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Fair Value (Change in Carrying Value Associated with Contingent Payment Arrangements Level 3 Instruments) (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Fair Value, Liabilities Measurement Level 3 reconciliation        
Balance as of beginning of period $ 10,960 $ 16,777 $ 10,855 $ 17,589
Accretion 53 53 158 408
Change in estimates 0 (193) 0 (193)
Payments 0 (4,534) 0 (5,701)
Balance as of end of period $ 11,013 $ 12,103 $ 11,013 $ 12,103