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Segments - Operations and Assets Information (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2016
Jun. 30, 2015
Jun. 30, 2016
Jun. 30, 2015
Dec. 31, 2015
Segment Reporting Information [Line Items]          
Revenue from services $ 266,012 $ 1,908 $ 518,534 $ 3,977  
Product revenues 22,807 22,848 42,706 38,334  
Revenue from transfer of intellectual property and other 68,281 17,673 86,898 30,202  
Operating (loss) income 28,266 (25,409) 748 (82,322)  
Depreciation and amortization 24,580 4,152 46,780 7,685  
Net income (loss) from investment in investees (1,988) (804) (4,333) (2,565)  
Total revenues 357,100 42,429 648,138 72,513  
Assets 2,774,021   2,774,021   $ 2,799,188
Goodwill 691,060   691,060   743,348
United States          
Segment Reporting Information [Line Items]          
Total revenues 266,044 2,525 518,482 5,019  
Ireland          
Segment Reporting Information [Line Items]          
Total revenues 71,789 19,376 93,932 31,480  
Chile          
Segment Reporting Information [Line Items]          
Total revenues 9,597 8,698 16,580 15,150  
Spain          
Segment Reporting Information [Line Items]          
Total revenues 4,324 4,920 8,347 8,857  
Israel          
Segment Reporting Information [Line Items]          
Total revenues 4,420 5,942 9,162 10,155  
Mexico          
Segment Reporting Information [Line Items]          
Total revenues 926 968 1,635 1,852  
Corporate          
Segment Reporting Information [Line Items]          
Revenue from services 0 60 0 120  
Revenue from transfer of intellectual property and other 0 0 0 0  
Operating (loss) income (17,453) (12,905) (41,286) (22,882)  
Depreciation and amortization 20 27 39 46  
Net income (loss) from investment in investees 0 0 0 0  
Assets 82,063   82,063   143,402
Goodwill 0   0   0
Segment Reconciling Items          
Segment Reporting Information [Line Items]          
Operating (loss) income 0 (746) 0 (1,281)  
Pharmaceutical | Operating Segments          
Segment Reporting Information [Line Items]          
Revenue from services 0 0 0 0  
Product revenues 22,807 22,848 42,706 38,334  
Revenue from transfer of intellectual property and other 68,281 17,673 86,898 30,202  
Operating (loss) income 35,345 (4,660) 34,015 (42,584)  
Depreciation and amortization 2,987 2,371 5,848 4,138  
Net income (loss) from investment in investees 391 (804) (4,430) (2,565)  
Assets 1,283,339   1,283,339   1,234,752
Goodwill 253,237   253,237   251,225
Diagnostics | Operating Segments          
Segment Reporting Information [Line Items]          
Revenue from services 266,012 1,848 518,534 3,857  
Revenue from transfer of intellectual property and other 0 0 0 0  
Operating (loss) income 10,374 (7,098) 8,019 (15,575)  
Depreciation and amortization 21,573 1,754 40,893 3,501  
Net income (loss) from investment in investees (2,379) $ 0 97 $ 0  
Assets 1,408,619   1,408,619   1,421,034
Goodwill $ 437,823   $ 437,823   $ 492,123