Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]

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- Definition

The aggregate expense charged against earnings to allocate the cost of intangible assets (nonphysical assets not used in production) in a systematic and rational manner to the periods expected to benefit from such assets. As a noncash expense, this element is added back to net income when calculating cash provided by or used in operations using the indirect method.

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-Name Accounting Standards Codification
-Section 45
-Paragraph 28
-Subparagraph (b)
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-Topic 230
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-Name Accounting Standards Codification
-Topic 350
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-Name Accounting Standards Codification
-Topic 350
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-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482665/350-30-50-2

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- Definition

Useful life of finite-lived intangible assets, in 'PnYnMnDTnHnMnS' format, for example, 'P1Y5M13D' represents the reported fact of one year, five months, and thirteen days.

+ References

No definition available.

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- Definition

Accumulated amount of amortization of assets, excluding financial assets and goodwill, lacking physical substance with a finite life.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 210
-SubTopic 10
-Name Accounting Standards Codification
-Section S99
-Paragraph 1
-Subparagraph (SX 210.5-02(16))
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147480566/210-10-S99-1

Reference 2: http://www.xbrl.org/2003/role/disclosureRef
-Topic 350
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-Name Accounting Standards Codification
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-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482665/350-30-50-2

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- Definition

Amount of amortization for assets, excluding financial assets and goodwill, lacking physical substance with finite life expected to be recognized in next fiscal year following current fiscal year. Excludes interim and annual periods when interim periods are reported from current statement of financial position date (rolling approach).

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Topic 350
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-Name Accounting Standards Codification
-Section 50
-Paragraph 2
-Subparagraph (a)(3)
-Publisher FASB
-URI https://asc.fasb.org//1943274/2147482665/350-30-50-2

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- Definition

Amount of amortization for assets, excluding financial assets and goodwill, lacking physical substance with finite life expected to be recognized in fifth fiscal year following current fiscal year. Excludes interim and annual periods when interim periods are reported from current statement of financial position date (rolling approach).

+ References

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- Definition

Amount of amortization for assets, excluding financial assets and goodwill, lacking physical substance with finite life expected to be recognized in fourth fiscal year following current fiscal year. Excludes interim and annual periods when interim periods are reported from current statement of financial position date (rolling approach).

+ References

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- Definition

Amount of amortization for assets, excluding financial assets and goodwill, lacking physical substance with finite life expected to be recognized in third fiscal year following current fiscal year. Excludes interim and annual periods when interim periods are reported from current statement of financial position date (rolling approach).

+ References

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Amount of amortization for assets, excluding financial assets and goodwill, lacking physical substance with finite life expected to be recognized in second fiscal year following current fiscal year. Excludes interim and annual periods when interim periods are reported from current statement of financial position date (rolling approach).

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- Definition

Amount before amortization of assets, excluding financial assets and goodwill, lacking physical substance with a finite life.

+ References

Reference 1: http://www.xbrl.org/2003/role/disclosureRef
-Topic 928
-SubTopic 340
-Name Accounting Standards Codification
-Section 50
-Paragraph 1
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- Definition

Amount of increase in assets, excluding financial assets, lacking physical substance with a definite life, from an acquisition.

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Reference 1: http://www.xbrl.org/2003/role/disclosureRef
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-SubTopic 30
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Amount of assets, excluding financial assets and goodwill, lacking physical substance and having a projected indefinite period of benefit.

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Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Topic 350
-SubTopic 30
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- Definition

Amount before accumulated amortization of intangible assets, excluding goodwill.

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Goodwill and Other Intangible Assets (Intangible Assets) (Details) - USD ($) $ in Thousands			12 Months Ended
	Aug. 09, 2022	Jun. 13, 2022	Dec. 31, 2023	Dec. 31, 2022	Dec. 31, 2021
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Intangible assets, gross carrying amount			$ 1,008,648	$ 1,005,816
Intangible assets, accumulated amortization			(359,164)	(324,017)
Amortization of Intangible Assets			35,200	33,700	$ 33,300
Future amortization expense [Abstract]
2024			34,755
2025			35,626
2026			35,360
2027			36,396
2028			39,528
Expense
Future amortization expense [Abstract]
2024			28,755
2025			29,626
2026			29,360
2027			30,396
2028			33,528
Reduction of Revenue
Future amortization expense [Abstract]
2024			6,000
2025			6,000
2026			6,000
2027			6,000
2028			6,000
Trademarks and Trade Names
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Unamortized intangible assets, gross carrying amount			86,544	86,544
Customer and Distributor Relationships
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Amortized intangible assets, gross carrying amount			369,930	369,854
Intangible assets, accumulated amortization			(188,486)	(170,870)
Sales representation, marketing and promotional rights
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Amortized intangible assets, gross carrying amount			149,376	149,376
Intangible assets, accumulated amortization			(72,000)	(66,000)
Patents and Other Intangible Assets
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Amortized intangible assets, gross carrying amount			82,594	79,838
Intangible assets, accumulated amortization			(54,120)	(52,472)
Technology-Based Intangible Assets
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Amortized intangible assets, gross carrying amount			320,204	320,204
Intangible assets, accumulated amortization			$ (44,558)	$ (34,675)
Weighted Average
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Finite-Lived Intangible Asset, Useful Life			22 years
Weighted Average \| Customer and Distributor Relationships
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Finite-Lived Intangible Asset, Useful Life			24 years
Weighted Average \| Sales representation, marketing and promotional rights
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Finite-Lived Intangible Asset, Useful Life			25 years
Weighted Average \| Patents and Other Intangible Assets
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Finite-Lived Intangible Asset, Useful Life			16 years
Weighted Average \| Technology-Based Intangible Assets
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Finite-Lived Intangible Asset, Useful Life			18 years
In2Bones Global Inc
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Finite-lived Intangible Assets Acquired		$ 64,900
Biorez Inc
Schedule of Finite-Lived and Indefinite-Lived Assets [Line Items]
Finite-lived Intangible Assets Acquired	$ 177,900