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Derivative Instruments and Hedging Activities (Details 3) (USD $)
In Thousands, unless otherwise specified
3 Months Ended 6 Months Ended
Jun. 30, 2012
Jun. 30, 2011
Jun. 30, 2012
Jun. 30, 2011
Treasury rate locks
       
Derivative instruments not designated as hedging instruments        
Amount of Gain/(Loss) Recognized in Income on Derivative $ 3,700      
Designated as hedging instruments | Cash flow hedges | Foreign currency forward contracts
       
Effect of derivative instruments on Consolidated Statements of Income        
Amount of Gain/(Loss) Recognized in OCI on Derivative (Effective Portion) 44,223 (31,221) 67,758 (57,176)
Gains (losses) expected to be reclassified from accumulated OCI into operations in the next 12 months 41,503   41,503  
Designated as hedging instruments | Cash flow hedges | Foreign currency forward contracts | Net product sales
       
Effect of derivative instruments on Consolidated Statements of Income        
Amount of Gain/(Loss) Reclassified from Accumulated OCI into Income (Effective Portion) 18,980 (7,600) 38,035 (3,031)
Designated as hedging instruments | Cash flow hedges | Foreign currency forward contracts | Other income, net
       
Effect of derivative instruments on Consolidated Statements of Income        
Amount of Gain/(Loss) Recognized in Income on Derivative (Ineffective Portion and Amount Excluded From Effectiveness Testing) 137 (2,925) (1,741) 235
Gains (losses) related to ineffective portion of hedging relationships (798) (2,611) (5,242) (2,691)
Gains (losses) related to amounts excluded from assessment of hedge effectiveness 935 (314) 3,501 2,926
Designated as hedging instruments | Cash flow hedges | Treasury rate locks
       
Effect of derivative instruments on Consolidated Statements of Income        
Amount of Gain/(Loss) Recognized in OCI on Derivative (Effective Portion) (31,762)   (31,762)  
Designated as hedging instruments | Fair value hedges | Interest rate swap contracts
       
Effect of derivative instruments on Consolidated Statements of Income        
Fair value of interest rate swaps, unrealized gain (loss)   14,336   14,336
Fair value of interest rate swaps, current assets   11,001   11,001
Fair value of interest rate swaps, non-current assets   3,335   3,335
Designated as hedging instruments | Fair value hedges | Interest rate swap contracts | Interest expense
       
Effect of derivative instruments on Consolidated Statements of Income        
Amount of Gain/(Loss) Recognized in Income on Derivative (Ineffective Portion and Amount Excluded From Effectiveness Testing)   2,752   3,736
Not designated as hedging instruments | Foreign currency forward contracts | Other income, net
       
Derivative instruments not designated as hedging instruments        
Amount of Gain/(Loss) Recognized in Income on Derivative 23,810 5,969 15,927 34,920
Not designated as hedging instruments | Treasury rate locks | Other income, net
       
Derivative instruments not designated as hedging instruments        
Amount of Gain/(Loss) Recognized in Income on Derivative $ 3,718   $ 3,718