Equity [Abstract]
Net income
Net Income (Loss) Attributable to Parent
Foreign currency translation adjustment
Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Gain (Loss) Arising During Period, Net of Tax
Change in unrealized (loss) gain on derivatives, net of tax
Other Comprehensive Income (Loss), Unrealized Gain (Loss) on Derivatives Arising During Period, Net of Tax
Pension liability adjustment, net of tax
Other Comprehensive Income (Loss), Pension and Other Postretirement Benefit Plans, Net Unamortized Gain (Loss) Arising During Period, Net of Tax
Comprehensive income (loss)
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Derivative Instruments and Hedging Activities Disclosure [Abstract]
Derivative Instruments, Gain (Loss) by Hedging Relationship, by Income Statement Location, by Derivative Instrument Risk [Table]
Derivative Instruments, Gain (Loss) [Table]
Income Statement Location [Axis]
Income Statement Location [Axis]
Income Statement Location [Domain]
Income Statement Location [Domain]
Interest (expense)
Interest Expense [Member]
Derivative, by Nature [Axis]
Derivative Instrument [Axis]
Derivative, Name [Domain]
Derivative Contract [Domain]
Interest rate swap
Interest Rate Swap [Member]
Derivative Instruments, Gain (Loss) [Line Items]
Derivative Instruments, Gain (Loss) [Line Items]
Derivative Instruments, Gain (Loss) [Roll Forward]
AOCI Attributable to Parent, Net of Tax [Roll Forward]
Balance in AOCI Beginning of Quarter
Accumulated Other Comprehensive Income Loss Cumulative Changes In Net Gain Loss From Cash Flow Hedge Effect Before Tax
Accumulated Other Comprehensive Income Loss Cumulative Changes in Net Gain Loss from Cash Flow Hedge Effect Before Tax
Amount of Loss Recognized in AOCI- Effective Portion
Derivative Instruments, Gain (Loss) Recognized in Other Comprehensive Income (Loss), Effective Portion, Net
Amount of Loss Reclassified from AOCI into Earnings-Effective Portion
Derivative Instruments, Gain (Loss) Reclassified from Accumulated OCI into Income, Effective Portion, Net
Balance in AOCI End of Quarter
Statement of Cash Flows [Abstract]
OPERATING ACTIVITIES:
Net Cash Provided by (Used in) Operating Activities [Abstract]
Net income
Adjustments to reconcile net income to net cash provided by operating activities:
Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract]
Loss from discontinued operations, net of tax
Income (Loss) from Discontinued Operations, Net of Tax, Attributable to Parent
Depreciation and amortization
Depreciation, Depletion and Amortization
Deferred income tax
Deferred Income Tax Expense (Benefit)
Amortization of debt issuance costs
Amortization of Debt Issuance Costs
Non-cash interest expense
Accretion Expense
Loss on disposal of property and equipment
Gain (Loss) on Disposition of Property Plant Equipment, Excluding Oil and Gas Property and Timber Property
Change in fair value of contingent consideration
Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability
Share-based compensation
Share-based Compensation
Changes in assets and liabilities, net of business acquisitions:
Increase (Decrease) in Operating Capital [Abstract]
Accounts receivable
Increase (Decrease) in Accounts Receivable
Inventories
Increase (Decrease) in Inventories
Prepaid expenses and other current assets
Increase (Decrease) in Prepaid Expense and Other Assets
Other non-current assets
Increase (Decrease) in Other Operating Assets
Accounts payable, accrued expenses and other current liabilities
Increase (Decrease) in Accounts Payable and Accrued Liabilities
Deferred revenue
Increase (Decrease) in Deferred Revenue
Other non-current liabilities
Increase (Decrease) in Other Noncurrent Liabilities
Net cash provided by operating activities of continuing operations
Net Cash Provided by (Used in) Operating Activities, Continuing Operations
Net cash used in operating activities of discontinued operations
Cash Provided by (Used in) Operating Activities, Discontinued Operations
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
Sale of property and equipment
Proceeds from Sale of Property, Plant, and Equipment
Cash received from business acquisition purchase price adjustment
Proceeds from Previous Acquisition
Change in restricted cash
Proceeds from Sale of Short-term Investments
Net cash used in investing activities of continuing operations
Net Cash Provided by (Used in) Investing Activities, Continuing Operations
Net cash used in investing activities of discontinued operations
Cash Provided by (Used in) Investing Activities, Discontinued Operations
Net cash used in investing activities
Net Cash Provided by (Used in) Investing Activities
FINANCING ACTIVITIES:
Net Cash Provided by (Used in) Financing Activities [Abstract]
Borrowings under senior credit facility
Proceeds from Issuance of Secured Debt
Repayments under senior credit facility
Repayments of Secured Debt
Principal payments under capital lease obligations
Repayments of Long-term Capital Lease Obligations
Proceeds from exercised stock options
Proceeds from Stock Options Exercised
Cash taxes paid in net equity settlement
Excess Tax Benefit from Share-based Compensation, Financing Activities
Net cash (used in) provided by financing activities
Net Cash Provided by (Used in) Financing Activities
Effect of exchange rate changes on cash and cash equivalents
Effect of Exchange Rate on Cash and Cash Equivalents
Net increase in cash and cash equivalents
Cash and Cash Equivalents, Period Increase (Decrease)
Cash and cash equivalents at beginning of period
Cash and Cash Equivalents, at Carrying Value
Cash and cash equivalents at end of period
Derivative [Table]
Derivative [Table]
Hedging Relationship [Axis]
Hedging Relationship [Axis]
Hedging Relationship [Domain]
Hedging Relationship [Domain]
Cash Flow Hedging
Cash Flow Hedging [Member]
Hedging Designation [Axis]
Hedging Designation [Axis]
Hedging Designation [Domain]
Hedging Designation [Domain]
Designated as Hedging Instrument
Designated as Hedging Instrument [Member]
Derivative Instrument [Axis]
Derivative Contract [Domain]
Interest Rate Swap
Interest Rate Swap One
Interest Rate Swap One [Member]
Interest Rate Swap One
Interest Rate Swap Two
Interest Rate Swap Two [Member]
Interest Rate Swap Two
Derivative [Line Items]
Derivative [Line Items]
Derivative contracts
Derivative, Number of Instruments Held
Derivative, notional amount
Derivative, Notional Amount
Interest rate swap expiration date
Derivative, Description of Terms
Gain (loss) on hedging ineffectiveness
Derivative, Net Hedge Ineffectiveness Gain (Loss)
Commitments and Contingencies Disclosure [Abstract]
COMMITMENTS AND CONTINGENCIES
Commitments and Contingencies Disclosure [Text Block]
Accumulated Other Comprehensive Income (Loss) [Table]
Accumulated Other Comprehensive Income (Loss) [Table]
Equity Components [Axis]
Equity Components [Axis]
Equity Component [Domain]
Equity Component [Domain]
Loss on Cash Flow Hedges
Accumulated Net Gain (Loss) from Cash Flow Hedges Attributable to Parent [Member]
Defined Benefit Pension Items
Accumulated Defined Benefit Plans Adjustment Attributable to Parent [Member]
Foreign Currency Items
Accumulated Foreign Currency Adjustment Attributable to Parent [Member]
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]
Beginning balance
Stockholders' Equity Attributable to Parent
Other comprehensive (loss) income
Other Comprehensive Income (Loss), before Reclassifications, Net of Tax
Ending balance
Subsequent Events [Abstract]
Subsequent Event Type [Axis]
Subsequent Event Type [Axis]
Subsequent Event Type [Domain]
Subsequent Event Type [Domain]
Subsequent Event
Subsequent Event [Member]
Business Combinations [Abstract]
BUSINESS ACQUISITIONS
Business Combination Disclosure [Text Block]
Inventory, Net [Abstract]
Schedule of Inventory, Net
Schedule of Inventory, Current [Table Text Block]
Discontinued Operations and Disposal Groups [Abstract]
DISCONTINUED OPERATIONS
Disposal Groups, Including Discontinued Operations, Disclosure [Text Block]
Earnings Per Share [Abstract]
NET INCOME PER SHARE
Earnings Per Share [Text Block]
Basic net income per share:
Earnings Per Share, Basic [Abstract]
Net income from continuing operations
Income (Loss) from Continuing Operations, Net of Tax, Attributable to Parent
Net loss from discontinued operations
Weighted average common shares outstanding, basic (in shares)
Weighted Average Number of Shares Outstanding, Basic
Basic net income per common share from continuing operations (in dollars per share)
Income (Loss) from Continuing Operations, Per Basic Share
Basic net loss per common share from discontinued operations (in dollars per share)
Income (Loss) from Discontinued Operations and Disposal of Discontinued Operations, Net of Tax, Per Basic Share
Net income per share - basic (in dollars per share)
Earnings Per Share, Basic
Diluted net income per share:
Earnings Per Share, Diluted [Abstract]
Effect of dilutive securities:
Dilutive Securities, Effect on Basic Earnings Per Share [Abstract]
2016 Convertible notes (in shares)
Incremental Common Shares Attributable to Dilutive Effect of Conversion of Debt Securities
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)
Weighted Average Number of Shares Outstanding, Diluted
Diluted net income per common share from continuing operations (in dollars per share)
Income (Loss) from Continuing Operations, Per Diluted Share
Diluted net loss per common share from discontinued operations (in dollars per share)
Income (Loss) from Discontinued Operations and Disposal of Discontinued Operations, Net of Tax, Per Diluted Share
Net income per share - diluted (in dollars per share)
Earnings Per Share, Diluted
Schedule of Business Acquisitions, by Acquisition [Table]
Schedule of Business Acquisitions, by Acquisition [Table]
Range [Axis]
Range [Axis]
Range [Domain]
Range [Domain]
Minimum
Minimum [Member]
Maximum
Maximum [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]
Developed technology
Developed Technology Rights [Member]
Contractual relationships
Customer Relationships [Member]
Leasehold interest
Leasehold Improvements [Member]
Business Acquisition [Axis]
Business Acquisition [Axis]
Business Acquisition, Acquiree [Domain]
Business Acquisition, Acquiree [Domain]
TEI
TEI [Member]
TEI
Business Acquisition [Line Items]
Business Acquisition [Line Items]
Cash
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Cash and Equivalents
Accounts receivable, net
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Receivables
Inventory
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Inventory
Income tax receivable
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Income Tax Receivables
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Income Tax Receivables
Other current assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Other
Property, plant, and equipment
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment
Intangible assets:
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles
Goodwill
Goodwill
Total assets acquired
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets
Accrued expenses and other liabilities
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities, Other
Deferred tax liabilities
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Liabilities
Net assets acquired
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net
Wtd. Avg. Life:
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life
Income Tax Disclosure [Abstract]
INCOME TAXES
Income Tax Disclosure [Text Block]
Schedule of effective income tax rate reconciliation
Schedule of Effective Income Tax Rate Reconciliation [Table Text Block]
Schedule of Comprehensive (Loss) 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]
DERIVATIVE INSTRUMENTS
Derivative Instruments and Hedging Activities Disclosure [Text Block]
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table]
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table]
Balance Sheet Location [Axis]
Balance Sheet Location [Axis]
Balance Sheet Location [Domain]
Balance Sheet Location [Domain]
Accrued Expenses And Other Current Liabilities
Accrued Expenses And Other Current Liabilities [Member]
Accrued expenses and other current liabilities.
Other Noncurrent Liabilities
Other Noncurrent Liabilities [Member]
Derivatives, Fair Value [Line Items]
Derivatives, Fair Value [Line Items]
Derivative liability, fair value, gross liability
Derivative Liability, Fair Value, Gross Liability
Treasury Stock Transactions, Excluding Value of Shares Reissued [Abstract]
Accelerated Share Repurchases [Table]
Accelerated Share Repurchases [Table]
Accelerated Share Repurchases, Date [Axis]
Accelerated Share Repurchases, Date [Axis]
Accelerated Share Repurchases, Date [Domain]
Accelerated Share Repurchases, Date [Domain]
October 2012 Authorization
October 2012 Authorization [Member]
October 2012 Authorization [Member]
Accelerated Share Repurchases [Line Items]
Accelerated Share Repurchases [Line Items]
Stock repurchase program, authorized amount
Stock Repurchase Program, Authorized Amount
Amount available for share repurchase under this latest authorization
Stock Repurchase Program, Remaining Authorized Repurchase Amount
Stock repurchased during period, shares
Stock Repurchased During Period, Shares
Document Documentand Entity Information [Abstract]
Document - Document and Entity Information [Abstract]
Document Type
Document Type
Amendment Flag
Amendment Flag
Document Period End Date
Document Period End Date
Document Fiscal Year Focus
Document Fiscal Year Focus
Document Fiscal Period Focus
Document Fiscal Period Focus
Trading Symbol
Trading Symbol
Entity Registrant Name
Entity Registrant Name
Entity Central Index Key
Entity Central Index Key
Current Fiscal Year End Date
Current Fiscal Year End Date
Entity Filer Category
Entity Filer Category
Entity Common Stock, Shares Outstanding
Entity Common Stock, Shares Outstanding
Basic and Diluted Net Income Per Share
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
Schedule of Contingent Consideration
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]
Debt Disclosure [Abstract]
Schedule of Maturities of Long-term Debt
Schedule of Maturities of Long-term Debt [Table Text Block]
Components of Interest Expense
Components Of Interest Expense Table [Table Text Block]
Components Of Interest Expense Table [Table Text Block]
INVENTORIES
Inventory Disclosure [Text Block]
Segment Reporting [Abstract]
Schedule of Segment Reporting Information, by Segment [Table]
Schedule of Segment Reporting Information, by Segment [Table]
Segments [Axis]
Segments [Axis]
Segments [Domain]
Segments [Domain]
Specialty Surgical Solutions
Specialty Surgical Solutions [Member]
Specialty Surgical Solutions [Member]
Segment Reporting Information [Line Items]
Segment Reporting Information [Line Items]
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
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
Inventory, Net
Organization, Consolidation and Presentation of Financial Statements [Abstract]
BASIS OF PRESENTATION
Organization, Consolidation and Presentation of Financial Statements Disclosure [Text Block]
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]
Pro Forma Information
Business Acquisition, Pro Forma Information [Table Text Block]
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]
Specialty Surgical Solutions
Orthopedics and Tissue Technologies
Orthopedics and Tissue Technologies [Member]
Orthopedics and Tissue Technologies [Member]
Segment Net Sales
Segment Reporting Information, Operating Income (Loss) [Abstract]
Revenues
Revenues
Segment Profit
Segment Reporting Information, Profit (Loss) [Abstract]
Operating income
Operating Income (Loss)
Amortization
Amortization of Intangible Assets
Statement of Financial Position [Abstract]
Trade accounts receivable, allowances
Allowance for Doubtful Accounts Receivable, Current
Preferred stock, par value (in dollars per share)
Preferred Stock, No Par Value
Preferred stock, authorized shares (in shares)
Preferred Stock, Shares Authorized
Preferred stock, outstanding (in shares)
Preferred Stock, Shares Outstanding
Common stock, par value (in dollars per share)
Common Stock, Par or Stated Value Per Share
Common stock, shares authorized (in shares)
Common Stock, Shares Authorized
Common stock, shares issued (in shares)
Common Stock, Shares, Issued
Treasury stock, shares (in shares)
Treasury Stock, Shares
Goodwill and Intangible Assets Disclosure [Abstract]
Annual amortization expense expected to approximate in 2016
Finite-Lived Intangible Assets, Amortization Expense, Remainder of Fiscal Year
Annual amortization expense expected to approximate in 2017
Finite-Lived Intangible Assets, Amortization Expense, Year Two
Annual amortization expense expected to approximate in 2018
Finite-Lived Intangible Assets, Amortization Expense, Year Three
Annual amortization expense expected to approximate in 2019
Finite-Lived Intangible Assets, Amortization Expense, Year Four
Annual amortization expense expected to approximate in 2020
Finite-Lived Intangible Assets, Amortization Expense, Year Five
ASSETS
Assets [Abstract]
Current assets:
Assets, Current [Abstract]
Cash and cash equivalents
Restricted cash and cash equivalents
Restricted Cash and Cash Equivalents, Current
Trade accounts receivable, net of allowances of $6,023 and $5,572
Accounts Receivable, Net, Current
Inventories, 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)
Deferred tax assets
Deferred Tax Assets, Net of Valuation Allowance, Noncurrent
Other assets
Other Assets, Noncurrent
Total assets
Assets
LIABILITIES AND STOCKHOLDERS’ EQUITY
Liabilities and Equity [Abstract]
Current liabilities:
Liabilities, Current [Abstract]
Borrowings under senior credit facility
Secured Debt, Current
Accounts payable, trade
Accounts Payable, Trade, Current
Deferred revenue
Deferred Revenue, Current
Accrued compensation
Employee-related Liabilities, Current
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 convertible securities
Convertible Debt, Noncurrent
Deferred tax liabilities
Deferred Tax Liabilities, Net, Noncurrent
Other liabilities
Other Liabilities, Noncurrent
Total liabilities
Liabilities
Commitments and contingencies
Commitments and Contingencies
Stockholders’ equity:
Stockholders' Equity Attributable to Parent [Abstract]
Preferred stock; no par value; 15,000 authorized shares; none outstanding
Preferred Stock, Value, Issued
Common stock; $0.01 par value; 60,000 authorized shares; 46,238 and 45,857 issued at June 30, 2016 and December 31, 2015, respectively
Common Stock, Value, Issued
Additional paid-in capital
Additional Paid in Capital, Common Stock
Treasury stock, at cost; 8,915 shares at June 30, 2016 and December 31, 2015
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
COMPREHENSIVE INCOME (LOSS)
Comprehensive Income (Loss) Note [Text Block]
DEBT
Debt Disclosure [Text Block]
Schedule of Derivative Instruments in Statement of Financial Position, Fair Value
Schedule of Derivative Instruments in Statement of Financial Position, Fair Value [Table Text Block]
Effect of Derivative Instruments Designated as Cash Flow Hedges on Statements of Operations
Derivative Instruments, Gain (Loss) [Table Text Block]
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]
Performance Shares and Restricted Units
Performance Shares and Restricted Units [Member]
Performance Shares and Restricted Units
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Shares excluded from computation as their effect would be anti-dilutive
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
Weighted average number of shares outstanding, basic and diluted
Weighted Average Number of Shares Outstanding, Basic and Diluted
Total revenue
Business Acquisition, Pro Forma Revenue
Net income
Business Acquisition, Pro Forma Net Income (Loss)
Net income per share:
Business Acquisition, Pro Forma Information [Abstract]
Basic (in dollars per share)
Business Acquisition, Pro Forma Earnings Per Share, Basic
Disposal Groups, Including Discontinued Operations [Table]
Disposal Groups, Including Discontinued Operations [Table]
Adjustments for New Accounting Pronouncements [Axis]
Adjustments for New Accounting Pronouncements [Axis]
Type of Adoption [Domain]
Type of Adoption [Domain]
Accounting Standards Update 2016-09
Accounting Standards Update 2016-09 [Member]
Accounting Standards Update 2016-09 [Member]
New Accounting Pronouncement, Early Adoption [Axis]
New Accounting Pronouncement, Early Adoption [Axis]
New Accounting Principles, Early Adoption [Domain]
New Accounting Principles, Early Adoption [Domain]
New Accounting Pronouncement, Early Adoption, Effect
New Accounting Pronouncement, Early Adoption, Effect [Member]
Disposal Group Classification [Axis]
Disposal Group Classification [Axis]
Disposal Group Classification [Domain]
Disposal Group Classification [Domain]
Spinoff
Discontinued Operations, Disposed of by Means Other than Sale, Spinoff [Member]
Disposal Group Name [Axis]
Disposal Group Name [Axis]
Disposal Group Name [Domain]
Disposal Group Name [Domain]
SeaSpine Inc.
SeaSpine Inc. [Member]
SeaSpine Inc. [Member]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Distribution of spinoff shares
Disposal Group, Including Discontinued Operation, Distribution of Spinoff Shares, Percent
Percentage of shares distributed to shareholders as part of a spinoff transaction
Shares of Integra for share of SeaSpine
Share Ratio for Issuance of Spinoff Company Stock
Share Ratio for Issuance of Spinoff Company Stock
Income tax benefit
Effective Income Tax Rate Reconciliation, Share-based Compensation, Excess Tax Benefit, Amount
Effective Income Tax Rate Reconciliation, Share-based Compensation, Excess Tax Benefit, Amount
Excess tax settlement from share-based compensation, operating activities
Excess Tax Benefit from Share-based Compensation, Operating Activities
Net cash provided by (used in) operating activities
Net cash provided by (used in) financing activities
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [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]
Selling, general and administrative
Selling, General and Administrative Expenses [Member]
Fair Value, Hierarchy [Axis]
Fair Value, Hierarchy [Axis]
Fair Value Hierarchy [Domain]
Fair Value Hierarchy [Domain]
Fair Value, Inputs, Level 3
Fair Value, Inputs, Level 3 [Member]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]
Balance as of January 1, 2016
Fair Value, Measurement with Unobservable Inputs Reconciliations, Recurring Basis, Liability Value
Loss from increase in fair value of contingent consideration liabilities
Fair value at June 30, 2016
Reported tax rate
Effective Income Tax Rate Reconciliation, Percent
Schedule of Changes In Carrying Amount Of Goodwill
Schedule of Goodwill [Table Text Block]
Components of Company's Identifiable Intangible Assets
Schedule Of Definite And Indefinite Lived Intangible Assets Table [Table Text Block]
Schedule Of Definite And Indefinite Lived Intangible Assets [Table Text Block]
Total Revenue By Major Geographic Area
Schedule of Segment Reporting Information, by Segment [Table Text Block]
Tekmed
Tekmed [Member]
Tekmed [Member]
Salto and Futura
Salto and Futura [Member]
Salto and Futura [Member]
TEI Biosciences Inc.
TEI Biosciences Inc. [Member]
TEI Biosciences Inc. [Member]
TEI Medical Inc.
TEI Medical Inc. [Member]
TEI Medical Inc. [Member]
Other Income
Other Income [Member]
Consideration for acquisition
Business Combination, Consideration Transferred
Goodwill, Purchase Accounting Adjustments
Goodwill, Purchase Accounting Adjustments
Revenue of acquired company since acquisition
Business Combination, Pro Forma Information, Revenue of Acquiree since Acquisition Date, Actual
Payments for acquisition
Payments to Acquire Businesses, Gross
Business combination, bargain purchase, gain recognized, amount
Business Combination, Bargain Purchase, Gain Recognized, Amount
Business acquired
Number of Businesses Acquired
Cash used in business acquisition, net of cash acquired
Payments to Acquire Businesses, Net of Cash Acquired
Business combination, cash acquired
Geographical [Axis]
Geographical [Axis]
Geographical [Domain]
Geographical [Domain]
United States
UNITED STATES
Europe
Europe [Member]
Rest of World
Rest Of World [Member]
Revenues from rest of the world.
Integra Supplier Contract
integra Supplier Contract [Member]
integra Supplier Contract
Inventory
Property, plant, and equipment
Intangible assets:
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill [Abstract]
Supplier contracts
Goodwill
Total assets acquired
Deferred tax liabilities
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]
Title of Individual [Axis]
Title of Individual [Axis]
Relationship to Entity [Domain]
Relationship to Entity [Domain]
Employee
Employee [Member]
Employee [Member]
Directors and certain executive officers
Directors and Certain Executive Officers [Member]
Directors and Certain Executive Officers [Member]
Stock options
Employee Stock Option [Member]
Restricted stock awards/stock units
Restricted Stock Awards And Units [Member]
Restricted Stock Awards And Units [Member]
Performance shares
Performance Shares [Member]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based compensation arrangement by share-based payment award, number of plans
Share-based Compensation Arrangement by Share-based Payment Award, Number of Plans
Share-based Compensation Arrangement by Share-based Payment Award, Number of Plans
Stock options exercisable, vesting period, in years
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period
Expiration period, in years
Share-based Compensation Arrangement by Share-based Payment Award, Expiration Period
Incremental increase in stock based award expense after spinoff
Share-based Compensation Arrangement by Share-based Payment Award, Plan Modification, Incremental Compensation Cost
Total unrecognized compensation costs
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized
Weighted-average period for cost recognition, in years
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized, Period for Recognition
Grants in period, net of forfeitures (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Net of Forfeitures
Requisite service periods of awards, in years
Share-based Compensation Arrangement by Share-based Payment Award, Award Requisite Service Period
Awards granted during period (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross
STOCK-BASED COMPENSATION
Disclosure of Compensation Related Costs, Share-based Payments [Text Block]
Income Statement [Abstract]
Total revenue, net
Sales Revenue, Goods, Net
Costs and expenses:
Costs and Expenses [Abstract]
Cost of goods sold
Cost of Goods Sold
Research and development
Research and Development Expense
Selling, general and administrative
Selling, General and Administrative Expense
Intangible asset amortization
Total costs and expenses
Costs and Expenses
Operating income
Interest income
Investment Income, Interest
Interest expense
Interest Expense
Other income (expense), net
Other Nonoperating Income (Expense)
Income from continuing operations before income taxes
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest
Income tax expense
Income Tax Expense (Benefit)
Income from continuing operations
Income (Loss) from Continuing Operations, Net of Tax, Including Portion Attributable to Noncontrolling Interest
Loss from discontinued operations (net of tax benefit)
Net income
Net income per share - basic:
Income from continuing operations (in dollars per share)
Loss from discontinued operations (in dollars per share)
Net income per share - diluted:
Income from continuing operations (in dollars per share)
Loss from discontinued operations (in dollars per share)
Weighted average common shares outstanding:
Weighted Average Number of Shares Outstanding, Diluted [Abstract]
Basic (in shares)
Diluted (in shares)
Comprehensive income (loss)
GOODWILL AND OTHER INTANGIBLE ASSETS
Goodwill and Intangible Assets Disclosure [Text Block]
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]
Scenario [Axis]
Scenario [Axis]
Scenario, Unspecified [Domain]
Scenario, Unspecified [Domain]
Scenario, Forecast
Scenario, Forecast [Member]
Income Tax Contingency [Line Items]
Income Tax Contingency [Line Items]
Reported tax rate
Income tax benefit
Unrecognized tax benefit, current period
Unrecognized Tax Benefits, Increase Resulting from Current Period Tax Positions
Unrecognized tax benefit, prior period
Unrecognized Tax Benefits, Increase Resulting from Prior Period Tax Positions
Unrecognized tax benefit, current period, transfer pricing
Unrecognized Tax Benefits, Increase Resulting from Current Period Tax Positions, Transfer Pricing
Unrecognized Tax Benefits, Increase Resulting from Current Period Tax Positions, Transfer Pricing
Schedule of Acquired Finite-Lived Intangible Asset by Major Class [Table]
Schedule of Acquired Finite-Lived Intangible Asset by Major Class [Table]
Indefinite-lived Intangible Assets [Axis]
Indefinite-lived Intangible Assets [Axis]
Indefinite-lived Intangible Assets, Major Class Name [Domain]
Indefinite-lived Intangible Assets, Major Class Name [Domain]
In Process Research and Development
In Process Research and Development [Member]
Completed technology
Completed Technology [Member]
Completed technology.
Customer relationships
Trademarks/brand names
Trademarks Brand Names [Member]
Trademarks Brand Names.
Supplier relationships
Supplier Relation Ships [Member]
Supplier Relation Ships [Member]
All other
All Other [Member]
All Other [Member]
Acquired Finite-Lived Intangible Assets [Line Items]
Acquired Finite-Lived Intangible Assets [Line Items]
Weighted Average Life
Finite-Lived Intangible Asset, Useful Life
Cost
Cost Of Definite And Indefinite Lived Intangible Assets Gross Excluding Goodwill
Cost Of Definite And Indefinite Lived Intangible Assets Gross Excluding Goodwill.
Accumulated Amortization
Finite-Lived Intangible Assets, Accumulated Amortization
Net
Definite And Indefinite Lived Intangible Assets Net Excluding Goodwill
Definite And Indefinite Lived Intangible Assets Net Excluding Goodwill.
Other Indefinite-lived Intangible Assets
Other Indefinite-lived Intangible Assets
Line of Credit Facility [Table]
Line of Credit Facility [Table]
Credit Facility [Axis]
Credit Facility [Axis]
Credit Facility [Domain]
Credit Facility [Domain]
Term Loan
Term Loan [Member]
Term Loan [Member]
Line of Credit Facility [Line Items]
Line of Credit Facility [Line Items]
2016
Long-term Debt, Maturities, Repayments of Principal, Remainder of Fiscal Year
2017
Long-term Debt, Maturities, Repayments of Principal in Year Two
2018
Long-term Debt, Maturities, Repayments of Principal in Year Three
2019
Long-term Debt, Maturities, Repayments of Principal in Year Four
Total repayments
Secured Debt
Balance Sheet and Income Statement of Disposal Group
Disposal Groups, Including Discontinued Operations [Table Text Block]
SEGMENT AND GEOGRAPHIC INFORMATION
Segment Reporting Disclosure [Text Block]
Supply Commitment [Axis]
Supply Commitment [Axis]
Supply Commitment Arrangement [Domain]
Supply Commitment Arrangement [Domain]
Supply Commitment
Supply Commitment [Member]
Information Technology and Administrative Support
Information Technology and Administrative Support [Member]
Information Technology and Administrative Support [Member]
Related Party [Axis]
Related Party [Axis]
Related Party [Domain]
Related Party [Domain]
Director
Director [Member]
Number of shared board members
Related Party, Shared Management, Number of Common Employees
Related Party, Shared Management, Number of Common Employees
Cash
Disposal Group, Including Discontinued Operation, Cash and Cash Equivalents
Discontinued operation, gain (loss) on disposal of discontinued operation, net of tax
Discontinued Operation, Gain (Loss) on Disposal of Discontinued Operation, Net of Tax
Period of continuing involvement after spinoff
Discontinued Operation, Period of Continuing Involvement after Disposal
Revenue of SeaSpine
Discontinued Operation, Intra-Entity Amounts, Discontinued Operation after Disposal, Revenue
Expenses of SeaSpine
Discontinued Operation, Intra-Entity Amounts, Discontinued Operation after Disposal, Expense
Ankle product family
Ankle Product Family [Member]
Ankle Product Family
Toe product family
Toe Product Family [Member]
Toe Product Family
Total revenue
Disposal Group, Including Discontinued Operation, Revenue
Costs and expenses
Disposal Group, Including Discontinued Operation, Operating Expense and Cost of Goods Sold
Disposal Group, Including Discontinued Operation, Operating Expense and Cost of Goods Sold
Operating loss
Disposal Group, Including Discontinued Operation, Operating Income (Loss)
Other income (expense), net
Disposal Group, Including Discontinued Operation, Other Income (Expense), Net
Disposal Group, Including Discontinued Operation, Other Income (Expense), Net
Loss from discontinued operations before tax
Discontinued Operation, Income (Loss) from Discontinued Operation, before Income Tax
Benefit for income taxes
Discontinued Operation, Tax Effect of Discontinued Operation
Net loss from discontinued operations
Schedule of Goodwill [Table]
Schedule of Goodwill [Table]
TEI
Goodwill [Line Items]
Goodwill [Line Items]
Goodwill [Roll Forward]
Goodwill [Roll Forward]
Goodwill at December 31, 2015
TEI working capital and purchase price adjustment
Foreign currency translation
Goodwill, Foreign Currency Translation Gain (Loss)
Balance, June 30, 2016
Recently Issued Accounting Standards
New Accounting Pronouncements, Policy [Policy Text Block]
Loss Contingencies [Table]
Loss Contingencies [Table]
Legal Entity [Axis]
Legal Entity [Axis]
Entity [Domain]
Entity [Domain]
Third Party Insurer
Third Party Insurer [Member]
Third Party Insurer [Member]
Indemnification period - up to fifteen months after close
Indemnification Period One [Member]
Indemnification Period One [Member]
Indemnification period - up to 3 years after close
Indemnification Period Two [Member]
Indemnification Period Two [Member]
Loss Contingencies [Line Items]
Loss Contingencies [Line Items]
Number of active cases
Loss Contingency, Pending Claims, Number
Indemnification policy in place
Business Combination, Indemnification Assets, Amount as of Acquisition Date
Period of indemnification
Business Combination, Indemnification Assets, Period of Indemnification
Business Combination, Indemnification Assets, Period of Indemnification
Minimum indemnification from acquisition
Business Combination, Indemnification Assets, Range of Outcomes, Value, Low
Maximum indemnification from acquisition
Business Combination, Indemnification Assets, Range of Outcomes, Value, High
Fair value inputs, discount rate
Fair Value Inputs, Discount Rate
Schedule of Long-term Debt Instruments [Table]
Schedule of Long-term Debt Instruments [Table]
Debt Instrument [Axis]
Debt Instrument [Axis]
Debt Instrument, Name [Domain]
Debt Instrument, Name [Domain]
2016 Convertible Senior Notes
Two Thousand Sixteen Senior Convertible Notes [Member]
Two Thousand Sixteen Senior Convertible Notes [Member]
2016 Notes:
Debt Instrument [Line Items]
Amortization of the discount on the liability component
Amortization of Debt Discount (Premium)
Cash interest related to the contractual interest coupon
Interest Expense, Debt, Excluding Amortization
Total
Interest Expense, Debt
Amortization of debt discount (premium), interest costs capitalized
Amortization of Debt Discount (Premium), Interest Costs Capitalized
Amortization of Debt Discount (Premium), Interest Costs Capitalized
Interest expense, debt, excluding amortization, interest costs capitalized
Interest Expense, Debt, Excluding Amortization, Interest Costs Capitalized
Interest Expense, Debt, Excluding Amortization, Interest Costs Capitalized
SUBSEQUENT EVENT
Subsequent Events [Text Block]
TREASURY STOCK
Treasury Stock [Text Block]
August 2015 Amendment
August Two Thousand Fifteen Amendment [Member]
August Two Thousand Fifteen Amendment [Member]
July 2014 Amendment
July Two Thousand Fourteen Amendment [Member]
July Two Thousand Fourteen Amendment [Member]
Long-term Debt, Type [Axis]
Long-term Debt, Type [Axis]
Long-term Debt, Type [Domain]
Long-term Debt, Type [Domain]
Convertible Debt
Convertible Debt [Member]
Variable Rate [Axis]
Variable Rate [Axis]
Variable Rate [Domain]
Variable Rate [Domain]
Eurodollar
Eurodollar [Member]
Federal Funds
Federal Funds [Member]
Federal Funds [Member]
Revolving Credit Facility
Revolving Credit Facility [Member]
Standby Letters of Credit
Standby Letters of Credit [Member]
Swingline Loan
Swingline Loan [Member]
Swingline Loan [Member]
Senior credit facility, maximum borrowing capacity
Line of Credit Facility, Maximum Borrowing Capacity
Proceeds from lines of credit
Proceeds from Lines of Credit
Interest rates available to the Company at its option
Debt Instrument, Basis Spread on Variable Rate
Cash balance threshold above which excess amount is not subject to any restriction of use or investment
Cash Balance Threshold Above Which Excess Cash Is Not Subject To Restriction Of Use
Cash Balance Threshold Above Which Excess Cash Is Not Subject to Restriction of Use
Line of credit, commitment fee percentage
Line of Credit Facility, Commitment Fee Percentage
Deferred finance costs, gross
Debt Issuance Costs, Gross
Line of credit facility outstanding
Long-term Line of Credit
Weighted average interest rate on debt
Debt, Weighted Average Interest Rate
Available borrowings under senior secured revolving credit facility
Line of Credit Facility, Remaining Borrowing Capacity
Line of credit facility, fair value of amount outstanding
Line of Credit Facility, Fair Value of Amount Outstanding
Long-term debt, fair value
Long-term Debt, Fair Value
Principal amount outstanding
Debt Instrument, Face Amount
Interest rate on debt
Debt Instrument, Interest Rate, Stated Percentage
Portion of the debt proceeds that was classified as equity at the time of the offering
Debt Instrument, Convertible, Carrying Amount of Equity Component
Effective interest rate implicit in the liability component
Debt Instrument, Interest Rate During Period
Carrying amount of liability
Unamortized discount
Debt Instrument, Unamortized Discount
Fair value of outstanding borrowings
Debt Instrument, Fair Value Disclosure
Common stock based on initial conversion rate ratio (in shares)
Debt Instrument, Convertible, Conversion Ratio
Initial conversion price (in dollars per share)
Debt Instrument, Convertible, Conversion Price
Maximum selling price of company's common stock
Debt Instrument, Convertible, Threshold Percentage of Stock Price Trigger
Principal amount of notes per average trading price
Principal Amount Of Notes Per Average Trading Price
Principal amount of notes for determining if the average trading price is in excess of this percentage of the conversion value.
Maximum average conversion value of the Notes (less than or equal to)
Maximum Average Conversion Value Of Notes
The notes are convertible if the average trading price per $1000 principal amount of notes is less than or equal to this percentage of the average conversion value of the notes during a period as defined in the indenture.
Number debt instruments pending conversion
Debt Instrument, Convertible, Number of Debt Instruments Pending Conversion
Debt Instrument, Convertible, Number of Debt Instruments Pending Conversion
Repayments of debt
Repayments of Debt
Stock issued during period, shares, conversion of convertible securities
Stock Issued During Period, Shares, Conversion of Convertible Securities
Strike price of the call transaction (in dollars per share)
Derivative Price Of Call Transaction Strike Price
Derivative price of the call transaction, strike price.
Strike price of warrant transactions (in dollars per share)
Strike Price Of Warrant Transactions
Strike price of the warrant transactions entered into with affiliates of the initial purchasers of the Notes.