Goodwill and Intangible Assets, Net - Schedule of Intangible Assets (Details) - USD ($) $ in Thousands	Dec. 31, 2017	Dec. 31, 2016
Finite-Lived Intangible Assets [Line Items]
Cost	$ 1,171,755	$ 1,111,351
Accumulated Amortization	288,439	143,610
Impairments	319,246	15,963
Total	564,070	951,778
Total intangible assets
Cost	1,315,855	1,255,451
Impairments	322,946	19,663
Net	704,470	1,092,178
CBR customer relationships
Finite-Lived Intangible Assets [Line Items]
Cost	297,000	297,000
Accumulated Amortization	29,309	13,590
Impairments	0	0
Total	267,691	283,410
CBR Favorable lease
Finite-Lived Intangible Assets [Line Items]
Cost	0	358
Accumulated Amortization	0	119
Impairments	0	239
Total	0	0
MuGard Rights
Finite-Lived Intangible Assets [Line Items]
Cost	0	16,893
Accumulated Amortization	0	1,169
Impairments	0	15,724
Total	0	0
Makena | Makena base technology
Finite-Lived Intangible Assets [Line Items]
Cost	797,100	797,100
Accumulated Amortization	255,754	128,732
Impairments	319,246	0
Total	222,100	668,368
Intrarosa | Makena base technology
Finite-Lived Intangible Assets [Line Items]
Cost	77,655	0
Accumulated Amortization	3,376	0
Impairments	0	0
Total	74,279	0
Makena IPR&D
Indefinite-lived Intangible Assets [Line Items]
Cost	79,100	79,100
Impairments	0	0
Net	79,100	79,100
CBR trade names and trademarks
Indefinite-lived Intangible Assets [Line Items]
Cost	65,000	65,000
Impairments	3,700	3,700
Net	$ 61,300	$ 61,300