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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
Mar. 31, 2022
Mar. 31, 2021
Fair Value, Liabilities Measurement Level 3 reconciliation    
Balance as of beginning of period $ 38,260 $ 27,750
Addition 0 7,526
Accretion 838 797
Payments 0 0
Balance as of end of period $ 39,098 $ 36,073