Inventory Disclosure [Abstract]
Inventories
Inventory Disclosure [Text Block]
Segment Reporting [Abstract]
Schedule of Revenues from External Customers [Table]
Schedule of Sales By Geographic Area [Table]
Tabular disclosure of information concerning the amount of revenue from external customers attributed to that geographic region from which revenue is material. An entity may also provide subtotals of geographic information about groups of countries.
Geographical [Axis]
Geographical [Axis]
Segment, Geographical [Domain]
Geographical [Domain]
United States
UNITED STATES
International
International [Member]
Group of countries excluding the United States and its territories/protectorates.
Revenues from External Customers
Schedule of Sales By Geographic Area [Line Items]
Line items represent financial concepts included in a table. These concepts are used to disclose reportable information associated with domain members defined in one or many axes to the table.
Number of Reportable Segments
Number of Reportable Segments
Total sales
Revenue, Net
Disclosure of Compensation Related Costs, Share-based Payments [Abstract]
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding [Roll Forward]
Number of shares outstanding beginning balance
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Number
Number of shares granted
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Gross
Number of shares exercised
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period
Number of shares forfeited
Share-based Compensation Arrangement by Share-based Payment Award, Options, Forfeitures in Period
Number of shares outstanding ending balance
Number of shares exercisable
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Number
Number of shares expected to vest
Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding, Number
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price [Abstract]
Weighted average exercise price per share outstanding beginning balance
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Exercise Price
Weighted average exercise price per share granted
Share-based Compensation Arrangements by Share-based Payment Award, Options, Grants in Period, Weighted Average Exercise Price
Weighted average exercise price per share exercised
Share-based Compensation Arrangements by Share-based Payment Award, Options, Exercises in Period, Weighted Average Exercise Price
Weighted average exercise price per share forfeited
Share-based Compensation Arrangements by Share-based Payment Award, Options, Forfeitures in Period, Weighted Average Exercise Price
Weighted average exercise price per share outstanding ending balance
Weighted average exercise price per share exercisable
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Exercise Price
Weighted average exercise price per share expected to vest
Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Exercisable, Weighted Average Exercise Price
Weighted average remaining contractual life outstanding
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Weighted Average Remaining Contractual Term
Weighted average remaining contractual life exercisable
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Weighted Average Remaining Contractual Term
Weighted average remaining contractual life expected to vest
Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding, Weighted Average Remaining Contractual Term
Aggregate intrinsic value outstanding
Share-based Compensation Arrangement by Share-based Payment Award, Options, Outstanding, Intrinsic Value
Aggregate intrinsic value exercisable
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercisable, Intrinsic Value
Aggregate intrinsic value expected to vest
Share-based Compensation Arrangement by Share-based Payment Award, Options, Vested and Expected to Vest, Outstanding, Aggregate Intrinsic Value
Commitments and Contingencies Disclosure [Abstract]
Commitments and Contingencies [Table]
Commitments and Contingencies [Table]
Commitments and Contingencies [Table]
Litigation Case [Axis]
Litigation Case [Axis]
Litigation Case Type [Domain]
Litigation Case [Domain]
Synthes USA, LLC, Synthes USA Products, LLC, and Synthes USA Sales, LLC Litigation
Synthes USA, LLC, Synthes USA Products, LLC, and Synthes USA Sales, LLC Litigation [Member]
Synthes USA, LLC, Synthes USA Products, LLC, and Synthes USA Sales, LLC Litigation [Member]
Bianco Litigation
Bianco [Member]
Bianco
N-Spine and Synthes Litigation
N-Spine and Synthes Litigation [Member]
N-Spine and Synthes Litigation
Synthes related Litigations
Synthes related Litigations [Member]
Synthes related Litigations
Bonutti Skeletal Innovations LLC Litigation
Bonutti Skeletal Innovations LLCLitigation [Member]
Bonutti Skeletal Innovations LLC litigation
Flexuspine Inc. Litigation
Flexuspine Inc. Litigation [Member]
Flexuspine Inc. Litigation
Stern Litigation
SternLitigation [Member]
Stern Litigation
Range [Axis]
Range [Axis]
Range [Domain]
Range [Domain]
Minimum
Minimum [Member]
Loss Contingencies
Commitments and Contingencies [Line Items]
Commitments and Contingencies [Line Items]
Loss Contingency, Pending Claims, Number
Loss Contingency, Pending Claims, Number
Loss Contingency, Claims Settled, Number
Loss Contingency, Claims Settled, Number
Payments for Legal Settlements
Payments for Legal Settlements
Combined litigation loss
Combined litigation loss
Combined litigation loss.
Royalty Rate
Royalty Rate
Royalty rate for the use of technology or intellectual property incurred and directly related to certain goods sold during the reporting period.
Royalty Period
Royalty Period
Royalty Period
DEI [Abstract]
DEI [Abstract]
Document Information [Table]
Document Information [Table]
Document Information, Document [Axis]
Document Information, Document [Axis]
Document [Domain]
Document [Domain]
Document Information
Document Information [Line Items]
Entity Registrant Name
Entity Registrant Name
Entity Central Index Key
Entity Central Index Key
Current Fiscal Year End Date
Current Fiscal Year End Date
Entity Filer Category
Entity Filer Category
Document Type
Document Type
Document Period End Date
Document Period End Date
Document Fiscal Year Focus
Document Fiscal Year Focus
Document Fiscal Period Focus
Document Fiscal Period Focus
Amendment Flag
Amendment Flag
Entity Common Stock, Shares Outstanding
Entity Common Stock, Shares Outstanding
Marketable Securities [Abstract]
Schedule of Marketable Securities [Table]
Schedule of Available-for-sale Securities [Table]
Balance Sheet Location [Axis]
Balance Sheet Location [Axis]
Balance Sheet Location [Domain]
Balance Sheet Location [Domain]
Short-term Marketable Securities
Short-term Investments [Member]
Long-term Marketable Securities
Other Long-term Investments [Member]
Major Types of Debt and Equity Securities [Axis]
Major Types of Debt and Equity Securities [Axis]
Major Types of Debt and Equity Securities [Domain]
Major Types of Debt and Equity Securities [Domain]
Municipal Bonds
Municipal Bonds [Member]
Corporate Debt Securities
Corporate Debt Securities [Member]
Commercial Paper
Commercial Paper [Member]
Asset-backed Securities
Asset-backed Securities [Member]
Maximum
Maximum [Member]
Schedule of Marketable Securities
Schedule of Available-for-sale Securities [Line Items]
Contractual Maturity
Available For Sale Securities Contractual Maturity
Contractual maturity (in years) of available for sale securities.
Amortized Cost
Available-for-sale Securities, Amortized Cost Basis
Gross Unrealized Gains
Available-for-sale Securities, Accumulated Gross Unrealized Gain, before Tax
Gross Unrealized Losses
Available-for-sale Securities, Accumulated Gross Unrealized Loss, before Tax
Fair Value
Available-for-sale Securities
Income Statement [Abstract]
Sales
Cost of goods sold
Cost of Goods Sold
Gross profit
Gross Profit
Operating expenses:
Operating Expenses [Abstract]
Research and development
Research and Development Expense
Selling, general and administrative
Selling, General and Administrative Expense
Amortization of intangibles
Amortization of Intangible Assets
Acquisition related costs
Business Combination, Integration Related Costs
Total operating expenses
Operating Expenses
Operating Income
Operating Income (Loss)
Other income, net
Other Nonoperating Income (Expense) [Abstract]
Interest income, net
Interest Income (Expense), Net
Foreign currency transaction gain
Foreign Currency Transaction Gain (Loss), before Tax
Other income
Other Nonoperating Income
Total other income, net
Other Nonoperating Income (Expense)
Income before income taxes
Income (Loss) from Continuing Operations before Equity Method Investments, Income Taxes, Noncontrolling Interest
Income tax provision
Income Tax Expense (Benefit)
Net Income
Net Income (Loss) Attributable to Parent
Earnings per share:
Earnings Per Share [Abstract]
Basic
Earnings Per Share, Basic
Diluted
Earnings Per Share, Diluted
Weighted average shares outstanding:
Weighted Average Number of Shares Outstanding, Diluted [Abstract]
Basic
Weighted Average Number of Shares Outstanding, Basic
Dilutive stock options
Incremental Common Shares Attributable to Dilutive Effect of Share-based Payment Arrangements
Diluted
Weighted Average Number of Shares Outstanding, Diluted
Anti-dilutive stock options excluded from weighted average calculation
Antidilutive Securities Excluded from Computation of Earnings Per Share, Amount
Weighted average grant date fair value per share
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value
Payables and Accruals [Abstract]
Accrued Expenses
Accrued Liabilities Disclosure [Text Block]
The entire disclosure for accrued liabilities at the end of the reporting period.
Note Receivable [Abstract]
Note Receivable [Abstract]
Note Receivable Disclosure
Loans, Notes, Trade and Other Receivables Disclosure [Text Block]
Statement of Financial Position [Abstract]
Statement [Table]
Statement [Table]
Class of Stock [Axis]
Class of Stock [Axis]
Class of Stock [Domain]
Class of Stock [Domain]
Class A Common
Common Class A [Member]
Class B Common
Common Class B [Member]
Statement
Statement [Line Items]
ASSETS
Assets [Abstract]
Cash and cash equivalents
Cash and Cash Equivalents, at Carrying Value
Restricted cash
Restricted Cash and Cash Equivalents, Current
Short-term marketable securities
Available-for-sale Securities, Current
Accounts receivable, net of allowances of $3,627 and $2,771, respectively
Accounts Receivable, Net, Current
Inventories
Inventory, Net
Prepaid expenses and other current assets
Prepaid Expense and Other Assets, Current
Income taxes receivable
Income Taxes Receivable, Current
Total current assets
Assets, Current
Property and equipment, net of accumulated depreciation of $173,890 and $166,711, respectively
Property, Plant and Equipment, Net
Long-term marketable securities
Available-for-sale Securities, Noncurrent
Note receivable
Notes, Loans and Financing Receivable, Gross, Noncurrent
Intangible assets, net
Intangible Assets, Net (Excluding Goodwill)
Goodwill
Goodwill
Other assets
Other Assets, Noncurrent
Deferred income taxes
Deferred Tax Assets, Net, Noncurrent
Total assets
Assets
LIABILITIES AND EQUITY
Liabilities and Equity [Abstract]
Accounts payable
Accounts Payable, Current
Accrued expenses
Accrued Liabilities, Current
Income taxes payable
Accrued Income Taxes, Current
Business acquisition liabilities, current
Business Acquisition Liabilities, Current
Current portion, as of the balance sheet date, of carrying value of the obligations incurred and payable pertaining to business acquisitions, including but not limited to contractual milestone payments and contingent performance payments.
Total current liabilities
Liabilities, Current
Business acquisition liabilities, net of current portion
Business Acquisition Liabilities, Noncurrent
Noncurrent portion, as of the balance sheet date, of carrying value of the obligations incurred and payable pertaining to business acquisitions, including but not limited to contractual milestone payments and contingent performance payments.
Deferred income taxes
Deferred Tax Liabilities, Net, Noncurrent
Other liabilities
Other Liabilities, Noncurrent
Total liabilities
Liabilities
Commitments and contingencies (Note 13)
Commitments and Contingencies
Equity:
Stockholders' Equity Attributable to Parent [Abstract]
Common stock
Common Stock, Value, Issued
Additional paid-in capital
Additional Paid in Capital
Accumulated other comprehensive loss
Accumulated Other Comprehensive Income (Loss), Net of Tax
Retained earnings
Retained Earnings (Accumulated Deficit)
Total equity
Stockholders' Equity Attributable to Parent
Total liabilities and equity
Liabilities and Equity
Fair Value Disclosures [Abstract]
Fair Value, Assets Measured on Recurring Basis
Schedule of Fair Value, Assets and Liabilities Measured on Recurring Basis [Table Text Block]
Significant unobservable inputs
Fair Value Inputs, Liabilities, Quantitative Information [Table Text Block]
Rollforward of contingent consideration
Schedule of Business Acquisitions by Acquisition, Contingent Consideration [Table Text Block]
Grants in Period, Weighted Average Grant Date Fair Value
Share-based Compensation Arrangement by Share-based Payment Award, Options, Grants in Period, Weighted Average Grant Date Fair Value [Table Text Block]
Summary of Stock Option Activity
Schedule of Share-based Compensation, Stock Options, Activity [Table Text Block]
Intrinsic Value and Stock-based Compensation Schedule
Stock Option Compensation Expense and Intrinsic Value Schedule [Table Text Block]
Tabluar disclosure of the compensation expense related to stock options and the intrinsic value of stock options exercised.
Income Tax Disclosure [Abstract]
Effective income tax rate
Effective income tax rate [Table Text Block]
Effective income tax rate [Table Text Block]
Business Combinations [Abstract]
Business Acquisition [Axis]
Business Acquisition [Axis]
Business Acquisition, Acquiree [Domain]
Business Acquisition, Acquiree [Domain]
Acquisition 2016
Acquisition 2016 [Member]
Acquisition 2016
Business Acquisition
Business Acquisition [Line Items]
Payments to Acquire Businesses, Gross
Payments to Acquire Businesses, Gross
Net working capital adjustment due
BusinessCombinationConsiderationTransferredDueToBuyer
Net working capital adjustment due to buyer
Business Combination, Consideration Transferred
Business Combination, Consideration Transferred
Cash acquired
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Cash and Equivalents
Accounts receivable
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Assets, Receivables
Inventory
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Inventory
Customer relationships
Finite-Lived Customer Relationships, Gross
Other assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Other Noncurrent Assets
Property and equipment
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Property, Plant, and Equipment
Deferred tax assets
Deferred Tax Assets, Net
Accounts payable and accrued expenses
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Current Liabilities
Deferred tax liabilities
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Deferred Tax Liabilities Noncurrent
Total identifiable net assets
Business Combination, Recognized Identifiable Assets Acquired and Liabilities Assumed, Net
Total allocated purchase price
Business Combination, Recognized Identifiable Assets Acquired, Goodwill, and Liabilities Assumed, Net
Estimated tax deductible goodwill
Business Acquisition, Goodwill, Expected Tax Deductible Amount
Business Combination Disclosure
Business Combination Disclosure [Text Block]
Accumulated Other Comprehensive Income [Abstract]
Accumulated Other Comprehensive Income
Accumulated Other Comprehensive Income/(Loss), Net of Tax
Schedule of Accumulated Other Comprehensive Income (Loss) [Table Text Block]
Fair Value Measurements
Fair Value Disclosures [Text Block]
Intangible Assets Disclosure [Abstract]
Intangible Assets Disclosure
Schedule of Intangible Assets [Table]
Schedule of Intangible Assets [Table]
Schedule of Intangible Assets [Table]
Indefinite-lived Intangible Assets [Axis]
Indefinite-lived Intangible Assets [Axis]
Indefinite-lived Intangible Assets, Major Class Name [Domain]
Indefinite-lived Intangible Assets, Major Class Name [Domain]
In-Process Research & Development
In Process Research and Development [Member]
Finite-Lived Intangible Assets by Major Class [Axis]
Finite-Lived Intangible Assets by Major Class [Axis]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Finite-Lived Intangible Assets, Major Class Name [Domain]
Supplier Network
Supplier Network [Member]
Supplier Network
Customer Relationships & Other Intangibles
Customer Relationships [Member]
Patents
Patents [Member]
Acquired Intangible Assets
Acquired Intangible Assets [Line Items]
Acquired Intangible Assets [Line Items]
Weighted average amortization period
Finite-Lived Intangible Asset, Useful Life
Indefinite-lived intangible assets
Indefinite-Lived Intangible Assets (Excluding Goodwill)
Gross carrying amount
Finite-Lived Intangible Assets, Gross
Intangible assets, gross
Intangible Assets, Gross
Sum of the gross carrying amounts of all intangible assets, excluding goodwill, as of the balance sheet date.
Accumulated amortization
Finite-Lived Intangible Assets, Accumulated Amortization
Finite-lived intangible assets, net
Finite-Lived Intangible Assets, Net
Compensation and other employee-related costs
Employee-related Liabilities, Current
Legal and other settlements and expenses
Accrued Liabilities, Legal and Other Settlements and Expenses
Carrying value as of the balance sheet date of obligations incurred through that date and payable for legal and other settlements. Used to reflect the current portion of the liabilities (due within one year or within the normal operating cycle if longer).
Accrued non-income taxes
Sales and Excise Tax Payable, Current
Royalties
Accrued Royalties, Current
Other
Other Accrued Liabilities, Current
Total accrued expenses
Equity [Abstract]
Equity
Stockholders' Equity Note Disclosure [Text Block]
BACKGROUND AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES [Abstract]
BACKGROUND AND SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES [Abstract]
Summary of Significant Accounting Policies [Table]
Summary of Significant Accounting Policies [Table]
Summary of Significant Accounting Policies [Table]
Summary of Significant Accounting Policies
Summary of Significant Accounting Policies [Line Items]
Summary of Significant Accounting Policies [Line Items]
Excess Tax Benefit from Share-based Compensation, Operating Activities
Excess Tax Benefit from Share-based Compensation, Operating Activities
Decrease in restricted cash
Increase (Decrease) in Restricted Cash
Number of Products Launched Since Inception
Number of Products Launched Since Inception
Number of products launched since inception.
Excess Tax Benefit from Share-based Compensation, Financing Activities
Excess Tax Benefit from Share-based Compensation, Financing Activities
Statement of Comprehensive Income [Abstract]
Net income
Other comprehensive income:
Other Comprehensive Income (Loss), Net of Tax [Abstract]
Unrealized gain on marketable securities, net of tax
Other Comprehensive Income (Loss), Unrealized Holding Gain (Loss) on Securities Arising During Period, Net of Tax
Foreign currency translation gain
Other Comprehensive Income (Loss), Foreign Currency Transaction and Translation Adjustment, Net of Tax, Portion Attributable to Parent
Total other comprehensive income
Other Comprehensive Income (Loss), Net of Tax, Portion Attributable to Parent
Comprehensive Income
Comprehensive Income (Loss), Net of Tax, Attributable to Parent
Principles of Consolidation
Consolidation, Policy [Policy Text Block]
Use of Estimates
Use of Estimates, Policy [Policy Text Block]
Marketable Securities
Investment, Policy [Policy Text Block]
Inventories
Inventory, Policy [Policy Text Block]
Revenue Recognition
Revenue Recognition, Policy [Policy Text Block]
Recently Issued Accounting Pronouncements
New Accounting Pronouncements, Policy [Policy Text Block]
Net sales
Business Acquisition, Pro Forma Revenue
Net income
Business Acquisition, Pro Forma Net Income (Loss)
Earnings per share - Basic
Business Acquisition, Pro Forma Earnings Per Share, Basic
Earnings per share - Diluted
Business Acquisition, Pro Forma Earnings Per Share, Diluted
Background and Summary of Significant Accounting Policies
Business Description and Accounting Policies [Text Block]
Schedule of Stock by Class [Table]
Schedule of Stock by Class [Table]
Class C Common
Common Class C [Member]
Class of Stock
Class of Stock [Line Items]
Common stock, shares authorized
Common Stock, Shares Authorized
Debt Disclosure [Abstract]
Debt
Debt Disclosure [Text Block]
Revenue from External Customers by Products and Services [Table]
Revenue from External Customers by Products and Services [Table]
Products and Services [Axis]
Products and Services [Axis]
Products and Services [Domain]
Products and Services [Domain]
Innovative Fusion
Innovative Fusion [Member]
Innovative Fusion [Member]
Disruptive Technology
Disruptive Technology [Member]
Disruptive Technology [Member]
Revenue from External Customer
Revenue from External Customer [Line Items]
Textuals [Abstract]
Textuals [Abstract]
Number of product categories
Number of product categories
Number of product categories.
Segment And Geographic Information
Segment Reporting Disclosure [Text Block]
Accrued Expenses
Schedule of Accrued Liabilities [Table Text Block]
Income Taxes
Income Tax Disclosure [Text Block]
Fair Value Measurements, Recurring and Nonrecurring [Table]
Fair Value Measurements, Recurring and Nonrecurring [Table]
Contingent Consideration by Type [Axis]
Contingent Consideration by Type [Axis]
Contingent Consideration Type [Domain]
Contingent Consideration Type [Domain]
Revenue-based payments
Revenue-based payments [Member]
Revenue-based payments
Milestone-based payments
Milestone-based payments [Member]
Milestone-based payments
Measurement Frequency [Axis]
Measurement Frequency [Axis]
Fair Value, Measurement Frequency [Domain]
Fair Value, Measurement Frequency [Domain]
Fair Value, Measurements, Recurring
Fair Value, Measurements, Recurring [Member]
Fair Value, Hierarchy [Axis]
Fair Value, Hierarchy [Axis]
Fair Value, Measurements, Fair Value Hierarchy [Domain]
Fair Value Hierarchy [Domain]
Level 1
Fair Value, Inputs, Level 1 [Member]
Level 2
Fair Value, Inputs, Level 2 [Member]
Level 3
Fair Value, Inputs, Level 3 [Member]
Fair Value, Assets and Liabilities Measured on Recurring Basis
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash equivalents
Cash Equivalents, Fair Value Disclosure
Fair value of cash equivalents as of the balance sheet date.
Marketable Securities
Discount Rate
Fair Value Inputs, Discount Rate
Probability of Payment
Probability of Payment
Probability of payment, used as an input to measure fair value.
Contingent consideration
Business Combination, Contingent Consideration, Liability
Contingent Consideration Payment [Roll Forward]
Contingent Consideration Payment [Roll Forward]
Contingent Consideration Payment [Roll Forward]
Contingent consideration, beginning balance
Contingent Payments
Business Acquisition, Contingent Consideration, Milestone Payment
Contingent payments resulting from business acquisition transactions.
Changes in fair value of contingent consideration
Business Combination, Contingent Consideration Arrangements, Fair Value, Change in Fair Value, Liability
Business Combination, Contingent Consideration Arrangements, Fair Value, Change in Fair Value, Liability
Contingent consideration, ending balance
Schedule of Inventory
Schedule of Inventory, Current [Table Text Block]
Intangible Assets Disclosure
Intangible Assets Disclosure [Text Block]
Stock-Based Compensation
Disclosure of Compensation Related Costs, Share-based Payments [Text Block]
Statement of Cash Flows [Abstract]
Cash flows from operating activities:
Net Cash Provided by (Used in) Operating Activities [Abstract]
Adjustments to reconcile net income to net cash provided by operating activities:
Adjustments to Reconcile Net Income (Loss) to Cash Provided by (Used in) Operating Activities [Abstract]
Depreciation and amortization
Depreciation, Depletion and Amortization
Amortization of premium on marketable securities
Investment Income, Amortization of Premium
Write-down for excess and obsolete inventories
Inventory Write-down
Stock-based compensation expense
Share-based Compensation
Allowance for doubtful accounts
Provision for Doubtful Accounts
Change in fair value of contingent consideration
Business Combination, Contingent Consideration Arrangements, Change in Amount of Contingent Consideration, Liability
Change in deferred income taxes
Deferred Income Taxes and Tax Credits
(Increase)/decrease in:
Increase (Decrease) in Operating Assets [Abstract]
Restricted cash
Accounts receivable
Increase (Decrease) in Accounts Receivable
Inventories
Increase (Decrease) in Inventories
Prepaid expenses and other assets
Increase (Decrease) in Prepaid Expense and Other Assets
Increase/(decrease) in:
Increase (Decrease) in Operating Liabilities [Abstract]
Accounts payable
Increase (Decrease) in Accounts Payable
Accrued expenses and other liabilities
Increase (Decrease) in Accrued Liabilities and Other Operating Liabilities
Income taxes payable/receivable
Increase (Decrease) in Income Taxes Payable
Net cash provided by operating activities
Net Cash Provided by (Used in) Operating Activities
Cash flows from investing activities:
Net Cash Provided by (Used in) Investing Activities [Abstract]
Purchases of marketable securities
Payments to Acquire Investments
Maturities of marketable securities
Proceeds from Maturities, Prepayments and Calls of Available-for-sale Securities
Sales of marketable securities
Proceeds from Sale of Available-for-sale Securities
Purchases of property and equipment
Payments to Acquire Property, Plant, and Equipment
Net cash used in investing activities
Net Cash Provided by (Used in) Investing Activities
Cash flows from financing activities:
Net Cash Provided by (Used in) Financing Activities [Abstract]
Payment of business acquisition liabilities
Payment of Business Acquisition Liabilities
The cash outflow during the reporting period for obligations arising from the acquisition of a business, including but not limited to contractual milestone payments and contingent performance payments.
Proceeds from exercise of stock options
Proceeds from Stock Options Exercised
Net cash (used in)/provided by financing activities
Net Cash Provided by (Used in) Financing Activities
Effect of foreign exchange rate on cash
Effect of Exchange Rate on Cash and Cash Equivalents
Net increase in cash and cash equivalents
Cash and Cash Equivalents, Period Increase (Decrease)
Cash and cash equivalents, beginning of period
Cash and cash equivalents, end of period
Supplemental disclosures of cash flow information:
Supplemental Cash Flow Information [Abstract]
Interest paid
Interest Paid
Income taxes paid
Income Taxes Paid
Effective income tax rate
Effective Income Tax Rate Reconciliation, Percent
Marketable Securities
Investments in Debt and Marketable Equity Securities (and Certain Trading Assets) Disclosure [Text Block]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Schedule of Share-based Compensation Arrangements by Share-based Payment Award [Table]
Plan Name [Axis]
Plan Name [Axis]
Plan Name [Domain]
Plan Name [Domain]
2012 Equity Incentive Plan
2012 Equity Incentive Plan [Member]
2012 Equity Incentive Plan.
Award Type [Axis]
Award Type [Axis]
Award Type [Domain]
Equity Award [Domain]
Stock Options
Employee Stock Option [Member]
Share-based Compensation Arrangement by Share-based Payment Award
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of stock plans
Share-based Compensation, Number of Stock Plans
Share-based Compensation, Number of Stock Plans
Number of shares available for grant
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Available for Grant
Shares reserved under the 2012 Equity Incentive Plan
Share-based Compensation Arrangement by Share-based Payment Award, Number of Shares Authorized
Maximum contractual term
Share Based Compensation By Share Based Payment Maximum Contractual Term
Maximum term of stock options under the plan (years).
Award vesting period
Share-based Compensation Arrangement by Share-based Payment Award, Award Vesting Period
Base number of shares that may be issuable under stock plan
Share Based Compensation Arrangement By Share Based Payment Award Base Number Of Shares Issuable
Base number of aggregate shares that may be issued subject to options and other awards.
Annual percentage limit for incremental shares that may be issued
Share Based Compensation Arrangement By Share Based Payment Award Annual Percentage Increase In Shares Available For Issuance
Annual percentage limit, based on the previous year end outstanding shares, of the annual increase in shares that may be issued subject to options and other awards.
Unrecognized compensation expense, unvested stock options
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized
Weighted average period of recognition, unvested stock options
Employee Service Share-based Compensation, Nonvested Awards, Compensation Cost Not yet Recognized, Period for Recognition
Common stock, shares outstanding
Common Stock, Shares, Outstanding
Common stock, shares issued
Common Stock, Shares, Issued
Commitments and Contingencies
Commitments and Contingencies Disclosure [Text Block]
Intangible Assets Acquired as Part of Business Combination
Intangible Assets Acquired as Part of Business Combination [Table Text Block]
Tabular disclosure of the major classes of acquired intangible assets showing the amount, any significant residual value, weighted average amortization period (if any), and other characteristics. A major class is composed of intangible assets that can be grouped together because they are similar, either by nature or by their use in the operations of the company.
Marketable Securities
Available-for-sale Securities [Table Text Block]
Increase (Decrease) in Stockholders' Equity
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Total equity, beginning of period
Stock-based compensation cost
Adjustments to Additional Paid in Capital, Share-based Compensation, Requisite Service Period Recognition
Exercise of stock options
Stock Issued During Period, Value, Stock Options Exercised
Other comprehensive income
Total equity, end of period
Intrinsic value of stock options exercised
Share-based Compensation Arrangement by Share-based Payment Award, Options, Exercises in Period, Intrinsic Value
Stock-based compensation expense
Allocated Share-based Compensation Expense
Net stock-based compensation capitalized into inventory
Employee Service Share-based Compensation, Allocation of Recognized Period Costs, Capitalized Amount
Total stock-based compensation cost
Share-based Compensation Arrangement by Share-based Payment Award, Compensation Cost
Schedule of Note Receivable [Table]
Schedule of Accounts, Notes, Loans and Financing Receivable [Table]
Period [Axis]
Period [Axis]
Period [Axis]
Period [Domain]
Period [Domain]
[Domain] for Period [Axis]
Initial
Initial [Member]
Initial
Final
Final [Member]
Final [Member]
First Two Years
FirstTwoYears [Member]
First Two Years [Member]
Last Three Years
LastThreeYears [Member]
Last Three Years [Member]
Note Receivable
Accounts, Notes, Loans and Financing Receivable [Line Items]
Note receivable, variable rate basis
Loans Receivable, Description of Variable Rate Basis
Note receivable, basis spread on variable rate
Loans Receivable, Basis Spread on Variable Rate
Note Receivable, gross, noncurrent
Schedule of Revenue from External Customers by Geographical Area
Schedule of Revenue from External Customers By Geographical Area International and Domestic [Table Text Block]
Tabular disclosure of information concerning the amount of revenue from external customers attributed to that geographic region from which revenue is material. An entity may also provide subtotals of geographic information about groups of countries.
Revenue from External Customers by Products and Services
Revenue from External Customers by Products and Services [Table Text Block]
Schedule of Long-term Debt Instruments [Table]
Schedule of Long-term Debt Instruments [Table]
Long-term Debt, Type [Axis]
Long-term Debt, Type [Axis]
Long-term Debt, Type [Domain]
Long-term Debt, Type [Domain]
Revolving Credit Facility
Revolving Credit Facility [Member]
Credit Facility [Axis]
Credit Facility [Axis]
Credit Facility [Domain]
Credit Facility [Domain]
Letter of Credit
Letter of Credit [Member]
Line of Credit Facility, Interest Rate Options [Axis]
Line of Credit Facility, Interest Rate Options [Axis]
Information by type of interest rate option.
Line of Credit, Interest Rate Options [Domain]
Line of Credit, Interest Rate Options [Domain]
Type of interest rate option, as determined by the Company based on the terms of the credit agreement.
Fluctuating Rate Per Annum
Line of Credit, Variable Rate Per Annum [Member]
Fluctuating interest rate, as determined by the terms of the credit agreement.
Fixed Rate
Line of Credit, Fixed Rate [Member]
Fixed interest rate, as determined by the terms of the credit agreement.
Debt Instrument
Debt Instrument [Line Items]
Credit facility, current borrowing capacity
Line of Credit Facility, Current Borrowing Capacity
Credit facility, maximum borrowing capacity
Line of Credit Facility, Maximum Borrowing Capacity
Credit facility, variable rate
Debt Instrument, Description of Variable Rate Basis
Credit facility, period of variable rate
Line of Credit, Period of Variable Rate
The period over which the applicable interest rate option is applied for the debt instrument.
Credit facility, basis spread on variable rate
Debt Instrument, Basis Spread on Variable Rate
Credit facility, outstanding borrowings
Line of Credit Facility, Fair Value of Amount Outstanding
Credit facility, termination period without penalty
Line of Credit, Termination Period Without Penalty
Minimum notice period of intent to terminate line of credt agreement without premium or penalty.
Other Comprehensive Income Location [Axis]
Other Comprehensive Income Location [Axis]
Other Comprehensive Income Location [Domain]
Other Comprehensive Income Location [Domain]
Foreign Currency Translation Adjustment
Accumulated Foreign Currency Adjustment Attributable to Parent [Member]
Unrealized Gain/(Loss) on Marketable Securities, Net of Tax
Accumulated Net Investment Gain (Loss) Attributable to Parent [Member]
Accumulated other comprehensive income/(loss), net of tax
Other comprehensive income before reclassifications
Other Comprehensive Income (Loss), before Reclassifications, Net of Tax
Amounts reclassified from accumulated other comprehensive income, net of tax
Reclassification from Accumulated Other Comprehensive Income, Current Period, Net of Tax
Other comprehensive income, net of tax
Schedule of Issued and Outstanding Shares by Class
Schedule of Stock by Class [Table Text Block]
Schedule of Stockholders Equity
Schedule of Stockholders Equity [Table Text Block]
Raw Materials
Inventory, Raw Materials, Gross
Work in process
Inventory, Work in Process, Gross
Finished goods
Inventory, Finished Goods, Net of Reserves
Total inventories
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed
Schedule of Recognized Identified Assets Acquired and Liabilities Assumed [Table Text Block]
Business Acquisition, Pro Forma Information
Business Acquisition, Pro Forma Information [Table Text Block]
Current Assets:
Assets, Current [Abstract]
Allowance for doubtful accounts
Allowance for Doubtful Accounts Receivable, Current
Property, Plant and Equipment, Net
Property, Plant and Equipment, Net [Abstract]
Accumulated depreciation
Accumulated Depreciation, Depletion and Amortization, Property, Plant, and Equipment
Common stock, par value
Common Stock, Par or Stated Value Per Share