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Debt - Mortgage Notes And Other Debt (Details) - USD ($)
$ in Thousands
Sep. 30, 2017
Dec. 31, 2016
Mortgage notes and other debt payables    
Current portion of notes payable $ 16,112 $ 11,981
Other long-term liabilities 1,162 717
EirGen Pharma Limited, OPKO Europe and Bio Reference    
Mortgage notes and other debt payables    
Current portion of notes payable 3,726 3,681
Other long-term liabilities 2,085 2,090
Total $ 5,811 $ 5,771