Acquisition, Restructuring and Other Expense (Details) - USD ($) $ in Thousands	3 Months Ended		9 Months Ended
	Sep. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015	Dec. 31, 2015	Dec. 31, 2014
Acquisition, Restructuring and Other Expense [Line Items]
Restructuring costs			$ 5,096	$ 14,974
Gain on sale of facility			(1,890)	0
Debt refinancing costs included in other expense	$ 0	$ 0	2,942	0
Financing costs expensed			2,700
Loss on early extinguishment of debt			254	0
Proceeds from sale of a facility	5,200		5,178	0
Restructuring reserve	1,824	5,187	1,824	5,187	$ 7,175	$ 8,254
Cost of Sales [Member]
Acquisition, Restructuring and Other Expense [Line Items]
Restructuring costs	0	1,316	5,537	5,179
Cost of Sales [Member] | Facility Consolidation Costs [Member]
Acquisition, Restructuring and Other Expense [Line Items]
Restructuring costs	0	1,316	991	5,179
Cost of Sales [Member] | Termination of Product Offering [Member]
Acquisition, Restructuring and Other Expense [Line Items]
Restructuring costs	0	0	4,546	0
Selling and Administrative Expenses [Member]
Acquisition, Restructuring and Other Expense [Line Items]
Gain on sale of facility	(1,890)	0	(1,890)	0
Acquisition, restructuring and other expense included in selling and administrative expense	1,785	1,331	19,570	9,795
Selling and Administrative Expenses [Member] | Administrative Restructuring [Member]
Acquisition, Restructuring and Other Expense [Line Items]
Restructuring costs	361	1,331	4,105	9,795
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	$ 3,314	$ 0	$ 17,355	$ 0