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Business Combinations - 2019 Acquisitions - Additional Information (Details)
$ / shares in Units, shares in Thousands
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 ($)
Dec. 31, 2018
USD ($)
Dec. 31, 2020
USD ($)
Dec. 31, 2020
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   $ 285,980,000        
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 $ 73,151,000                   € 65,700,000    
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 124 124                      
Business acquisition, closing market price per share | $ / shares                       $ 87.58  
Fair value of contingent consideration $ 7,870,000               5,100,000 € 4,100,000 7,100,000    
Deferred cash consideration 27,664,000                 25,000,000.0 24,800,000    
Undiscounted low range of contingent consideration | €                     0    
Undiscounted high range of contingent consideration 11,100,000                   € 10,000,000.0    
Intangible Assets Estimated Fair Value 24,713,000                        
Goodwill 42,951,000                        
Goodwill assets expected to be deductible for tax purposes $ 0                        
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        
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         2,900,000 € 2,300,000     5,800,000
Undiscounted low range of contingent consideration | €                         0
Undiscounted high range of contingent consideration       9,000,000.0                 8,000,000.0
Purchase price heldback       $ 900,000                 € 800,000
Expiration period       2020-10 2020-10                
Intangible Assets Estimated Fair Value                 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        
Fair value of contingent consideration                 6,569,000        
Purchase price heldback                 905,000        
Intangible Assets Estimated Fair Value                 22,376,000        
Goodwill                 $ 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