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Income Taxes - Statutory Rate (Details) - USD ($)
12 Months Ended
Dec. 22, 2017
Dec. 31, 2020
Dec. 31, 2019
Dec. 31, 2018
Income (loss) before income taxes:        
United States   $ (365,332,000) $ (393,955,000) $ (309,183,000)
Foreign   91,078,000 38,045,000 (39,906,000)
Loss before income tax   (274,254,000) (355,910,000) (349,089,000)
Current        
Federal   0 0 0
State   0 0 6,000
Foreign   4,163,000 2,877,000 (100,000)
Deferred        
Federal   (1,410,000) (984,000) 0
State   (155,000) (1,415,000) 0
Foreign   0 0 0
Income tax expense (benefit)   $ 2,598,000 $ 478,000 $ (94,000)
Reconciliation of the statutory tax rates and the effective tax rates        
Statutory rate (21.00%) (21.00%) (21.00%) (21.00%)
State taxes, net of federal benefit   0.00% 0.00% (4.00%)
Nondeductible IPR&D   0.00% 0.00% 6.00%
Contingent consideration   0.00% 0.00% 1.00%
Tax credits   (7.00%) (16.00%) (10.00%)
Impact of foreign operations   4.00% 9.00% 2.00%
Nondeductible executive compensation   2.00% 1.00% 0.00%
Nondeductible debt conversion   0.00% (1.00%) 0.00%
Other   0.00% (1.00%) 0.00%
Valuation allowance   23.00% 29.00% 26.00%
Net   1.00% 0.00% 0.00%
Deferred federal, state and local, tax expense (benefit)   $ (1,600,000)    
Accrual for interest and penalties   0    
Accrual for uncertain tax positions   $ 0