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Fair Value Measurements - Contingent Consideration Reconciliation (Details) $ in Thousands | 3 Months Ended | 9 Months Ended
--- | --- | ---
Sep. 30, 2020 USD ($) distributor | Sep. 30, 2020 USD ($) | Sep. 30, 2019 USD ($)
Liabilities Measured on Recurring Basis |  |  |
Contingent consideration paid |  | $ 8,800 |
Number of distributors acquired | distributor | 2 |  |
Period of delay |  | 1 year |
Remeasurement of contingent consideration to fair value |  | $ (31,176) | $ (2,425)
Cost of sales - exclusive of amortization |  |  |
Liabilities Measured on Recurring Basis |  |  |
Remeasurement of contingent consideration to fair value |  | 19,200 |
Research and development |  |  |
Liabilities Measured on Recurring Basis |  |  |
Remeasurement of contingent consideration to fair value |  | 12,000 |
Fair Value, Recurring | Level 3 |  |  |
Liabilities Measured on Recurring Basis |  |  |
Total at beginning period |  | 137,349 |
Total at period end | $ 96,174 | 96,174 |
Fair Value, Recurring | Level 3 | Embedded Exchange Feature Derivative Liability |  |  |
Liabilities Measured on Recurring Basis |  |  |
Total at beginning period |  | 0 |
Additions |  | 74,951 |
Payments |  | 0 |
Changes in fair value |  | (15,553) |
Effect of changes in foreign currency exchange rates |  | 0 |
Total at period end | 59,398 | 59,398 |
Less current portion at period end | 0 | 0 |
Long-term portion at period end | 59,398 | 59,398 |
Fair Value, Recurring | Level 3 | Other Derivative Liabilities |  |  |
Liabilities Measured on Recurring Basis |  |  |
Total at beginning period |  | 0 |
Additions |  | 0 |
Payments |  | 0 |
Changes in fair value |  | 1,350 |
Effect of changes in foreign currency exchange rates |  | 0 |
Total at period end | 1,350 | 1,350 |
Less current portion at period end | 1,160 | 1,160 |
Long-term portion at period end | 190 | 190 |
Fair Value, Recurring | Level 3 | Contingent Consideration Liability Arrangements |  |  |
Liabilities Measured on Recurring Basis |  |  |
Total at beginning period |  | 137,349 |
Additions |  | 0 |
Payments |  | (9,868) |
Changes in fair value |  | (31,176) |
Effect of changes in foreign currency exchange rates |  | (131) |
Total at period end | 96,174 | 96,174 |
Less current portion at period end | 16,571 | 16,571 |
Long-term portion at period end | 79,603 | 79,603 |
Fair Value, Recurring | Level 3 | Derivative Financial Instruments, Assets |  |  |
Assets Measured on Recurring Basis |  |  |
As of beginning period |  | 0 |
Additions |  | 43,096 |
Payments |  | 0 |
Changes in fair value |  | (4,097) |
Effect of changes in foreign currency exchange rates |  | 0 |
Total at period end | 38,999 | 38,999 |
Less current portion at period end | 0 | 0 |
Long-term portion at period end | 38,999 | 38,999 |
Fair Value, Recurring | Level 3 | Notes Receivable |  |  |
Assets Measured on Recurring Basis |  |  |
As of beginning period |  | 0 |
Additions |  | 2,267 |
Payments |  | 0 |
Changes in fair value |  | 34 |
Effect of changes in foreign currency exchange rates |  | 0 |
Total at period end | 2,301 | 2,301 |
Less current portion at period end | 2,044 | 2,044 |
Long-term portion at period end | $ 257 | $ 257 |

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