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Intangible Assets and Goodwill (Details) - USD ($)
3 Months Ended 12 Months Ended
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Indefinite-Lived Intangible Assets [Line Items]                      
Intangible assets $ 0       $ 29,000,000       $ 0 $ 29,000,000  
Intangible asset impairment charges 29,000,000 $ 0 $ 0 $ 0 0 $ 255,340,000 $ 0 $ 0 29,000,000 255,340,000 $ 0
(Benefit from) provision for income taxes (1,492,599,000) $ 8,055,000 $ 10,341,000 $ (12,659,000) 10,257,000 (125,903,000) $ 4,337,000 $ 3,985,000 (1,486,862,000) (107,324,000) 16,665,000
Goodwill $ 50,384,000       $ 50,384,000       50,384,000 50,384,000  
Parion Sciences, Inc                      
Indefinite-Lived Intangible Assets [Line Items]                      
Intangible asset impairment charges           255,300,000          
(Benefit from) provision for income taxes           (126,200,000)          
Variable Interest Entity, Primary Beneficiary                      
Indefinite-Lived Intangible Assets [Line Items]                      
(Benefit from) provision for income taxes                 (3,668,000) (114,090,000) 16,743,000
Variable Interest Entity, Primary Beneficiary | Parion Sciences, Inc                      
Indefinite-Lived Intangible Assets [Line Items]                      
Intangible assets                     $ 255,300,000
Fair value of intangible asset           0          
(Benefit from) provision for income taxes                   14,800,000  
Other Intangible Assets | Variable Interest Entity, Primary Beneficiary | Parion Sciences, Inc                      
Indefinite-Lived Intangible Assets [Line Items]                      
Intangible asset impairment charges           255,300,000       255,300,000  
(Benefit from) provision for income taxes                   $ (97,700,000)  
Other Intangible Assets | Variable Interest Entity, Primary Beneficiary | BioAxone Biosciences, Inc                      
Indefinite-Lived Intangible Assets [Line Items]                      
Intangible asset impairment charges           $ 29,000,000          
(Benefit from) provision for income taxes                 $ (7,900,000)