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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 (€)
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