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Acquisitions - Preliminary Allocation of purchase price (Details) - USD ($)
$ in Thousands
 4 Months Ended
Dec. 31, 2018
Sep. 30, 2019
Aug. 23, 2018
Finite-Lived Intangible Assets [Line Items]      
Intangible assets - IPR&D $ 576,500    
Goodwill 82,341 $ 82,341  
Agilis      
Finite-Lived Intangible Assets [Line Items]      
Cash and cash equivalents 328   $ 328
Prepaid expenses and other current assets 181   181
Fixed assets 153   153
Other assets 38   38
Intangible assets - IPR&D     480,000
Intangible assets - in process research and development (“IPRD”) Adjustment 96,500    
Accounts payable and accrued expenses (3,828)   (3,828)
Deferred tax liability (122,032)   (115,200)
Deferred tax liability adjustment (6,832)    
Fair value of net assets acquired 451,340   361,672
Fair value of net assets acquired adjustment 89,668    
Goodwill     100,309
Goodwill Adjustment (17,968)    
Total purchase price 533,681   $ 461,981
Total purchase price adjustment $ 71,700