Goodwill and Other Intangible Assets - Changes in Net Carrying Amount of Intangible Assets (Details) - USD ($) $ in Thousands	12 Months Ended
	Dec. 31, 2019	Dec. 31, 2018
Schedule of major categories of the Company’s intangible assets and the weighted average remaining amortization period
Balance at the beginning of the period	$ 490,390	$ 585,389
Amortization	(52,657)	(77,096)
Impairments	(283,747)	(17,903)
Balance at the end of the period	153,986	490,390
IPR&D
Schedule of major categories of the Company’s intangible assets and the weighted average remaining amortization period
Balance at the beginning of the period	83,700	91,300
Impairments		(7,600)
Reclassifications	(19,700)
Balance at the end of the period	64,000	83,700
Distribution Rights
Schedule of major categories of the Company’s intangible assets and the weighted average remaining amortization period
Balance at the beginning of the period	81,204	88,543
Amortization	(5,062)	(7,339)
Impairments	(64,719)
Balance at the end of the period	11,423	81,204
Product Rights
Schedule of major categories of the Company’s intangible assets and the weighted average remaining amortization period
Balance at the beginning of the period	217,473	276,628
Amortization	(40,921)	(59,155)
Impairments	(146,033)
Reclassifications	19,700
Balance at the end of the period	50,219	217,473
Tradenames
Schedule of major categories of the Company’s intangible assets and the weighted average remaining amortization period
Balance at the beginning of the period	11,156	11,862
Amortization	(706)	(706)
Balance at the end of the period	10,450	11,156
Developed Technology
Schedule of major categories of the Company’s intangible assets and the weighted average remaining amortization period
Balance at the beginning of the period	96,857	117,056
Amortization	(5,968)	(9,896)
Impairments	(72,995)	(10,303)
Balance at the end of the period	$ 17,894	$ 96,857