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Business Combinations - 2019 Acquisitions - Additional Information (Details)
5 Months Ended 12 Months Ended
Jul. 31, 2019
USD ($)
shares
Jul. 31, 2019
EUR (€)
shares
Jun. 05, 2019
USD ($)
Apr. 16, 2019
USD ($)
Apr. 16, 2019
EUR (€)
Dec. 31, 2019
USD ($)
Dec. 31, 2019
USD ($)
Dec. 31, 2018
USD ($)
Jun. 29, 2020
USD ($)
Jun. 29, 2020
EUR (€)
Dec. 31, 2019
EUR (€)
Jul. 31, 2019
EUR (€)
Jul. 30, 2019
$ / shares
Apr. 16, 2019
EUR (€)
Business Acquisition [Line Items]                            
Cash consideration               $ 33,500,000            
Businesses combination in common shares             $ 10,900,000              
Deferred cash consideration           $ 27,735,000 27,735,000              
Goodwill           274,710,000 274,710,000 $ 217,662,000            
Revenues           4,900,000                
Income (loss) before income taxes           (3,500,000)                
Amortization of inventory fair value adjustments and purchased intangible assets           2,200,000                
ARGES GmbH                            
Business Acquisition [Line Items]                            
Percentage of shares acquired 100.00%                     100.00%    
Purchase price $ 72,929,000                     € 65,500,000    
Business acquisition, date of acquisition Jul. 31, 2019 Jul. 31, 2019                        
Cash consideration $ 26,700,000 € 24,000,000.0                        
Businesses combination in common shares $ 10,900,000 € 9,800,000                        
Business combination number of shares acquired | shares 124,461 124,461                        
Business acquisition, closing market price per share | $ / shares                         $ 87.58  
Fair value of contingent consideration $ 7,900,000         7,900,000 7,900,000       € 7,000,000.0 7,100,000    
Deferred cash consideration 27,442,000                          
Undiscounted low range of contingent consideration | €                       0    
Undiscounted high range of contingent consideration | €                       € 10,000,000.0    
Intangible Assets Estimated Fair Value 24,713,000                          
Goodwill 43,045,000                          
Goodwill assets expected to be deductible for tax purposes $ 0                          
ARGES GmbH | Forecast                            
Business Acquisition [Line Items]                            
Deferred cash consideration                 $ 27,400,000 € 24,700,000        
Med X Change, Inc                            
Business Acquisition [Line Items]                            
Percentage of shares acquired     100.00%                      
Cash consideration     $ 21,900,000                      
Intangible Assets Estimated Fair Value           12,200,000 12,200,000              
Goodwill assets expected to be deductible for tax purposes     6,200,000                      
Med X Change, Inc | Revolving Credit Facility                            
Business Acquisition [Line Items]                            
Amount borrowing under finance acquisition     $ 21,000,000.0                      
Ingenia-CAT, S.L.                            
Business Acquisition [Line Items]                            
Percentage of shares acquired       100.00%                   100.00%
Purchase price       $ 16,200,000                   € 14,300,000
Cash consideration       9,600,000 € 8,500,000                  
Fair value of contingent consideration       6,600,000   6,700,000 6,700,000       € 5,900,000     5,800,000
Undiscounted low range of contingent consideration | €                           0
Undiscounted high range of contingent consideration | €                           8,000,000.0
Purchase price heldback       $ 900,000                   € 800,000
Expiration period       2021-10 2021-10                  
Intangible Assets Estimated Fair Value           10,176,000 10,176,000              
Goodwill assets not expected to be deductible for tax purposes       $ 7,200,000                    
Med X Change, Inc and Ingenia-CAT, S.L.                            
Business Acquisition [Line Items]                            
Purchase price           38,059,000 38,059,000              
Fair value of contingent consideration           6,569,000 6,569,000              
Purchase price heldback           905,000 905,000              
Intangible Assets Estimated Fair Value           22,376,000 22,376,000              
Goodwill           $ 13,388,000 13,388,000              
Revenues             7,900,000              
Income (loss) before income taxes             600,000              
Amortization of inventory fair value adjustments and purchased intangible assets             $ 1,500,000