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Additional Cash Flow Information - Supplemental Cash Flow Information Related to Leases (Details) - USD ($)
$ in Thousands
1 Months Ended 9 Months Ended
Jul. 16, 2019
Jul. 31, 2019
Sep. 30, 2019
Cash paid for amounts included in the measurement of lease liabilities:      
Operating cash flows from operating leases     $ 8,062
Operating cash flows from finance leases     37,667
Financing cash flows from finance leases     28,879
Right-of-use assets obtained in exchange for lease obligations      
Operating leases     6,077
Finance leases     $ 0
Exonics Therapeutics      
Right-of-use assets obtained in exchange for lease obligations      
Operating leases   $ 5,400  
Payments to acquire businesses $ 245,000