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
Mar. 31, 2016
Dec. 31, 2015
Accounts receivable, net    
Accounts receivable $ 248,120 $ 219,043
Less: allowance for doubtful accounts (43,641) (25,168)
Accounts receivable, net 204,479 193,875
Inventories, net    
Consumable supplies 20,759 22,265
Finished products 14,790 13,404
Work in-process 1,205 1,215
Raw materials 5,051 3,848
Less: inventory reserve (1,230) (1,051)
Inventory, net 40,575 39,681
Prepaid expenses and other current assets    
Other receivables 15,122 11,946
Taxes recoverable 6,076 3,076
Prepaid supplies 10,265 8,773
Prepaid insurance 1,736 2,206
Other 306 903
Prepaid expenses and other current assets 33,505 26,904
Intangible assets, net:    
Less: accumulated amortization (72,727) (59,101)
Intangible assets, net 625,405 638,152
Accrued expenses:    
Deferred revenue 74,375 70,246
Employee benefits 40,791 29,751
Contingent consideration 21,208 22,164
Taxes payable 5,986 7,605
Capital leases short-term 5,287 5,373
Clinical trials 5,850 2,505
Milestone payment 4,914 5,000
Professional fees 707 1,506
Other 23,224 23,749
Accrued expenses 182,342 167,899
Other long-term liabilities:    
Deferred revenue 143,520 162,634
Line of credit 82,780 82,668
Contingent consideration 34,674 32,258
Mortgages and other debts payable 2,366 2,523
Capital leases long-term 8,861 9,285
Other 14,048 13,663
Other long-term liabilities 275,812 292,470
Customer relationships    
Intangible assets, net:    
Intangible assets 451,489 449,972
Technologies    
Intangible assets, net:    
Intangible assets 151,818 151,709
Trade names    
Intangible assets, net:    
Intangible assets 50,461 50,416
Licenses    
Intangible assets, net:    
Intangible assets 23,467 23,432
Covenants not to compete    
Intangible assets, net:    
Intangible assets 8,619 8,612
Product registrations    
Intangible assets, net:    
Intangible assets 7,797 7,512
Other    
Intangible assets, net:    
Intangible assets 4,481 5,600
JPMorgan Chase    
Other long-term liabilities:    
Line of credit $ 72,343 $ 72,107