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Acquisitions, Investments, and Licenses - Summary of Pro Forma Results (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2015
Dec. 31, 2014
EirGen Pharma Limited    
Business Acquisition [Line Items]    
Revenues $ 495,993 $ 105,973
Net loss (32,481) (176,563)
Net loss attributable to common shareholders (31,081) (173,590)
Bio-Reference Laboratories, Inc.    
Business Acquisition [Line Items]    
Revenues 1,052,462 923,407
Net loss (19,456) (140,854)
Net loss attributable to common shareholders $ (18,055) $ (137,881)