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Debt (Narrative) (Details) - USD ($) $ in Thousands |  | 1 Months Ended | 12 Months Ended |  |
--- | --- | --- | --- | --- | ---
Nov. 30, 2017 | Jun. 30, 2015 | Dec. 31, 2018 | Dec. 31, 2017 | Dec. 31, 2016 | Dec. 01, 2017 | Jan. 20, 2016
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Term loan balance |  |  | $ 225,953 | $ 228,969 |  |  |
Credit facility default interest rate |  |  | 2.00% |  |  |  |
Credit facility aggregate interest rate |  |  | 6.05% |  |  |  |
Credit facility commitment fee percentage |  |  | 0.50% |  |  |  |
Interest expense |  |  | $ 15,800 | 4,900 | $ 3,000 |  |
Term Loan [Member] |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Term loan balance |  |  | 222,750 | 225,000 |  |  |
Government Sponsored Debt [Member] |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Loan term |  | 9 years |  |  |  |  |
2.45% Sparkasse Zollernalb (KFW Loan 1) [Member] |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Term loan balance |  |  | 1,318 | 1,657 |  |  |
Interest rate on amounts borrowed |  | 2.45% |  |  |  |  |
1.4% Sparkasse Zollernalb (KFW Loan 2) [Member] |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Term loan balance |  |  | $ 1,885 | $ 2,312 |  |  |
Interest rate on amounts borrowed |  | 1.40% |  |  |  |  |
On-X Agreement [Member] | Term Loan [Member] |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Credit facility outstanding balance | $ 68,700 |  |  |  |  |  |
Revolving Credit Facility [Member] |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Credit facility aggregate commitments |  |  |  |  |  | $ 30,000 |
Credit facility maturity date |  |  | Dec. 01, 2022 |  |  |  |
Revolving Credit Facility [Member] | On-X Agreement [Member] |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Credit facility aggregate commitments |  |  |  |  |  |  | $ 20,000
Revolving Credit Facility [Member] | JOTEC [Member] |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Credit facility aggregate commitments |  |  |  |  |  | 30,000 |
Revolving Credit Facility [Member] | Minimum [Member] | Base Rate [Member] |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Credit facility margin |  |  | 3.00% |  |  |  |
Revolving Credit Facility [Member] | Minimum [Member] | LIBOR [Member] |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Credit facility margin |  |  | 4.00% |  |  |  |
Revolving Credit Facility [Member] | Maximum [Member] | Base Rate [Member] |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Credit facility margin |  |  | 3.25% |  |  |  |
Revolving Credit Facility [Member] | Maximum [Member] | LIBOR [Member] |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Credit facility margin |  |  | 4.25% |  |  |  |
Senior Secured Credit Facility [Member] |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Credit facility aggregate commitments |  |  |  |  |  | 255,000 |
Senior Secured Credit Facility [Member] | On-X Agreement [Member] |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Credit facility aggregate commitments |  |  |  |  |  |  | 95,000
Senior Secured Credit Facility [Member] | JOTEC [Member] |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Credit facility aggregate commitments |  |  |  |  |  | 255,000 |
Term Loan [Member] |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Term loan balance |  |  |  |  |  | 225,000 |
Term Loan [Member] | On-X Agreement [Member] |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Term loan balance |  |  |  |  |  |  | 75,000
Credit facility commitment fee percentage | 0.50% |  |  |  |  |  |
Interest rate on amounts borrowed | 3.99% |  |  |  |  |  |
Term Loan [Member] | JOTEC [Member] |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Term loan balance |  |  |  |  |  | $ 225,000 |
Credit facility maturity date |  |  | Dec. 01, 2024 |  |  |  |
Term Loan [Member] | JOTEC [Member] | Base Rate [Member] |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Credit facility margin |  |  | 2.25% | 3.00% |  |  |
Term Loan [Member] | JOTEC [Member] | LIBOR [Member] |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Credit facility margin |  |  | 3.25% | 4.00% |  |  |
Letter Of Credit Sub-Facility [Member] | On-X Agreement [Member] |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Credit facility aggregate commitments |  |  |  |  |  |  | 4,000
Bridge Loan Swing-line Sub-facility [Member] | On-X Agreement [Member] |  |  |  |  |  |  |
Line of Credit Facility [Line Items] |  |  |  |  |  |  |
Credit facility aggregate commitments |  |  |  |  |  |  | $ 3,000

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- Definition Amount, before unamortized (discount) premium and debt issuance costs, of long-term debt. Includes, but is not limited to, notes payable, bonds payable, commercial loans, mortgage loans, convertible debt, subordinated debt and other types of debt. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Publisher FASB -Name Accounting Standards Codification -Topic 470 -SubTopic 20 -Section 50 -Paragraph 4 -Subparagraph (b)(1) -URI http://asc.fasb.org/extlink&oid=109500613&loc=SL6031897-161870 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-03(16)) -URI http://asc.fasb.org/extlink&oid=6879938&loc=d3e572229-122910 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02(22)) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 Reference 4: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-03(16)) -URI http://asc.fasb.org/extlink&oid=6876686&loc=d3e534808-122878 + Details
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- Definition The carrying value as of the balance sheet date of the current and noncurrent portions of long-term obligations drawn from a line of credit, which is a bank's commitment to make loans up to a specific amount. Examples of items that might be included in the application of this element may consist of letters of credit, standby letters of credit, and revolving credit arrangements, under which borrowings can be made up to a maximum amount as of any point in time conditional on satisfaction of specified terms before, as of and after the date of drawdowns on the line. Includes short-term obligations that would normally be classified as current liabilities but for which (a) postbalance sheet date issuance of a long term obligation to refinance the short term obligation on a long term basis, or (b) the enterprise has entered into a financing agreement that clearly permits the enterprise to refinance the short-term obligation on a long term basis and the following conditions are met (1) the agreement does not expire within 1 year and is not cancelable by the lender except for violation of an objectively determinable provision, (2) no violation exists at the BS date, and (3) the lender has entered into the financing agreement is expected to be financially capable of honoring the agreement. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 210 -SubTopic 10 -Section S99 -Paragraph 1 -Subparagraph (SX 210.5-02(22)) -URI http://asc.fasb.org/extlink&oid=6877327&loc=d3e13212-122682 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 942 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.9-03(16)) -URI http://asc.fasb.org/extlink&oid=6876686&loc=d3e534808-122878 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 210 -Section S99 -Paragraph 1 -Subparagraph (SX 210.7-03(16)) -URI http://asc.fasb.org/extlink&oid=6879938&loc=d3e572229-122910 + Details
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