Consolidated Statements of Cash Flows (USD $) In Thousands, unless otherwise specified	12 Months Ended
Dec. 31, 2014	Dec. 31, 2013	Dec. 31, 2012
Cash flows from operating activities:
Net income	$ 32,192us-gaap_NetIncomeLoss	$ 35,939us-gaap_NetIncomeLoss	$ 40,481us-gaap_NetIncomeLoss
Adjustments to reconcile net income to net cash provided by operating acitivites:
Depreciation	19,792us-gaap_Depreciation	18,653us-gaap_Depreciation	18,635us-gaap_Depreciation
Amortization	25,942us-gaap_AdjustmentForAmortization	29,214us-gaap_AdjustmentForAmortization	27,981us-gaap_AdjustmentForAmortization
Stock-based compensation	9,330us-gaap_ShareBasedCompensation	5,593us-gaap_ShareBasedCompensation	5,653us-gaap_ShareBasedCompensation
Deferred income taxes	(284)us-gaap_DeferredIncomeTaxExpenseBenefit	7,218us-gaap_DeferredIncomeTaxExpenseBenefit	12,946us-gaap_DeferredIncomeTaxExpenseBenefit
Income tax benefit of stock option exercises	644	1,097	1,052
Excess tax benefit from stock option exercises	(922)	(1,518)	(1,206)
Loss on early extinguishment of debt	0	263	0
Increase (decrease) in cash flows from changes in assets and liabilities, net of effects from acquisitions:
Accounts receivable	5,255	(798)	1,687
Inventories	(20,940)us-gaap_IncreaseDecreaseInInventories	(1,817)us-gaap_IncreaseDecreaseInInventories	3,810us-gaap_IncreaseDecreaseInInventories
Accounts payable	(3,449)	4,223	259
Income taxes	5,291	(1,098)	(6,497)
Accrued compensation and benefits	3,572	(71)	767
Other assets	(546)	(5,222)	(1,210)
Other liabilities	(10,701)	(10,727)	(9,159)
Total operating	32,984	45,010	54,718
Net cash provided by operating activities	65,176	80,949	95,199
Cash flows from investing activities:
Payments related to business acquisitions and distribution agreements, net of cash acquired	(5,265)	0	(86,253)
Proceeds from sale of property	0	0	1,836
Purchases of property, plant and equipment	(15,411)	(18,445)	(21,532)
Net cash used in investing activities	(20,676)	(18,445)	(105,949)
Cash flows from financing activities:
Net proceeds from common stock issued under employee plans	2,316	17,264	10,165
Repurchase of common stock	(16,862)	(50,556)	(3,923)
Excess tax benefit from stock option exercises	922	1,518	1,206
Payments on senior credit agreement	0us-gaap_RepaymentsOfSeniorDebt	0us-gaap_RepaymentsOfSeniorDebt	(53,588)us-gaap_RepaymentsOfSeniorDebt
Proceeds of senior credit agreement	27,000	55,000	73,000
Payments related to distribution agreement	(16,667)cnmd_PaymentsForContingentPayments	(34,000)cnmd_PaymentsForContingentPayments	0cnmd_PaymentsForContingentPayments
Payments on mortgage notes	(1,140)us-gaap_RepaymentsOfSecuredDebt	(1,050)us-gaap_RepaymentsOfSecuredDebt	(969)us-gaap_RepaymentsOfSecuredDebt
Payments on senior subordinated notes	0us-gaap_RepaymentsOfConvertibleDebt	(227)us-gaap_RepaymentsOfConvertibleDebt	(100)us-gaap_RepaymentsOfConvertibleDebt
Payments related to issuance of debt	0us-gaap_PaymentsOfDebtIssuanceCosts	(1,725)us-gaap_PaymentsOfDebtIssuanceCosts	0us-gaap_PaymentsOfDebtIssuanceCosts
Dividends paid on common stock	(21,959)us-gaap_PaymentsOfDividendsCommonStock	(16,696)us-gaap_PaymentsOfDividendsCommonStock	(12,862)us-gaap_PaymentsOfDividendsCommonStock
Other, net	0	(824)	(1,576)
Net cash provided by (used in) financing activities	(26,390)	(31,296)	11,353
Effect of exchange rate changes on cash and cash equivalents	(6,221)	(485)	(2,931)
Net increase (decrease) in cash and cash equivalents	11,889	30,723	(2,328)
Cash and cash equivalents at beginning of year	54,443	23,720	26,048
Cash and cash equivalents at end of year	66,332	54,443	23,720
Non-cash investing and financing activities:
Contractual obligations for acquisition of a business	10,137	0	0
Dividends payable	5,510	5,545	4,256
Cash paid during the year for:
Interest	5,532us-gaap_InterestPaid	5,143us-gaap_InterestPaid	5,038us-gaap_InterestPaid
Income taxes	$ 10,206us-gaap_IncomeTaxesPaid	$ 6,837us-gaap_IncomeTaxesPaid	$ 10,953us-gaap_IncomeTaxesPaid

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