Nature of Business and Accounting Policies - Revenue Recognition (Details) - USD ($)
$ in Thousands |
3 Months Ended |
12 Months Ended |
|
|
|
Dec. 31, 2019 |
Sep. 30, 2019 |
Jun. 30, 2019 |
Mar. 31, 2019 |
Dec. 31, 2018 |
Sep. 30, 2018 |
Jun. 30, 2018 |
Mar. 31, 2018 |
Dec. 31, 2019 |
Dec. 31, 2018 |
Dec. 31, 2017 |
Jan. 01, 2019 |
Jan. 01, 2018 |
Jan. 01, 2017 |
| New Accounting Pronouncements or Change in Accounting Principle [Line Items] |
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|
|
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|
|
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| Contract liabilities |
$ 62,300
|
|
|
|
$ 24,900
|
|
|
|
$ 62,300
|
$ 24,900
|
|
|
|
|
| Revenues related to performance obligations |
|
|
|
|
|
|
|
|
24,900
|
|
|
|
|
|
| Cumulative effect adjustment to accumulated deficit |
|
|
|
|
|
|
|
|
|
|
|
$ (40,310)
|
$ 9,229
|
$ 0
|
| Revenues |
1,413,265
|
$ 949,828
|
$ 941,293
|
$ 858,435
|
$ 870,106
|
$ 784,535
|
$ 752,157
|
$ 640,799
|
$ 4,162,821
|
$ 3,047,597
|
$ 2,488,652
|
|
|
|
| Accumulated Deficit |
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|
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| New Accounting Pronouncements or Change in Accounting Principle [Line Items] |
|
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|
|
|
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| Cumulative effect adjustment to accumulated deficit |
|
|
|
|
|
|
|
|
|
|
|
$ (40,310)
|
33,349
|
$ (9,371)
|
| Accounting Standards Update 2014-09 | Accumulated Deficit |
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| New Accounting Pronouncements or Change in Accounting Principle [Line Items] |
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| Cumulative effect adjustment to accumulated deficit |
|
|
|
|
|
|
|
|
|
|
|
|
$ 8,300
|
|
| ORKAMBI |
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| New Accounting Pronouncements or Change in Accounting Principle [Line Items] |
|
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| Revenues |
$ 155,800
|
|
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