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Debt - Mortgage Notes And Other Debt (Details) - USD ($)
$ in Thousands
Sep. 30, 2018
Dec. 31, 2017
Mortgage notes and other debt payables    
Other long-term liabilities $ 1,142 $ 1,567
EirGen Pharma Limited, OPKO Europe and Bio Reference    
Mortgage notes and other debt payables    
Current portion of notes payable 2,210 1,632
Other long-term liabilities 6,127 2,011
Total $ 8,337 $ 3,643