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Intangible Assets and Goodwill - Other (Details) - USD ($) $ in Thousands		1 Months Ended	12 Months Ended
	Nov. 21, 2019	Nov. 30, 2013	Dec. 31, 2019	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2015
Intangible Assets and Goodwill
Finite Lived - Gross Amount			$ 284,121	$ 17,821
Finite Lived - Accumulated Amortization			(20,416)	(17,821)
Finite Lived - Net Amount			263,705
Goodwill			66,134
Intangible Assets, Gross			469,155	17,821
Intangible Assets, Net			448,739
In-Process Research and Development (IPR&D)
Intangible Assets and Goodwill
Indefinite Lived assets			$ 118,900
Minimum
Intangible Assets and Goodwill
Useful life/amortization period			5 years
Maximum
Intangible Assets and Goodwill
Useful life/amortization period			11 years
Developed Technology
Intangible Assets and Goodwill
Useful life/amortization period			11 years 4 months 24 days
Finite Lived - Gross Amount			$ 252,200
Finite Lived - Accumulated Amortization			(2,301)
Finite Lived - Net Amount			$ 249,899
Customer Relationships
Intangible Assets and Goodwill
Useful life/amortization period			5 years
Finite Lived - Gross Amount			$ 14,100
Finite Lived - Accumulated Amortization			(294)
Finite Lived - Net Amount			$ 13,806
GMP royalty buyout
Intangible Assets and Goodwill
Useful life/amortization period			5 years
Finite Lived - Gross Amount			$ 17,500	17,500
Finite Lived - Accumulated Amortization			(17,500)	(17,500)
Non-compete agreements
Intangible Assets and Goodwill
Amortization expense				200	$ 300
Finite Lived - Gross Amount			321	321
Finite Lived - Accumulated Amortization			$ (321)	(321)
Non-compete agreements | Minimum
Intangible Assets and Goodwill
Useful life/amortization period			1 year			1 year
Non-compete agreements | Maximum
Intangible Assets and Goodwill
Useful life/amortization period			2 years			2 years
Buy-out Agreement with GMP | GMP royalty buyout
Intangible Assets and Goodwill
Amortization expense			$ 3,000		3,500
Useful life/amortization period		5 years
GMP Note Parties | Buy-out Agreement with GMP
Intangible Assets and Goodwill
Value from the sale of company required to be paid in accordance with the Buyout Agreement to previous owners		$ 2,000
Notes Payable | GMP Note Parties | Buy-out Agreement with GMP
Intangible Assets and Goodwill
Face amount at time of issuance		$ 17,500
Avedro
Intangible Assets and Goodwill
Amortization expense				$ 0	$ 0
Goodwill	$ 66,134		$ 66,100
Avedro | In-Process Research and Development (IPR&D)
Intangible Assets and Goodwill
Discount Rate (as a percent)	13.00%
Avedro | Developed Technology
Intangible Assets and Goodwill
Discount Rate (as a percent)	11.50%
Useful life/amortization period	11 years		11 years 4 months 24 days
Avedro | Customer Relationships
Intangible Assets and Goodwill
Useful life/amortization period	5 years		5 years
Avedro | Cost of sales
Intangible Assets and Goodwill
Amortization expense			$ 2,300
Avedro | Selling, general and administrative
Intangible Assets and Goodwill
Amortization expense			$ 300

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