Derivative Contracts (Details 1) (Not Designated as Hedging Instrument [Member], USD $) In Thousands, unless otherwise specified	3 Months Ended		9 Months Ended		12 Months Ended
	Sep. 30, 2013	Sep. 30, 2012	Sep. 30, 2013	Sep. 30, 2012	Dec. 31, 2012
Derivative Instruments, Gain (Loss) [Line Items]
Total	$ (27,793)	$ 169	$ (38,691)	$ 1,309
Pharmsynthez Notes Receivable and Purchase Option [Member]
Derivative Instruments, Gain (Loss) [Line Items]
Total	(147)	0	2,452	0
Neovasc common stock options/warrants and BZNE Note conversion feature [Member]
Derivative Instruments, Gain (Loss) [Line Items]
Total	(545)	201	700	1,368
Notes [Member]
Derivative Instruments, Gain (Loss) [Line Items]
Total	(26,943)		(41,818)
Forward contracts [Member]
Derivative Instruments, Gain (Loss) [Line Items]
Total	$ (158)	$ (32)	$ (25)	$ (59)	$ (10)