table]
Counterparty Name [Axis]
Counterparty Name [Axis]
Counterparty Name [Domain]
Counterparty Name [Domain]
Related Parties
Related Parties [Member]
Related Parties [Member]
Third Parties
Third Parties [Member]
Third Parties [Member]
Operating Leased Assets [Line Items]
Operating Leased Assets [Line Items]
2019
Lessee, Operating Lease, Liability, Payments, Remainder of Fiscal Year
2020
Lessee, Operating Lease, Liability, Payments, Due Year Two
2021
Lessee, Operating Lease, Liability, Payments, Due Year Three
2022
Lessee, Operating Lease, Liability, Payments, Due Year Four
2023
Lessee, Operating Lease, Liability, Payments, Due Year Five
Thereafter
Lessee, Operating Lease, Liability, Payments, Due after Year Five
Total minimum lease payments
Lessee, Operating Lease, Liability, Payments, Due
Less: Imputed interest
Lessee, Operating Lease, Liability, Undiscounted Excess Amount
Total lease liabilities
Operating Lease, Liability
Less: Current lease liabilities
Operating Lease, Liability, Current
Long-term lease liabilities
Operating Lease, Liability, Noncurrent
Remainder of 2019
Long-term Debt, Maturities, Repayments of Principal, Remainder of Fiscal Year
2020
Long-term Debt, Maturities, Repayments of Principal in Year Two
2021
Long-term Debt, Maturities, Repayments of Principal in Year Three
2022
Long-term Debt, Maturities, Repayments of Principal in Year Four
2023
Long-term Debt, Maturities, Repayments of Principal in Year Five
Principal Repayment
Long-term Debt
DEBT
Debt Disclosure [Text Block]
Retirement Benefits [Abstract]
Net periodic benefit costs
Defined Benefit Plan, Net Periodic Benefit Cost (Credit)
Service cost component
Defined Benefit Plan, Service Cost
Expected future employer contributions, next fiscal year
Defined Benefit Plan, Expected Future Employer Contributions, Next Fiscal Year
Employer contributions
Defined Benefit Plan, Plan Assets, Contributions by Employer
Expected additional employer contributions
Defined Benefit Plan, Expected Future Employer Contributions, Remainder of Fiscal Year
Estimated fair value of plan assets
Defined Benefit Plan, Plan Assets, Amount
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Stock options
Employee Stock Option [Member]
Performance stock and Restricted stock awards
Performance Stock And Restricted Stock Awards [Member]
Performance Stock And Restricted Stock Awards [Member]
Restricted stock awards/stock units
Restricted Stock Awards And Units [Member]
Restricted Stock Awards And Units [Member]
Performance shares
Performance Shares [Member]
Title of Individual [Axis]
Title of Individual [Axis]
Relationship to Entity [Domain]
Relationship to Entity [Domain]
Directors
Director [Member]
Employees
Employee [Member]
Employee [Member]
Directors and Certain Executive Officers
Directors and Certain Executive Officers [Member]
Directors and Certain Executive Officers [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based compensation arrangement by share-based payment award, number of plans
Share-based Compensation Arrangement by Share-based Payment Award, Number of Plans
Share-based Compensation Arrangement by Share-based Payment Award, Number of Plans
Stock options exercisable, vesting period
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period
Expiration period
Share-based Compensation Arrangement by Share-based Payment Award, Expiration Period
Total unrecognized compensation costs
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized
Weighted-average period for cost recognition (over)
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized, Period for Recognition
Grants in period, net of forfeitures (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Net of Forfeitures
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
Requisite service periods of awards
Share-based Compensation Arrangement by Share-based Payment Award, Award Requisite Service Period
Awards granted during the period (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period
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
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table]
Liability Class [Axis]
Liability Class [Axis]
Fair Value by Liability Class [Domain]
Fair Value by Liability Class [Domain]
Contingent Consideration Liability
Contingent Consideration Liability [Member]
Contingent Consideration Liability [Member]
Fair Value, Inputs, Level 3
Fair Value, Inputs, Level 3 [Member]
Derma Sciences
Derma Sciences [Member]
Derma Sciences [Member]
Confluent Surgical, Inc.
Confluent Surgical, Inc. [Member]
Confluent Surgical, Inc. [Member]
Accrued expenses and other short-term liabilities
Other Long-term Liabilities
Other Noncurrent Liabilities [Member]
Selling, general and administrative
Selling, General and Administrative Expenses [Member]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Contingent consideration balance
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability Value
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Balance, Beginning of Period
Loss from change in fair value of contingent consideration liabilities
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Gain (Loss) Included in Earnings
Balance, End of Period
New Accounting Pronouncement, Early Adoption [Table]
New Accounting Pronouncement, Early Adoption [Table]
Adjustments for New Accounting Pronouncements [Axis]
Adjustments for New Accounting Pronouncements [Axis]
Type of Adoption [Domain]
Type of Adoption [Domain]
Accounting Standards Update 2016-02
Accounting Standards Update 2016-02 [Member]
New Accounting Pronouncement, Early Adoption [Line Items]
New Accounting Pronouncement, Early Adoption [Line Items]
Lease liabilities
ROU assets
Operating Lease, Right-of-Use Asset
Costs and expenses:
Costs and Expenses [Abstract]
Research and development
Research and Development Expense
Selling, general and administrative
Selling, General and Administrative Expense
Intangible asset amortization
Amortization of Intangible Assets
Total costs and expenses
Costs and Expenses
Operating income
Operating Income (Loss)
Interest income
Investment Income, Interest
Interest expense
Interest Expense
Other income, net
Other Nonoperating Income (Expense)
Income before income taxes
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest
Income tax benefit
Net income
Net income per share
Basic (in dollars per share)
Earnings Per Share, Basic
Diluted (in dollars per share)
Earnings Per Share, Diluted
Weighted average common shares outstanding (See Note 13):
Weighted Average Number of Shares Outstanding, Diluted [Abstract]
Basic (in shares)
Weighted Average Number of Shares Outstanding, Basic
Diluted (in shares)
Weighted Average Number of Shares Outstanding, Diluted
Comprehensive income (See Note 14)
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
COMMITMENTS AND CONTINGENCIES
Commitments and Contingencies Disclosure [Text Block]
Lessee, Lease, Description [Table]
Lessee, Lease, Description [Table]
Property, Plant and Equipment, Type [Axis]
Property, Plant and Equipment, Type [Axis]
Property, Plant and Equipment, Type [Domain]
Property, Plant and Equipment, Type [Domain]
Leased facilities
Building [Member]
Leased vehicles
Vehicles [Member]
Lessee, Lease, Description [Line Items]
Lessee, Lease, Description [Line Items]
Current lease liabilities
Non-current lease liabilities
Weighted average remaining lease term (in years)
Operating Lease, Weighted Average Remaining Lease Term
Weighted average discount rate
Operating Lease, Weighted Average Discount Rate, Percent
Number of reportable segments
Number of Reportable Segments
Number of products offered (more than)
Segment Reporting Information, Number of Products Offered
Number of products sold by a segment
Income Tax Contingency [Table]
Income Tax Contingency [Table]
Income Tax Authority [Axis]
Income Tax Authority [Axis]
Income Tax Authority [Domain]
Income Tax Authority [Domain]
Foreign Tax Authority
Foreign Tax Authority [Member]
Income Tax Authority, Name [Axis]
Income Tax Authority, Name [Axis]
Income Tax Authority, Name [Domain]
Income Tax Authority, Name [Domain]
Swiss Federal Tax Administration (FTA)
Swiss Federal Tax Administration (FTA) [Member]
Income Tax Contingency [Line Items]
Income Tax Contingency [Line Items]
Effective income tax rate
Tax benefit from Switzerland tax holiday
Effective Income Tax Rate Reconciliation, Tax Holiday, Amount
Tax benefit from Switzerland tax holiday (in dollars per share)
Income Tax Holiday, Income Tax Benefits Per Share
Federal tax credit
Effective Income Tax Rate Reconciliation, Tax Credit, Amount
Federal tax credit, term
Tax Credit, Term
Tax Credit, Term
Treasury stock (in shares)
Treasury Stock, Common, Shares
Treasury stock
Treasury Stock, Common, Value
Treasury stock, average cost per share (in dollars per share)
Treasury Stock Acquired, Average Cost Per Share
Stock repurchase program, authorized amount (up to)
Stock Repurchase Program, Authorized Amount
Amount available for share repurchase under this latest authorization
Stock Repurchase Program, Remaining Authorized Repurchase Amount
Stock repurchased during period (in shares)
Stock Repurchased During Period, Shares
BUSINESS DEVELOPMENT
Asset Acquisition [Text Block]
Asset Acquisition [Text Block]
Inventory, Net [Abstract]
Schedule of Inventory, Net
Schedule of Inventory, Current [Table Text Block]
Consolidation Items [Axis]
Consolidation Items [Axis]
Operating Activities [Domain]
Consolidation Items [Domain]
Operating Segments
Operating Segments [Member]
Segment Reconciling Items
Segment Reconciling Items [Member]
Corporate and other
Corporate, Non-Segment [Member]
Codman Specialty Surgical
Segment Net Sales
Segment Reporting Information, Operating Income (Loss) [Abstract]
Segment Profit
Segment Reporting Information, Profit (Loss) [Abstract]
Operating income
Amortization
Property Subject to or Available for Operating Lease [Axis]
Property Subject to or Available for Operating Lease [Axis]
Property Subject to or Available for Operating Lease [Domain]
Property Subject to or Available for Operating Lease [Domain]
Five Year Option Lease From November 1, 2032 Through October 31, 2037
Five Year Option Lease From November12032 Through October312037 [Member]
Five-Year Option Lease From November 1, 2032 Through October 31, 2037 member
Five Year Option Lease From November 1, 2037 Through October 31, 2042
Five Year Option Lease From November12037 Through October312042 [Member]
Five-Year Option Lease From November 1, 2037 Through October 31, 2042 [Member]
Scenario [Axis]
Scenario [Axis]
Scenario, Unspecified [Domain]
Scenario, Unspecified [Domain]
Scenario, Forecast
Scenario, Forecast [Member]
NEW JERSEY
NEW JERSEY
Number of renewal options (or more)
Lessee, Operating Lease, Number Of Renewal Options
Lessee, Operating Lease, Number Of Renewal Options
Operating lease expense
Operating Lease, Expense
Total payments over lease term, new operating lease
Operating lease expense, Topic 840
Operating Leases, Rent Expense, Net
Capital Leases, Future Minimum Payments Due
Capital Leases, Future Minimum Payments Due
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
Annual rate of lease agreement
Annual Rate Of Lease Agreement
Annual rate of lease agreement.
Option to extend lease, years
Option To Extend Lease, Years
Option to extend lease, years.
Period for extended lease
Lessee, Operating Lease, Option to Extend
Loss Contingencies [Table]
Loss Contingencies [Table]
Contingent Consideration by Type [Axis]
Contingent Consideration by Type [Axis]
Contingent Consideration Type [Domain]
Contingent Consideration Type [Domain]
Cash Consideration One
Cash Consideration One [Member]
Cash Consideration One [Member]
Cash Consideration Two
Cash Consideration Two [Member]
Cash Consideration Two [Member]
BioD Earnout Payments
BioD Earnout Payments [Member]
BioD Earnout Payments [Member]
Product Payment Contingent Consideration
Product Payment Contingent Consideration [Member]
Product Payment Contingent Consideration [Member]
Medihoney Earnout Payments
Medihoney Earnout Payments [Member]
Medihoney Earnout Payments [Member]
Measurement Input Type [Axis]
Measurement Input Type [Axis]
Measurement Input Type [Domain]
Measurement Input Type [Domain]
Measurement Input, Discount Rate
Measurement Input, Discount Rate [Member]
Loss Contingencies [Line Items]
Loss Contingencies [Line Items]
Maximum contingent consideration
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High
Minimum contingent consideration (up to)
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, Low
Discounted cash flow model, measurement input
Debt Instrument, Measurement Input
Contingent consideration, liability
Business Combination, Contingent Consideration, Liability
Payment for contingent consideration
Payment for Contingent Consideration Liability, Financing Activities
Revenue volatility percentage
Fair Value Inputs, Revenue Volatility
Fair Value Inputs, Revenue Volatility
Payment for contingent consideration liability
Payment for Contingent Consideration Liability, Investing Activities
Schedule of Changes in Contract Assets and Contract Liabilities
Contract with Customer, Asset and Liability [Table Text Block]
Schedule of Disaggregation of Revenue
Disaggregation of Revenue [Table Text Block]
Schedule of Impact on Statement of Operations
Schedule of New Accounting Pronouncements and Changes in Accounting Principles [Table Text Block]
DERIVATIVE INSTRUMENTS
Derivative Instruments and Hedging Activities Disclosure [Text Block]
Schedule of Goodwill [Table]
Schedule of Goodwill [Table]
Customer [Axis]
Customer [Axis]
Customer [Domain]
Customer [Domain]
Contract Manufacturing Customer, Notified By FDA To Remove Product From Market
Contract Manufacturing Customer, Notified By FDA To Remove Product From Market [Member]
Contract Manufacturing Customer, Notified By FDA To Remove Product From Market [Member]
Customer Relationships
Customer Relationships [Member]
Goodwill [Line Items]
Goodwill [Line Items]
Expected annual amortization expense, 2019
Finite-Lived Intangible Assets, Amortization Expense, Remainder of Fiscal Year
Expected annual amortization expense, 2020
Finite-Lived Intangible Assets, Amortization Expense, Year Two
Expected annual amortization expense, 2021
Finite-Lived Intangible Assets, Amortization Expense, Year Three
Expected annual amortization expense, 2022
Finite-Lived Intangible Assets, Amortization Expense, Year Four
Expected annual amortization expense, 2023
Finite-Lived Intangible Assets, Amortization Expense, Year Five
Expected annual amortization expense, 2024
Finite-Lived Intangible Assets, Amortization Expense, Year Six
Finite-Lived Intangible Assets, Amortization Expense, Year Six
Expected annual amortization expense, thereafter
Finite-Lived Intangible Assets, Amortization Expense, After Year Six
Finite-Lived Intangible Assets, Amortization Expense, After Year Six
Acquired intangible asset associated with customer received notification from the FDA
Definite And Indefinite Lived Intangible Assets Net Excluding Goodwill
Definite And Indefinite Lived Intangible Assets Net Excluding Goodwill.
2019
Operating Leases, Future Minimum Payments Due, Next Twelve Months
2020
Operating Leases, Future Minimum Payments, Due in Two Years
2021
Operating Leases, Future Minimum Payments, Due in Three Years
2022
Operating Leases, Future Minimum Payments, Due in Four Years
2023
Operating Leases, Future Minimum Payments, Due in Five Years
Thereafter
Operating Leases, Future Minimum Payments, Due Thereafter
Total minimum lease payments
Operating Leases, Future Minimum Payments Due
Trade accounts receivable, allowance
Allowance for Doubtful Accounts Receivable, Current
Preferred stock, authorized shares (in shares)
Preferred Stock, Shares Authorized
Preferred stock, outstanding shares (in shares)
Preferred Stock, Shares Outstanding
Common stock, par value (in dollars per share)
Common Stock, Par or Stated Value Per Share
Common stock, authorized shares (in shares)
Common Stock, Shares Authorized
Common stock, issued shares (in shares)
Common Stock, Shares, Issued
Treasury stock, shares (in shares)
Treasury Stock, Shares
Derivative Instruments, Gain (Loss) by Hedging Relationship, by Income Statement Location, by Derivative Instrument Risk [Table]
Derivative Instruments, Gain (Loss) [Table]
Derivative, by Nature [Axis]
Derivative, Name [Domain]
Interest rate swap
Interest income
Other income, net
Interest expense
Interest Expense [Member]
Accumulated Other Comprehensive Income (Loss)
Derivative Instruments, Gain (Loss) [Line Items]
Derivative Instruments, Gain (Loss) [Line Items]
Derivative Instruments, Gain (Loss) [Roll Forward]
Amount of Gain (Loss) Recognized in AOCI
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification and Tax
Amount of Gain (Loss) Reclassified from AOCI into Earnings
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, after Tax
INVENTORIES
Inventory Disclosure [Text Block]
Investment, Name [Axis]
Investment, Name [Axis]
Investment, Name [Domain]
Investment, Name [Domain]
Swap One
Swap One [Member]
Swap One [Member]
Swap Two
Swap Two [Member]
Swap Two [Member]
Swap Three
Swap Three [Member]
Swap Three [Member]
Fixed Rate
Aggregate Notional Amount
Fair Value Asset (Liability)
Statement of Stockholders' Equity [Abstract]
Statement [Table]
Statement [Table]
Accounting Standards Update 2014-09
Accounting Standards Update 2014-09 [Member]
Common Stock
Common Stock [Member]
Treasury Stock
Treasury Stock [Member]
Additional Paid-In Capital
Additional Paid-in Capital [Member]
Retained Earnings
Retained Earnings [Member]
Statement [Line Items]
Statement [Line Items]
Balance Beginning of Period, Shares (in shares)
Shares, Issued
Balance, Beginning of Period, Treasury Stock, Shares (in shares)
Net income
Adoption of Update No. 2014-09
Cumulative Effect of New Accounting Principle in Period of Adoption
Other comprehensive income (loss), net of tax
Issuance of common stock (in shares)
Stock Issued During Period, Shares, New Issues
Issuance of common stock
Stock Issued During Period, Value, New Issues
Issuance of common stock through employee stock purchase plan (in shares)
Stock Issued During Period, Shares, Employee Stock Purchase Plans
Issuance of common stock through employee stock purchase plan
Stock Issued During Period, Value, Employee Stock Purchase Plan
Issuance of common stock for vesting of share based awards, net of shares withheld for taxes (in shares)
Stock Issued During Period, Shares, Share-based Compensation, Net of Forfeitures
Issuance of common stock for vesting of share based awards, net of shares withheld for taxes
Stock Issued During Period, Value, Share-based Compensation, Net of Forfeitures
Share-based compensation
Adjustments to Additional Paid in Capital, Share-based Compensation, Requisite Service Period Recognition
Balance End of Period, Shares (in shares)
Balance, End of Period, Treasury Stock, Shares (in shares)
STOCK-BASED COMPENSATION
Disclosure of Compensation Related Costs, Share-based Payments [Text Block]
REVENUES FROM CONTRACTS WITH CUSTOMERS
Revenue from Contract with Customer [Text Block]
Goodwill [Roll Forward]
Goodwill [Roll Forward]
Beginning of Period
Foreign currency translation
Goodwill, Foreign Currency Translation Gain (Loss)
End of Period
LEASES AND RELATED PARTY LEASES
Lessee, Operating Leases [Text Block]
INCOME TAXES
Income Tax Disclosure [Text Block]
Finished goods
Inventory, Finished Goods, Net of Reserves
Work in process
Inventory, Work in Process, Net of Reserves
Raw materials
Inventory, Raw Materials and Purchased Parts, Net of Reserves
Inventories, net
Adjustment Resulting from Adoption of Topic 606
Difference between Revenue Guidance in Effect before and after Topic 606 [Member]
Timing of Transfer of Good or Service [Axis]
Timing of Transfer of Good or Service [Axis]
Timing of Transfer of Good or Service [Domain]
Timing of Transfer of Good or Service [Domain]
Transferred over Time
Transferred over Time [Member]
Manufacturing period for products shipped with no alternative use and right of payment for performance
Revenue From Contract With Customer, Products Shipped With No Alternative Use And Right Of Payment For Performance, Manufacturing Period
Revenue From Contract With Customer, Products Shipped With No Alternative Use And Right Of Payment For Performance, Manufacturing Period
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
Short-term portion of contract liability
Long-term portion of contract liability
Contract with Customer, Liability, Noncurrent
Product warranty period (up to)
Revenue, Product Warranty Period
Revenue, Product Warranty Period
Increase to opening retained earnings
Increase to total assets
Increase to total liabilities
Statement of Cash Flows [Abstract]
OPERATING ACTIVITIES:
Net Cash Provided by (Used in) Operating Activities [Abstract]
Adjustments to reconcile net income to net cash provided by operating activities:
Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract]
Depreciation and amortization
Depreciation, Depletion and Amortization
Deferred income tax
Deferred Income Tax Expense (Benefit)
Amortization of debt issuance costs
Amortization of Debt Issuance Costs
Loss on disposal of property and equipment
Gain (Loss) on Disposition of Property Plant Equipment, Excluding Oil and Gas Property and Timber Property
Change in fair value of contingent consideration and other
Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability
Share-based compensation
Share-based Compensation
Changes in assets and liabilities, net of business acquisitions:
Increase (Decrease) in Operating Capital [Abstract]
Accounts receivable
Increase (Decrease) in Accounts Receivable
Inventories
Increase (Decrease) in Inventories
Prepaid expenses and other current assets
Increase (Decrease) in Prepaid Expense and Other Assets
Other non-current assets
Increase (Decrease) in Other Operating Assets
Accounts payable, accrued expenses and other current liabilities
Increase (Decrease) in Accounts Payable and Accrued Liabilities
Deferred revenue
Increase (Decrease) in Contract with Customer, Liability
Other non-current liabilities
Increase (Decrease) in Other Noncurrent Liabilities
Net cash provided by operating activities
Net Cash Provided by (Used in) Operating Activities
INVESTING ACTIVITIES:
Net Cash Provided by (Used in) Investing Activities [Abstract]
Purchases of property and equipment
Payments to Acquire Property, Plant, and Equipment
Proceeds from note receivable
Proceeds from Collection of Notes Receivable
Proceeds from sale of property and equipment
Proceeds from Sale of Property, Plant, and Equipment
Cash provided by business acquisitions
Proceeds from Previous Acquisition
Net cash used in investing activities
Net Cash Provided by (Used in) Investing Activities
FINANCING ACTIVITIES:
Net Cash Provided by (Used in) Financing Activities [Abstract]
Proceeds from borrowings of long-term indebtedness
Proceeds from Issuance of Secured Debt
Payments on debt
Repayments of Secured Debt
Net cash paid for contingent consideration
Payment for Contingent Consideration Liability, Net Miscellaneous Acquisition Expenses, Financing Activities
Payment for Contingent Consideration Liability, Net Miscellaneous Acquisition Expenses, Financing Activities
Proceeds from exercised stock options
Proceeds from Stock Options Exercised
Cash taxes paid in net equity settlement
Excess Tax Benefit from Share-based Compensation, Financing Activities
Net cash provided by (used in) financing activities
Net Cash Provided by (Used in) Financing Activities
Effect of exchange rate changes on cash and cash equivalents
Effect of Exchange Rate on Cash and Cash Equivalents
Net increase in cash and cash equivalents
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect
Cash and cash equivalents at beginning of period
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents
Cash and cash equivalents at end of period
Basic net income per share:
Earnings Per Share, Basic [Abstract]
Weighted average common shares outstanding - Basic (in shares)
Basic net income per common share (in dollars per share)
Diluted net income per share:
Earnings Per Share, Diluted [Abstract]
Effect of dilutive securities:
Dilutive Securities, Effect on Basic Earnings Per Share [Abstract]
Stock options and restricted stock (in shares)
Incremental Common Shares Attributable to Dilutive Effect of Share-based Payment Arrangements
Weighted average common shares for diluted earnings per share (in shares)
Diluted net income per common share (in dollars per share)
Basic and Diluted Net Income Per Share
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
DEFINED BENEFIT PLANS
Pension and Other Postretirement Benefits Disclosure [Text Block]
Cross Currency Interest Rate Swap One
Cross Currency Interest Rate Contract One [Member]
Cross Currency Interest Rate Contract One [Member]
Cross Currency Interest Rate Swap Two
Cross Currency Interest Rate Contract Two [Member]
Cross Currency Interest Rate Contract Two [Member]
Cross Currency Interest Rate Swap Three
Cross Currency Interest Rate Contract Three [Member]
Cross Currency Interest Rate Contract Three [Member]
Cross Currency Interest Rate Swap Four
Cross Currency Interest Rate Contract Four [Member]
Cross Currency Interest Rate Contract Four [Member]
Cross Currency Interest Rate Swap Five
Cross Currency Interest Rate Contract Five [Member]
Cross Currency Interest Rate Contract Five [Member]
Cross Currency Interest Rate Swap
Foreign currency translation adjustment
Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, Net of Tax, Portion Attributable to Parent
Change in unrealized gain (loss) on derivatives, net of tax
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification and Tax
Pension liability adjustment, net of tax
Other Comprehensive (Income) Loss, Defined Benefit Plan, after Tax and Reclassification Adjustment, Attributable to Parent
Comprehensive income, net
Schedule of Acquired Finite-Lived Intangible Asset by Major Class [Table]
Schedule of Acquired Finite-Lived Intangible Asset by Major Class [Table]
Completed technology
Completed Technology [Member]
Completed technology.
Customer relationships
Trademarks/brand names
Trademarks Brand Names [Member]
Trademarks Brand Names.
Supplier relationships
Supplier Relation Ships [Member]
Supplier Relation Ships [Member]
All other
All Other [Member]
All Other [Member]
Indefinite-lived Intangible Assets [Axis]
Indefinite-lived Intangible Assets [Axis]
Indefinite-lived Intangible Assets, Major Class Name [Domain]
Indefinite-lived Intangible Assets, Major Class Name [Domain]
Codman trade name
Trade Names [Member]
Acquired Finite-Lived Intangible Assets [Line Items]
Acquired Finite-Lived Intangible Assets [Line Items]
Weighted Average Life
Finite-Lived Intangible Asset, Useful Life
Cost
Cost Of Definite And Indefinite Lived Intangible Assets Gross Excluding Goodwill
Cost Of Definite And Indefinite Lived Intangible Assets Gross Excluding Goodwill.
Accumulated Amortization
Finite-Lived Intangible Assets, Accumulated Amortization
Net
Schedule of Changes in Carrying Amount of Goodwill
Schedule of Goodwill [Table Text Block]
Schedule of Finite-Lived Intangible Assets
Schedule of Finite-Lived Intangible Assets [Table Text Block]
Schedule of Indefinite-Lived Intangible Assets
Schedule of Indefinite-Lived Intangible Assets [Table Text Block]