Goodwill and Intangible Assets - Goodwill (Details) $ in Thousands	9 Months Ended
Sep. 30, 2018 USD ($)
Goodwill and related changes
Goodwill at beginning of period	$ 74,613
Goodwill from 2018 acquisitions	16,726
Adjustments to Goodwill	(420)
Goodwill at end of period	90,919
SinfoniaRx
Goodwill and related changes
Goodwill at end of period	52,507
Accrued expenses and other liabilities and deferred tax liabilities	3,819
SinfoniaRx \| Purchase Price Allocation \| Adjustment
Goodwill and related changes
Accrued expenses and other liabilities and deferred tax liabilities	$ (420)

Amount of liabilities incurred for entity's business and related party payables, assumed at the acquisition date.

No definition available.

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- Definition

Amount after accumulated impairment loss of an asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
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- Definition

Amount of increase in asset representing future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized resulting from a business combination.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
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- Definition

Amount of increase (decrease) from adjustments after acquisition date under purchase accounting of an asset representing the future economic benefits arising from other assets acquired in a business combination that are not individually identified and separately recognized.

+ References

Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef
-Publisher FASB
-Name Accounting Standards Codification
-Topic 805
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-Section 25
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- Definition

A roll forward is a reconciliation of a concept from the beginning of a period to the end of a period.

+ References

No definition available.

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