Goodwill and Intangible Assets, Net - Intangible Assets (Details) - USD ($) $ in Thousands	1 Months Ended	3 Months Ended			9 Months Ended
	Aug. 31, 2015	Sep. 30, 2016	Jun. 30, 2016	Sep. 30, 2015	Sep. 30, 2016	Sep. 30, 2015
Finite-Lived Intangible Assets [Line Items]
Impairment charges of intangible assets		$ 0		$ 0	$ 15,963	$ 0
Amortization of Intangible Assets					$ 58,300	$ 13,900
Weighted Average
Finite-Lived Intangible Assets [Line Items]
Weighted-average remaining amortization period (in years)					9 years
Makena base technology | Lumara Health
Finite-Lived Intangible Assets [Line Items]
Amortization period (in years)					20 years
Customer relationships | CBR
Finite-Lived Intangible Assets [Line Items]
Amortization period (in years)	20 years				20 years
Favorable lease asset
Finite-Lived Intangible Assets [Line Items]
Impairment charges of intangible assets			$ 200
MuGard Rights
Finite-Lived Intangible Assets [Line Items]
Amortization period (in years)					10 years
Impairment charges of intangible assets			$ 15,700