Cost Of Revenues (Components Of Cost Of Revenues) (Details) (USD $) In Thousands, unless otherwise specified	3 Months Ended
	Mar. 31, 2013	Mar. 31, 2012
Other Cost and Expense Disclosure, Operating [Abstract]
Cost of net pharmaceutical product sales	$ 217,267	$ 290,595
Cost of device revenues	37,114	41,545
Cost of service and other revenues	31,545	32,680
Total cost of revenues	$ 285,926	$ 364,820