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Fair Value Measurements - Contingent consideration Rollforward (Details)
$ in Thousands
9 Months Ended
Sep. 30, 2017
USD ($)
Acquisition related contingent consideration  
Change in fair value using significant unobservable inputs (Level 3):  
Balance at beginning of period $ 3,008
Acquisition date fair value of SinfoniaRx contingent consideration 26,406
Fair value of cash consideration paid (1,498)
Adjustments to fair value measurement 960
Balance at end of period 28,876
SinfoniaRx  
Change in fair value  
Fair value of contingent consideration 27,313
Medliance  
Change in fair value  
Fair value of contingent consideration $ 1,563