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Long-Term Related Party Payable Long-Term Related Party Payable - Payable Balance (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2019
Jun. 30, 2019
Jun. 30, 2018
Related Party Payable Rollforward:      
Related party payable, beginning balance $ 27,593 $ 28,840 $ 98,925
Payment of related party payable (3,019) (6,707) (13,376)
Fair value adjustments   2,114 (10,928)
Expiration of warrants     (2,167)
Disposition of the pediatric assets     (20,337)
Related party payable, ending balance $ 24,247 $ 24,247 $ 52,117