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PROPERTY PLANT AND EQUIPMENT, NET (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Dec. 31, 2017
Property, Plant and Equipment, Net          
Total property, plant, and equipment, gross $ 272,950   $ 272,950   $ 266,184
Less: accumulated depreciation (183,526)   (183,526)   (172,569)
Total property, plant, and equipment, net 89,424   89,424   93,615
Depreciation expense 7,500 $ 7,300 22,300 $ 22,400  
Land          
Property, Plant and Equipment, Net          
Total property, plant, and equipment, gross 644   644   644
Buildings          
Property, Plant and Equipment, Net          
Total property, plant, and equipment, gross 25,475   25,475   28,180
Furniture and fixtures          
Property, Plant and Equipment, Net          
Total property, plant, and equipment, gross 14,231   14,231   12,968
Machinery and equipment          
Property, Plant and Equipment, Net          
Total property, plant, and equipment, gross 27,551   27,551   26,838
Therapeutic program equipment leased to third parties under operating leases          
Property, Plant and Equipment, Net          
Total property, plant, and equipment, gross 29,059   29,059   31,100
Leasehold improvements          
Property, Plant and Equipment, Net          
Total property, plant, and equipment, gross 106,885   106,885   100,999
Computers and software          
Property, Plant and Equipment, Net          
Total property, plant, and equipment, gross $ 69,105   $ 69,105   $ 65,455