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Borrowings - Additional Information (Detail) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2018
Dec. 31, 2017
Oct. 23, 2017
Debt Instrument [Line Items]      
Principal amount $ 104,700    
5.75% Senior convertible notes due October 23, 2021      
Debt Instrument [Line Items]      
Principal amount $ 18,690 $ 23,690 $ 23,700
Senior notes, effective interest rate 5.75%   5.75%
Maturity date Oct. 23, 2021    
Senior convertible notes due December 31, 2019      
Debt Instrument [Line Items]      
Principal amount $ 12,000    
Senior notes, effective interest rate 9.75%    
Senior convertible notes due December 31, 2019 | Notes Due and Payable On July 2018 at Earlier of October 31, 2018 or First Business Day | United Therapeutics Corporation      
Debt Instrument [Line Items]      
Principal amount $ 3,000    
Senior convertible notes due December 31, 2019 | Notes Due and Payable On July 2019 | United Therapeutics Corporation      
Debt Instrument [Line Items]      
Principal amount 9,000    
Senior convertible notes due December 31, 2019 | Tranche B Notes      
Debt Instrument [Line Items]      
Principal amount 14,495 $ 54,407  
Notes Due and Payable On May 2019 | Tranche B Notes      
Debt Instrument [Line Items]      
Principal amount $ 2,500    
Senior notes, effective interest rate 8.75%