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Acquisition, Restructuring and Other Expense (Details) - USD ($) $ in Thousands | 3 Months Ended | 9 Months Ended |  |
--- | --- | --- | --- | ---
Sep. 30, 2016 | Sep. 30, 2015 | Sep. 30, 2016 | Sep. 30, 2015 | Dec. 31, 2015 | Dec. 31, 2014
Acquisition, Restructuring and Other Expense [Line Items] |  |  |  |  |  |
Restructuring costs |  |  | $ 5,096 | $ 14,974 |  |
Gain on sale of facility |  |  | (1,890) | 0 |  |
Debt refinancing costs included in other expense | $ 0 | $ 0 | 2,942 | 0 |  |
Financing costs expensed |  |  | 2,700 |  |  |
Loss on early extinguishment of debt |  |  | 254 | 0 |  |
Proceeds from sale of a facility | 5,200 |  | 5,178 | 0 |  |
Restructuring reserve | 1,824 | 5,187 | 1,824 | 5,187 | $ 7,175 | $ 8,254
Cost of Sales [Member] |  |  |  |  |  |
Acquisition, Restructuring and Other Expense [Line Items] |  |  |  |  |  |
Restructuring costs | 0 | 1,316 | 5,537 | 5,179 |  |
Cost of Sales [Member] | Facility Consolidation Costs [Member] |  |  |  |  |  |
Acquisition, Restructuring and Other Expense [Line Items] |  |  |  |  |  |
Restructuring costs | 0 | 1,316 | 991 | 5,179 |  |
Cost of Sales [Member] | Termination of Product Offering [Member] |  |  |  |  |  |
Acquisition, Restructuring and Other Expense [Line Items] |  |  |  |  |  |
Restructuring costs | 0 | 0 | 4,546 | 0 |  |
Selling and Administrative Expenses [Member] |  |  |  |  |  |
Acquisition, Restructuring and Other Expense [Line Items] |  |  |  |  |  |
Gain on sale of facility | (1,890) | 0 | (1,890) | 0 |  |
Acquisition, restructuring and other expense included in selling and administrative expense | 1,785 | 1,331 | 19,570 | 9,795 |  |
Selling and Administrative Expenses [Member] | Administrative Restructuring [Member] |  |  |  |  |  |
Acquisition, Restructuring and Other Expense [Line Items] |  |  |  |  |  |
Restructuring costs | 361 | 1,331 | 4,105 | 9,795 |  |
Other Expense [Member] |  |  |  |  |  |
Acquisition, Restructuring and Other Expense [Line Items] |  |  |  |  |  |
Debt refinancing costs included in other expense | 0 | 0 | 2,942 | 0 |  |
SurgiQuestInc [Member] | Selling and Administrative Expenses [Member] |  |  |  |  |  |
Acquisition, Restructuring and Other Expense [Line Items] |  |  |  |  |  |
Business acquisition costs | $ 3,314 | $ 0 | $ 17,355 | $ 0 |  |

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- Definition This element represents acquisition-related costs incurred to effect a business combination which costs have been expensed during the period. Such costs include finder's fees; advisory, legal, accounting, valuation, and other professional or consulting fees; general administrative costs, including the costs of maintaining an internal acquisitions department; and may include costs of registering and issuing debt and equity securities. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 805 -SubTopic 10 -Section 25 -Paragraph 23 -URI http://asc.fasb.org/extlink&oid=73531572&loc=d3e1043-128460 + Details
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- Definition The difference between the carrying value and the sale price of real estate or properties that were intended to be sold or held for capital appreciation or rental income. This element refers to the gain (loss) included in earnings and not to the cash proceeds of the sale. This element is a noncash adjustment to net income when calculating net cash generated by operating activities using the indirect method. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -URI http://asc.fasb.org/extlink&oid=66902209&loc=d3e3602-108585 + Details
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- Definition Difference between the fair value of payments made and the carrying amount of debt which is extinguished prior to maturity. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 470 -SubTopic 50 -Section 40 -Paragraph 2 -URI http://asc.fasb.org/extlink&oid=49170532&loc=d3e12317-112629 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 28 -Subparagraph (b) -URI http://asc.fasb.org/extlink&oid=66902209&loc=d3e3602-108585 Reference 3: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 470 -SubTopic 50 -Section 40 -Paragraph 4 -URI http://asc.fasb.org/extlink&oid=49170532&loc=d3e12355-112629 + Details
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- Definition The total amount of other operating cost and expense items that are associated with the entity's normal revenue producing operation. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 225 -SubTopic 10 -Section S99 -Paragraph 2 -Subparagraph (SX 210.5-03.3) -URI http://asc.fasb.org/extlink&oid=63488584&loc=d3e20235-122688 + Details
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- Definition The cash inflow from sale of buildings. + References Reference 1: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Glossary Investing Activities -URI http://asc.fasb.org/extlink&oid=6516133 Reference 2: http://www.xbrl.org/2003/role/presentationRef -Publisher FASB -Name Accounting Standards Codification -Topic 230 -SubTopic 10 -Section 45 -Paragraph 12 -Subparagraph (c) -URI http://asc.fasb.org/extlink&oid=66902209&loc=d3e3179-108585 + Details
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