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Fair Value of Financial Instruments - Unobservable Input Reconciliation (Details) - Fair Value, Inputs, Level 3 [Member] - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]        
Opening Balance $ 17,354 $ 7,582 $ 13,763 $ 15,095
Total realized and unrealized gains (losses) included in Net Income (430) (1,874) (4,021) 5,639
Unrealized gains (losses) included in Other Comprehen-sive Income 0 0 0 0
Purchases 0 0 0 0
Issues 0 0 0 0
Sales 0 0 0 0
Transfers Out (17,784)   (17,784)  
Settlements   0   0
Closing Balance 0 9,456 0 9,456
Unrealized gains (losses) for Level 3 liabilities outstanding 0 (1,874) 0 5,639
Contingent Consideration Liability        
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]        
Opening Balance 17,354 7,582 13,763 15,095
Total realized and unrealized gains (losses) included in Net Income (430)   (4,021)  
Unrealized gains (losses) included in Other Comprehen-sive Income 0 0 0 0
Purchases 0 0 0 0
Issues 0 0 0 0
Sales 0 0 0 0
Transfers Out (17,784)   (17,784)  
Settlements   0   0
Closing Balance 0 9,456 0 9,456
Unrealized gains (losses) for Level 3 liabilities outstanding $ 0 $ (1,874) $ 0 $ 5,639