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Debt - Mortgage Notes And Other Debt (Details) - USD ($)
$ in Thousands
Jun. 30, 2018
Dec. 31, 2017
Mortgage notes and other debt payables    
Other long-term liabilities $ 1,704 $ 1,567
EirGen Pharma Limited, OPKO Europe and Bio Reference    
Mortgage notes and other debt payables    
Current portion of notes payable 2,821 1,632
Other long-term liabilities 6,469 2,011
Total $ 9,290 $ 3,643