v3.24.0.1
Acquisitions - Narrative (Details )
$ in Thousands, € in Millions
1 Months Ended 3 Months Ended 6 Months Ended 12 Months Ended
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