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Marketable Securities - Fair value on a recurring basis (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Dec. 31, 2018
Sep. 30, 2018
Sep. 30, 2017
Dec. 31, 2018
Dec. 31, 2017
Jun. 01, 2016
Fair value of financial instruments            
Assets transfers from Level 1 to Level 2 $ 0     $ 0    
Assets transfers from Level 2 to Level 1 0     0    
Assets transfers into Level 3       0    
Assets transfers out of Level 3       0    
Liabilities transfers from Level 1 to Level 2 0     0    
Liabilities transfers from Level 2 to Level 1 0     0    
Liabilities transfers into Level 3       0    
Liabilities transfers out of Level 3       0    
Long term investments 99,199     99,199 $ 134,356  
ARIAD            
Fair value of financial instruments            
Acquisition-related contingent consideration           $ 293,000
Roll forward of Level 3 liabilities            
Contingent consideration earned during the period but not yet paid       13,200    
ARIAD | Account payable            
Roll forward of Level 3 liabilities            
Contingent consideration earned during the period but not yet paid   $ (6,700)        
ARIAD | Accrued and other current liabilities            
Roll forward of Level 3 liabilities            
Contingent consideration earned during the period but not yet paid (6,500)       (6,600)  
Level 3            
Fair value of financial instruments            
Lack of expected future sales royalties payable     $ 24,000      
Level 3 | Fair Value            
Roll forward of Level 3 liabilities            
Balance at the beginning of the period       287,000 301,000  
Contingent consideration earned during the period but not yet paid       (13,184) (6,618)  
Payments made during the period       (12,988) (15,086)  
Change in fair value of contingent consideration       26,173 7,704  
Balance at the end of the period 287,001     287,001 287,000  
Recurring | Fair Value            
Fair value of financial instruments            
Cash and cash equivalents 1,163,980     1,163,980 899,509  
Debt securities (corporate and government) 274,343     274,343 270,136  
Long term investments 99,199     99,199 134,356  
Total assets 1,537,522     1,537,522 1,304,001  
Acquisition-related contingent consideration 287,001     287,001 287,000  
Total liabilities 287,001     287,001 287,000  
Recurring | Level 1            
Fair value of financial instruments            
Cash and cash equivalents 1,163,980     1,163,980 899,509  
Long term investments 99,199     99,199 134,356  
Total assets 1,263,179     1,263,179 1,033,865  
Recurring | Level 2            
Fair value of financial instruments            
Debt securities (corporate and government) 274,343     274,343 270,136  
Total assets 274,343     274,343 270,136  
Recurring | Level 3            
Fair value of financial instruments            
Acquisition-related contingent consideration 287,001     287,001 287,000  
Total liabilities $ 287,001     $ 287,001 $ 287,000