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Acquisition, Restructuring and Other Expense (Details) - USD ($)
$ in Thousands
 3 Months Ended
Mar. 31, 2016
Mar. 31, 2015
Dec. 31, 2015
Dec. 31, 2014
Acquisition, Restructuring and Other Expense [Line Items]        
Restructuring costs $ 3,655 $ 8,509    
Debt refinancing costs included in other expense 2,942 0    
Debt Instrument, Financing Costs Expensed 2,700      
Loss on early extinguishment of debt 254 0    
Assets held-for-sale 3,100      
Restructuring reserve 3,875 8,878 $ 7,175 $ 8,254
Cost of Sales [Member] | Facility Consolidation Costs [Member]        
Acquisition, Restructuring and Other Expense [Line Items]        
Restructuring costs 864 2,329    
Selling and Administrative Expenses [Member]        
Acquisition, Restructuring and Other Expense [Line Items]        
Acquisition, restructuring and other expense included in selling and administrative expense 11,836 6,180    
Selling and Administrative Expenses [Member] | Administrative Restructuring [Member]        
Acquisition, Restructuring and Other Expense [Line Items]        
Restructuring costs 2,791 6,180    
Other Expense [Member]        
Acquisition, Restructuring and Other Expense [Line Items]        
Debt refinancing costs included in other expense 2,942 0    
SurgiQuestInc [Member] | Selling and Administrative Expenses [Member]        
Acquisition, Restructuring and Other Expense [Line Items]        
Business acquisition costs $ 9,045 $ 0