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Investments - Additional Information (Details) - Fountain Healthcare Partners II, LP of Ireland
€ in Millions, $ in Millions
3 Months Ended
Mar. 31, 2019
USD ($)
Mar. 31, 2018
USD ($)
Mar. 31, 2019
EUR (€)
Dec. 31, 2018
USD ($)
May 31, 2014
EUR (€)
Equity method investment          
Funding commitment as percentage of partnership's total funding 7.00%   7.00%    
Increase (decrease) in carrying value of investment of the entity, which represents the Company's share of investee's net gains (losses) | $ $ (0.1) $ (0.1)      
Maximum          
Equity method investment          
Maximum commitment on equity method investment | €         € 7.4
Other Assets          
Equity method investment          
Total equity method commitment | €     € 5.5    
Carrying value of equity investment | $ $ 5.6     $ 5.5