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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 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Fair Value, Liabilities Measurement Level 3 reconciliation        
Balance as of beginning of period $ 23,704 $ 7,390 $ 22,911 $ 7,336
Addition 4,400 17,384 4,400 17,384
Accretion 806 829 1,599 883
Payments 0 0 0 0
Balance as of end of period $ 28,910 $ 25,603 $ 28,910 $ 25,603