CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS (UNAUDITED) - USD ($) $ in Thousands	9 Months Ended
	Sep. 30, 2021	Sep. 30, 2020
OPERATING ACTIVITIES:
Net (loss) income	$ (51,183)	$ 64,601
Adjustments to reconcile Net (loss) income to Net cash provided by operating activities:
Depreciation and amortization	350,455	391,463
Share-based compensation	22,237	33,452
Amortization of debt issuance costs and discount	10,755	12,058
Deferred income taxes	(3,633)	(4,147)
Change in fair value of contingent consideration	(6,771)	17,100
Loss on extinguishment of debt	13,753	0
Acquired in-process research and development charges	5,000	0
Asset impairment charges	50,393	106,197
Loss (gain) on sale of business and other assets	198	(16,730)
Changes in assets and liabilities which (used) provided cash:
Accounts receivable	(23,601)	(8,631)
Inventories	29,729	(33,062)
Prepaid and other assets	5,508	(18,455)
Accounts payable, accrued expenses and other liabilities	4,486	(147,176)
Income taxes payable/receivable, net	53,588	(107,227)
Net cash provided by operating activities	460,914	289,443
INVESTING ACTIVITIES:
Capital expenditures, excluding capitalized interest	(61,496)	(52,692)
Capitalized interest payments	(2,721)	(1,915)
Acquisitions, including in-process research and development, net of cash and restricted cash acquired	(5,000)	0
Product acquisition costs and license fees	(2,486)	(2,000)
Proceeds from sale of business and other assets, net	1,357	6,377
Net cash used in investing activities	(70,346)	(50,230)
FINANCING ACTIVITIES:
Proceeds from issuance of notes, net	1,279,978	0
Proceeds from issuance of term loans, net	1,980,000	0
Repayments of notes	0	(57,649)
Repayments of term loans	(3,305,475)	(25,612)
Repayments of other indebtedness	(4,044)	(3,626)
Payments for debt issuance and extinguishment costs	(8,574)	0
Payments for contingent consideration	(3,355)	(3,535)
Payments of tax withholding for restricted shares	(14,688)	(7,935)
Proceeds from exercise of options	622	0
Net cash used in financing activities	(75,536)	(98,357)
Effect of foreign exchange rate	238	(458)
NET INCREASE IN CASH, CASH EQUIVALENTS, RESTRICTED CASH AND RESTRICTED CASH EQUIVALENTS	315,270	140,398
CASH, CASH EQUIVALENTS, RESTRICTED CASH AND RESTRICTED CASH EQUIVALENTS, BEGINNING OF PERIOD	1,385,000	1,720,388
CASH, CASH EQUIVALENTS, RESTRICTED CASH AND RESTRICTED CASH EQUIVALENTS, END OF PERIOD	1,700,270	1,860,786
SUPPLEMENTAL INFORMATION:
Cash paid into Qualified Settlement Funds for mesh legal settlements	1,738	0
Cash paid out of Qualified Settlement Funds for mesh legal settlements	42,862	107,225
Other cash distributions for mesh legal settlements	$ 28,208	$ 26,559