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Accounts Receivable (Details Textual)
3 Months Ended 9 Months Ended 3 Months Ended
Sep. 30, 2014
USD ($)
Sep. 30, 2013
USD ($)
Sep. 30, 2014
USD ($)
Sep. 30, 2013
USD ($)
Dec. 31, 2013
USD ($)
Mar. 31, 2014
Spain
USD ($)
Jun. 30, 2014
Italy
USD ($)
Dec. 31, 2011
Italy
EUR (€)
Sep. 30, 2014
Italy
USD ($)
Jul. 31, 2013
Italy
EUR (€)
Jun. 30, 2013
Italy
EUR (€)
Accounts Receivable (Textual) [Abstract]                      
Payment terms of accounts receivable arising from product sales     30 to 90 days                
Minimum term for accounts receivable     30 days                
Maximum term for accounts receivable     90 days                
Net accounts receivable balances overdue more than one year $ 17,400,000   $ 17,400,000   $ 45,900,000            
Payments received related to receivables aged greater than one year           59,600,000          
Payment in case of any unfavorable determination received               30,700,000   33,300,000  
Reimbursement limit stated in the resolution               24 months      
Deferred revenue                 80,900,000    
Loss contingency accrual                     15,400,000
Loss contingency, adjustment related to claim amount                     50.00%
Product, net $ 2,117,366,000 $ 1,453,554,000 $ 5,916,423,000 $ 3,935,251,000     $ 53,500,000