Annual report pursuant to Section 13 and 15(d)

Summary of Significant Accounting Policies (Details)

v3.10.0.1
Summary of Significant Accounting Policies (Details)
3 Months Ended 12 Months Ended
Dec. 31, 2018
USD ($)
Sep. 30, 2018
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Jun. 30, 2018
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Mar. 31, 2018
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Dec. 31, 2017
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Sep. 30, 2017
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Jun. 30, 2017
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Mar. 31, 2017
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Dec. 31, 2018
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Segment
Dec. 31, 2017
USD ($)
Dec. 31, 2016
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Jan. 01, 2019
USD ($)
Jan. 01, 2018
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Jan. 01, 2017
USD ($)
Summary of Significant Accounting Policies [Line Items]                            
Inventory write-down                 $ 1,900,000 $ 5,400,000        
Goodwill and intangible assets $ 2,000,000,000.0       $ 2,000,000,000       2,000,000,000.0 2,000,000,000        
Goodwill impairment loss                 11,698,000 0 $ 0      
Amortization of intangible assets                 67,933,000 71,484,000 64,407,000      
Amortization expense in 2019 65,400,000               65,400,000          
Amortization expense in 2020 59,200,000               59,200,000          
Amortization expense in 2021 53,200,000               53,200,000          
Amortization expense in 2022 52,900,000               52,900,000          
Amortization expense in 2023 50,100,000               50,100,000          
Depreciation                 29,400,000 30,600,000 33,300,000      
Accrual related to uncertain tax positions included in income tax benefit 2,700,000               2,700,000          
Less: allowance for doubtful accounts (1,758,000)       (1,446,000)       (1,758,000) (1,446,000)        
Provision for doubtful accounts                 700,000 900,000        
Equity-based compensation expense for continuing operations                 $ 21,761,000 28,307,000 42,693,000      
Number of reportable segments | Segment                 2          
Foreign currency transaction gains                 $ 1,900,000 1,400,000 800,000      
Increase (decrease) in revenue $ 221,852,000 $ 249,815,000 $ 263,685,000 $ 254,914,000 $ 160,983,000 $ 246,040,000 $ 292,601,000 $ 266,382,000 $ 990,266,000 $ 966,006,000 1,117,494,000      
Adoption of ASU 2016-09                       $ 0   $ 31,665,000
Minimum                            
Summary of Significant Accounting Policies [Line Items]                            
Intangible assets, estimated useful lives                 3 years          
Estimated tax exposure range                 $ 0          
Maximum                            
Summary of Significant Accounting Policies [Line Items]                            
Intangible assets, estimated useful lives                 20 years          
Estimated tax exposure range                 $ 50,000,000.0          
Computer Software, Intangible Asset                            
Summary of Significant Accounting Policies [Line Items]                            
Property, plant and equipment, useful life                 3 years          
Machinery, Medical and Other Equipment | Minimum                            
Summary of Significant Accounting Policies [Line Items]                            
Property, plant and equipment, useful life                 5 years          
Machinery, Medical and Other Equipment | Maximum                            
Summary of Significant Accounting Policies [Line Items]                            
Property, plant and equipment, useful life                 8 years          
Furniture and Fixtures | Minimum                            
Summary of Significant Accounting Policies [Line Items]                            
Property, plant and equipment, useful life                 5 years          
Furniture and Fixtures | Maximum                            
Summary of Significant Accounting Policies [Line Items]                            
Property, plant and equipment, useful life                 12 years          
Land, Buildings and Improvements | Minimum                            
Summary of Significant Accounting Policies [Line Items]                            
Property, plant and equipment, useful life                 10 years          
Land, Buildings and Improvements | Maximum                            
Summary of Significant Accounting Policies [Line Items]                            
Property, plant and equipment, useful life                 40 years          
Automobiles and Aircraft | Minimum                            
Summary of Significant Accounting Policies [Line Items]                            
Property, plant and equipment, useful life                 3 years          
Automobiles and Aircraft | Maximum                            
Summary of Significant Accounting Policies [Line Items]                            
Property, plant and equipment, useful life                 5 years          
Accounts Receivable | Government Contracts Concentration Risk                            
Summary of Significant Accounting Policies [Line Items]                            
Percentage of revenue contributed by customer                 17.00% 16.00%        
Accounts Receivable | Customer Concentration Risk                            
Summary of Significant Accounting Policies [Line Items]                            
Percentage of revenue contributed by customer                 3.10% 3.20%        
Revenue from transfer of intellectual property and other                            
Summary of Significant Accounting Policies [Line Items]                            
Increase (decrease) in revenue                 $ 69,906,000 $ 75,537,000 105,455,000      
Accumulated Deficit                            
Summary of Significant Accounting Policies [Line Items]                            
Adoption of ASU 2016-09                       $ 4,876,000   $ 31,665,000
Accounting Standards Update 2016-01 | Accumulated Deficit                            
Summary of Significant Accounting Policies [Line Items]                            
Adoption of ASU 2016-09                         $ (4,900,000)  
In Process Research and Development                            
Summary of Significant Accounting Policies [Line Items]                            
Impairment of assets                 $ 10,100,000          
VARUBI                            
Summary of Significant Accounting Policies [Line Items]                            
Impairment of assets                   13,200,000        
Effect of change | Accounting Standards Update 2014-09                            
Summary of Significant Accounting Policies [Line Items]                            
Increase (decrease) in revenue                   (41,800,000)        
Effect of change | Accounting Standards Update 2014-09 | Revenue from transfer of intellectual property and other                            
Summary of Significant Accounting Policies [Line Items]                            
Increase (decrease) in revenue                   4,869,000 (20,610,000)      
Transferred over Time | Effect of change | Accounting Standards Update 2014-09 | Revenue from transfer of intellectual property and other                            
Summary of Significant Accounting Policies [Line Items]                            
Increase (decrease) in revenue                   $ 3,400,000 $ (23,300,000)