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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 of Continuing Operations:      
Net income (loss) $ 151,748 $ (189,102) $ 324,967
Adjustments to reconcile net income (loss) to net cash provided by operating activities:      
Loss (income) from discontinued operations 435 7,320 (205,645)
Depreciation expense 42,368 36,204 40,336
Amortization expense of intangible assets 50,608 44,264 42,634
Amortization expense of deferred financing costs and debt discount 14,959 14,416 13,526
Loss on extinguishments of debt 1,250    15,413
Changes in contingent consideration (12,642) 263 274
Impairment of long-lived assets 3,460    
In-process research and development impairment 7,381    
Interest rate swap buyout     (11,695)
Stock-based compensation 11,871 8,623 4,532
Net (gain) loss on sales of businesses and assets   (332) 582
Impairment of investments in affiliates     2,499
Goodwill impairment    332,128  
Deferred income taxes, net (8,925) (39,178) (14,067)
Other (8,700) (3,776) (2,701)
Changes in operating assets and liabilities, net of effects of acquisitions and disposals:      
Accounts receivable (1,294) (2,932) (43,561)
Inventories (8,931) (1,970) (33,819)
Prepaid expenses and other current assets (5,926) 9,595 (8,473)
Accounts payable and accrued expenses (684) (1,412) (1,636)
Income taxes receivable and payable, net (7,107) (20,258) (28,809)
Net cash provided by operating activities from continuing operations 229,871 193,853 94,357
Cash Flows from Investing Activities of Continuing Operations:      
Expenditures for property, plant and equipment (63,580) (65,394) (44,582)
Payments for businesses and intangibles acquired, net of cash acquired (309,008) (369,444) (24,623)
Proceeds from sales of businesses and assets, net of cash sold   66,660 376,025
Investments in affiliates (50) (80) (150)
Net cash (used in) provided by investing activities from continuing operations (372,638) (368,258) 306,670
Cash Flows from Financing Activities of Continuing Operations:      
Proceeds from long-term borrowings 680,000   515,000
Repayment of long-term borrowings (375,000)   (455,800)
Debt extinguishment, issuance and amendment fees (6,400)   (18,518)
Decrease in notes payable and current borrowings    (706) (24,714)
Proceeds from stock compensation plans 7,609 9,003 34,009
Payments to noncontrolling interest shareholders (736)    
Payments for contingent consideration (16,958) (17,596) (5,947)
Dividends (55,917) (55,589) (55,136)
Net cash provided by (used in) financing activities from continuing operations 232,598 (64,888) (11,106)
Cash Flows from Discontinued Operations:      
Net cash (used in) provided by operating activities (3,327) (7,799) 121
Net cash used in investing activities    (2,351) (2,875)
Net cash used in discontinued operations (3,327) (10,150) (2,754)
Effect of exchange rate changes on cash and cash equivalents 8,441 2,394 (11,531)
Net increase (decrease) in cash and cash equivalents 94,945 (247,049) 375,636
Cash and cash equivalents at the beginning of the year 337,039 584,088 208,452
Cash and cash equivalents at the end of the year 431,984 337,039 584,088
Supplemental Cash Flow Information:      
Cash interest paid 43,581 46,683 45,336
Income taxes paid, net of refunds $ 43,975 $ 74,908 $ 67,419