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Long-Term Related Party Payable - Activity (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Jun. 30, 2018
Jun. 30, 2017
Mar. 31, 2018
Dec. 31, 2017
Acquisition-related contingent consideration:            
Related party payable, beginning balance $ 72,767   $ 98,925 $ 169,347    
Payments to Related Parties (6,359)   (13,376) (19,467)    
Operating Expense (12,889) $ (13,230) (9,921) (20,201)    
Other Expense (1,402)   (1,007)      
Warrant Exercise     (2,167)      
Disposal     20,337      
Related party payable, ending balance 52,117 $ 127,459 52,117 $ 127,459    
Less: Current portion (14,067)   (14,067)   $ (21,121) $ (25,007)
Long-term related party payable 38,050   38,050   $ 51,646 $ 73,918
Acquisition-related contingent consideration: | Earn-out payments            
Acquisition-related contingent consideration:            
Related party payable, beginning balance 64,983   67,744      
Payments to Related Parties (5,323)   (11,113)      
Operating Expense (12,880)   (9,851)      
Other Expense 0   0      
Warrant Exercise     0      
Disposal     0      
Related party payable, ending balance 46,780   46,780      
Acquisition-related contingent consideration: | Royalty agreement - FSC            
Acquisition-related contingent consideration:            
Related party payable, beginning balance 252   5,740      
Payments to Related Parties (243)   (645)      
Operating Expense (9)   242      
Other Expense 0   0      
Warrant Exercise     0      
Disposal     (5,337)      
Related party payable, ending balance 0   0      
Acquisition-related contingent consideration: | Warrants            
Acquisition-related contingent consideration:            
Related party payable, beginning balance     2,479      
Payments to Related Parties     0      
Operating Expense     (312)      
Other Expense     0      
Warrant Exercise     (2,167)      
Disposal     0      
Related party payable, ending balance 0   0      
Financing-related:            
Acquisition-related contingent consideration:            
Related party payable, beginning balance     15,000      
Payments to Related Parties     0      
Operating Expense     0      
Other Expense     0      
Warrant Exercise     0      
Disposal     (15,000)      
Related party payable, ending balance 0   0      
Financing-related: | Royalty agreement - Deerfield            
Acquisition-related contingent consideration:            
Related party payable, beginning balance 5,101   5,392      
Payments to Related Parties (537)   (1,096)      
Operating Expense 0   0      
Other Expense (950)   (682)      
Warrant Exercise     0      
Disposal     0      
Related party payable, ending balance 3,614   3,614      
Financing-related: | Royalty agreement - Broadfin            
Acquisition-related contingent consideration:            
Related party payable, beginning balance 2,431   2,570      
Payments to Related Parties (256)   (522)      
Operating Expense 0   0      
Other Expense (452)   (325)      
Warrant Exercise     0      
Disposal     0      
Related party payable, ending balance $ 1,723   $ 1,723