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Intangible Assets, Goodwill and Other Assets (Details) - USD ($)
3 Months Ended 9 Months Ended 12 Months Ended
Sep. 30, 2020
Sep. 30, 2019
Sep. 30, 2020
Sep. 30, 2019
Dec. 31, 2019
Business Acquisition [Line Items]          
Amortization of intangible assets $ 3,700,000 $ 2,300,000 $ 11,094,000 $ 7,009,000  
Sales related to financial instrument     0   $ 0
Settlements related to financial instrument     0   0
Issuances related to financial instrument     0   0
Unrealized gains (losses) $ (1,200,000)   1,700,000    
Net unrealized gains   0   0  
Realized gains   0   0  
Proceeds from sale of cost basis investment     0 9,776,000  
Gain on sale of cost basis investment     0 7,697,000  
Insta Med Holdings Inc.          
Business Acquisition [Line Items]          
Percentage acquired 100.00%        
Cost-based investment   2,100,000   2,100,000  
Proceeds from sale of cost basis investment   9,800,000      
Gain on sale of cost basis investment   $ 7,700,000   $ 7,700,000  
Fair Value, Inputs, Level 1          
Business Acquisition [Line Items]          
Cost basis of investment $ 7,400,000   7,400,000    
Fair value measurement in relation to equity instrument $ 9,600,000   $ 9,600,000   $ 7,900,000