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Debt - Narrative (Details)
1 Months Ended 3 Months Ended 12 Months Ended 48 Months Ended
Feb. 20, 2019
USD ($)
Dec. 22, 2017
USD ($)
Aug. 07, 2017
USD ($)
Mar. 17, 2017
USD ($)
Nov. 05, 2015
USD ($)
Feb. 28, 2019
USD ($)
Feb. 28, 2018
USD ($)
$ / shares
Jan. 31, 2013
USD ($)
Sep. 30, 2019
Dec. 31, 2019
USD ($)
day
institution
$ / shares
shares
Dec. 31, 2018
USD ($)
Dec. 31, 2017
USD ($)
Dec. 31, 2016
USD ($)
shares
Nov. 04, 2019
USD ($)
Feb. 01, 2019
USD ($)
Nov. 08, 2018
USD ($)
Nov. 30, 2015
USD ($)
Debt Instrument [Line Items]                                  
Credit line capacity                   $ 97,756,000              
Repayments of line of credit                   359,322,000 $ 34,681,000 $ 33,510,000          
Line of credit                   44,749,000 105,198,000            
Net assets                   1,614,759,000 1,791,291,000 1,843,623,000 $ 2,046,433,000        
Goodwill                   $ 671,940,000 $ 700,193,000 $ 717,099,000          
Number of financial institutions | institution                   11              
BioReference Laboratories, Inc.                                  
Debt Instrument [Line Items]                                  
Net assets                   $ 885,200,000              
Goodwill                   434,800,000              
Intangible assets                   $ 365,700,000              
OPKO Health Europe                                  
Debt Instrument [Line Items]                                  
Weighted average interest rate (as a percent)                   2.70% 2.10%            
Minimum                                  
Debt Instrument [Line Items]                                  
Total revolving commitment, minimum consecutive days                 30 days 30 days              
Minimum | OPKO Health Europe                                  
Debt Instrument [Line Items]                                  
Variable interest rates (as a percent)                   1.00%              
Maximum                                  
Debt Instrument [Line Items]                                  
Total revolving commitment (as a percent)                 10.00% 10.00%              
Maximum | OPKO Health Europe                                  
Debt Instrument [Line Items]                                  
Variable interest rates (as a percent)                   3.80%              
Notes | Notes Due February 1, 2033                                  
Debt Instrument [Line Items]                                  
Debt face amount               $ 175,000,000.0                  
Interest rate of notes payable               3.00%                  
Equivalent redemption price               100.00%                  
Debt repurchase amount                             $ 28,800,000    
Long term debt                             $ 3,000,000.0    
Convertible Debt                                  
Debt Instrument [Line Items]                                  
Interest rate of notes payable           4.50%                      
Convertible Debt | Convertible Senior Notes Due 2025                                  
Debt Instrument [Line Items]                                  
Debt face amount           $ 200,000,000.0                      
Conversion ratio           0.2367                      
Conversion price (in dollars per share) | $ / shares                   $ 4.22              
Maximum shares of common stock to be loaned to affiliates | shares                   30,000,000              
Convertible debt, stock issued from conversion (in shares) | shares                   29,250,000              
One-time nominal fee for newly issued shares                   $ 300,000              
Valuation of equity component at issue date                   $ 52,600,000              
Effective interest rate (as a percent)                   11.20%              
Convertible Debt | Convertible Senior Notes Due 2025 | On or after February 1, 2017 and before February 1, 2019                                  
Debt Instrument [Line Items]                                  
Convertible debt, threshold percentage of stock price trigger                   130.00%              
Equivalent redemption price                   100.00%              
Convertible Debt | Convertible Senior Notes Due 2025 | On or after February 1, 2017 and before February 1, 2019 | Minimum                                  
Debt Instrument [Line Items]                                  
Threshold trading days | day                   20              
Convertible Debt | Convertible Senior Notes Due 2025 | On or after February 1, 2017 and before February 1, 2019 | Maximum                                  
Debt Instrument [Line Items]                                  
Number of consecutive trading days applicable conversion price | day                   30              
Convertible Debt | Convertible Senior Notes Due 2025 | Prior to November 15, 2024                                  
Debt Instrument [Line Items]                                  
Convertible debt, threshold percentage of stock price trigger                   98.00%              
Convertible Debt | Convertible Senior Notes Due 2025 | Prior to November 15, 2024 | Minimum                                  
Debt Instrument [Line Items]                                  
Threshold trading days | day                   5              
Convertible Debt | Convertible Senior Notes Due 2025 | Prior to November 15, 2024 | Maximum                                  
Debt Instrument [Line Items]                                  
Number of consecutive trading days applicable conversion price | day                   5              
Convertible Debt | Convertible Senior Notes Due 2025 | On Or After February 15, 2022                                  
Debt Instrument [Line Items]                                  
Convertible debt, threshold percentage of stock price trigger                   130.00%              
Equivalent redemption price                   100.00%              
Convertible Debt | Convertible Senior Notes Due 2025 | On Or After February 15, 2022 | Minimum                                  
Debt Instrument [Line Items]                                  
Threshold trading days | day                   20              
Convertible Debt | Convertible Senior Notes Due 2025 | On Or After February 15, 2022 | Maximum                                  
Debt Instrument [Line Items]                                  
Number of consecutive trading days applicable conversion price | day                   30              
Convertible Debt | 5% Convertible Notes                                  
Debt Instrument [Line Items]                                  
Debt face amount             $ 55,000,000.0                    
Interest rate of notes payable             5.00%                    
Conversion price (in dollars per share) | $ / shares             $ 5.00                    
Note maturity term (in years)             5 years                    
Conversion notice threshold minimum (in days)             30 days                    
Conversion notice threshold maximum (in days)             60 days                    
Convertible Debt | Notes Due February 1, 2033                                  
Debt Instrument [Line Items]                                  
Convertible notes, conversion                         $ 143,200,000        
Line of Credit                                  
Debt Instrument [Line Items]                                  
Weighted average interest rate (as a percent)                   4.00% 4.70%            
Equity securities | Convertible Debt | Notes Due February 1, 2033                                  
Debt Instrument [Line Items]                                  
Convertible debt, stock issued from conversion (in shares) | shares                         21,539,873        
Line of Credit | Unsecured Debt                                  
Debt Instrument [Line Items]                                  
Interest rate of notes payable                               10.00%  
Credit line capacity                               $ 60,000,000  
Revolving Credit Facility | Line of Credit | New Credit Agreement                                  
Debt Instrument [Line Items]                                  
Credit line capacity         $ 75,000,000.0                 $ 75,000,000     $ 100,000,000
Remaining borrowing capacity                   $ 6,200,000              
Commitment fee percentage         0.25%                        
Intercompany loan maximum borrowing capacity   $ 45,000,000.0 $ 35,000,000.0 $ 55,000,000.0                          
Bridge Loan | Line of Credit | New Credit Agreement                                  
Debt Instrument [Line Items]                                  
Credit line capacity         $ 20,000,000.0                        
Letter of Credit | Line of Credit | New Credit Agreement                                  
Debt Instrument [Line Items]                                  
Credit line capacity         $ 20,000,000.0                        
LIBOR | Revolving Credit Facility | Line of Credit | New Credit Agreement                                  
Debt Instrument [Line Items]                                  
Estimated credit spread (as a percent)         2.50%                        
LIBOR, First 12 Months | Revolving Credit Facility | Line of Credit | New Credit Agreement                                  
Debt Instrument [Line Items]                                  
Estimated credit spread (as a percent)         0.35%                        
LIBOR, Thereafter | Revolving Credit Facility | Line of Credit | New Credit Agreement                                  
Debt Instrument [Line Items]                                  
Estimated credit spread (as a percent)         0.50%                        
LIBOR, First 12 Months, Adjusted for Eurocurrency Liabilities | Revolving Credit Facility | Line of Credit | New Credit Agreement                                  
Debt Instrument [Line Items]                                  
Estimated credit spread (as a percent)         1.35%                        
LIBOR, Thereafter, Adjusted for Eurocurrency Liabilities | Revolving Credit Facility | Line of Credit | New Credit Agreement                                  
Debt Instrument [Line Items]                                  
Estimated credit spread (as a percent)         1.50%                        
Dr Frost | Line of Credit | Unsecured Debt                                  
Debt Instrument [Line Items]                                  
Repayments of line of credit $ 28,800,000