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Income Taxes - Statutory Rate (Details) - USD ($)
$ in Thousands
3 Months Ended 12 Months Ended
Sep. 30, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Dec. 31, 2015
Income (loss) before income taxes:          
United States     $ (440,696) $ (174,913) $ (123,697)
Foreign     (8,425) (28,868) (8,421)
Loss before income tax benefit     (449,121) (203,781) $ (132,118)
Current:          
State     9 7  
Foreign     2,276    
Deferred          
Federal     (150,015) (1,101)  
State     (17,389) (2,645)  
Total     $ (165,119) $ (3,739)  
Reconciliation of the statutory tax rates and the effective tax rates          
Statutory rate (as a percent)     (34.00%) (34.00%) (34.00%)
State taxes, net of federal benefit (as a percent)     (5.00%) (5.00%) (5.00%)
Permanent adjustments (as a percent)     (1.00%) 3.00% 2.00%
Contingent consideration (as a percent)     (18.00%)    
R&D credit (as a percent)     (2.00%) (3.00%) (3.00%)
Foreign income tax rate differential (as a percent)     5.00% 2.00% 1.00%
Impact of 2017 Act (as a percent)     27.00%    
Other (as a percent)     5.00% (1.00%) 2.00%
Valuation allowance (as a percent)     (14.00%) 36.00% 37.00%
Net (as a percent)     (37.00%) (2.00%) (0.00%)
Income tax benefit on reduction of income tax rate     $ (2,700)    
Income tax benefit     (165,119) $ (3,739)  
Forecast          
Reconciliation of the statutory tax rates and the effective tax rates          
Statutory rate (as a percent)   (21.00%)      
SD-101          
Deferred          
Total $ 164,700   164,700    
Reconciliation of the statutory tax rates and the effective tax rates          
Income tax benefit $ 164,700   $ 164,700