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Acquisition of Ascyrus (Narrative) (Details) - USD ($) $ in Thousands |  | 3 Months Ended | 9 Months Ended |  |
--- | --- | --- | --- | --- | ---
Sep. 02, 2020 | Sep. 30, 2020 | Sep. 30, 2020 | Dec. 31, 2019 | Dec. 01, 2017
Business Acquisition [Line Items] |  |  |  |  |
Term loan balance |  | $ 299,848 | $ 299,848 | $ 223,176 |
Contingent consideration liability |  | 55,407 | 55,407 |  |
Goodwill |  | 253,995 | 253,995 | 186,697 |
Following FDA Approval For AMDS [Member] |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Aggregate amount of consideration transferred |  |  | $ 120,000 |  |
Ascyrus Medical LLC [Member] |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Aggregate amount of consideration transferred | $ 83,700 |  |  |  |
Total consideration | $ 139,067 |  |  |  |
Equity ownership percent | 100.00% |  |  |  |
Cash consideration | $ 63,660 |  |  |  |
Common shares issued | 991,800 |  |  |  |
Common stock value issued in business combination | $ 20,000 |  |  |  |
Period for weighted average closing price |  |  | 10 days |  |
Contingent consideration liability | 55,407 |  |  |  |
Goodwill | 62,724 | 62,700 | $ 62,700 |  |
Fair value of combined purchase consideration | 139,067 |  |  |  |
Transaction and integration costs |  | 618 | 677 |  |
Ascyrus Medical LLC [Member] | FDA Approval IDE for AMDS [Member] |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Cash consideration | 60,000 |  |  |  |
Common stock value issued in business combination | 20,000 |  |  |  |
Ascyrus Medical LLC [Member] | FDA Approval IDE for AMDS [Member] | Maximum [Member] |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Aggregate amount of consideration transferred | 200,000 |  |  |  |
Ascyrus Medical LLC [Member] | FDA Approves Premarket Approval [Member] |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Cash consideration | 10,000 |  |  |  |
Common stock value issued in business combination | 10,000 |  |  |  |
Ascyrus Medical LLC [Member] | AMDS Obtained In Japan [Member] |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Cash consideration | 25,000 |  |  |  |
Ascyrus Medical LLC [Member] | AMDS Obtained In China [Member] |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Cash consideration | 10,000 |  |  |  |
Ascyrus Medical LLC [Member] | If Japan Or China Obtains Approval [Member] |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Cash consideration | 10,000 |  |  |  |
Ascyrus Medical LLC [Member] | Additional Potential Cash Payment If Japan Or China Obtains Approval [Member] |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Cash consideration | 55,000 |  |  |  |
Ascyrus Medical LLC [Member] | Additional Potential Cash Payment If Japan Or China Obtains Approval [Member] | Minimum [Member] |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Cash consideration | 65,000 |  |  |  |
Ascyrus Medical LLC [Member] | Additional Potential Cash Payment If Japan Or China Obtains Approval [Member] | Maximum [Member] |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Cash consideration | $ 75,000 |  |  |  |
Ascyrus Medical LLC [Member] | Following FDA Approval For AMDS [Member] |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Period of required contingent consideration | 3 years |  |  |  |
Term Loan [Member] |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Term loan balance |  | 218,812 | 218,812 | $ 220,500 | $ 225,000
Secured Debt [Member] |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Credit facility aggregate commitments |  |  |  |  | 255,000
Revolving Credit Facility [Member] |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |
Term loan balance |  | $ 78,662 | $ 78,662 |  |
Credit facility aggregate commitments |  |  |  |  | $ 30,000

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