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Goodwill and Intangible Assets - Fair Value Determination (Details) - USD ($)
$ in Thousands
1 Months Ended
Jun. 02, 2016
Aug. 31, 2017
Mar. 31, 2018
Dec. 31, 2017
Goodwill and Intangible Assets        
Finite-lived intangible assets     $ 156,429 $ 159,905
DUZALLO | Developed Technology        
Goodwill and Intangible Assets        
Finite-lived intangible assets   $ 145,100    
Estimated useful life   12 years    
Accumulated amortization of intangible assets     7,600  
ZURAMPIC | Developed Technology        
Goodwill and Intangible Assets        
Estimated useful life 13 years      
Accumulated amortization of intangible assets     $ 3,100