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Fair Value Measurements - Restricted Cash and Cash Equivalents (Details) - USD ($)
$ in Thousands
Jun. 30, 2019
Dec. 31, 2018
Restricted Cash and Cash Equivalents Items [Line Items]    
Restricted cash and cash equivalents, current $ 307,587 $ 305,368
Restricted cash and cash equivalents, noncurrent 22,357 22,356
Restricted cash and cash equivalents 329,944 327,724
Vaginal mesh cases    
Restricted Cash and Cash Equivalents Items [Line Items]    
Settlement funds $ 306,441 $ 299,733