Quarterly report pursuant to Section 13 or 15(d)

Summary of Significant Accounting Policies (Details)

v3.19.2
Summary of Significant Accounting Policies (Details)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2019
USD ($)
Dec. 31, 2018
USD ($)
Jun. 30, 2019
USD ($)
Jun. 30, 2018
USD ($)
Jun. 30, 2019
USD ($)
Segment
Jun. 30, 2018
USD ($)
Jan. 01, 2019
USD ($)
Summary of Significant Accounting Policies [Line Items]              
Provision for inventory obsolescence         $ 1,300 $ 1,200  
Goodwill, in-process research and development and other intangible assets acquired $ 1,900,000 $ 2,000,000 $ 1,900,000   1,900,000    
Amortization expense     16,419 $ 17,227 32,981 34,498  
Depreciation expense         14,500 15,000  
Allowance for doubtful accounts receivable (2,127) $ (1,758) (2,127)   (2,127)    
Provision related to current period sales         200 200  
Equity-based compensation expense         $ 7,600 $ 11,500  
Number of reportable segments | Segment         2    
Lease liabilities 30,049   30,049   $ 30,049    
Operating lease right-of-use assets $ 29,640   $ 29,640   $ 29,640    
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    
Government Contracts Concentration Risk | Accounts Receivable              
Summary of Significant Accounting Policies [Line Items]              
Concentration percentage 9.60% 7.40%          
Customer Concentration Risk | Accounts Receivable              
Summary of Significant Accounting Policies [Line Items]              
Concentration percentage 2.00% 2.90%          
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    
Accounting Standards Update 2016-02              
Summary of Significant Accounting Policies [Line Items]              
Lease liabilities             $ 33,700
Operating lease right-of-use assets             $ 33,300