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Long-Term Related Party Payable - Activity (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Jun. 30, 2018
Dec. 31, 2017
Acquisition-related contingent consideration:            
Related party payable, beginning balance $ 52,117   $ 98,925 $ 169,347    
Payments to Related Parties (5,885)   (19,261) (29,135)    
Operating (Gain) Expense (7,115) $ (9,906) (17,036) (30,107)    
Other (Income) Expense (425)   (1,432)      
Warrant Exercise     (2,167)      
Disposal     20,337      
Related party payable, ending balance 38,692 $ 107,117 38,692 $ 107,117    
Less: Current portion (10,979)   (10,979)   $ (14,067) $ (25,007)
Long-term related party payable 27,713   27,713   $ 38,050 $ 73,918
Acquisition-related contingent consideration: | Earn-out payments            
Acquisition-related contingent consideration:            
Related party payable, beginning balance 46,780   67,744      
Payments to Related Parties (5,141)   (16,254)      
Operating (Gain) Expense (7,115)   (16,966)      
Other (Income) Expense 0   0      
Warrant Exercise     0      
Disposal     0      
Related party payable, ending balance 34,524   34,524      
Acquisition-related contingent consideration: | Royalty agreement - FSC            
Acquisition-related contingent consideration:            
Related party payable, beginning balance 0   5,740      
Payments to Related Parties 0   (645)      
Operating (Gain) Expense 0   242      
Other (Income) 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 (Gain) Expense     (312)      
Other (Income) 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 (Gain) Expense     0      
Other (Income) 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 3,614   5,392      
Payments to Related Parties (504)   (1,600)      
Operating (Gain) Expense 0   0      
Other (Income) Expense (288)   (970)      
Warrant Exercise     0      
Disposal     0      
Related party payable, ending balance 2,822   2,822      
Financing-related: | Royalty agreement - Broadfin            
Acquisition-related contingent consideration:            
Related party payable, beginning balance 1,723   2,570      
Payments to Related Parties (240)   (762)      
Operating (Gain) Expense 0   0      
Other (Income) Expense (137)   (462)      
Warrant Exercise     0      
Disposal     0      
Related party payable, ending balance $ 1,346   $ 1,346