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Acquisitions - Pro Forma Results (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Halyard's Health And IT System        
Business Acquisition [Line Items]        
Net revenue $ 2,464,877 $ 2,543,961 $ 7,575,727 $ 7,558,441