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Summary of Significant Accounting Policies Other Intangible Assets (Details) - USD ($)
$ in Thousands
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Summary of Significant Accounting Policies [Abstract]    
XERMELO Intangible Assets Finite Lived $ 24,700  
Amortization of Intangible Assets 400 $ 100
Deferred tax benefit $ 0 $ (8,652)