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Goodwill and Intangible Assets, Net - Schedule of Intangible Assets (Details) - USD ($)
$ in Thousands
Mar. 31, 2018
Dec. 31, 2017
Amortizable intangible assets:    
Finite-lived intangible assets, cost $ 1,250,855 $ 1,171,755
Finite-lived intangible assets, accumulated amortization 344,703 288,439
Finite-lived intangible assets, cumulative impairments 319,246 319,246
Total 586,906 564,070
Indefinite-lived intangible assets:    
Total intangible assets, cost 1,315,855 1,315,855
Total intangible assets, impairments 322,946 322,946
Total intangible assets, net 648,206 704,470
CBR customer relationships    
Amortizable intangible assets:    
Finite-lived intangible assets, cost 297,000 297,000
Finite-lived intangible assets, accumulated amortization 33,209 29,309
Finite-lived intangible assets, cumulative impairments 0 0
Total 263,791 267,691
Makena | Developed technology rights    
Amortizable intangible assets:    
Finite-lived intangible assets, cost 797,100 797,100
Finite-lived intangible assets, accumulated amortization 306,242 255,754
Finite-lived intangible assets, cumulative impairments 319,246 319,246
Total 171,612 222,100
Makena Auto-Injector | Developed technology rights    
Amortizable intangible assets:    
Finite-lived intangible assets, cost 79,100 0
Finite-lived intangible assets, accumulated amortization 188 0
Finite-lived intangible assets, cumulative impairments 0 0
Total 78,912 0
Intrarosa | Developed technology rights    
Amortizable intangible assets:    
Finite-lived intangible assets, cost 77,655 77,655
Finite-lived intangible assets, accumulated amortization 5,064 3,376
Finite-lived intangible assets, cumulative impairments 0 0
Total 72,591 74,279
Makena IPR&D    
Indefinite-lived intangible assets:    
Indefinite-lived intangible assets, cost 0 79,100
Indefinite-lived intangible assets, cumulative impairments 0 0
Indefinite-lived intangible assets, net 0 79,100
CBR trade names and trademarks    
Indefinite-lived intangible assets:    
Indefinite-lived intangible assets, cost 65,000 65,000
Indefinite-lived intangible assets, cumulative impairments 3,700 3,700
Indefinite-lived intangible assets, net $ 61,300 $ 61,300