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Discontinued Operations - Operating and investing cash flow information for discontinued operations (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2020
Dec. 31, 2019
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]    
Asset impairment charges $ 8,724 $ 32,112
Loss on divestiture 65,472 0
Movianto | Discontinued Operations, Held-for-sale    
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]    
Depreciation and amortization 0 17,111
Asset impairment charges 0 32,112
Loss on divestiture 65,472 0
Capital expenditures $ (3,027) $ (18,952)