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Fair Value Measurement - Level 3 Liability (Details) - USD ($)
$ in Thousands
9 Months Ended
Sep. 30, 2017
Sep. 30, 2016
Accounts payable and accrued expenses    
Fair Value, Liabilities Measured On Recurring Basis, Unobservable Input Reconciliation [Line Items]    
Short-term portion of deferred payments $ 1,400  
Deferred payments [Member]    
Schedule of changes in fair value of level 3 liability    
Balance at beginning of year 11,741 $ 3,278
Amounts paid (1,133) (7,358)
Contingent consideration in connection with NYCDA acquisition   14,500
Other adjustments to fair value (6,184) 1,920
Balance at end of year $ 4,424 $ 12,340