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Goodwill and Other Intangible Assets - Changes In Intangible Assets (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Finite-lived Intangible Assets [Roll Forward]      
Amortization $ (53,472) $ (61,443) $ (65,713)
Impairments (231,086) (128,127) (44,369)
Balance at end of period 280,576    
IPR&D      
Indefinite-lived Intangible Assets [Roll Forward]      
Balance at beginning of period 149,161 173,757  
Acquisitions 0 0  
Impairments (139,461) (24,596)  
Reclassifications (5,300)    
Balance at end of period 4,400 149,161 173,757
Product licensing rights      
Finite-lived Intangible Assets [Roll Forward]      
Balance at beginning of period 402,340 564,005  
Acquisitions 50 200  
Amortization (50,567) (58,335)  
Impairments (88,492) (103,530)  
Reclassifications 5,300    
Balance at end of period 268,631 402,340 564,005
Trademarks      
Finite-lived Intangible Assets [Roll Forward]      
Balance at beginning of period 10,624 11,756  
Acquisitions 0 0  
Amortization (928) (1,132)  
Impairments 0 0  
Reclassifications 0    
Balance at end of period 9,696 10,624 11,756
Customer relationships      
Finite-lived Intangible Assets [Roll Forward]      
Balance at beginning of period 2,167 2,427  
Acquisitions 0 0  
Amortization (260) (260)  
Impairments 0 0  
Reclassifications 0    
Balance at end of period 1,907 2,167 2,427
Other intangibles      
Finite-lived Intangible Assets [Roll Forward]      
Balance at beginning of period 5,192 6,909  
Acquisitions 0 0  
Amortization (1,717) (1,717)  
Impairments (3,133) 0  
Reclassifications 0    
Balance at end of period $ 342 $ 5,192 $ 6,909