CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) In Thousands, unless otherwise specified	3 Months Ended		9 Months Ended
	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012
Cash Flows From Operating Activities
Net (loss) income	$ (971,975)	$ 7,645	$ (988,639)	$ (26,883)
Adjustments to reconcile net (loss) income to net cash provided by operating activities:
Depreciation and amortization, including impairments of finite-lived intangible assets	945,956	235,311	1,605,255	672,759
Amortization and write-off of debt discounts and debt issuance costs	27,572	8,979	70,498	14,335
In-process research and development impairments and other charges	123,981	145,300	128,811	149,868
Acquisition accounting adjustment on inventory sold	149,400	6,009	219,159	49,401
Loss on disposal of assets	625	229	625	10,780
Acquisition-related contingent consideration	(34,995)	5,630	(33,511)	23,198
Allowances for losses on accounts receivable and inventories	16,120	6,833	36,690	12,936
Deferred income taxes	(185,611)	(107,093)	(286,186)	(127,802)
Additions to accrued legal settlements	149,601	0	155,173	56,779
Payments of accrued legal settlements	(150)	(37,739)	(14,698)	(39,551)
Share-based compensation	16,000	18,547	32,476	52,855
Tax benefits from stock options exercised	(32,179)	(2,367)	(48,628)	(5,842)
Foreign exchange (gain) loss	(5,408)	356	3,358	(21,909)
Gain on sale of marketable securities	0	0	(5,822)	(2,024)
Loss on extinguishment of debt	8,161	2,322	29,540	2,455
Payment of accreted interest on contingent consideration	(3,347)	(552)	(6,219)	(1,450)
Other	(4,778)	(7,867)	(7,422)	(15,540)
Changes in operating assets and liabilities:
Accounts receivable	52,961	(182,646)	(81,041)	(189,249)
Inventories	(46,150)	(9,787)	(105,058)	(61,300)
Prepaid expenses and other current assets	49,786	(6,324)	55,018	(9,457)
Accounts payable, accrued liabilities and other liabilities	(53,858)	84,041	2,710	44,300
Net cash provided by operating activities	201,712	166,827	762,089	588,659
Cash Flows From Investing Activities
Acquisition of businesses, net of cash acquired	(4,439,325)	(245,367)	(5,190,385)	(972,199)
Acquisition of intangible assets and other assets	(4,852)	(6,305)	(38,068)	(8,865)
Purchases of property, plant and equipment	(24,932)	(57,069)	(51,735)	(81,786)
Proceeds from sales and maturities of marketable securities	0	0	17,020	9,412
Purchases of marketable securities and other investments	0	0	0	(7,200)
Proceeds from sale of assets	0	10,717	27,430	76,967
Increase in restricted cash	0	628	0	(8,245)
Net cash used in investing activities	(4,469,109)	(297,396)	(5,235,738)	(991,916)
Cash Flows From Financing Activities
Issuance of long-term debt, net of discount	7,165,121	122,295	7,505,121	1,408,705
Repayments of long-term debt	(4,781,025)	(31,063)	(5,385,768)	(461,056)
Short-term debt borrowings	4,764	8,930	23,406	28,530
Short-term debt repayments	(25,258)	(4,820)	(37,530)	(26,402)
Issuance of common stock, net	(1,370)	0	2,269,880	0
Repurchases of convertible debt	0	0	0	(3,975)
Repurchases of common shares	0	0	(55,629)	(280,724)
Proceeds from exercise of stock options	2,538	5,209	7,109	12,228
Tax benefits from stock options exercised	32,179	2,367	48,628	5,842
Payments of employee withholding tax upon vesting of share-based awards	(14,387)	(7,376)	(35,918)	(21,110)
Cash settlement of convertible debt	0	(62,086)	0	(62,086)
Payments of contingent consideration	(15,130)	(18,826)	(98,069)	(79,844)
Distributions to noncontrolling interest	(2,101)	0	(2,101)	0
Payments of debt issuance costs	(46,853)	(22,562)	(80,489)	(25,104)
Net cash provided by (used in) financing activities	2,318,478	(7,932)	4,158,640	495,004
Effect of exchange rate changes on cash and cash equivalents	5,876	965	(4,735)	1,872
Net (decrease) increase in cash and cash equivalents	(1,943,043)	(137,536)	(319,744)	93,619
Cash and cash equivalents, beginning of period	2,539,390	395,266	916,091	164,111
Cash and cash equivalents, end of period	596,347	257,730	596,347	257,730
Non-Cash Investing and Financing Activities
Acquisition of businesses, contingent consideration obligations at fair value	0	(17,257)	(67,355)	(143,285)
Acquisition of businesses, debt assumed	$ (4,222,142)	$ 0	$ (4,264,725)	$ (46,336)