Contingent Liabilities and Commitments - Contractual Obligations (Details) $ in Thousands	Dec. 31, 2018 USD ($)
Long-term debt and interest
Total	$ 173,009
Less than 1 Year	6,575
1 to 3 Years	12,981
3 to 5 Years	153,453
More than 5 Years	0
Long-term related party payable (undiscounted)
Total	51,284
Less than 1 Year	9,439
1 to 3 Years	8,713
3 to 5 Years	7,250
More than 5 Years	25,882
Purchase commitments
Total	26,682
Less than 1 Year	10,754
1 to 3 Years	10,828
3 to 5 Years	5,100
More than 5 Years	0
Operating leases
Total	5,836
Less than 1 Year	1,191
1 to 3 Years	2,217
3 to 5 Years	1,461
More than 5 Years	967
Total contractual cash obligations
Total	256,811
Less than 1 Year	27,959
1 to 3 Years	34,739
3 to 5 Years	167,264
More than 5 Years	26,849
Specialty Pharma Obligation
Purchase commitments
Total	$ 15,308