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Fair Value Measurement (Tables)
 12 Months Ended
Dec. 31, 2019
Fair Value Measurement Inputs and Valuation Techniques [Line Items]  
Fair Value, Net Derivative Asset (Liability) Measured on Recurring Basis, Unobservable Input Reconciliation [Table Text Block]
The following table provides a reconciliation of our Level 3 earn-out liabilities measured at estimated fair value based on an initial valuation and updated quarterly for the years ended December 31, 2019, 2018 and 2017 (in thousands):
 
 
Earn-out Liability
Contingent earn-out liability, January 1, 2017
 
$
—

Acquisition date fair value estimate of earn-out
 
19,000

Change in fair value of contingent earn-out (included in income from operations as a separate line item)
 
8,000

Contingent earn-out liability, December 31, 2017
 
$
27,000

Acquisition date fair value estimate of earn-out
 
—

Change in fair value of contingent earn-out (included in income from operations as a separate line item)
 
20,400

Contingent earn-out liability, December 31, 2018
 
47,400

Acquisition date fair value estimate of earn-out(1)
 
17,300

Change in fair value of contingent earn-out (included in income from operations as a separate line item)
 
(47,400
)
Contingent earn-out liability, December 31, 2019
 
$
17,300
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis [Table Text Block]
Our assets and liabilities measured at fair value on a recurring basis consisted of the following (Level 1, 2 and 3 inputs as defined above) (in thousands): 
 
Fair value measurements at December 31, 2019
 
Total carrying
value
 
Quoted prices
in active
markets for
identical
assets (level 1)
 
Significant
other
observable
inputs (level 2)
 
Significant
unobservable
inputs (level 3)
Assets:
 
 
 
 
 
 
 
Available for sale debt securities:
 
 
 
 
 
 
 
Short-term
$
23,967

 
$
—

 
$
23,967

 
$
—

Foreign exchange forwards:
 
 
 
 
 
 
 
Prepaid expenses and other current assets
2,366

 
—

 
2,366

 
—

Total Assets
$
26,333

 
$
—

 
$
26,333

 
$
—

 
 
 
 
 
 
 
 
Liabilities:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Earn-out liability
$
17,300

 
$
—

 
$
—

 
$
17,300

Total Liabilities
$
17,300

 
$
—

 
$
—

 
$
17,300

  

 
Fair value measurements at December 31, 2018
 
Total carrying
value
 
Quoted prices
in active
markets for
identical
assets (level 1)
 
Significant
other
observable
inputs (level 2)
 
Significant
unobservable
inputs (level 3)
Assets:
 
 
 
 
 
 
 
Available for sale debt securities:
 
 
 
 
 
 
 
Short-term
$
37,329

 
$
—

 
$
37,329

 
$
—

Long-term
2,025

 
—

 
2,025

 
—

Foreign exchange forwards:
 
 
 
 
 
 
 
Prepaid expenses and other current assets
187

 
$
—

 
$
187

 
$
—

Other assets
545

 
$
—

 
$
545

 
$
—

Total Assets
$
39,354

 
$
—

 
$
39,354

 
$
—

 
 
 
 
 
 
 
 
Liabilities:
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Earn-out liability
$
47,400

 
$
—

 
$
—

 
$
47,400

Total Liabilities
$
47,400

 
$
—

 
$
—

 
$
47,400
Hospira [Member]  
Fair Value Measurement Inputs and Valuation Techniques [Line Items]  
Fair Value Measurement Inputs and Valuation Techniques [Table Text Block]
The following tables provide quantitative information about Level 3 inputs for fair value measurement of our earn-out liabilities as of the acquisition date to December 31, 2019. Significant increases or decreases in these inputs in isolation could result in a significant impact on our fair value measurement.

HIS Earn-out
Simulation Input
As of
December 31, 2018
 
As of
December 31, 2017
 
At Acquisition February 3, 2017
Adjusted EBITDA Volatility
30.00
%
 
26.00
%
 
29.00
%
WACC
8.25
%
 
8.75
%
 
10.00
%
20-year risk free rate
2.87
%
 
2.58
%
 
2.82
%
Market price of risk
5.24
%
 
5.99
%
 
6.93
%
Cost of debt
5.25
%
 
4.08
%
 
4.16
%
Pursuit Vascular, Inc. [Member]  
Fair Value Measurement Inputs and Valuation Techniques [Line Items]  
Fair Value Measurement Inputs and Valuation Techniques [Table Text Block]
Pursuit Earn-out
Simulation Input
As of
December 31, 2019
 
At Acquisition November 2, 2019
Revenue/Gross Profit Volatility
20.00
%
 
20.00
%
Discount Rate
15.00
%
 
15.00
%
Risk free rate
1.55
%
 
1.55
%
Counter Party Risk
6.00
%
 
6.00
%