Acquisition, Restructuring and Other Expense (Details) - USD ($) $ in Thousands	3 Months Ended		6 Months Ended
	Jun. 30, 2016	Jun. 30, 2015	Jun. 30, 2016	Jun. 30, 2015	Dec. 31, 2015	Dec. 31, 2014
Acquisition, Restructuring and Other Expense [Line Items]
Restructuring costs			$ 4,735	$ 12,327
Debt refinancing costs included in other expense	$ 0	$ 0	2,942	0
Debt Instrument, Financing Costs Expensed			2,700
Loss on early extinguishment of debt			254	0
Assets held-for-sale	3,100		3,100
Restructuring reserve	2,155	7,684	2,155	7,684	$ 7,175	$ 8,254
Cost of Sales [Member]
Acquisition, Restructuring and Other Expense [Line Items]
Restructuring costs	4,673	1,534	5,537	3,863
Cost of Sales [Member] | Facility Consolidation Costs [Member]
Acquisition, Restructuring and Other Expense [Line Items]
Restructuring costs	127	1,534	991	3,863
Cost of Sales [Member] | Termination of Product Offering [Member]
Acquisition, Restructuring and Other Expense [Line Items]
Restructuring costs	4,546	0	4,546	0
Selling and Administrative Expenses [Member]
Acquisition, Restructuring and Other Expense [Line Items]
Acquisition, restructuring and other expense included in selling and administrative expense	5,949	2,284	17,785	8,464
Selling and Administrative Expenses [Member] | Administrative Restructuring [Member]
Acquisition, Restructuring and Other Expense [Line Items]
Restructuring costs	953	2,284	3,744	8,464
Other Expense [Member]
Acquisition, Restructuring and Other Expense [Line Items]
Debt refinancing costs included in other expense	0	0	2,942	0
SurgiQuestInc [Member] | Selling and Administrative Expenses [Member]
Acquisition, Restructuring and Other Expense [Line Items]
Business acquisition costs	$ 4,996	$ 0	$ 14,041	$ 0