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Fair Value Measurements - Contingent consideration (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jan. 02, 2019
Oct. 19, 2018
Jun. 30, 2020
Sep. 30, 2019
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Dec. 31, 2019
Change in fair value                
Change in fair value of acquisition-related contingent consideration (income) expense     $ (100)   $ 1,830 $ 600 $ 3,006  
Cognify, Inc                
Change in fair value                
Change in fair value of acquisition-related contingent consideration (income) expense     (100)   $ 1,500 600 $ 2,400  
Contingent consideration liability     $ 11,400     $ 11,400   $ 10,800
Cognify, Inc | Maximum                
Change in fair value                
Estimated fair value of contingent consideration   $ 14,000            
DoseMe                
Change in fair value                
Cash payment for acquisition-related contingent consideration       $ 8,750        
Issuance of common stock (in shares) 149,053