v3.24.0.1

Acquisitions - Narrative (Details ) $ in Thousands, € in Millions |  |  |  |  |  |  |  | 1 Months Ended | 3 Months Ended | 6 Months Ended | 12 Months Ended |
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Jan. 03, 2024 EUR (€) shares | Oct. 05, 2023 USD ($) | Jul. 20, 2023 USD ($) | Jun. 28, 2023 USD ($) | May 06, 2022 USD ($) | Jul. 28, 2021 USD ($) | Apr. 23, 2021 USD ($) | Dec. 31, 2023 USD ($) | Sep. 30, 2022 USD ($) | Jun. 30, 2023 acquisition | Dec. 31, 2023 USD ($) | Dec. 31, 2022 USD ($) acquisition | Dec. 31, 2021 USD ($) acquisition | Sep. 29, 2023 USD ($)
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cash consideration, net |  |  |  |  |  |  |  |  |  |  | $ 152,815 | $ 73,684 | $ 223,272 |
Payment for asset acquisition |  |  |  |  |  |  |  |  |  |  | 122,223 | 99,547 | 68,591 |
Goodwill |  |  |  |  |  | $ 92,438 |  | $ 2,060,893 |  |  | 2,060,893 | $ 1,983,588 | $ 1,934,258 |
Intangible assets acquired |  |  |  |  |  | 106,000 |  |  |  |  |  |  |  |
Number of businesses acquired | acquisition |  |  |  |  |  |  |  |  |  |  |  | 2 |  |
Number of investments | acquisition |  |  |  |  |  |  |  |  |  |  |  | 1 | 3 |
Payments to acquire investments |  |  |  |  |  |  |  |  |  |  |  |  | $ 16,800 |
Percentage of consolidated revenues |  |  |  |  |  |  |  |  |  |  |  | 1.00% | 12.00% |
Goodwill attributable to acquisition |  |  |  |  |  |  |  |  |  |  | 43,683 | $ 61,241 |  |
Mathys AG Bettlach |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Intangible assets |  |  |  |  |  | 106,000 |  |  |  |  |  |  |  |
Goodwill acquired, deductible for income tax purposes |  |  |  |  |  | 0 |  |  |  |  |  |  |  |
Cash acquired from acquisition |  |  |  |  |  | 14,700 |  |  |  |  |  |  |  |
Knee Innovation Company PTY Limited |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cash consideration, net |  |  |  |  | $ 14,300 |  |  |  |  |  |  |  |  |
Goodwill |  |  |  |  | 16,300 |  |  |  |  |  |  |  |  |
Intangible assets acquired |  |  |  |  | $ 18,200 |  |  |  |  |  |  |  |  |
Equity interests acquired |  |  |  |  | 100.00% |  |  |  |  |  |  |  |  |
Contingent consideration, liability |  |  |  |  | $ 12,800 |  |  | 13,000 |  |  | 13,000 |  |  |
Insight |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cash consideration, net |  |  |  |  |  |  |  |  | $ 34,200 |  |  |  |  |
Goodwill |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 36,300
Intangible assets acquired |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 38,400
Remeasurement gain |  |  |  |  |  |  |  |  |  |  |  | $ 8,800 |  |
Equity interests acquired |  |  |  |  |  |  |  |  |  |  |  |  |  | 53.70%
Contingent consideration, liability |  |  |  |  |  |  |  |  |  |  |  |  |  | $ 5,000
Equity interest, percentage |  |  |  |  |  |  |  |  |  |  |  | 99.50% |  |
Noncontrolling interest |  |  |  |  |  |  |  |  |  |  |  | $ 300 |  |
LimaCorporate S.p.A. |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Strategic transaction costs incurred |  |  |  |  |  |  |  |  |  |  | 9,000 |  |  |
LimaCorporate S.p.A. | Subsequent Event |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Expected price of acquisition | € | € 800 |  |  |  |  |  |  |  |  |  |  |  |  |
Cash consideration | € | € 700 |  |  |  |  |  |  |  |  |  |  |  |  |
Stock issued for business acquisition (in shares) | shares | 1,942,686 |  |  |  |  |  |  |  |  |  |  |  |  |
Equity interest issued or issuable | € | € 100 |  |  |  |  |  |  |  |  |  |  |  |  |
Prevention and Recovery |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Payment for asset acquisition |  |  |  |  |  |  |  |  |  |  | 26,356 | 25,140 | $ 19,514 |
Goodwill |  |  |  |  |  |  |  | 1,101,495 |  |  | 1,101,495 | 1,077,636 | 1,088,533 |
Payments to acquire investments |  |  |  |  |  |  |  |  |  |  |  | 10,000 |  |
Goodwill attributable to acquisition |  |  |  |  |  |  |  |  |  |  | 0 | 0 |  |
Reconstructive |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cash consideration, net |  |  |  |  |  |  |  |  |  |  |  |  | 201,600 |
Payment for asset acquisition |  |  |  |  |  |  |  |  |  |  | 95,867 | 74,407 | 49,077 |
Goodwill |  |  |  |  |  |  |  | 959,398 |  |  | 959,398 | 905,952 | $ 845,725 |
Goodwill attributable to acquisition |  |  |  |  |  |  |  |  |  |  | $ 43,683 | $ 61,241 |  |
Reconstructive | 2021 Acquisitions |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of businesses acquired | acquisition |  |  |  |  |  |  |  |  |  |  |  |  | 5 |
Reconstructive | Mathys AG Bettlach |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Consideration transferred, equity interests |  |  |  |  |  | $ 285,700 |  |  |  |  |  |  | $ 285,700 |
Reconstructive | Trilliant Surgical and MedShape Inc. |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cash consideration, net |  |  |  |  |  |  | $ 204,100 |  |  |  |  |  |  |
Number of businesses acquired | acquisition |  |  |  |  |  |  |  |  |  | 2 |  |  |  |
Percentage of consolidated revenues |  |  |  |  |  |  |  |  |  | 3.00% |  |  |  |
Goodwill acquired, deductible for income tax purposes |  |  |  |  |  |  | $ 30,000 |  |  |  |  |  |  |
Net working capital, percentage of consideration paid |  |  |  |  |  |  | 7.30% |  |  |  |  |  |  |
Intangible assets acquired, percentage of consideration paid |  |  |  |  |  |  | 36.50% |  |  |  |  |  |  |
Reconstructive | Novastep |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Cash consideration, net |  |  |  | $ 96,900 |  |  |  |  |  |  |  |  |  |
Goodwill |  |  |  | 43,700 |  |  |  |  |  |  |  |  |  |
Intangible assets acquired |  |  |  | $ 52,000 |  |  |  |  |  |  |  |  |  |
2022 Asset Acquisitions |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Number of asset acquisitions | acquisition |  |  |  |  |  |  |  |  |  |  |  | 4 |  |
2022 Asset Acquisitions | Prevention and Recovery |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Payment for asset acquisition |  |  |  |  |  |  |  |  |  |  |  | $ 12,600 |  |
Asset acquisition, contingent consideration |  |  |  |  |  |  |  |  |  |  |  | $ 9,600 |  |
Number of asset acquisitions | acquisition |  |  |  |  |  |  |  |  |  |  |  | 4 |  |
Asset acquisition, consideration |  |  |  |  |  |  |  |  |  |  |  | $ 22,300 |  |
Precision AI | Reconstructive |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Asset acquisition, percent acquired |  | 100.00% |  |  |  |  |  |  |  |  |  |  |  |
Asset acquired, cash payment, net of cash acquired |  | $ 17,600 |  |  |  |  |  |  |  |  |  |  |  |
Asset acquisition, contingent consideration, liability |  | $ 12,000 |  |  |  |  |  |  |  |  |  |  |  |
Asset acquisition, contingent consideration |  |  |  |  |  |  |  | $ 4,200 |  |  |  |  |  |
D.N.E., LLC External Fixation Product Line | Reconstructive |  |  |  |  |  |  |  |  |  |  |  |  |  |
Business Acquisition [Line Items] |  |  |  |  |  |  |  |  |  |  |  |  |  |
Payment for asset acquisition |  |  | $ 28,200 |  |  |  |  |  |  |  |  |  |  |
Intangible assets |  |  | 25,800 |  |  |  |  |  |  |  |  |  |  |
inventory finished goods |  |  | 1,900 |  |  |  |  |  |  |  |  |  |  |
Property, plant and equipment additions |  |  | $ 500 |  |  |  |  |  |  |  |  |  |  |

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- Definition Amount of consideration transferred in asset acquisition. Includes, but is not limited to, cash, liability incurred by acquirer, and equity interest issued by acquirer. + References Reference 1: http://www.xbrl.org/2003/role/exampleRef -Topic 805 -SubTopic 50 -Name Accounting Standards Codification -Section 55 -Paragraph 1 -Publisher FASB -URI https://asc.fasb.org//1943274/2147479908/805-50-55-1 Reference 2: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 805 -SubTopic 50 -Name Accounting Standards Codification -Section 25 -Paragraph 1 -Publisher FASB -URI https://asc.fasb.org//1943274/2147480060/805-50-25-1 Reference 3: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 805 -SubTopic 50 -Name Accounting Standards Codification -Section 30 -Paragraph 1 -Publisher FASB -URI https://asc.fasb.org//1943274/2147480027/805-50-30-1 Reference 4: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 805 -SubTopic 50 -Name Accounting Standards Codification -Section 30 -Paragraph 2 -Publisher FASB -URI https://asc.fasb.org//1943274/2147480027/805-50-30-2 + Details
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- Definition For transactions that are recognized separately from the acquisition of assets and assumptions of liabilities in the business combination, such as related to pre-existing relationships with the acquiree, this element represents the disclosure of the amount of acquisition related costs which have been expensed. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 805 -SubTopic 10 -Section 50 -Paragraph 2 -Subparagraph (f) -Publisher FASB -URI https://asc.fasb.org//1943274/2147479328/805-10-50-2 + Details
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- Definition Percentage of voting equity interests acquired in a business combination achieved in stages, including equity interests in the acquiree held by the acquirer immediately before the acquisition date and acquired at the acquisition date. + References No definition available. + Details
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- Definition In a business combination achieved in stages, this element represents the amount of net gain (loss) recognized by the entity as a result of remeasuring to fair value the equity interest in the acquiree it held before the business combination. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 805 -SubTopic 10 -Section 50 -Paragraph 2 -Subparagraph (g)(2) -Publisher FASB -URI https://asc.fasb.org//1943274/2147479328/805-10-50-2 + Details
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