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Income Taxes - Statutory Rate (Details) - USD ($)
12 Months Ended
Dec. 22, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Income (loss) before income taxes:        
United States   $ (309,183,000) $ (440,696,000) $ (174,913,000)
Foreign   (39,906,000) (8,425,000) (28,868,000)
Loss before income tax   (349,089,000) (449,121,000) (203,781,000)
Current        
Federal   0 0 0
State   6,000 9,000 7,000
Foreign   (100,000) 2,276,000 0
Deferred        
Federal   0 (150,015,000) (1,101,000)
State   0 (17,389,000) (2,645,000)
Foreign   0 0 0
Total   $ (94,000) $ (165,119,000) $ (3,739,000)
Reconciliation of the statutory tax rates and the effective tax rates        
Statutory rate (21.00%) (21.00%) (34.00%) (34.00%)
State taxes, net of federal benefit   (4.00%) (5.00%) (5.00%)
Nondeductible IPR&D   6.00% (1.00%) 3.00%
Contingent consideration   1.00% (18.00%) (0.00%)
Tax credits   (10.00%) (2.00%) (3.00%)
Foreign income tax rate differential   2.00% 5.00% 2.00%
Impact of 2017 Act   (0.00%) 27.00% (0.00%)
Other   (0.00%) 5.00% (1.00%)
Valuation allowance   26.00% (14.00%) 36.00%
Net   (0.00%) (37.00%) (2.00%)
Income tax benefit   $ (94,000) $ (165,119,000) $ (3,739,000)
Foreign and state income tax expense (benefits)   (100,000)    
Accrual for interest and penalties   0    
Accrual for uncertain tax positions   $ 0