XML 98 R53.htm IDEA: XBRL DOCUMENT v3.19.3.a.u2
Acquisitions and Divestitures - Additional Information (Detail) - USD ($)
$ in Thousands
12 Months Ended
Feb. 04, 2019
Oct. 04, 2018
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Business Acquisition [Line Items]          
Gain (loss) on disposition of assets     $ 6,077 $ 1,388 $ 0
Aggregate contingent consideration amount     263,200    
Goodwill     2,245,305 2,246,579 $ 2,235,592
Essential Medical          
Business Acquisition [Line Items]          
Business combination, consideration transferred   $ 114,700      
Initial payment   60,400      
Aggregate contingent consideration amount   100,000      
Goodwill   $ 30,100      
Useful life of Intangible assets, in years   20 years      
Essential Medical | Intellectual property          
Business Acquisition [Line Items]          
Intangible assets   $ 103,200      
Essential Medical | Customer relationships          
Business Acquisition [Line Items]          
Intangible assets   2,000      
Essential Medical | Estimated Fair Value Of Contingent Consideration One          
Business Acquisition [Line Items]          
Estimated fair value of contingent consideration   $ 54,300      
Specialty Surgical          
Business Acquisition [Line Items]          
Business combination, consideration transferred       $ 62,500  
Notes Receivable          
Business Acquisition [Line Items]          
Receivable with imputed interest, face amount $ 10,500        
Financing Receivables Payments To Be Received In Next Twelve Months 2,100        
Financing Receivables, Payments To Be Received In Year Two 2,100        
Financing Receivables, Payments To Be Received In Year Three 2,100        
Financing Receivables, Payments To Be Received In Year Four 2,100        
Financing Receivables, Payments To Be Received In Year Five 2,100        
Notes receivable, fair value disclosure 7,600        
Financing receivable, net     6,800    
Notes Receivable | Accounts Receivable          
Business Acquisition [Line Items]          
Financing receivable, net     2,300    
Notes Receivable | Other assets          
Business Acquisition [Line Items]          
Financing receivable, net     $ 4,500    
Disposal Group, Disposed of by Sale, Not Discontinued Operations          
Business Acquisition [Line Items]          
Disposal group, including discontinued operation, consideration 12,600        
Gain (loss) on disposition of assets 2,700        
Disposal group, including discontinued operation, assets $ 9,700