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Business Combinations Assets Acquired (Details) - USD ($)
$ in Thousands
12 Months Ended
Jan. 07, 2018
May 13, 2017
Jul. 02, 2016
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Jun. 30, 2018
Jun. 27, 2018
Jan. 05, 2018
May 11, 2017
Jul. 01, 2016
Acquired Finite-Lived Intangible Assets [Line Items]                      
Intangible assets, net       $ 51,319 $ 215,823            
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets                 $ 2,760    
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill                 $ 1,845    
Business Combination, Separately Recognized Transactions, Expenses and Losses Recognized   $ (10,615)                  
Business Combination, Bargain Purchase, Gain Recognized, Amount       0 (9,309) $ 0          
Business Combination, Consideration Transferred $ 1,200   $ 244,300                
Impairment of Intangible Assets, Finite-lived       $ 152,330 $ 0 $ 0          
Acquired rights [Member]                      
Acquired Finite-Lived Intangible Assets [Line Items]                      
Business Combination, Consideration Transferred     216,700                
Customer Relationships [Member]                      
Acquired Finite-Lived Intangible Assets [Line Items]                      
Business Combination, Consideration Transferred     23,900                
LENSAR [Member]                      
Acquired Finite-Lived Intangible Assets [Line Items]                      
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life       15 years              
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Cash and Equivalents                   $ 1,983  
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets                   58,323  
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment                   18,647  
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Intangible Assets, Other than Goodwill [1]                   11,970  
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Other Noncurrent Assets                   25,723  
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Liabilities                   $ (6,673)  
Business Combination, Bargain Purchase, Gain Recognized, Amount   (9,309)                  
Business Combination, Consideration Transferred   $ 31,726                  
Noden [Member]                      
Acquired Finite-Lived Intangible Assets [Line Items]                      
Acquired Finite-lived Intangible Assets, Weighted Average Useful Life       8 years              
Intangible assets, net             $ 40,100 $ 192,500      
Indefinite-lived Intangible Assets Acquired     3,735                
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Assets                     $ 244,305
Business Combination, Consideration Transferred     244,305                
Impairment of Intangible Assets, Finite-lived       $ 152,300              
Noden [Member] | Acquired rights [Member]                      
Acquired Finite-Lived Intangible Assets [Line Items]                      
Finite-lived Intangible Assets Acquired     216,690                
Noden [Member] | Customer Relationships [Member]                      
Acquired Finite-Lived Intangible Assets [Line Items]                      
Finite-lived Intangible Assets Acquired     $ 23,880                
[1] (1) As of the effective date of the transaction, identifiable intangible assets are required to be measured at fair value. The fair value measurement is based on significant inputs that are unobservable in the market and thus represents a Level 3 measurement. The Company used an income approach to estimate the preliminary fair value of the intangibles which includes technology, trademarks and customer relationships. The assumptions used to estimate the cash flows of the business included a discount rate of 16%, estimated gross margins ranging from 37-72%, income tax rate of 35%, and operating expenses consisting of direct costs based on the anticipated level of revenues. The intangible assets have a weighted-average useful life of approximately 15 years. The intangible assets for acquired technology and trademarks are being amortized over their estimated useful lives using the straight-line method of amortization. The intangible assets for customer relationship are being amortized using a double-declining method of amortization as such method better represents the economic benefits to be obtained.