Cash paid during the year for:
Supplemental Cash Flow Information [Abstract]
Customer [Domain]
Name of Major Customer [Domain]
Customer [Domain]
State
Current State and Local Tax Expense (Benefit)
Vested (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period
Leasehold improvements
Leasehold Improvements [Member]
Effective Income Tax Rate Reconciliation, Amount [Abstract]
Effective Income Tax Rate Reconciliation, Amount [Abstract]
Preferred stock, shares outstanding (in shares)
Preferred Stock, Shares Outstanding
Acquisition related costs
Business Combination, Acquisition Related Costs
Measurement input
Acquired Intangible Assets, Measurement Input
Acquired Intangible Assets, Measurement Input
Other
Other Intangible Assets [Member]
Contract assets
Increase (Decrease) in Contract with Customer, Asset
Security Exchange Name
Security Exchange Name
Equity method investment
Equity Method Investments, Fair Value Disclosure
Forfeited (in dollars per share)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Forfeitures, Weighted Average Grant Date Fair Value
Schedule of Contract Assets and Contract Liabilities
Contract with Customer, Contract Asset, Contract Liability, and Receivable [Table Text Block]
Contingent consideration payments
Payment for Contingent Consideration Liability, Financing Activities
Weighted-average remaining lease term - operating leases (in years)
Operating Lease, Weighted Average Remaining Lease Term
Foreign Currency Translation and Remeasurement
Foreign Currency Transactions and Translations Policy [Policy Text Block]
Non-marketable securities impairment
Equity Securities without Readily Determinable Fair Value, Impairment Loss, Annual Amount
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Derivative Financial Instruments
Derivatives, Policy [Policy Text Block]
Other Operating Expenses Net [Table]
Other Operating Expenses Net [Table]
Table showing components of Other Operating Expenses, net
Number of shares available for grant (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Available for Grant
Valuation, Income Approach
Valuation, Income Approach [Member]
Net increase (decrease) in cash and cash equivalents
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents, Period Increase (Decrease), Including Exchange Rate Effect
Acquired Finite-Lived Intangible Assets [Line Items]
Acquired Finite-Lived Intangible Assets [Line Items]
Expected volatility
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Volatility Rate
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]
2023
Long-Term Debt, Maturity, Year Two
Income taxes payable
Increase (Decrease) in Income Taxes Payable
Fair value measurement adjustment
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Gain (Loss) Included in Earnings
Intrinsic value
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period, Intrinsic Value
Acquisition-related adjustments (Note 2)
Acquisition-related adjustments (Note 2)
Goodwill, Purchase Accounting Adjustments
Additions to warranty reserve, net of reversals
Standard Product Warranty Accrual, Increase For Warranties Issued, (Decrease) For Reversals
Standard Product Warranty Accrual, Increase For Warranties Issued, (Decrease) For Reversals
Charged to Costs & Expenses
SEC Schedule, 12-09, Valuation Allowances and Reserves, Additions, Charge to Cost and Expense
Profit sharing and bonuses
Accrued Bonuses, Current
Foreign Exchange Contract Maturing December Two Thousand Twenty Two Contract One
Foreign Exchange Contract Maturing December Two Thousand Twenty Two Contract One [Member]
Foreign Exchange Contract Maturing December Two Thousand Twenty Two Contract One
Number of customers
Concentration Risk, Number of Customers
Concentration Risk, Number of Customers
Contingent consideration
Business Combination, Liabilities Arising from Contingencies, Amount Recognized
Total intangible asset amortization expense
Amortization of Intangible Assets
Schedule of Restructuring Reserve by Type of Cost
Schedule of Restructuring Reserve by Type of Cost [Table Text Block]
Intangible assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill
Weighted Average Amortization Period (Years)
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life
Securities excluded (in shares)
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
Weighted-average discount rate - operating leases
Operating Lease, Weighted Average Discount Rate, Percent
Schedule of Inventory, Current
Schedule of Inventory, Current [Table Text Block]
Contract with customer, liability, revenue recognized
Contract with Customer, Liability, Revenue Recognized
RD&E
Research and Development Expense [Member]
Net deferred tax assets
Deferred Tax Assets, Net of Valuation Allowance
Business Combination and Asset Acquisition [Abstract]
Business Acquisition [Axis]
Business Acquisition [Axis]
Lessor, Lease, Description [Table]
Lessor, Lease, Description [Table]
Schedule of Contingent Consideration Measurement Inputs
Fair Value, Liabilities Measured on Recurring Basis [Table Text Block]
Schedule of Indefinite-Lived Intangible Assets
Schedule of Indefinite-Lived Intangible Assets [Table Text Block]
Operating lease assets
Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Operating Lease, Right-of-use Asset
Business Combination, Recognized Identifiable Assets Acquired And Liabilities Assumed, Operating Lease, Right-of-use Asset
Award Type [Domain]
Award Type [Domain]
Movement in Standard Product Warranty Accrual [Roll Forward]
Movement in Standard Product Warranty Accrual [Roll Forward]
Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table]
Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table]
Local Phone Number
Local Phone Number
Weighted Average Remaining Contractual Term and Aggregate Intrinsic Value
Share-based Compensation Arrangement by Share-based Payment Award, Options, Additional Disclosures [Abstract]
Operating Loss Carryforwards [Line Items]
Operating Loss Carryforwards [Line Items]
Preferred stock, $0.001 par value, authorized 100,000,000 shares; no shares issued or outstanding as of December 31, 2021 and 2020
Preferred Stock, Value, Issued
Fair Value Assigned
Finite-lived Intangible Assets Acquired
Cardiac & Neuromodulation
Cardiac Neuromodulation [Member]
Cardiac Neuromodulation [Member]
Finance Lease, Liability, Noncurrent, Statement of Financial Position [Extensible Enumeration]
Finance Lease, Liability, Noncurrent, Statement of Financial Position [Extensible Enumeration]
Retained earnings
Retained Earnings [Member]
Unallocated other income (expense), net
Unallocated Other Expense
Total expenses other than operating not allocated to business segments
Warranty claims settled
Standard Product Warranty Accrual, Decrease for Payments
FINANCIAL INSTRUMENTS AND FAIR VALUE MEASUREMENTS
Derivatives and Fair Value [Text Block]
Costa Rica
COSTA RICA
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table]
Equity method investment, return of capital
Proceeds from Equity Method Investment, Distribution
Accounts receivable
Increase (Decrease) in Accounts Receivable
Property, plant and equipment purchases included in accounts payable
Capital Expenditures Incurred but Not yet Paid
Payment for employment taxes
Payment For Employment Taxes
Payment For Employment Taxes
Property, Plant and Equipment [Line Items]
Property, Plant and Equipment [Line Items]
Entity Well-known Seasoned Issuer
Entity Well-known Seasoned Issuer
Financing costs incurred
Financing Costs Deferred
Financing costs deferred during the period.
Weighted average interest rate
Debt, Weighted Average Interest Rate
Principal payments on finance leases
Finance Lease, Principal Payments
Pay Fixed Rate
Derivative, Fixed Interest Rate
Employee Service Share-based Compensation, Allocation of Recognized Period Costs [Line Items]
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Line Items]
Basic earnings per share (in dollars per share)
Earnings Per Share, Basic
Operating lease cost
Operating Lease, Expense
REVENUE FROM CONTRACTS WITH CUSTOMERS
Revenue from Contract with Customer [Text Block]
Sublease income
Sublease Income
Cash acquired from acquisition
Cash Acquired from Acquisition
Balance at beginning of period
Balance at end of period
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability Value
Beginning balance (in shares)
Ending balance (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number
2022
Long-Term Debt, Maturity, Year One
Raw materials
Inventory, Raw Materials, Gross
Geographic Concentration Risk
Geographic Concentration Risk [Member]
Inventory adjustments
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Inventory
Gain Contingencies [Line Items]
Gain Contingencies [Line Items]
Diluted earnings per share:
Earnings Per Share, Diluted [Abstract]
Schedule II - Valuation and Qualifying Accounts
SEC Schedule, 12-09, Schedule of Valuation and Qualifying Accounts Disclosure [Text Block]
Cash provided by investing activities
Cash Provided by (Used in) Investing Activities, Discontinued Operations
Costs incurred from sale of accounts receivable
Accounts Receivable Sale, Cost Of Sale
Accounts Receivable Sale, Cost Of Sale
Cumulative Effect, Period of Adoption, Adjustment
Cumulative Effect, Period of Adoption, Adjustment [Member]
Manufacturing machinery and equipment
Machinery and Equipment [Member]
Gross assets acquired
Finance Leased Asset, Gross Assets Acquired
Finance Leased Asset, Gross Assets Acquired
Net deferred tax liability
Deferred Tax Liabilities, Net
Other non-cash (gains) losses
Other Noncash Income (Expense)
Fair Value
Fair value
Derivative Asset, Fair Value, Gross Asset
Property, plant and equipment
Deferred Tax Liabilities, Property, Plant and Equipment
Gain (Loss) Recognized in OCI
Gain (loss) recognized in OCI
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), before Reclassification and Tax
Customer C
Customer C
Customer C [Member]
Customer C [Member]
Disposal Groups, Including Discontinued Operations [Table]
Disposal Groups, Including Discontinued Operations [Table]
Entity Voluntary Filers
Entity Voluntary Filers
Rest of world
All Other Countries [Member]
All Other Countries [Member]
Total debt
Long-term Debt
Long-term Debt
Quoted Prices in Active Markets (Level 1)
Fair Value, Inputs, Level 1 [Member]
Cash flows from investing activities:
Net Cash Provided by (Used in) Investing Activities [Abstract]
Income Tax Disclosure [Abstract]
Income Tax Disclosure [Abstract]
Total Pre-Tax Amount
Accumulated Adjustment Attributable To Parent [Member]
Accumulated Adjustment Attributable To Parent
State taxes, net of federal benefit
Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Amount
Entity Small Business
Entity Small Business
Operating Leases
Lessee, Operating Lease, Liability, Payment, Due [Abstract]
U.S. tax on foreign earnings, net of §250 deduction
Effective Income Tax Rate Reconciliation, Repatriation of Foreign Earnings, Amount
Base Rate
Base Rate [Member]
Additions based upon tax positions related to the current year
Unrecognized Tax Benefits, Increase Resulting from Current Period Tax Positions
Finite-Lived Intangible Assets [Line Items]
Finite-Lived Intangible Assets [Line Items]
Basis of Presentation and Principles of Consolidation
Basis Of Accounting And Consolidation, Policy [Policy Text Block]
Basis Of Accounting And Consolidation, Policy [Policy Text Block]
Customer B
Customer B
Customer B [Member]
Customer B [Member]
LIABILITIES AND STOCKHOLDERS’ EQUITY
Liabilities and Equity [Abstract]
Unrecognized tax benefit
Unrecognized Tax Benefits that Would Impact Effective Tax Rate
Accounts payable
Increase (Decrease) in Accounts Payable
Amount recorded for current year acquisitions
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Purchases
Interest rate swaps
Interest Rate Swap [Member]
Restricted Stock And Units Type Of Vesting [Domain]
Restricted Stock And Units Type Of Vesting [Domain]
Schedule of Time based vesting versus Performance based vesting
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Table]
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Table]
Schedule of Cash Flow Hedges Included in Accumulated Other Comprehensive Income (Loss)
Schedule of Cash Flow Hedges Included in Accumulated Other Comprehensive Income (Loss) [Table Text Block]
Entity Interactive Data Current
Entity Interactive Data Current
After 2026
Long-Term Debt, Maturity, after Year Five
2025
Finite-Lived Intangible Asset, Expected Amortization, Year Four
Manufacturing alignment to support growth
Manufacturing Alignment To Support Growth [Member]
Manufacturing Alignment To Support Growth [Member]
Refundable income taxes
Income Taxes Receivable, Current
Schedule of Long-Lived Tangible Assets and Identifiable Assets by Geographic Area
Reconciliation of Assets from Segment to Consolidated [Table Text Block]
Fair value reduction adjustment for acquisition-related contingent consideration liability
Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability
Balance Sheet Location [Domain]
Balance Sheet Location [Domain]
Schedule of Share-based Payment Award, Equity Instruments Other Than Options, Valuation Assumptions
Schedule of Share-based Payment Award, Equity Instruments Other Than Options, Valuation Assumptions [Table Text Block]
Schedule of Share-based Payment Award, Equity Instruments Other Than Options, Valuation Assumptions [Table Text Block]
Balance, beginning of year
Balance, end of year
Unrecognized Tax Benefits
Foreign Exchange Contract Maturing September 2021, Contract Two
Foreign Exchange Contract Maturing September Two Thousand Twenty One, Contract Two [Member]
Foreign Exchange Contract Maturing September Two Thousand Twenty One, Contract Two
Income Tax Authority [Domain]
Income Tax Authority [Domain]
Gross deferred tax assets
Deferred Tax Assets, Gross
Entity Common Stock, Shares Outstanding (in shares)
Entity Common Stock, Shares Outstanding
Entity Address, State or Province
Entity Address, State or Province
Other income, net
Disposal Group, Including Discontinued Operation, Operating Income (Loss)
Restructuring reserve, beginning balance
Restructuring reserve, ending balance
Restructuring Reserve
Loss contingency damages sought
Loss Contingency, Damages Sought, Value
Reclassification from AOCI, current period, net of tax, attributable to parent
Reclassification from AOCI, Current Period, Net of Tax, Attributable to Parent
Non-marketable equity securities
Non-marketable Equity Securities
Non-marketable Equity Securities
Deferred income taxes
Noncurrent deferred tax asset
Deferred Income Tax Assets, Net
Current liabilities:
Liabilities, Current [Abstract]
Restructuring Plan [Domain]
Restructuring Plan [Domain]
Tax
Accumulated Other Comprehensive Income, Tax [Member]
Accumulated Other Comprehensive Income, Tax
INVENTORIES
Inventory Disclosure [Text Block]
Accounting Policies [Abstract]
Accounting Policies [Abstract]
Derivative Instrument [Axis]
Derivative Instrument [Axis]
Outstanding, weighted average remaining contractual term
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term
Other noncurrent assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Other Noncurrent Assets
Present value of lease liabilities
Operating Lease, Liability
Federal
Current Federal Tax Expense (Benefit)
Document Transition Report
Document Transition Report
Income from continuing operations
Income (Loss) from Continuing Operations, Net of Tax, Attributable to Parent
Common stock, $0.001 par value; 100,000,000 shares authorized; 33,063,336 and 32,908,178 shares issued and outstanding as of December 31, 2021 and 2020, respectively
Common Stock, Value, Issued
Weighted-average discount rate - finance leases
Finance Lease, Weighted Average Discount Rate, Percent
Other Operating Income Expense Detail [Line Items]
Other Operating Income Expense Detail [Line Items]
Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.
Period for recognition
Share-based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Period for Recognition
Customer Concentration Risk
Customer Concentration Risk [Member]
Beginning balance (in dollars per share)
Ending balance (in dollars per share)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value
Increase in contract assets
Increase (Decrease) In Contract With Customer, Asset, Net Of Foreign Currency
Increase (Decrease) In Contract With Customer, Asset, Net Of Foreign Currency
Leases
Lessee, Operating Leases [Text Block]
Amortization of lease assets
Finance Lease, Right-of-Use Asset, Amortization
Supplier Financing Arrangements
Supplier Financing Arrangements, Policy [Policy Text Block]
Supplier Financing Arrangements, Policy
Total, Financing costs incurred
Financing And Unamortized Discount, Costs Incurred
Financing And Unamortized Discount, Costs Incurred
BUSINESS ACQUISITIONS
Business Combination Disclosure [Text Block]
Senior secured term loan A
Term Loan A (TLA) Facility [Member]
Term Loan A (TLA) Facility [Member]
ICFR Auditor Attestation Flag
ICFR Auditor Attestation Flag
Antidilutive Securities, Name [Domain]
Antidilutive Securities, Name [Domain]
International
Deferred Foreign Income Tax Expense (Benefit)
Effect of dilutive securities stock options, restricted stock and restricted stock units (in shares)
Incremental Common Shares Attributable to Dilutive Effect of Share-based Payment Arrangements
Strategic Reorganization And Alignment Initiatives Two Thousand Twenty One Initiatives
Strategic Reorganization And Alignment Initiatives Two Thousand Twenty One Initiatives [Member]
Strategic Reorganization And Alignment Initiatives Two Thousand Twenty One Initiatives
Goodwill [Line Items]
Goodwill [Line Items]
Income from continuing operations
Business Acquisition, Pro Forma Net Income (Loss)
Schedule of Income Tax Contingencies
Summary of Income Tax Contingencies [Table Text Block]
Income Tax Authority [Axis]
Income Tax Authority [Axis]
Schedule of Other Operating Cost and Expense, by Component
Schedule of Other Operating Cost and Expense, by Component [Table Text Block]
Thereafter
Finance Lease, Liability, to be Paid, after Year Five
Prepaid expenses and other current assets
Prepaid Expense and Other Assets, Current
SG&A
Selling, General and Administrative Expenses [Member]
Accrued expenses and other current liabilities
Total
Accrued Liabilities, Current
Sales
Total sales
Revenue from Contract with Customer, Excluding Assessed Tax
Stock-based compensation
Deferred Tax Assets, Tax Deferred Expense, Compensation and Benefits, Share-based Compensation Cost
Foreign Exchange Contract Maturing November 2021
Foreign Exchange Contract Maturing November Two Thousand Twenty One [Member]
Foreign Exchange Contract Maturing November Two Thousand Twenty One
Percent of revenue from contract with customer compared to total revenue
Percent Of Revenue From Contract With Customer Compared To Total Revenue
Percent Of Revenue From Contract With Customer Compared To Total Revenue
Stock options
Share-based Payment Arrangement, Option [Member]
Consolidation Items [Domain]
Consolidation Items [Domain]
Fair Value Hierarchy and NAV [Axis]
Fair Value Hierarchy and NAV [Axis]
Equity [Abstract]
Equity [Abstract]
Comprehensive Income
Comprehensive Income, Policy [Policy Text Block]
Federal tax credits (including R&D)
Effective Income Tax Rate Reconciliation, Tax Credit, Percent
Product Warranties
Standard Product Warranty, Policy [Policy Text Block]
Measurement Input Type [Domain]
Measurement Input Type [Domain]
Operating Loss Carryforwards [Table]
Operating Loss Carryforwards [Table]
Variable Rate [Axis]
Variable Rate [Axis]
SEGMENT AND GEOGRAPHIC INFORMATION
Segment Reporting Disclosure [Text Block]
Weighted-average remaining lease term - finance leases (in years)
Finance Lease, Weighted Average Remaining Lease Term
Schedule of Property, Plant and Equipment [Table]
Property, Plant and Equipment [Table]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Document Fiscal Year Focus
Document Fiscal Year Focus
Property, Plant and Equipment [Abstract]
Property, Plant and Equipment [Abstract]
Variable Rate [Domain]
Variable Rate [Domain]
Expected future benefit payments next five years
Defined Benefit Plan, Expected Future Benefit Payment, after Year Five for Next Five Years
Long-term Debt, Type [Domain]
Long-term Debt, Type [Domain]
Equity Investments
Equity Method Investments [Policy Text Block]
Acquisitions
Standard Product Warranty Accrual, Additions from Business Acquisition
Other Assets
Other Assets [Member]
Other (income) loss, net
Other Nonoperating Income (Expense)
Term Loan And Senior Notes
Term Loan And Senior Notes [Member]
Term Loan And Senior Notes [Member]
Maximum
Maximum [Member]
Effective Income Tax Rate Reconciliation, Percent [Abstract]
Effective Income Tax Rate Reconciliation, Percent [Abstract]
Share-based Payment Arrangement [Abstract]
Share-based Payment Arrangement [Abstract]
Schedule of Accrued Liabilities and Other Current Liabilities
Schedule of Accrued Liabilities [Table Text Block]
Award Type [Axis]
Award Type [Axis]
Cash flows from financing activities:
Net Cash Provided by (Used in) Financing Activities [Abstract]
Treasury shares reissued
Treasury Stock Reissued at Lower than Repurchase Price
Schedule of Operating Lease Liability Maturities (Topic 842)
Lessee, Operating Lease, Liability, Maturity [Table Text Block]
Schedule of Revenue by Major Customers by Reporting Segments
Schedule of Revenue by Major Customers by Reporting Segments [Table Text Block]
Total stockholders’ equity
Total stockholders’ equity, beginning balance
Total stockholders’ equity, ending balance
Stockholders' Equity Attributable to Parent
City Area Code
City Area Code
Description of payment terms
Revenue, Performance Obligation, Description of Payment Terms
Schedule of Supplemental Cash Flow Information
Schedule of Cash Flow, Supplemental Disclosures [Table Text Block]
Designated as Hedging Instrument
Designated as Hedging Instrument [Member]
Goodwill and Intangible Assets Disclosure [Abstract]
Goodwill and Intangible Assets Disclosure [Abstract]
Ireland
IRELAND
Property, plant and equipment, useful life
Property, Plant and Equipment, Useful Life
Stockholders’ equity:
Stockholders' Equity Attributable to Parent [Abstract]
Gain on sale of discontinued operations
Disposal Group, Not Discontinued Operation, Gain (Loss) on Disposal
Concentration of Credit Risk
Concentration Risk, Credit Risk, Policy [Policy Text Block]
Operating lease liabilities
Operating Lease, Liability, Noncurrent
Gross lease liabilities
Finance Lease, Liability, Payment, Due
Total
Current Income Tax Expense (Benefit)
Net periodic pension cost
Defined Benefit Plan, Net Periodic Benefit Cost (Credit)
Acquisition and integration costs (adjustments)
Business Combination, Acquisition And Integration Related Costs
Business Combination, Acquisition And Integration Related Costs
Compensation expense tax benefit
Share-based Payment Arrangement, Expense, Tax Benefit
Operating Segments
Operating Segments [Member]
Puerto Rico
PUERTO RICO
Derivatives, Fair Value [Line Items]
Derivatives, Fair Value [Line Items]
RSUs
Restricted Stock Units (RSUs) [Member]
Unused capacity commitment fee
Line of Credit Facility, Unused Capacity, Commitment Fee Percentage
Schedule of Summary of Final Allocation of Purchase Consideration
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]
Charged to Other Accounts- Describe
SEC Schedule, 12-09, Valuation Allowances and Reserves, Additions, Charge to Other Account
Present value of lease liabilities
Finance Lease, Liability
Gross deferred tax liabilities
Deferred Tax Liabilities, Gross
Total equity investments
Equity Method Investments
Income Statement [Abstract]
Income Statement [Abstract]
Restricted Stock And Units Type Of Vesting [Table]
Restricted Stock And Units Type Of Vesting [Table]
Schedule of Time based vesting versus Performance based vesting
Entity Registrant Name
Entity Registrant Name
Components of Deferred Tax Assets and Liabilities [Abstract]
Components of Deferred Tax Assets and Liabilities [Abstract]
Current assets (excluding inventory)
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Receivables
2024
Finance Lease, Liability, to be Paid, Year Three
2025
Finance Lease, Liability, to be Paid, Year Four
Deductions
SEC Schedule, 12-09, Valuation Allowances and Reserves, Deduction
Discontinued Operations, Held-for-sale
Discontinued Operations, Held-for-sale [Member]
Rest of world
Rest Of World [Member]
Rest Of World [Member]
Other
Effective Income Tax Rate Reconciliation, Other Adjustments, Amount
London Interbank Offered Rate One - Month (LIBOR)
London Interbank Offered Rate One - Month (LIBOR) [Member]
London Interbank Offered Rate One - Month (LIBOR)
Provision for income taxes
Total provision for income taxes
Income Tax Expense (Benefit)
Accounts receivable, net of provision for credit losses of $0.1 million and $0.2 million as of December 31, 2021 and 2020, respectively
Accounts Receivable, after Allowance for Credit Loss, Current
Inventories
Deferred Tax Assets, Inventory
Accumulated Other Comprehensive Income (Loss) [Table]
Accumulated Other Comprehensive Income (Loss) [Table]
Income Before Tax Components by Geographic Region [Domain]
Income Before Tax Components by Geographic Region [Domain]
Identification of income before income taxes by geographic region.
Entity Tax Identification Number
Entity Tax Identification Number
Investment Type [Axis]
Investment Type [Axis]
Performance Based Restricted Stock And Restricted Stock Units
Restricted Stock And Restricted Stock Units Performance Based [Member]
Disclosure relating to restricted stock and restricted stock units that are performance-based vesting
Document Fiscal Period Focus
Document Fiscal Period Focus
Total current assets
Assets, Current
Accounts Receivable
Accounts Receivable [Member]
Gross lease liabilities
Lessee, Operating Lease, Liability, to be Paid
Mexico
MEXICO
Forfeited (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Forfeited in Period
Schedule of Stock by Class [Table]
Schedule of Stock by Class [Table]
Valuation allowance
Effective Income Tax Rate Reconciliation, Change in Deferred Tax Assets Valuation Allowance, Amount
Stock-Based Compensation
Share-based Payment Arrangement [Policy Text Block]
Statement of Financial Position [Abstract]
Statement of Financial Position [Abstract]
Schedule of Assets Useful Life [Table]
Schedule of Assets Useful Life [Table]
-- None. No documentation exists for this element. --
SEC Schedule, 12-09, Valuation and Qualifying Accounts [Abstract]
SEC Schedule, 12-09, Valuation and Qualifying Accounts [Abstract]
Accrued environmental loss contingencies, current
Accrued Environmental Loss Contingencies, Current
Fair Value Measurements
Fair Value Measurement, Policy [Policy Text Block]
Current portion of long-term debt
Current portion of long-term debt
Long-term Debt, Current Maturities
Property, Plant and Equipment, Type [Domain]
Long-Lived Tangible Asset [Domain]
Restructuring Plan [Axis]
Restructuring Plan [Axis]
Segment Reporting, Asset Reconciling Item [Line Items]
Segment Reporting, Asset Reconciling Item [Line Items]
Weighted average 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
Equity Component [Domain]
Equity Component [Domain]
2022
Lessee, Operating Lease, Liability, to be Paid, Year One
Disposal Group Name [Domain]
Disposal Group Name [Domain]
Debt issuance costs
Debt Issuance Costs, Gross
Unamortized discount on TLB Facility, Amortization during the period
Amortization of Debt Discount (Premium)
Finite Lived Intangible Assets Amortization Expense [Table]
Finite Lived Intangible Assets Amortization Expense [Table]
Amortization expense by expense category
Valuation allowance
Effective Income Tax Rate Reconciliation, Change in Deferred Tax Assets Valuation Allowance, Percent
2025
Lessee, Operating Lease, Liability, to be Paid, Year Four
Weighted Average
Weighted Average [Member]
Schedule of Depreciation Expense
Depreciation Expense Disclosure [Table Text Block]
Tabular disclosure of depreciation expense.
Less: current portion of lease liabilities
Finance Lease, Liability, Current
Significant Other Observable Inputs (Level 2)
Fair Value, Inputs, Level 2 [Member]
Other
Other Capitalized Property Plant and Equipment [Member]
Receive Current Floating Rate
Derivative, Variable Interest Rate
Auditor Location
Auditor Location
Customer D
Customer D [Member]
Customer D [Member]
Segment Reporting [Abstract]
Segment Reporting [Abstract]
Type of Restructuring [Domain]
Type of Restructuring [Domain]
Intangible asset, useful life
Finite-Lived Intangible Asset, Useful Life
Finance lease cost
Finance Lease, Interest Expense
Use of Estimates
Use of Estimates, Policy [Policy Text Block]
Schedule of Earnings Per Share, Basic and Diluted
Schedule of Earnings Per Share, Basic and Diluted [Table Text Block]
Finance Leases
Finance Lease, Liability, Payment, Due [Abstract]
Customer A
Customer A
Customer A [Member]
Customer A [Member]
Title of 12(b) Security
Title of 12(b) Security
Interest expense ratio
Debt Instrument Covenant Adjusted EBITDA To Interest Expense Ratio
Debt Instrument Covenant Adjusted EBITDA To Interest Expense Ratio
Deferred income taxes
Deferred Income Taxes and Tax Credits
Common stock, shares authorized (in shares)
Common Stock, Shares Authorized
Vested and exercisable , weighted average remaining contractual term
Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Exercisable, Weighted Average Remaining Contractual Term
Title of Individual [Axis]
Title of Individual [Axis]
Document Type
Document Type
Product and Service [Domain]
Product and Service [Domain]
Liabilities: Contingent consideration
Fair Value
Business Combination, Contingent Consideration, Liability
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Revolving Credit Facility
Revolving Credit Facility [Member]
Measurement Frequency [Axis]
Measurement Frequency [Axis]
Valuation allowance for deferred tax assets
SEC Schedule, 12-09, Valuation Allowance, Deferred Tax Asset [Member]
Notional Amount
Derivative Liability, Notional Amount
Schedule of Lease Term, Discount Rate, Lease Costs and Supplemental Cash Flow Information
Lease, Cost [Table Text Block]
Geographical [Axis]
Geographical [Axis]
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table]
Fair Values Derivatives, Balance Sheet Location, by Derivative Contract Type [Table]
U.S. State
State and Local Jurisdiction [Member]
Interest expense
Interest Expense [Member]
Other
Other Accrued Liabilities
Foreign rate differential
Effective Income Tax Rate Reconciliation, Foreign Income Tax Rate Differential, Amount
Income Tax Disclosure [Line Items]
Income Tax Disclosure [Line Items]
-- None. No documentation exists for this element. --
Net cash provided by (used in) financing activities
Net Cash Provided by (Used in) Financing Activities
Tax credit carryforwards
Deferred Tax Assets, Tax Credit Carryforwards, Other
Weighted average shares outstanding:
Weighted Average Number of Shares Outstanding, Diluted [Abstract]
Award vesting period
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period
Equity method investment (income) loss
Income (Loss) from Equity Method Investments
Additions (reductions) related to prior period tax returns
Unrecognized Tax Benefits, Increase (Decrease) Resulting From Prior Period Tax Positions
Unrecognized Tax Benefits, Increase (Decrease) Resulting From Prior Period Tax Positions
Schedule of Share-based Compensation, Restricted Stock and Restricted Stock Units Activity
Share-based Payment Arrangement, Restricted Stock and Restricted Stock Unit, Activity [Table Text Block]
Charges incurred, net of reversals
Restructuring Charges
Concentration Risk Type [Axis]
Concentration Risk Type [Axis]
Derivative Instruments and Hedging Activities Disclosures [Table]
Derivative Instruments and Hedging Activities Disclosures [Table]
Liabilities: Interest rate swaps
Interest Rate Derivative Liabilities, at Fair Value
2024
Finite-Lived Intangible Asset, Expected Amortization, Year Three
Income from discontinued operations (in dollars per share)
Discontinued Operation, Income (Loss) from Discontinued Operation, Net of Tax, Per Basic Share
Acquisitions and Contingent Consideration
Business Combinations Policy [Policy Text Block]
Goodwill
Goodwill and Intangible Assets, Goodwill, Policy [Policy Text Block]
Document Period End Date
Document Period End Date
Purchase of intangible asset
Payments to acquire intangible asset
Payments to Acquire Intangible Assets
Concentration Risk Benchmark [Domain]
Concentration Risk Benchmark [Domain]
Sale of accounts receivable
Accounts Receivable, Sale
Number of Stock Options
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding [Roll Forward]
Time-vested stock options, restricted stock and restricted stock units
Time-Vested Stock Options, Restricted Stock And Restricted Stock Units [Member]
Time-Vested Stock Options, Restricted Stock And Restricted Stock Units
State taxes, net of federal benefit
Effective Income Tax Rate Reconciliation, State and Local Income Taxes, Percent
State
Deferred State and Local Income Tax Expense (Benefit)
Income Before Tax Components by Geographic Region [Table]
Income Before Tax Components by Geographic Region [Table]
Table presenting income before taxes by geographic region
Schedule of Property, Plant and Equipment
Property, Plant and Equipment [Table Text Block]
Income Statement Location [Domain]
Income Statement Location [Domain]
Debt instrument term
Debt Instrument, Term
Non-cash investing and financing activities:
Cash Flow, Noncash Investing and Financing Activities Disclosure [Abstract]
Property, plant and equipment, net
Total
Long-lived tangible assets
Property, Plant and Equipment, Net
Total operating expenses
Operating Expenses
Land and land improvements
Land and Land Improvements [Member]
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense
Schedule of Finite-Lived Intangible Assets, Future Amortization Expense [Table Text Block]
Earnings Per Share [Abstract]
Earnings Per Share [Abstract]
Purchase of equity investments
Sale Purchase Of Cost Equity Method Investments
Net (proceeds from sale) purchase of cost and equity method investments, net
Principal payments of term loans
Repayments of Other Long-term Debt
Income from discontinued operations (in dollars per share)
Discontinued Operation, Income (Loss) from Discontinued Operation, Net of Tax, Per Diluted Share
Property, plant and equipment, gross
Property, Plant and Equipment, Gross
Foreign currency translation gain (loss)
Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, Net of Tax, Portion Attributable to Parent
Sales
Revenue from Contract with Customer Benchmark [Member]
Lake Region Medical
Lake Region Medical [Member]
Lake Region Medical [Member]
Foreign Exchange Contract
Foreign Exchange Contract [Member]
Finished goods
Inventory, Finished Goods, Gross
Beginning balance (in dollars per share)
Ending balance (in dollars per share)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price
Operating lease liabilities
Deferred Tax Assets, Operating Lease Liabilities
Deferred Tax Assets, Operating Lease Liabilities
Patents
Patents [Member]
Asset Acquisition [Domain]
Asset Acquisition [Domain]
Finance lease accumulated amortization
Finance Lease, Right-of-Use Asset, Accumulated Amortization
Entity Current Reporting Status
Entity Current Reporting Status
Weighted Average Grant Date Fair Value
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Weighted Average Grant Date Fair Value [Abstract]
Effective tax rate
Effective Income Tax Rate Reconciliation, Percent
Amortization during the period
Amortization of Debt Issuance Costs
Vested and exercisable , aggregate intrinsic value
Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Exercisable, Aggregate Intrinsic Value
Income Before Tax Components by Geographic Region [Axis]
Income Before Tax Components by Geographic Region [Axis]
Information by geographic region of income before income taxes.
Business Combination, Separately Recognized Transactions [Line Items]
Business Combination, Separately Recognized Transactions [Line Items]
Contract assets
Contract with Customer, Asset, after Allowance for Credit Loss, Current
Tax Credit Carryforward, Name [Domain]
Tax Credit Carryforward, Name [Domain]
U.S.
United States
UNITED STATES
Discount rate
Measurement Input, Discount Rate [Member]
Schedules of Concentration of Risk by Reveune and Accounts Receivable
Schedules of Concentration of Risk, by Risk Factor [Table Text Block]
Leases [Abstract]
Leases [Abstract]
Income Taxes
Income Tax, Policy [Policy Text Block]
London Interbank Offered Rate (LIBOR)
London Interbank Offered Rate (LIBOR) [Member]
Other Intangible Assets
Goodwill and Intangible Assets, Intangible Assets, Policy [Policy Text Block]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Accumulated Other Comprehensive Income (Loss) [Line Items]
Capital investments expended
Restructuring And Related Activities, Capital Expenditures Incurred To Date
Total capital expenditures incurred to date in connection with restructuring and related activities
Disposal Group Classification [Domain]
Disposal Group Classification [Domain]
Reclassification from AOCI, current period, before tax, attributable to parent
Reclassification from AOCI, Current Period, before Tax, Attributable to Parent
Anticipated future costs remaining
Anticipated Future Costs Remaining
Anticipated Future Costs Remaining
Entity Address, Postal Zip Code
Entity Address, Postal Zip Code
Revenue Recognition
Revenue from Contract with Customer [Policy Text Block]
Foreign Exchange Contract Maturing December Two Thousand Twenty Two Contract Three
Foreign Exchange Contract Maturing December Two Thousand Twenty Two Contract Three [Member]
Foreign Exchange Contract Maturing December Two Thousand Twenty Two Contract Three
Diluted (in shares)
Denominator for diluted EPS (in shares)
Weighted Average Number of Shares Outstanding, Diluted
INCOME TAXES
Income Tax Disclosure [Text Block]
Long-term Debt, Type [Axis]
Long-term Debt, Type [Axis]
Schedule of Share-based Compensation, Stock Options, Activity
Share-based Payment Arrangement, Option, Activity [Table Text Block]
Senior secured term loan B
Term Loan B (TLB) Facility [Member]
Term Loan B (TLB) Facility [Member]
Spread on variable rate
Debt Instrument, Basis Spread on Variable Rate
Reconciliation of Revenue from Segments to Consolidated [Table]
Reconciliation of Revenue from Segments to Consolidated [Table]
Stock awards exercised or vested
Stock Issued During Period, Value, Stock Options Exercised Or Vested
Stock Issued During Period, Value, Stock Options Exercised Or Vested
Statement of Cash Flows [Abstract]
Statement of Cash Flows [Abstract]
Operating lease liabilities
Business Combination, Recognized Identifiable Asset Acquired and Liability Assumed, Lease Obligation
Schedule of Operating Loss and Tax Credit Carryforwards
Summary of Operating Loss and Tax Credit Carryforwards [Table Text Block]
Tabular disclosure of pertinent information, such as tax authority, amounts, and expiration dates, of net operating loss carryforwards and tax credit carryforwards, including an assessment of the likelihood of utilization.
Vested and exercisable (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Exercisable, Number
Class of Stock [Line Items]
Class of Stock [Line Items]
Not Designated as Hedging Instrument
Not Designated as Hedging Instrument [Member]
Credit Facility [Axis]
Credit Facility [Axis]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Entity Address, Address Line One
Entity Address, Address Line One
Entity Address, Address Line Two
Entity Address, Address Line Two
Accumulated depreciation
Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment
Measurement Input, Annual Attrition Rate
Measurement Input, Annual Attrition Rate [Member]
Measurement Input, Annual Attrition Rate
Cash flows from operating activities:
Net Cash Provided by (Used in) Operating Activities [Abstract]
Entity Shell Company
Entity Shell Company
Derivative Instruments and Hedging Activities Disclosures [Line Items]
Derivative Instruments and Hedging Activities Disclosures [Line Items]
Expected life (in years)
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Term
Total current liabilities
Liabilities, Current
Tax withholdings related to net share settlements of restricted stock awards
Payment, Tax Withholding, Share-based Payment Arrangement
Contingent consideration fair value adjustment
Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Asset
Similar Identifiable Assets Relating To A License To Use Technology
Similar Identifiable Assets Relating To A License To Use Technology [Member]
Similar Identifiable Assets Relating To A License To Use Technology
Restricted Stock And Restricted Stock Units Time Based
Restricted Stock And Restricted Stock Units Time Based [Member]
Disclosure relating to restricted stock and restricted stock units that are time-based vesting
Fair value of net assets acquired
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net [Abstract]
Foreign exchange contracts
Foreign Exchange Forward [Member]
Net leverage ratio incremental increase option
Debt Instrument Covenant Maximum Leverage Ratio
Debt Instrument Covenant Maximum Leverage Ratio
Employer matching contribution, percentage of employees' gross pay
Defined Contribution Plan, Employer Matching Contribution, Percent of Employees' Gross Pay
Current Fiscal Year End Date
Current Fiscal Year End Date
Unamortized discount on term loan B and deferred debt issuance costs
Total, Beginning Balance
Total, Ending Balance
Unamortized debt issuance costs
Debt Instrument, Unamortized Discount (Premium) and Debt Issuance Costs, Net
Interest rate floor
Debt Instrument, Interest Rate, Floor
Debt Instrument, Interest Rate, Floor
State tax credits
State Tax Credit Carryforward [Member]
State Tax Credit Carryforward
Restricted Stock And Units Type Of Vesting [Axis]
Restricted Stock And Units Type Of Vesting [Axis]
Schedule of Time based vesting versus Performance based vesting
Statement [Table]
Statement [Table]
Recently Accounting Pronouncements Adopted, Accounting Guidance Not Yet Elected or Adopted
New Accounting Pronouncements, Policy [Policy Text Block]
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions and Methodology [Abstract]
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions and Methodology [Abstract]
Total unrecognized compensation cost
Share-based Payment Arrangement, Nonvested Award, Cost Not yet Recognized, Amount
Statistical Measurement [Axis]
Statistical Measurement [Axis]
Derivative, Forward Exchange Rate (in dollars per Euro and dollars per Mexican Peso)
Derivative, Forward Exchange Rate
Total long-term lease liabilities
Finance Lease, Liability, Noncurrent
Income from discontinued operations before taxes
Income from discontinued operations before taxes
Discontinued Operation, Income (Loss) from Discontinued Operation, before Income Tax
Vesting of RSUs, net of shares withheld to cover taxes (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Net of Forfeitures And RSU Vesting
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Net of Forfeitures And RSU Vesting
Net Carrying Amount
Finite-Lived Intangible Assets, Net
Goodwill
Goodwill acquired
Beginning balance
Ending balance
Goodwill
Product warranties
Beginning balance
Ending balance
Standard Product Warranty Accrual
Foreign rate differential
Effective Income Tax Rate Reconciliation, Foreign Income Tax Rate Differential, Percent
Total, Write-off during the period
Financing And Unamortized Discount Costs, Write-Off
Financing And Unamortized Discount Costs, Write-Off
Federal tax credits (including R&D)
Effective Income Tax Rate Reconciliation, Tax Credit, Amount
Proceeds from legal settlements
Proceeds from Legal Settlements
Schedule of Goodwill
Schedule of Goodwill [Table Text Block]
Information technology hardware and software
Computer Equipment [Member]
Defined Benefit Plan Liability
Accumulated Defined Benefit Plans Adjustment Attributable to Parent [Member]
Total
Deferred Income Tax Expense (Benefit)
Common stock and additional paid-in capital
Common Stock Including Additional Paid in Capital [Member]
Hedging Designation [Domain]
Hedging Designation [Domain]
Asset Acquisition [Axis]
Asset Acquisition [Axis]
Foreign Exchange Contract Maturing December 2021
Foreign Exchange Contract Maturing December Two Thousand Twenty One [Member]
Foreign Exchange Contract Maturing December Two Thousand Twenty One
Net foreign currency transaction gains (losses)
Foreign Currency Transaction Gain (Loss), Realized
Statutory rate
Effective Income Tax Rate Reconciliation, at Federal Statutory Income Tax Rate, Percent
Work-in-process
Inventory, Work in Process, Gross
Earnings Per Share (EPS)
Earnings Per Share, Policy [Policy Text Block]
Trademarks and tradenames
Trademarks and Trade Names [Member]
US BioDesign LLC
US BioDesign LLC [Member]
US BioDesign LLC [Member]
Fair Value, Measurements, Fair Value Hierarchy [Domain]
Fair Value Hierarchy and NAV [Domain]
Net income
Net income
Net income
Net Income (Loss) Attributable to Parent
Operating lease assets
Operating Lease, Right-of-Use Asset
Defined Benefit Plans
Pension and Other Postretirement Plans, Policy [Policy Text Block]
Net operating loss carryforwards
Deferred Tax Assets, Operating Loss Carryforwards
Accounts Payable and Accrued Liabilities [Abstract]
Accounts Payable and Accrued Liabilities [Abstract]
Restructuring Expenses
Costs Associated with Exit or Disposal Activities or Restructurings, Policy [Policy Text Block]
Income Statement Location [Axis]
Income Statement Location [Axis]
Accumulated Amortization
Finite-Lived Intangible Assets, Accumulated Amortization
Statistical Measurement [Domain]
Statistical Measurement [Domain]
Non-cash (gain) loss on equity investments
Non-Cash Cost And Equity Method Investments Realized Gain Loss
Non-cash portion of cost and equity method investments realized gain loss
Schedule of Sales by Geographic Area
Schedule of Revenue from External Customers Attributed to Foreign Countries by Geographic Area [Table Text Block]
Schedule of Maturities of Long-term Debt
Schedule of Maturities of Long-term Debt [Table Text Block]
Restricted Stock and Restricted Stock Units
Restricted Stock and Restricted Stock Units [Member]
-- None. No documentation exists for this element. --
Restricted Stock And Unit Awards
Restricted Stock And Unit Awards [Member]
The allocation of expense to restricted stock and restricted stock units.
Entity Incorporation, State or Country Code
Entity Incorporation, State or Country Code
Proceeds from sale of property, plant and equipment
Proceeds from Sale of Property, Plant, and Equipment
Revenue from Contract with Customer [Abstract]
Revenue from Contract with Customer [Abstract]
Additional paid-in capital
Additional Paid in Capital, Common Stock
Restructuring Type [Axis]
Restructuring Type [Axis]
Other long-term assets
Other Assets, Noncurrent
Segments [Axis]
Business Segments [Axis]
Segments [Axis]
Expected dividend yield
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Expected Dividend Rate
Discount percent
Debt Instrument, Discount, Percentage
Debt Instrument, Discount, Percentage
Retirement Benefits [Abstract]
Entity File Number
Entity File Number
Stock-based compensation
APIC, Share-based Payment Arrangement, Increase for Cost Recognition
Asset acquisition transaction costs capitalized
Asset Acquisition, Transaction Costs Capitalized
Asset Acquisition, Transaction Costs Capitalized
DISCONTINUED OPERATIONS
Disposal Groups, Including Discontinued Operations, Disclosure [Text Block]
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
SEC Schedule, 12-09, Valuation and Qualifying Accounts Disclosure [Line Items]
Schedule of Revenue by Major Customers, by Reporting Segments [Table]
Schedule of Revenue by Major Customers, by Reporting Segments [Table]
Valuation Approach and Technique [Domain]
Valuation Approach and Technique [Domain]
Variable lease cost
Variable Lease, Cost
Non-Medical
Non-Medical Segment [Member]
Non-Medical Segment [Member]
Impairment charges
Equity Method Investment, Other than Temporary Impairment
International
International [Member]
-- None. No documentation exists for this element. --
(Gain) loss on equity investments, net
Cost And Equity Method Investments Realized Gain Loss
This item represents the gain (loss) realized during the period from the sale of investments accounted for under the cost or equity method of accounting and any losses recognized thereon for impairments of other than a temporary nature.
Granted (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 of shares vested
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period, Fair Value
Deferred payroll taxes
Accrued Payroll Taxes
Title of Individual [Domain]
Title of Individual [Domain]
Disposal Group Name [Axis]
Disposal Group Name [Axis]
Customer E
Customer E [Member]
Customer E
Credit Facility [Domain]
Credit Facility [Domain]
ASSETS
Assets [Abstract]
2024
Long-Term Debt, Maturity, Year Three
Accumulated impairment loss
Goodwill, Impaired, Accumulated Impairment Loss
Assets acquired under finance leases
Right-of-Use Asset Obtained in Exchange for Finance Lease Liability
Unallocated Amount to Segment
Segment Reconciling Items [Member]
Restructuring Costs
Restructuring Costs
Granted (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Grants in Period
Research, development and engineering
Research and Development Expense (Excluding Acquired in Process Cost)
Concentration risk percentage
Concentration Risk, Percentage
GOODWILL AND OTHER INTANGIBLE ASSETS, NET
Goodwill and Intangible Assets Disclosure [Text Block]
Property, Plant and Equipment
Property, Plant and Equipment, Policy [Policy Text Block]
Beginning balance (in shares)
Ending balance (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Number
Tradenames
Trade Names [Member]
Debt Instrument [Axis]
Debt Instrument [Axis]
Prepaid expenses and other assets
Increase (Decrease) in Prepaid Expense and Other Assets
COMMITMENTS AND CONTINGENCIES
Commitments and Contingencies Disclosure [Text Block]
Unobservable Inputs
Business Combination, Contingent Consideration, Liability, Measurement Input
Secured Debt
Secured Debt [Member]
Schedule of Finite-Lived Intangible Assets, Amortization Expense
Schedule of Finite-Lived Intangible Assets, Amortization Expense [Table Text Block]
Schedule of amortization expense for finite-lived intangible assets
Provision for income taxes
Provision for income taxes
Discontinued Operation, Tax Effect of Discontinued Operation
Assets acquired under operating leases
Right-of-Use Asset Obtained in Exchange for Operating Lease Liability
Inventory
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Inventory
Operational Excellence Initiatives
Operational Excellence Initiatives [Member]
Operational Excellence Initiatives
Schedule of Business Acquisition, Pro Forma Information
Business Acquisition, Pro Forma Information [Table Text Block]
Schedule of Deferred Tax Assets and Liabilities
Schedule of Deferred Tax Assets and Liabilities [Table Text Block]
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies Disclosure [Abstract]
Schedule of Segment Reporting Information, by Segment [Table]
Schedule of Segment Reporting Information, by Segment [Table]
Schedule of Assets Useful Life [Line Items]
Schedule of Assets Useful Life [Line Items]
-- None. No documentation exists for this element. --
Operating expenses
Operating Expense [Member]
Remaining borrowing capacity
Line of Credit Facility, Remaining Borrowing Capacity
Contingent consideration liability, current
Business Combination, Contingent Consideration, Liability, Current
Indefinite-lived Intangible Assets, Major Class Name [Domain]
Indefinite-lived Intangible Assets, Major Class Name [Domain]
Defined benefit plan liability adjustment, net of tax
Other Comprehensive (Income) Loss, Defined Benefit Plan, after Reclassification Adjustment, after Tax
2024
Lessee, Operating Lease, Liability, to be Paid, Year Three
Employer matching contribution, per dollar
Defined Contribution Plan, Employer Matching Contribution, Amount Matched Per Dollar
Defined Contribution Plan, Employer Matching Contribution, Amount Matched Per Dollar
After 2026
Finite-Lived Intangible Asset, Expected Amortization, after Year Five
Provision for credit losses
SEC Schedule, 12-09, Allowance, Credit Loss [Member]
SEC Schedule, 12-09, Valuation Allowances and Reserves Type [Axis]
SEC Schedule, 12-09, Valuation Allowances and Reserves Type [Axis]
2026
Long-Term Debt, Maturity, Year Five
Net costs recognized
Defined Contribution Plan, Cost
Time-Vested and Performance-Vested Restricted Stock Units and Awards
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Nonvested, Number of Shares [Roll Forward]
Operational excellence initiatives
Two Thousand Twenty Two Restructuring Plan [Member]
Two Thousand Twenty Two Restructuring Plan
Acquired finite lived intangible assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Finite-Lived Intangibles
Measurement Input, Royalty Rate
Measurement Input, Royalty Rate [Member]
Measurement Input, Royalty Rate
Gain (loss) reclassification from accumulated OCI to income, estimated net amount to be transferred
Derivative Instruments, Gain (Loss) Reclassification from Accumulated OCI to Income, Estimated Net Amount to be Transferred
Cash paid for operating leases
Operating Lease, Payments
Number of shares authorized (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Authorized
Asset acquisition contingent consideration liability paid
Asset Acquisition, Contingent Consideration, Liability Paid
Asset Acquisition, Contingent Consideration, Liability Paid
Research, Development and Engineering (RD&E)
Research and Development Expense, Policy [Policy Text Block]
Total depreciation and amortization
Depreciation And Amortization Including Inventory Step-Up
Depreciation And Amortization Including Inventory Step-Up
Consideration transferred
Business Combination, Consideration Transferred
Long-term debt, gross
Long-term Debt, Gross
Goodwill [Roll Forward]
Goodwill [Roll Forward]
Income from continuing operations (in dollars per share)
Income (Loss) from Continuing Operations, Per Diluted Share
Finance lease right-of-use asset
Finance Lease, Right-of-Use Asset, after Accumulated Amortization
Foreign Exchange Contract Maturing September 2021, Contract One
Foreign Exchange Contract Maturing September Two Thousand Twenty One, Contract One [Member]
Foreign Exchange Contract Maturing September Two Thousand Twenty One, Contract One
Schedule of Deferred Financing Costs
Schedule of Deferred Financing Costs [Table Text Block]
Tabular disclosure of deferred financing costs
Reconciliation of Unrecognized Tax Benefits, Excluding Amounts Pertaining to Examined Tax Returns [Roll Forward]
Reconciliation of Unrecognized Tax Benefits, Excluding Amounts Pertaining to Examined Tax Returns [Roll Forward]
Operational Excellence Initiatives Two Thousand Twenty One Initiatives
Operational Excellence Initiatives Two Thousand Twenty One Initiatives [Member]
Operational Excellence Initiatives Two Thousand Twenty One Initiatives
Total liabilities and stockholders’ equity
Liabilities and Equity
Other
Effective Income Tax Rate Reconciliation, Other Adjustments, Percent
Schedule Of Defined Contribution And Benefit Plan Disclosures [Table]
Schedule Of Defined Contribution And Benefit Plan Disclosures [Table]
-- None. No documentation exists for this element. --
Illiquidity discount percent
Share-Based Compensation Arrangement By Share-Based Payment Award, Fair Value Assumptions, Weighted Average Illiquidity Discount
Share-Based Compensation Arrangement By Share-Based Payment Award, Fair Value Assumptions, Weighted Average Illiquidity Discount
Other Income and Expenses [Abstract]
Other Income and Expenses [Abstract]
Contract liabilities
Contract with Customer, Liability, Current
2026
Lessee, Operating Lease, Liability, to be Paid, Year Five
Exercised (in dollars per share)
Share-based Compensation Arrangements by Share-based Payment Award, Options, Exercises in Period, Weighted Average Exercise Price
Supplemental Cash Flow Elements [Abstract]
Supplemental Cash Flow Elements [Abstract]
Finite Lived Intangible Assets Amortization Expense [Domain]
Finite Lived Intangible Assets Amortization Expense [Domain]
Amortization Expense by expense type
Cash and cash equivalents
Cash Equivalents, at Carrying Value
Assets: Foreign currency hedging contracts
Foreign Currency Contract, Asset, Fair Value Disclosure
Restructuring Reserve [Roll Forward]
Restructuring Reserve [Roll Forward]
Reclassification from AOCI, current period, tax
Reclassification from AOCI, Current Period, Tax
EARNINGS PER SHARE
Earnings Per Share [Text Block]
Treasury shares purchased
Treasury Stock, Value, Acquired, Cost Method
Operating expenses:
Operating Expenses [Abstract]
Percentage of ownership interest
Equity Method Investment, Ownership Percentage
Performance-vested restricted stock units
Performance-Vested Restricted Stock Units [Member]
Performance-Vested Restricted Stock Units
Standby Letters of Credit
Standby Letters of Credit [Member]
Minimum
Minimum [Member]
Non-cash (gains) charges related to customer bankruptcy
Non-Cash Charges Related To Customer Bankruptcy
Non-Cash Charges Related To Customer Bankruptcy
Gross profit
Gross Profit
Chinese Venture Capital Fund
Chinese Venture Capital Fund [Member]
Chinese Venture Capital Fund [Member]
2023
Lessee, Operating Lease, Liability, to be Paid, Year Two
Outstanding amount
Long-term Line of Credit
Effect of foreign currency exchange rates on cash and cash equivalents
Effect of Exchange Rate on Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents
RSUs and PRSUs
RSUs and PRSUs [Member]
RSUs and PRSUs
Selling, general and administrative
Selling, General and Administrative Expense
Debt issuance costs, Beginning Balance
Debt issuance costs, Ending Balance
Debt Issuance Costs, Net
Indefinite-lived Intangible Assets [Axis]
Indefinite-lived Intangible Assets [Axis]
Preferred stock, shares authorized (in shares)
Preferred Stock, Shares Authorized
Schedule Of Stock Option Exercise Information
Schedule Of Stock Option Exercise Information [Table Text Block]
Schedule reflecting information relating to the exercise of stock options during the period.
Asset Acquisition, Contingent Consideration [Line Items]
Asset Acquisition, Contingent Consideration [Line Items]
Closing stock price (in dollars per share)
Closing Stock Price
Closing stock price of entity
Cumulative Effect, Period of Adoption [Axis]
Cumulative Effect, Period of Adoption [Axis]
Medical
Medical Segment [Member]
Medical Segment [Member]
Percentage of business acquired
Business Acquisition, Percentage of Voting Interests Acquired
2025
Long-Term Debt, Maturity, Year Four
SUPPLEMENTAL CASH FLOW INFORMATION
Cash Flow, Supplemental Disclosures [Text Block]
Acquisitions, net
Payments to Acquire Businesses, Net of Cash Acquired
Foreign Currency Translation Adjustment
Accumulated Foreign Currency Adjustment Attributable to Parent [Member]
DEBT
Debt Disclosure [Text Block]
Schedule of Components of Income Tax Expense (Benefit)
Schedule of Components of Income Tax Expense (Benefit) [Table Text Block]
Line of Credit
Line of Credit [Member]
STOCK-BASED COMPENSATION
Share-based Payment Arrangement [Text Block]
Significant Unobservable Inputs (Level 3)
Fair Value, Inputs, Level 3 [Member]
Leases
Lessee, Leases [Policy Text Block]
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Fair Value Measurement Inputs and Valuation Techniques [Line Items]
Number of reportable segments
Number of Reportable Segments
Outstanding standby letters of credit
Letters of Credit Outstanding, Amount
Schedule of Segment Sales by Product Line
Revenue from External Customers by Products and Services [Table Text Block]
Disaggregation of Revenue [Line Items]
Disaggregation of Revenue [Line Items]
New Revolving Credit Facility 2015
New Revolving Credit Facility 2015 [Member]
New Revolving Credit Facility 2015 [Member]
Treasury Stock, Common
Treasury Stock, Common [Member]
Cardio & Vascular
Cardio And Vascular [Member]
Cardio And Vascular [Member]
OOE
Other Operating Expenses, net [Member]
The allocation (or location) of expense to (in) other operating expenses, net.
Acquisition
Goodwill, Acquired During Period
Commitments and contingencies (Note 13)
Commitments and Contingencies
Accumulated other comprehensive income
Accumulated Other Comprehensive Income (Loss), Net of Tax
Entity Emerging Growth Company
Entity Emerging Growth Company
Allowance for doubtful accounts
Accounts Receivable, Allowance for Credit Loss, Current
Increase in inventory valuation reserves
Inventory Write-down
Payment of debt issuance costs
Payments of Debt Issuance Costs
Disposal Group Classification [Axis]
Disposal Group Classification [Axis]
Auditor Name
Auditor Name
Cover page.
Cover [Abstract]
Finance Lease, Liability, Current, Statement of Financial Position [Extensible Enumeration]
Finance Lease, Liability, Current, Statement of Financial Position [Extensible Enumeration]
Strategic reorganization and alignment
Strategic Reorganization And Alignment [Member]
Strategic Reorganization And Alignment [Member]
Numerator for basic and diluted EPS:
Net Income (Loss) Available to Common Stockholders, Diluted [Abstract]
Cash and Cash Equivalents
Cash and Cash Equivalents, Policy [Policy Text Block]
Less: imputed interest
Lessee, Operating Lease, Liability, Undiscounted Excess Amount
Cash used in operating activities
Cash Provided by (Used in) Operating Activities, Discontinued Operations
Foreign currency translation
Fair Value, Measurement With Unobservable Inputs Reconciliation, Recurring Basis, Liability, Foreign Currency Translation
Fair Value, Measurement With Unobservable Inputs Reconciliation, Recurring Basis, Liability, Foreign Currency Translation
Environmental Costs
Environmental Cost, Expense Policy [Policy Text Block]
Office And Manufacturing Facilities
Office And Manufacturing Facilities [Member]
Office And Manufacturing Facilities
Less: imputed interest
Finance Lease, Liability, Undiscounted Excess Amount
Office Equipment
Office Equipment [Member]
Proceeds from revolving credit facility
Proceeds from Secured Lines of Credit
Current:
Current Income Tax Expense (Benefit), Continuing Operations [Abstract]
Cash payments
Payments for Restructuring
2026
Finance Lease, Liability, to be Paid, Year Five
Common Stock
Common Stock [Member]
Operating income
Operating income as reported
Operating Income (Loss)
Stock-based compensation
Effective Income Tax Rate Reconciliation, Deductible Expense In Excess Of Nondeductible Expense, Share-Based Compensation Cost, Percent
Effective Income Tax Rate Reconciliation, Deductible Expense In Excess Of Nondeductible Expense, Share-Based Compensation Cost, Percent
Operating lease liabilities
Less: current portion of lease liabilities
Operating Lease, Liability, Current
2023
Finite-Lived Intangible Asset, Expected Amortization, Year Two
Hedging Designation [Axis]
Hedging Designation [Axis]
Stock-based compensation
Share-based Payment Arrangement, Noncash Expense
Long-term Debt
Long-term Debt [Member]
Accumulated Other Comprehensive Income [Roll Forward]
AOCI Attributable to Parent, Net of Tax [Roll Forward]
Depreciation expense
Depreciation
Technology
Technology-Based Intangible Assets [Member]
Finance lease cost
Finance Lease, Cost
Finance Lease, Cost
Treasury stock
Treasury Stock [Member]
Schedule of Product Warranty Liability
Schedule of Product Warranty Liability [Table Text Block]
Accrued expenses and other liabilities
Increase (Decrease) in Accrued Liabilities
InoMec Ltd
InoMec Ltd [Member]
InoMec Ltd [Member]
Foreign Exchange Contract Maturing March 2021
Foreign Exchange Contract Maturing March Two Thousand Twenty One [Member]
Foreign Exchange Contract Maturing March Two Thousand Twenty One
Acquisition of property, plant and equipment
Payments to Acquire Property, Plant, and Equipment
Valuation Approach and Technique [Axis]
Valuation Approach and Technique [Axis]
International
International Jurisdiction [Member]
-- None. No documentation exists for this element. --
Finite Lived Intangible Assets Amortization Expense [Axis]
Finite Lived Intangible Assets Amortization Expense [Axis]
Amortization expense by expense category
Total liabilities
Liabilities
Segment Reporting, Revenue Reconciling Item [Line Items]
Segment Reporting, Revenue Reconciling Item [Line Items]
2022
Finite-Lived Intangible Asset, Expected Amortization, Year One
Outstanding, aggregate intrinsic value
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Intrinsic Value
Vested and exercisable (in dollars per share)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Exercisable, Weighted Average Exercise Price
Weighted Average Discount Rate
Acquired Finite-lived Intangible Assets, Weighted Average Discount Rate
Acquired Finite-lived Intangible Assets, Weighted Average Discount Rate
Consolidation Items [Axis]
Consolidation Items [Axis]
Measurement Input Type [Axis]
Measurement Input Type [Axis]
Net operating loss
Operating Loss Carryforwards
Common stock, shares issued (in shares)
Shares outstanding at beginning of year (in shares)
Shares outstanding at end of year (in shares)
Common Stock, Shares, Issued
Preferred stock, shares issued (in shares)
Preferred Stock, Shares Issued
Payments
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Settlements
Fair value of purchase consideration
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net [Abstract]
Entity Address, City or Town
Entity Address, City or Town
Schedule of Accumulated Other Comprehensive Income (Loss)
Schedule of Accumulated Other Comprehensive Income (Loss) [Table Text Block]
Net change in cash flow hedges, net of tax
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), after Reclassification and Tax, Parent
Balance Sheet Location [Axis]
Balance Sheet Location [Axis]
Measurement Frequency [Domain]
Measurement Frequency [Domain]
Oscor Inc
Oscor Inc [Member]
Oscor Inc
Interest expense
Interest Expense
2022
Finance Lease, Liability, to be Paid, Year One
Deferred:
Deferred Income Tax Expense (Benefit), Continuing Operations [Abstract]
Discontinued operations:
Discontinued Operations and Disposal Groups [Abstract]
Fair value of net assets acquired
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net
Retained earnings
Retained Earnings (Accumulated Deficit)
Fair Value Measurement Inputs and Valuation Techniques [Table]
Fair Value Measurement Inputs and Valuation Techniques [Table]
Contractual life
Share-based Compensation Arrangement by Share-based Payment Award, Expiration Period
Statement of Stockholders' Equity [Abstract]
Statement of Stockholders' Equity [Abstract]
Schedule of Equity Method Investments
Equity Method Investments [Table Text Block]
Unamortized discount on TLB Facility, Financing costs incurred
Debt Instrument, Unamortized Discount, Financing Costs Incurred
Debt Instrument, Unamortized Discount, Financing Costs Incurred
Entity Filer Category
Entity Filer Category
Risk-free interest rate
Share-based Compensation Arrangement by Share-based Payment Award, Fair Value Assumptions, Risk Free Interest Rate
Inventory Disclosure [Abstract]
Inventory Disclosure [Abstract]
Schedule of Rollforward of Contingent Consideration
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]
Indefinite-lived intangible assets (excluding goodwill)
Indefinite-lived Intangible Assets (Excluding Goodwill)
Proceeds from the exercise of stock options
Cash received
Proceeds from Stock Options Exercised
2023
Finance Lease, Liability, to be Paid, Year Two
Finite-Lived Intangible Assets by Major Class [Axis]
Finite-Lived Intangible Assets by Major Class [Axis]
Amendment Flag
Amendment Flag
Proceeds from issuance of term loans
Proceeds from Issuance of Long-term Debt
Adjustments to pre-existing warranties
Standard Product Warranty Accrual, Increase (Decrease) for Preexisting Warranties
Equity Components [Axis]
Equity Components [Axis]
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]
Fair Value Disclosures [Abstract]
Fair Value Disclosures [Abstract]
Antidilutive Securities [Axis]
Antidilutive Securities [Axis]
Disaggregation of Revenue [Table]
Disaggregation of Revenue [Table]
Concentration Risk Type [Domain]
Concentration Risk Type [Domain]
Denominator for basic EPS:
Weighted Average Number of Shares Outstanding Reconciliation [Abstract]
Foreign Exchange Contract Maturing August 2021
Foreign Exchange Contract Maturing August Two Thousand Twenty One [Member]
Foreign Exchange Contract Maturing August Two Thousand Twenty One
Other Operating Expense Net [Domain]
Other Operating Expense Net [Domain]
Other Operating expense net domain
Inventories
Total
Inventory, Net
Stock options exercised (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Net of Forfeitures
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Federal
Deferred Federal Income Tax Expense (Benefit)
Thereafter
Lessee, Operating Lease, Liability, to be Paid, after Year Five
Contingent consideration liability, noncurrent
Business Combination, Contingent Consideration, Liability, Noncurrent
Product and Service [Axis]
Product and Service [Axis]
Non-marketable securities fair value
Equity Securities without Readily Determinable Fair Value, Amount
OTHER OPERATING EXPENSES
Other Income and Other Expense Disclosure [Text Block]
Preferred stock, par value (in dollars per share)
Preferred Stock, Par or Stated Value Per Share
Entity Public Float
Entity Public Float
Documents Incorporated by Reference
Documents Incorporated by Reference [Text Block]
Advanced Surgical, Orthopedics & Portable Medical
Advanced Surgical, Orthopedics, and Portable Medical [Member]
Advanced Surgical, Orthopedics, and Portable Medical [Member]
Short-term lease cost (leases with initial term of 12 months or less)
Short-term Lease, Cost
Lease ROU asset, adjustment
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Operating Lease Assets, Right Of Use Assets
Business Combination, Provisional Information, Initial Accounting Incomplete, Adjustment, Operating Lease Assets, Right Of Use Assets
Statement [Line Items]
Statement [Line Items]
SEC Schedule, 12-09, Valuation Allowances and Reserves [Domain]
SEC Schedule, 12-09, Valuation Allowances and Reserves [Domain]
Unamortized discount on TLB Facility, Write-off during the period
Debt Instrument, Unamortized Discount, Write-Off During The Period
Debt Instrument, Unamortized Discount, Write-Off During The Period
Stock-based compensation
Effective Income Tax Rate Reconciliation, Deductible Expense In Excess Of Nondeductible Expense, Share-Based Compensation Cost, Amount
Effective Income Tax Rate Reconciliation, Deductible Expense In Excess Of Nondeductible Expense, Share-Based Compensation Cost, Amount
Weighted Average Exercise Price
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Abstract]
U.S. Federal
Domestic Tax Authority [Member]
Revenue-based payments
Remaining Maximum Payout (undiscounted)
Business Combination, Contingent Consideration Arrangements, Range of Outcomes, Value, High
Debt Disclosure [Abstract]
Debt Disclosure [Abstract]
Finite-Lived Intangible Assets Acquired as Part of Business Combination [Table]
Finite-Lived Intangible Assets Acquired as Part of Business Combination [Table]
Trade Accounts Receivable and Provision for Current Expected Credit Losses
Receivables, Trade and Other Accounts Receivable, Allowance for Doubtful Accounts, Policy [Policy Text Block]
Property, Plant and Equipment, Type [Axis]
Long-Lived Tangible Asset [Axis]
Less valuation allowance
Deferred Tax Assets, Valuation Allowance
Swingline Loans
Swingline Loans [Member]
Swingline Loans [Member]
Aggregated projected benefit obligation
Defined Benefit Plan, Pension Plan with Projected Benefit Obligation in Excess of Plan Assets, Projected Benefit Obligation
Customer [Axis]
Major Customers [Axis]
Customer [Axis]
Restructuring Cost and Reserve [Line Items]
Restructuring Cost and Reserve [Line Items]
BENEFIT PLANS
Retirement Benefits [Text Block]
Grants in period (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross
Document Annual Report
Document Annual Report
Schedule of Employee Service Share-based Compensation, Allocation of Recognized Period Costs
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Table Text Block]
Statement, Operating Expenses [Axis]
Statement, Operating Expenses [Axis]
Expenses reported in a statement
Current liabilities
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities
Total assets
Total assets
Assets
Gain on litigation settlement
Gain (Loss) Related to Litigation Settlement
Director
Director [Member]
Salaries and benefits
Accrued Bonuses
Interest
Interest Paid, Excluding Capitalized Interest, Operating Activities
Geographical [Domain]
Geographical [Domain]
Expected costs
Restructuring and Related Cost, Expected Cost
Comprehensive Income
Net Income (Loss) Attributable to Parent [Abstract]
SEC Schedule, 12-09, valuation allowances and reserves, additions, charge to cost and expense, customer bankruptcy
SEC Schedule, 12-09, Valuation Allowances And Reserves, Additions, Charge To Cost And Expense, Customer Bankruptcy
SEC Schedule, 12-09, Valuation Allowances And Reserves, Additions, Charge To Cost And Expense, Customer Bankruptcy
Discontinued operation, gain (loss) on disposal of discontinued operation, net of tax
Discontinued Operation, Gain (Loss) on Disposal of Discontinued Operation, Net of Tax
Derivative Contract [Domain]
Derivative Contract [Domain]
Proceeds from sale of discontinued operations, gross
Proceeds From Divestiture Of Businesses, Gross
Proceeds From Divestiture Of Businesses, Gross
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Significant Accounting Policies [Text Block]
Cumulative Effect, Period of Adoption [Domain]
Cumulative Effect, Period of Adoption [Domain]
Net cash provided by operating activities
Net Cash Provided by (Used in) Operating Activities
Tax Credit
Tax Credit Carryforward, Amount
Schedule of Debt
Schedule of Debt [Table Text Block]
Fair Value, Recurring and Nonrecurring [Table]
Fair Value, Recurring and Nonrecurring [Table]
Furniture and fixtures
Furniture and Fixtures [Member]
Schedule of Long-term Debt Instruments [Table]
Schedule of Long-term Debt Instruments [Table]
Schedule of Expenditures for Tangible Long-Lived Assets, Excluding Acquisitions
Schedule Of Expenditures For Tangible Longlived Assets By Segment [Table Text Block]
-- None. No documentation exists for this element. --
Basic earnings per share:
Earnings Per Share, Basic [Abstract]
Tax Credit Carryforward [Axis]
Tax Credit Carryforward [Axis]
Basic (in shares)
Weighted average shares outstanding (in shares)
Weighted Average Number of Shares Outstanding, Basic
Diluted earnings per share (in dollars per share)
Earnings Per Share, Diluted
U.S. tax on foreign earnings, net of §250 deduction
Effective Income Tax Rate Reconciliation, Repatriation of Foreign Earnings, Percent
Segments [Domain]
Segments [Domain]
Payments of revolving credit facility
Repayments of Long-term Lines of Credit
Debt related charges included in interest expense
Total, Amortization during the period
Amortization of Debt Issuance Costs and Discounts
Sales
Sales [Member]
Income taxes
Income Taxes Paid, Net
Accounting Standards Update [Extensible List]
Accounting Standards Update [Extensible Enumeration]
Schedule of Restructuring and Related Costs [Table]
Schedule of Restructuring and Related Costs [Table]
Comprehensive income
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Other intangible assets, net
Intangible Assets, Net (Excluding Goodwill)
Employee Severance
Employee Severance [Member]
Contract liabilities
Contract with Customer, Liability
Other comprehensive income (loss):
Other Comprehensive Income (Loss), Net of Tax [Abstract]
Debt Issuance Costs and Discounts
Debt, Policy [Policy Text Block]
Deferred income taxes
Noncurrent deferred tax liability
Deferred Income Tax Liabilities, Net
Operating lease assets
Deferred Tax Liabilities, Operating Lease Right-Of-Use Assets
Deferred Tax Liabilities, Operating Lease Right-Of-Use Assets
Loans Payable
Loans Payable [Member]
Other long-term liabilities
Other Noncurrent Liabilities [Member]
Business Acquisition, Acquiree [Domain]
Business Acquisition, Acquiree [Domain]
Property, plant and equipment
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment
Income from continuing operations (in dollars per share)
Income (Loss) from Continuing Operations, Per Basic Share
Auditor Information [Abstract]
Auditor Information [Abstract]
Schedule of Effective Income Tax Rate Reconciliation
Schedule of Effective Income Tax Rate Reconciliation [Table Text Block]
Accounts payable
Accounts Payable, Current
Depreciation and amortization
Depreciation, Depletion and Amortization
Revenue, Major Customer [Line Items]
Revenue, Major Customer [Line Items]
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis [Table Text Block]
Schedule Of Long Lived Assets [Table]
Schedule Of Long Lived Assets [Table]
Schedule of material long-lived assets (excluding financial instruments, customer relationships with financial institutions, mortgage and other servicing rights, deferred policy acquisition costs, and deferred taxes assets) located in identified geographic areas.
Accumulated other comprehensive income
Net-of-Tax Amount
AOCI Attributable to Parent [Member]
Inventories
Increase (Decrease) in Inventories
Defined Contribution And Benefit Plan Disclosure [Line Items]
Defined Contribution And Benefit Plan Disclosure [Line Items]
-- None. No documentation exists for this element. --
Common stock, shares outstanding (in shares)
Shares outstanding at beginning of year (in shares)
Shares outstanding at beginning of year (in shares)
Common Stock, Shares, Outstanding
Other operating expenses
Total other operating expenses
Other Operating Income (Expense), Net
Cost of sales
Expenses related to license agreements
Cost of Goods and Services Sold
Proceeds from sale of discontinued operations
Proceeds from Divestiture of Businesses
Entity Central Index Key
Entity Central Index Key
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]
Total lease cost
Lease, Cost
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]
Lessor, Lease, Description [Line Items]
Lessor, Lease, Description [Line Items]
Number of facilities in which lease terms were extended
Number Of Facilities, Lease Terms Extended
Number Of Facilities, Lease Terms Extended
Accrued expenses
Deferred Tax Assets, Tax Deferred Expense
PROPERTY, PLANT AND EQUIPMENT, NET
Property, Plant and Equipment Disclosure [Text Block]
Foreign tax credits
Foreign Tax Credit Carryforward [Member]
Foreign Tax Credit Carryforward [Member]
Other long-term liabilities
Other Liabilities, Noncurrent
Drawn down from the escrow
Escrow Drawn Down
Escrow Drawn Down
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Table]
Share-based Payment Arrangement, Expensed and Capitalized, Amount [Table]
Debt Instrument [Line Items]
Debt Instrument [Line Items]
Trading Symbol
Trading Symbol
Sales
Business Acquisition, Pro Forma Revenue
ACCRUED EXPENSES AND OTHER CURRENT LIABILITIES
Accounts Payable and Accrued Liabilities Disclosure [Text Block]
Other
Deferred Tax Liabilities, Other
Gain on sale of discontinued operations
Discontinued Operation, Gain (Loss) from Disposal of Discontinued Operation, before Income Tax
Uncertain tax positions
Effective Income Tax Rate Reconciliation, Tax Contingency, Percent
Purchased technology, tradenames and patents
Purchased Technology, Tradenames And Patents [Member]
Acquired in a business combination or other transaction, Purchased technology, tradenames and patents.
Long-term debt
Long-term Debt, Excluding Current Maturities
Schedule of Goodwill [Table]
Schedule of Goodwill [Table]
Total stock-based compensation expense
Share-based Payment Arrangement, Expense
Fair value of contingent consideration
Business Combination, Consideration Transferred, Liabilities Incurred
R&D tax credits
Research Tax Credit Carryforward [Member]
Top Customers
Top Customers [Member]
Top Customers
Investments [Domain]
Investments [Domain]
Schedule of Income before Income Tax, Domestic and Foreign
Schedule of Income before Income Tax, Domestic and Foreign [Table Text Block]
Construction work in process
Construction in Progress [Member]
Cash and cash equivalents, beginning of year
Cash and cash equivalents, end of year
Cash, Cash Equivalents, Restricted Cash and Restricted Cash Equivalents
All other customers
All Other Customers [Member]
All Other Customers [Member]
Common stock, par value (in dollars per share)
Common Stock, Par or Stated Value Per Share
Statement of Comprehensive Income [Abstract]
Statement of Comprehensive Income [Abstract]
Current assets:
Assets, Current [Abstract]
Gross Carrying Amount
Finite-Lived Intangible Assets, Gross
Expected future benefit payments first five years
Defined Benefit Plan, Expected Future Benefit Payment, Next Twelve Months Through Year Five
Defined Benefit Plan, Expected Future Benefit Payment, Next Twelve Months Through Year Five
Schedule of Finite-Lived Intangible Assets
Schedule of Finite-Lived Intangible Assets [Table Text Block]
Income from discontinued operations
Income from discontinued operations
Income (Loss) from Discontinued Operations, Net of Tax, Attributable to Parent
Exercised (in shares)
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period
Other comprehensive income (loss), net
Other comprehensive income (loss)
Other Comprehensive Income (Loss), Net of Tax
Fair Value, Recurring
Fair Value, Recurring [Member]
Performance period (over)
Share-based Compensation Arrangement by Share-based Payment Award, Award Requisite Service Period
Accrued interest
Interest Payable, Current
Total (gain) loss on equity investments, net
Debt and Equity Securities, Realized Gain (Loss)
STOCKHOLDERS' EQUITY
Stockholders' Equity Note Disclosure [Text Block]
Outstanding receivables previously reserved, written off
Accounts Receivable, Allowance for Credit Loss, Writeoff
Schedule of Discontinued Operations
Disposal Groups, Including Discontinued Operations [Table Text Block]
Cash Flow Hedges
Accumulated Gain (Loss), Net, Cash Flow Hedge, Parent [Member]
Foreign Exchange Contract Maturing December Two Thousand Twenty Two Contract Two
Foreign Exchange Contract Maturing December Two Thousand Twenty Two Contract Two [Member]
Foreign Exchange Contract Maturing December Two Thousand Twenty Two Contract Two
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share
Schedule of Antidilutive Securities Excluded from Computation of Earnings Per Share [Table Text Block]
2026
Finite-Lived Intangible Asset, Expected Amortization, Year Five
Auditor Firm ID
Auditor Firm ID
Royalty
Royalty [Member]
Revenue volatility
Measurement Input, Revenue Volatility [Member]
Measurement Input, Revenue Volatility
Net cash used in investing activities
Net Cash Provided by (Used in) Investing Activities
Schedule of Segment Income (Loss) from Operations
Reconciliation of Operating Profit (Loss) from Segments to Consolidated [Table Text Block]
Buildings and building improvements
Building and Building Improvements [Member]
Changes in operating assets and liabilities, net of acquisitions:
Increase (Decrease) in Operating Capital [Abstract]
Notional Amount
Notional amount
Derivative Asset, Notional Amount
Vested (in dollars per share)
Share-based Compensation Arrangement by Share-based Payment Award, Equity Instruments Other than Options, Vested in Period, Weighted Average Grant Date Fair Value
Debt instrument increase
Debt Instrument, Increase (Decrease), Net
Cash paid
Payments to Acquire Businesses, Gross
Intangible assets
Deferred Tax Liabilities, Goodwill and Intangible Assets
Interest on lease liabilities
Finance Lease, Interest Payment on Liability
Credit facility maximum borrowing capacity
Line of Credit Facility, Maximum Borrowing Capacity
Schedule of Segment Depreciation and Amortization
Reconciliation Of Depreciation And Amortization By Reportable Segment To Consolidated [Table Text Block]
-- None. No documentation exists for this element. --
Foreign currency translation
Goodwill, Foreign Currency Translation Gain (Loss)
Segment Reporting Information [Line Items]
Segment Reporting Information [Line Items]
Business Combination, Separately Recognized Transactions [Table]
Business Combination, Separately Recognized Transactions [Table]
AS&O Product Line
AS&O Business [Member]
AS&O Business [Member]
Technology
Technology [Member]
Technology [Member]
Debt Instrument, Name [Domain]
Debt Instrument, Name [Domain]
Fed Funds Effective Rate Overnight Index Swap Rate
Fed Funds Effective Rate Overnight Index Swap Rate [Member]
Customer lists
Customer lists
Customer Lists [Member]
Asset Acquisition, Contingent Consideration [Table]
Asset Acquisition, Contingent Consideration [Table]
Prepaid Expenses and Other Current Assets
Prepaid Expenses and Other Current Assets [Member]
Costs incurred since inception
Restructuring and Related Cost, Cost Incurred to Date
Fair Value
Derivative Liability, Fair Value, Gross Liability
Original issue discount
Debt Instrument, Unamortized Discount (Premium), Net
Statutory rate
Effective Income Tax Rate Reconciliation at Federal Statutory Income Tax Rate, Amount
Deferred Finance Costs [Roll Forward]
Deferred Finance Costs [Roll Forward]
A roll forward is a reconciliation of a concept from the beginning of a period to the end of a period.
Gain (Loss) Reclassified from AOCI
Other Comprehensive Income (Loss), Cash Flow Hedge, Gain (Loss), Reclassification, before Tax
Interest Rate Swap Maturing June 2023
Interest Rate Swap Maturing June Two Thousand Twenty Three [Member]
Interest Rate Swap Maturing June Two Thousand Twenty Three
Balance at beginning of period
Balance at end of period
SEC Schedule, 12-09, Valuation Allowances and Reserves, Amount
Cost of sales
Cost of Sales [Member]
License
License [Member]
Income from continuing operations
Income (Loss) from Continuing Operations, Net of Tax, Including Portion Attributable to Noncontrolling Interest
Income taxes payable
Accrued Income Taxes, Current
Write-off of debt issuance costs and unamortized discount
Write off of debt issuance cost
Write off of Deferred Debt Issuance Cost
Inventories
Inventory, Policy [Policy Text Block]
International
Current Foreign Tax Expense (Benefit)
Non-cash lease expense
Operating Lease, Right-Of-Use Asset, Amortization
Operating Lease, Right-Of-Use Asset, Amortization
Self insurance reserve
Self Insurance Reserve
Concentration Risk Benchmark [Axis]
Concentration Risk Benchmark [Axis]
Gain Contingencies [Table]
Gain Contingencies [Table]
Schedule of Changes in Number of Shares of Common Stock
Schedule of Common Stock Outstanding Roll Forward [Table Text Block]
Unamortized discount on TLB Facility, Beginning Balance
Unamortized discount on TLB Facility, Ending Balance
Debt Instrument, Unamortized Discount
Uncertain tax positions
Effective Income Tax Rate Reconciliation, Tax Contingency, Amount
Other general expenses
Other Expenses
ITGRTerm Loan A T L A Facility
ITGRTerm Loan A T L A Facility [Member]
ITGRTerm Loan A T L A Facility
Schedule of Finite-Lived Intangible Assets [Table]
Schedule of Finite-Lived Intangible Assets [Table]
Adjustments to reconcile net income to net cash provided by operating activities:
Adjustments, Noncash Items, to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract]
Expenditures for tangible long-lived assets, excluding acquisitions
Expenditures For Additions To Long-Lived Assets, Excluding Those Acquired Through Acquisition
Expenditures For Additions To Long-Lived Assets, Excluding Those Acquired Through Acquisition
Accounting Standards Update 2016-02 [Member]