Quarterly report pursuant to Section 13 or 15(d)

Summary of Significant Accounting Policies (Details)

v3.21.2
Summary of Significant Accounting Policies (Details)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2021
USD ($)
Dec. 31, 2020
USD ($)
Jun. 30, 2021
USD ($)
Jun. 30, 2020
USD ($)
Jun. 30, 2021
USD ($)
segment
Jun. 30, 2020
USD ($)
Jan. 01, 2021
USD ($)
Summary of Significant Accounting Policies [Line Items]              
Provision for inventory obsolescence     $ 900 $ 1,100 $ 3,900 $ 1,700  
Goodwill, in-process research and development and other intangible assets acquired $ 1,700,000 $ 1,700,000 1,700,000   1,700,000    
Goodwill 677,360 680,602 677,360   677,360   $ 718,625
Net intangible assets other than goodwill 1,000,000 1,100,000 1,000,000   1,000,000    
Amortization expense     12,574 14,937 25,151 29,874  
Depreciation expense     8,000 7,300 15,400 14,400  
Allowance for credit losses $ 2,471 $ 2,055 2,471   2,471    
Provision related to current period sales     300 100 600 200  
Equity-based compensation expense     3,500 $ 1,600 $ 6,100 $ 4,000  
Number of reportable segments | segment         2    
Minimum              
Summary of Significant Accounting Policies [Line Items]              
Intangible assets, estimated useful lives         3 years    
Maximum              
Summary of Significant Accounting Policies [Line Items]              
Intangible assets, estimated useful lives         20 years    
Credit Concentration Risk | Accounts Receivable | Federal and State Governments              
Summary of Significant Accounting Policies [Line Items]              
Concentration percentage 5.00% 6.00%          
Geographic Concentration Risk | Accounts Receivable | States, Cities and Other Municipalities              
Summary of Significant Accounting Policies [Line Items]              
Concentration percentage 7.10% 6.30%          
Customer Concentration Risk | Accounts Receivable | Individual Patients              
Summary of Significant Accounting Policies [Line Items]              
Concentration percentage 1.00% 0.70%          
Software              
Summary of Significant Accounting Policies [Line Items]              
Property, plant and equipment, estimated useful lives         3 years    
Machinery, Medical and Other Equipment | Minimum              
Summary of Significant Accounting Policies [Line Items]              
Property, plant and equipment, estimated useful lives         5 years    
Machinery, Medical and Other Equipment | Maximum              
Summary of Significant Accounting Policies [Line Items]              
Property, plant and equipment, estimated useful lives         8 years    
Furniture and Fixtures | Minimum              
Summary of Significant Accounting Policies [Line Items]              
Property, plant and equipment, estimated useful lives         5 years    
Furniture and Fixtures | Maximum              
Summary of Significant Accounting Policies [Line Items]              
Property, plant and equipment, estimated useful lives         12 years    
Buildings and Improvements | Minimum              
Summary of Significant Accounting Policies [Line Items]              
Property, plant and equipment, estimated useful lives         10 years    
Buildings and Improvements | Maximum              
Summary of Significant Accounting Policies [Line Items]              
Property, plant and equipment, estimated useful lives         40 years    
Automobiles and Aircraft | Minimum              
Summary of Significant Accounting Policies [Line Items]              
Property, plant and equipment, estimated useful lives         3 years    
Automobiles and Aircraft | Maximum              
Summary of Significant Accounting Policies [Line Items]              
Property, plant and equipment, estimated useful lives         5 years    
In Process Research and Development              
Summary of Significant Accounting Policies [Line Items]              
Net intangible assets other than goodwill $ 590,200 $ 590,200 $ 590,200   $ 590,200