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Assets and Liabilities Measured at Fair Value - Contingent Consideration Roll Forward (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2020
Sep. 30, 2019
Sep. 30, 2020
Sep. 30, 2019
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]        
Balance, beginning of the period $ 24,327 $ 21,247 $ 22,681 $ 19,700
Changes in fair value during the period, included in the Consolidated Statements of Operations 1,034 789 2,680 2,652
Adjustment for contingent consideration paid in stock 0 0 0 (316)
Balance, end of the period 25,361 $ 22,036 25,361 $ 22,036
Current portion of contingent consideration payable $ 8,800   $ 8,800