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Property, Plant, and Equipment (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Property, Plant and Equipment [Line Items]      
Land, Gross $ 192,757 $ 103,906  
Buildings and Improvements, Gross 1,441,565 1,278,283  
Leasehold Improvements, Gross 102,599 101,101  
Construction in Progress, Gross 408,857 318,929  
Costs incurred by the landlord to construct new laboratory and office facilities 599,153 554,181  
Furniture and Fixtures, Gross 179,968 152,525  
Property, plant, and equipment, gross 2,924,899 2,508,925  
Less: accumulated depreciation and amortization (566,294) (425,504)  
Property, plant, and equipment, net 2,358,605 2,083,421  
Depreciation 142,200 104,700 $ 74,900
Capital and facility leases, at cost 724,100 407,100  
Depreciation and amortization expense 145,467 104,745 $ 74,909
Accumulated amortization of capital and facility leases 47,900 44,000  
UNITED STATES      
Property, Plant and Equipment [Line Items]      
Property, plant, and equipment, net 1,692,900 1,441,200  
Europe [Member]      
Property, Plant and Equipment [Line Items]      
Property, plant, and equipment, net $ 665,700 $ 642,200