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Business Combinations - Amounts Determined at Acquisition (Details) € in Thousands, $ in Thousands | Apr. 30, 2019 USD ($) | Apr. 30, 2019 EUR (€) | Aug. 01, 2018 USD ($) | Aug. 01, 2018 EUR (€) | Jun. 30, 2018 EUR (€) | Mar. 19, 2018 EUR (€) | Jan. 26, 2018 USD ($) | Jan. 26, 2018 EUR (€) | Feb. 28, 2017 USD ($) | Feb. 28, 2017 EUR (€) | Jan. 31, 2017 USD ($) | Jan. 31, 2017 EUR (€)
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Biotest Acquisition |  |  |  |  |  |  |  |  |  |  |  |
Amounts determined at the date of acquisition of assets, liabilities and contingent liabilities: |  |  |  |  |  |  |  |  |  |  |  |
Cash and cash equivalents |  |  | $ 6,867 | € 5,876 |  |  |  |  |  |  |  |
Trade and other receivables |  |  | 17,663 | 15,114 |  |  |  |  |  |  |  |
Inventories |  |  | 21,309 | 18,235 |  |  |  |  |  |  |  |
Other assets |  |  | 2,849 | 2,438 |  |  |  |  |  |  |  |
Intangible assets |  |  | 22,800 | 19,511 |  |  |  |  |  |  |  |
Goodwill |  |  | 6,510 | 5,571 |  |  |  |  |  |  |  |
Property, plant and equipment |  |  | 25,931 | 22,190 |  |  |  |  |  |  |  |
Deferred tax assets |  |  | 39,635 | 33,917 |  |  |  |  |  |  |  |
Financial assets |  |  | 12,825 | 10,975 |  |  |  |  |  |  |  |
Total assets |  |  | 156,389 | 133,827 |  |  |  |  |  |  |  |
Trade and other payables |  |  | (6,219) | (5,322) |  |  |  |  |  |  |  |
Other liabilities |  |  | (4,965) | (4,249) |  |  |  |  |  |  |  |
Deferred tax liability |  |  | (5,700) | (4,878) |  |  |  |  |  |  |  |
Long-term liabilities |  |  | (5,744) | (4,915) |  |  |  |  |  |  |  |
Total liabilities and contingent liabilities |  |  | (22,628) | (19,364) |  |  |  |  |  |  |  |
Total net assets acquired |  |  | 133,761 | 114,463 |  |  |  |  |  |  |  |
Goodwill |  |  | 152,693 | 130,663 |  |  |  |  |  |  |  |
Total business combination cost |  |  | $ 286,454 | € 245,126 |  |  |  |  |  |  |  |
Haema, AG |  |  |  |  |  |  |  |  |  |  |  |
Amounts determined at the date of acquisition of assets, liabilities and contingent liabilities: |  |  |  |  |  |  |  |  |  |  |  |
Cash and cash equivalents |  |  |  |  |  | € 7,727 |  |  |  |  |  |
Trade and other receivables |  |  |  |  |  | 10,321 |  |  |  |  |  |
Inventories |  |  |  |  |  | 5,535 |  |  |  |  |  |
Other assets |  |  |  |  |  | 836 |  |  |  |  |  |
Intangible assets |  |  |  |  |  | 1,518 |  |  |  |  |  |
Property, plant and equipment |  |  |  |  |  | 25,407 |  |  |  |  |  |
Total assets |  |  |  |  |  | 51,344 |  |  |  |  |  |
Trade and other payables |  |  |  |  |  | (1,795) |  |  |  |  |  |
Contingent liabilities |  |  |  |  |  | (492) |  |  |  |  |  |
Total liabilities and contingent liabilities |  |  |  |  |  | (2,287) |  |  |  |  |  |
Total net assets acquired |  |  |  |  |  | 49,057 |  |  |  |  |  |
Goodwill |  |  |  |  |  | 171,134 |  |  |  |  |  |
Total business combination cost |  |  |  |  | € 220,191 | € 220,191 |  |  |  |  |  |
Goetech, LLC. ("MedKeeper") |  |  |  |  |  |  |  |  |  |  |  |
Amounts determined at the date of acquisition of assets, liabilities and contingent liabilities: |  |  |  |  |  |  |  |  |  |  |  |
Intangible assets |  |  |  |  |  |  | $ 37,285 | € 30,561 |  |  |  |
Property, plant and equipment |  |  |  |  |  |  | 82 | 67 |  |  |  |
Other non-current assets |  |  |  |  |  |  | 2,867 | 2,350 |  |  |  |
Other current assets |  |  |  |  |  |  | 5,433 | 4,453 |  |  |  |
Total assets |  |  |  |  |  |  | 45,667 | 37,432 |  |  |  |
Deferred tax liability |  |  |  |  |  |  | (16,386) | (13,431) |  |  |  |
Long-term liabilities |  |  |  |  |  |  | (2,667) | (2,186) |  |  |  |
Current liabilities |  |  |  |  |  |  | (9,407) | (7,711) |  |  |  |
Total liabilities and contingent liabilities |  |  |  |  |  |  | (28,460) | (23,328) |  |  |  |
Total net assets acquired |  |  |  |  |  |  | 17,207 | 14,104 |  |  |  |
Goodwill |  |  |  |  |  |  | 67,492 | 55,321 |  |  |  |
Total business combination cost |  |  |  |  |  |  | $ 84,699 | € 69,425 |  |  |  |
Hologic acquisition |  |  |  |  |  |  |  |  |  |  |  |
Amounts determined at the date of acquisition of assets, liabilities and contingent liabilities: |  |  |  |  |  |  |  |  |  |  |  |
Inventories |  |  |  |  |  |  |  |  |  |  | $ 32,434 | € 30,157
Property, plant and equipment |  |  |  |  |  |  |  |  |  |  | 26,424 | 24,569
Deferred tax assets |  |  |  |  |  |  |  |  |  |  | 18,000 | 16,736
Total assets |  |  |  |  |  |  |  |  |  |  | 377,923 | 351,392
Current provisions |  |  |  |  |  |  |  |  |  |  | (45,000) | (41,841)
Total liabilities and contingent liabilities |  |  |  |  |  |  |  |  |  |  | (45,000) | (41,841)
Total net assets acquired |  |  |  |  |  |  |  |  |  |  | 332,923 | 309,551
Goodwill |  |  |  |  |  |  |  |  |  |  | 1,577,134 | 1,466,420
Total business combination cost |  |  |  |  |  |  |  |  |  |  | 1,910,057 | 1,775,971
Hologic acquisition | R&D in progress |  |  |  |  |  |  |  |  |  |  |  |
Amounts determined at the date of acquisition of assets, liabilities and contingent liabilities: |  |  |  |  |  |  |  |  |  |  |  |
Intangible assets |  |  |  |  |  |  |  |  |  |  | 148,157 | 137,756
Hologic acquisition | Other Intangible assets |  |  |  |  |  |  |  |  |  |  |  |
Amounts determined at the date of acquisition of assets, liabilities and contingent liabilities: |  |  |  |  |  |  |  |  |  |  |  |
Intangible assets |  |  |  |  |  |  |  |  |  |  | $ 152,908 | € 142,174
Kedplamsa acquisition |  |  |  |  |  |  |  |  |  |  |  |
Amounts determined at the date of acquisition of assets, liabilities and contingent liabilities: |  |  |  |  |  |  |  |  |  |  |  |
Property, plant and equipment |  |  |  |  |  |  |  |  |  | € 3,698 |  |
Total net assets acquired |  |  |  |  |  |  |  |  | $ 4,403 | 4,137 |  |
Goodwill |  |  |  |  |  |  |  |  | 42,680 | 40,101 |  |
Total business combination cost |  |  |  |  |  |  |  |  | $ 47,083 | € 44,238 |  |
Interstated Blood Bank, Inc. Group |  |  |  |  |  |  |  |  |  |  |  |
Amounts determined at the date of acquisition of assets, liabilities and contingent liabilities: |  |  |  |  |  |  |  |  |  |  |  |
Cash and cash equivalents | $ 2,204 | € 1,961 |  |  |  |  |  |  |  |  |  |
Trade and other receivables | 13,575 | 12,080 |  |  |  |  |  |  |  |  |  |
Inventories | 11,543 | 10,271 |  |  |  |  |  |  |  |  |  |
Intangible assets | 87 | 77 |  |  |  |  |  |  |  |  |  |
Property, plant and equipment | 26,661 | 23,724 |  |  |  |  |  |  |  |  |  |
Other current assets | 2,265 | 2,015 |  |  |  |  |  |  |  |  |  |
Total assets | 56,335 | 50,128 |  |  |  |  |  |  |  |  |  |
Long-term liabilities | (11,500) | (10,233) |  |  |  |  |  |  |  |  |  |
Current liabilities | (23,091) | (20,550) |  |  |  |  |  |  |  |  |  |
Total liabilities and contingent liabilities | (34,591) | (30,783) |  |  |  |  |  |  |  |  |  |
Total net assets acquired | 21,744 | 19,345 |  |  |  |  |  |  |  |  |  |
Goodwill | 194,035 | 172,663 |  |  |  |  |  |  |  |  |  |
Total business combination cost | $ 100,000 | € 88,984 |  |  |  |  |  |  |  |  |  |

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