CONSOLIDATED STATEMENTS OF CASH FLOWS (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2012	Mar. 31, 2011
Cash Flows From Operating Activities
Net (loss) income	$ (12,921)	$ 6,482
Adjustments to reconcile net (loss) income to net cash provided by operating activities:
Depreciation and amortization	215,582	127,002
Amortization of deferred revenue	(8,568)	(4,775)
Amortization of discounts on long-term debt	3,249	2,642
Amortization of deferred financing costs	2,498	1,292
Acquired in-process research and development		2,000
Acquisition accounting adjustment on inventory sold	33,098	29,576
Loss (Gain) on disposal of assets	9,527	(5,314)
Acquisition-related contingent consideration	9,839	386
Allowances for losses on accounts receivable and inventories	4,383	381
Deferred income taxes	(14,859)	(19,773)
Additions to accrued legal settlements	3,155	400
Payments of accrued legal settlements	(60)	(16,000)
Share-based compensation	19,152	29,893
Tax benefits from stock options exercised	(593)	(24,050)
Foreign exchange gain	(25,564)	(3,173)
Payment of accreted interest on repurchase of convertible debt	(56)	(2,289)
Loss on extinguishment of debt	133	8,262
Other	(1,048)	4,225
Changes in operating assets and liabilities:
Accounts receivable	(14,786)	(82,481)
Inventories	(35,080)	13,360
Prepaid expenses and other current assets	(4,266)	(6,870)
Accounts payable	(9,920)	(37,806)
Accrued liabilities	(7,520)	62,742
Income taxes payable	1,575	(863)
Deferred revenue	280	1,081
Net cash provided by operating activities	167,230	86,330
Cash Flows From Investing Activities
Acquisitions of businesses, net of cash acquired	(272,812)	(463,702)
Acquisitions of intangible assets	(1,865)	(302,885)
Purchases of property, plant and equipment	(11,116)	(21,505)
Proceeds from sales and maturities of marketable securities	8,364	2,774
Purchases of marketable securities and other investments	(7,200)	(40,016)
Proceeds from sale of assets	66,250
Net cash used in investing activities	(218,379)	(825,334)
Cash Flows From Financing Activities
Issuance of long-term debt, net of discount	645,643	2,139,688
Repayments of long-term debt	(302,812)	(975,000)
Short-term borrowings	7,364
Repurchases of convertible debt	(3,975)	(139,225)
Repurchases of common shares	(108,724)	(274,750)
Proceeds from exercise of stock options	5,108	23,229
Tax benefits from stock options exercised	593	24,050
Payments of employee withholding tax upon vesting of share-based awards	(3,824)	(39,478)
Payments of contingent consideration	(27,500)
Payments of debt issuance costs	(1,435)	(15,747)
Net cash provided by financing activities	210,438	742,767
Effect of exchange rate changes on cash and cash equivalents	7,079	3,720
Net increase in cash and cash equivalents	166,368	7,483
Cash and cash equivalents, beginning of period	164,111	394,269
Cash and cash equivalents, end of period	330,479	401,752
Non-Cash Investing and Financing Activities
Acquisitions of businesses, contingent consideration at fair value	(17,744)	(27,585)
Additions to marketable securities, accrued but unpaid		(20,008)
Out-license of intangible asset		$ 36,000