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Goodwill and Other Intangible Assets - Major Categories of Intangible Assets (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Major categories of finite-lived intangible assets      
Accumulated Amortization $ (219,026) $ (195,300)  
Net Carrying Amount 420,323    
Gross Carrying Amount 952,323    
Impairment (163,813)    
Intangible assets, net 569,484 758,854  
Impairment of intangible assets 92,613 40,519 $ 30,376
IPR&D      
Major categories of indefinite-lived intangible assets      
Gross Carrying Amount 173,757    
Reclassifications 0    
Impairment - indefinite lived intangible assets (24,596) (3,850)  
Net Carrying Amount 149,161 173,757 186,932
Product licensing rights      
Major categories of finite-lived intangible assets      
Gross Carrying Amount 747,106    
Accumulated Amortization (205,549)    
Reclassifications 0    
Impairment (139,217)    
Net Carrying Amount $ 402,340 564,005 653,627
Weighted Average Remaining Amortization Period (years) 9 years 10 months 25 days    
Impairment of intangible assets, accumulated amortization $ 35,700    
Impairment of intangible assets 103,530 40,519  
Trademarks      
Major categories of finite-lived intangible assets      
Gross Carrying Amount 16,000    
Accumulated Amortization (5,376)    
Reclassifications 0    
Impairment 0    
Net Carrying Amount $ 10,624 11,756 13,018
Weighted Average Remaining Amortization Period (years) 17 years 9 months 18 days    
Impairment of intangible assets $ 0 0  
Customer relationships      
Major categories of finite-lived intangible assets      
Gross Carrying Amount 4,225    
Accumulated Amortization (2,058)    
Reclassifications 0    
Impairment 0    
Net Carrying Amount $ 2,167 2,427 2,777
Weighted Average Remaining Amortization Period (years) 8 years 3 months 19 days    
Impairment of intangible assets $ 0 0  
Other intangibles      
Major categories of finite-lived intangible assets      
Gross Carrying Amount 11,235    
Accumulated Amortization (6,043)    
Reclassifications 0    
Impairment 0    
Net Carrying Amount $ 5,192 6,909 $ 8,635
Weighted Average Remaining Amortization Period (years) 5 years 8 months 12 days    
Impairment of intangible assets $ 0 $ 0