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Long-Term Related Party Payable Long-Term Related Party Payable - Payable Balance (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2019
Sep. 30, 2018
Related Party Payable Rollforward:      
Related party payable, beginning balance $ 24,247 $ 28,840 $ 98,925
Payment of related party payable (3,307) (10,014) (19,261)
Fair value adjustments   2,880 (18,468)
Expiration of warrants     (2,167)
Disposition of the pediatric assets     (20,337)
Related party payable, ending balance $ 21,706 $ 21,706 $ 38,692