Quarterly report pursuant to Section 13 or 15(d)

Composition of Certain Financial Statement Captions (Details)

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Composition of Certain Financial Statement Captions (Details) - USD ($)
$ in Thousands
Sep. 30, 2016
Dec. 31, 2015
Accounts receivable, net    
Accounts receivable $ 264,957 $ 219,043
Less: allowance for doubtful accounts (41,130) (25,168)
Accounts receivable, net 223,827 193,875
Inventories, net    
Consumable supplies 22,693 22,265
Finished products 14,030 13,404
Work in-process 1,596 1,215
Raw materials 6,014 3,848
Less: inventory reserve (1,147) (1,051)
Inventory, net 43,186 39,681
Other current assets and prepaid expenses    
Taxes recoverable 56,566 3,076
Other receivables 16,020 11,946
Prepaid supplies 11,428 8,773
Prepaid insurance 5,520 2,206
Other 874 903
Other current assets and prepaid expenses 90,408 26,904
Intangible assets, net:    
Less: accumulated amortization (105,870) (59,101)
Intangible assets, net 781,890 638,152
Accrued expenses:    
Deferred revenue 72,559 70,246
Employee benefits 33,608 29,751
Clinical trials 10,056 2,505
Taxes payable 16,733 7,605
Contingent consideration 5,211 22,164
Capital leases short-term 3,062 5,373
Milestone payment 4,966 5,000
Professional fees 2,259 1,506
Other 37,622 23,749
Accrued expenses 186,076 167,899
Other long-term liabilities:    
Deferred revenue 107,817 162,634
Line of credit 47,202 82,668
Contingent consideration 38,532 32,258
Mortgages and other debts payable 2,243 2,523
Capital leases long-term 7,527 9,285
Other 9,531 13,663
Other long-term liabilities 204,094 292,470
Customer relationships    
Intangible assets, net:    
Intangible assets 445,743 449,972
Technologies    
Intangible assets, net:    
Intangible assets 339,333 151,709
Trade names    
Intangible assets, net:    
Intangible assets 50,476 50,416
Licenses    
Intangible assets, net:    
Intangible assets 23,506 23,432
Covenants not to compete    
Intangible assets, net:    
Intangible assets 16,361 8,612
Product registrations    
Intangible assets, net:    
Intangible assets 7,911 7,512
Other    
Intangible assets, net:    
Intangible assets 4,430 5,600
JPMorgan Chase    
Other long-term liabilities:    
Line of credit $ 38,444 $ 72,107