CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) In Thousands, unless otherwise specified	12 Months Ended
	Dec. 31, 2013	Dec. 31, 2012	Dec. 31, 2011
Cash Flows From Operating Activities
Net (loss) income	$ (863,669)	$ (116,025)	$ 159,559
Adjustments to reconcile net (loss) income to net cash provided by operating activities:
Depreciation and amortization, including impairments of finite-lived intangible assets	2,015,806	986,222	612,603
Amortization and write-off of debt discounts and debt issuance costs	89,461	36,402	27,103
In-process research and development impairments and other charges	153,639	189,901	109,200
Acquisition accounting adjustment on inventory sold	372,450	78,822	59,256
Acquisition-related contingent consideration	(29,259)	(5,266)	(10,986)
Allowances for losses on accounts receivable and inventories	68,283	21,779	5,519
Deferred income taxes	(515,884)	(319,603)	(222,959)
Loss (gain) on disposal of assets and businesses	10,180	10,780	(5,314)
Additions to accrued legal settlements	220,495	56,779	11,841
Payments of accrued legal settlements	(180,849)	(41,800)	(26,541)
Share-based compensation	45,478	66,236	94,023
Tax benefits from stock options exercised	(24,200)	(12,541)	(26,533)
Foreign exchange loss (gain)	9,783	(23,839)	(4,829)
Gain on sale of marketable securities	(5,822)	(2,056)	(22,776)
Loss on extinguishment of debt	65,014	20,080	36,844
Payment of accreted interest on contingent consideration	(11,124)	(2,322)	0
Other	466	(33,693)	(18,418)
Changes in operating assets and liabilities:
Accounts receivable	(261,380)	(219,431)	(164,581)
Inventories	(122,701)	(80,304)	(11,521)
Prepaid expenses and other current assets	82,338	54,827	(3,084)
Accounts payable, accrued and other liabilities	(76,548)	(8,370)	42,067
Net cash provided by operating activities	1,041,957	656,578	640,473
Cash Flows From Investing Activities
Acquisition of businesses, net of cash acquired	(5,253,543)	(3,485,286)	(2,464,108)
Acquisition of intangible assets and other assets	(69,636)	(73,495)	(327,437)
Purchases of property, plant and equipment	(115,319)	(107,638)	(58,515)
Proceeds from sale of assets	41,092	91,996	36,000
Proceeds from sales and maturities of marketable securities	17,020	624,774	86,639
Purchases of marketable securities and other investments	0	(7,200)	(81,087)
Increase in restricted cash	0	(8,872)	0
Net cash used in investing activities	(5,380,386)	(2,965,721)	(2,808,508)
Cash Flows From Financing Activities
Issuance of long-term debt, net of discount	8,441,356	6,005,758	5,388,799
Repayments of long-term debt	(6,326,219)	(1,929,118)	(2,004,641)
Short-term debt borrowings	27,413	35,365	0
Short-term debt repayments	(75,140)	(31,075)	0
Issuance of common stock, net	2,307,436	0	0
Repurchases of convertible debt	0	(3,975)	(613,471)
Repurchases of common shares	(55,629)	(280,724)	(639,242)
Proceeds from exercise of stock options	10,015	23,026	41,738
Tax benefits from stock options exercised	24,200	12,541	26,533
Cash settlement of convertible debt	0	(606,278)	0
Cash settlement of call options	0	0	(66,863)
Acquisition of noncontrolling interest	0	0	(52,499)
Payment of employee withholding tax upon vesting of share-based awards	(65,505)	(31,073)	(59,718)
Payments of contingent consideration	(130,060)	(103,926)	(31,800)
Payments of debt issuance costs	(128,014)	(33,153)	(40,671)
Distributions to noncontrolling interest	(2,101)	0	0
Net cash provided by financing activities	4,027,752	3,057,368	1,948,165
Effect of exchange rate changes on cash and cash equivalents	(5,074)	3,755	(10,288)
Net (decrease) increase in cash and cash equivalents	(315,751)	751,980	(230,158)
Cash and cash equivalents, beginning of year	916,091	164,111	394,269
Cash and cash equivalents, end of year	600,340	916,091	164,111
Non-Cash Investing and Financing Activities
Acquisition of businesses, contingent consideration at fair value	(76,064)	(145,728)	(443,481)
Settlement of convertible debt, equity issued	0	0	(892,000)
Acquisition of businesses, debt assumed	$ (4,264,725)	$ (825,241)	$ 0