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Fair Value Measurement - Level 3 Liability (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
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 (6,094) 1,321
Balance at end of year 4,514 $ 11,741
Accounts payable and accrued expenses    
Fair Value, Liabilities Measured On Recurring Basis, Unobservable Input Reconciliation [Line Items]    
Short-term portion of deferred payments $ 1,300