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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