Annual report pursuant to Section 13 and 15(d)

Composition of Certain Financial Statement Captions (Details)

v3.8.0.1
Composition of Certain Financial Statement Captions (Details) - USD ($)
$ in Thousands
Dec. 31, 2017
Dec. 31, 2016
Accounts receivable, net    
Accounts receivable $ 231,940 $ 256,552
Less: allowance for doubtful accounts (66,424) (36,268)
Accounts receivable, net 165,516 220,284
Inventories, net    
Consumable supplies 21,546 23,448
Finished products 21,012 16,143
Work in-process 5,873 3,896
Raw materials 7,467 4,686
Less: inventory reserve (6,565) (945)
Inventory, net 49,333 47,228
Other current assets and prepaid expenses    
Other receivables 3,398 13,021
Taxes recoverable 18,138 16,187
Prepaid supplies 8,207 6,952
Prepaid insurance 3,532 3,688
Other 3,838 7,508
Prepaid expenses and other current assets 37,113 47,356
Property, plant and equipment, net:    
Machinery, medical and other equipment 112,961 100,100
Leasehold improvements 34,121 30,122
Furniture and fixtures 11,540 11,247
Automobiles and aircraft 11,137 13,342
Software 12,469 10,990
Building 8,227 5,696
Land 2,552 2,264
Construction in process 39,397 5,848
Less: accumulated depreciation (85,847) (56,778)
Property, plant and equipment, net 146,557 122,831
Intangible assets, net:    
Less: accumulated amortization (198,935) (123,207)
Intangible assets, net 683,835 763,976
Accrued expenses:    
Deferred revenue 46,189 73,434
Employee benefits 50,377 43,792
Taxes payable 4,609 4,430
Contingent consideration 11,750 259
Clinical trials 12,191 5,935
Capital leases short-term 3,399 3,025
Milestone payment 4,868 4,865
Professional fees 2,355 4,035
Other 79,364 58,180
Accrued expenses 215,102 197,955
Other long-term liabilities:    
Deferred revenue 58,989 89,016
Line of credit 104,152 38,809
Contingent consideration 29,603 44,817
Capital leases long-term 7,786 7,216
Mortgages and other debts payable 1,567 717
Other 17,857 21,908
Other long-term liabilities 219,954 202,483
Customer relationships    
Intangible assets, net:    
Intangible assets 448,345 443,560
Technologies    
Intangible assets, net:    
Intangible assets 340,921 340,397
Trade names    
Intangible assets, net:    
Intangible assets 50,553 50,442
Covenants not to compete    
Intangible assets, net:    
Intangible assets 16,372 16,348
Licenses    
Intangible assets, net:    
Intangible assets 10,305 23,506
Product registrations    
Intangible assets, net:    
Intangible assets 10,475 7,641
Other    
Intangible assets, net:    
Intangible assets $ 5,799 $ 5,289