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Statement of Cash Flows (Unaudited) (USD $)
In Thousands
6 Months Ended
Jun. 30, 2011
Jun. 30, 2010
Cash flows from operating activities:    
Net earnings $ 149,843 $ 106,318
Adjustments to reconcile net earnings to net cash provided by operating activities:    
Amortization of convertible debt discount 11,279 10,443
Depreciation and other amortization 71,685 80,511
Provision for bad debt 5,364 4,139
Write-off of deferred debt issuance costs 3,218 1,928
Share-based compensation expense 15,879 15,434
Deferred income tax benefit (21,061) (29,647)
Excess tax benefit from share-based payment arrangements (2,082) (1,392)
Change in assets and liabilities:    
Decrease in accounts receivable, net 3,586 30,932
Decrease (increase) in inventories, net 4,504 (36,102)
Increase in prepaid expenses and other (13,540) (4,193)
Decrease in accounts payable (8,585) (632)
Increase (decrease) in accrued expenses and other 17,824 (20,687)
Increase (decrease) in tax liabilities, net 2,088 (18,692)
Decrease in deferred income taxes, net (3,541) (460)
Net cash provided by operating activities 236,461 137,900
Cash flows from investing activities:    
Additions to property, plant and equipment (66,750) (46,192)
Decrease (increase) in inventory to be converted into equipment for short-term rental (7,239) 7,265
Dispositions of property, plant and equipment 913 1,067
Increase in identifiable intangible assets and other non-current assets (17,364) (2,091)
Net cash used by investing activities (90,440) (39,951)
Cash flows from financing activities:    
Repayments of long-term debt, revolving credit facility and capital lease obligations (13,830) (125,054)
Proceeds from exercise of stock options 36,004 10,185
Proceeds from the purchase of stock in ESPP and other 4,107 3,451
Excess tax benefit from share-based payment arrangements 2,082 1,392
Purchase of immature shares for minimum tax withholdings (3,681) (1,108)
Refinancing of senior credit facility:    
Proceeds from borrowings on refinancing of senior credit facility 146,012 0
Repayments on senior credit facility - due 2013 (123,346) 0
Payment of debt issuance costs (14,676) 0
Net cash provided (used) by financing activities 32,672 (111,134)
Effect of exchange rate changes on cash and cash equivalents 3,128 (2,904)
Net increase (decrease) in cash and cash equivalents 181,821 (16,089)
Cash and cash equivalents, beginning of period 316,603 263,157
Cash and cash equivalents, end of period 498,424 247,068
Cash paid for:    
Interest, including cash paid under interest rate swap agreements 19,613 28,215
Income taxes, net of refunds $ 84,913 $ 94,306