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Geographic and Segment Information Changes in Carrying Amount of Goodwill (Details)
$ in Thousands
9 Months Ended
Sep. 30, 2020
USD ($)
Goodwill  
Goodwill, beginning $ 915,794
Foreign currency adjustments 2,684
Goodwill, ending 918,478
Neuromodulation  
Goodwill  
Goodwill, beginning 398,754
Foreign currency adjustments 0
Goodwill, ending 398,754
Cardiovascular  
Goodwill  
Goodwill, beginning 517,040
Foreign currency adjustments 2,684
Goodwill, ending $ 519,724