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Acquisitions - Additional Information (Details)
$ in Thousands
1 Months Ended 3 Months Ended 6 Months Ended
Nov. 01, 2014
USD ($)
acquisition
Jun. 30, 2015
USD ($)
Jun. 30, 2014
USD ($)
Jun. 30, 2015
USD ($)
Jun. 30, 2014
USD ($)
Dec. 31, 2014
USD ($)
Business Acquisition [Line Items]            
Goodwill   $ 421,760   $ 421,760   $ 423,276
Medical Action Industries, Inc. and ArcRoyal            
Business Acquisition [Line Items]            
Number of businesses acquired | acquisition 2          
Combined consideration, net of cash acquired $ 261,600          
Capitalized lease obligations assumed 13,400          
Goodwill 151,265          
Acquisition-related expenses   1,800   4,400    
Medical Action Industries, Inc, ArcRoyal and Movianto            
Business Acquisition [Line Items]            
Acquisition-related expenses     $ 3,500   $ 4,100  
International Segment            
Business Acquisition [Line Items]            
Goodwill   43,898   43,898   46,187
International Segment | Medical Action Industries, Inc. and ArcRoyal            
Business Acquisition [Line Items]            
Goodwill 21,900          
Domestic Segment            
Business Acquisition [Line Items]            
Goodwill   $ 377,862   $ 377,862   $ 377,089
Domestic Segment | Medical Action Industries, Inc. and ArcRoyal            
Business Acquisition [Line Items]            
Goodwill $ 129,400          
Customer Relationships | Medical Action Industries, Inc. and ArcRoyal            
Business Acquisition [Line Items]            
Acquired intangible assets, useful life 14 years