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General - Fair Value Measurements (Details) - USD ($)
$ in Thousands
Sep. 30, 2018
Dec. 31, 2017
Assets    
Investments $ 378,759 $ 327,865
Cash held in bank accounts 21,000 114,700
Liabilities    
Contingent consideration 9,268 8,817
U.S. Government and agency securities    
Assets    
Investments 57,384 28,231
Obligations of government-sponsored enterprises    
Assets    
Investments 7,965 22,088
Corporate debt securities    
Assets    
Investments 292,760 269,788
Taxable municipal bonds    
Assets    
Investments   5,000
Certificates of deposit    
Assets    
Investments 20,650 2,758
Level 1 | 4.400% Senior Notes due 2024    
Liabilities    
Fair value of debt 387,200  
Level 2 | Term Loan    
Liabilities    
Fair value of debt 332,500  
Fair value measured on recurring basis    
Assets    
Total assets held at fair value 592,054 611,929
Liabilities    
Contingent consideration 9,268 8,817
Total liabilities held at fair value 9,268 8,817
Fair value measured on recurring basis | Other than cash held in bank accounts by Company    
Assets    
Cash and cash equivalents 213,295 284,064
Fair value measured on recurring basis | U.S. Government and agency securities    
Assets    
Investments 57,384 28,231
Fair value measured on recurring basis | Obligations of government-sponsored enterprises    
Assets    
Investments 7,965 22,088
Fair value measured on recurring basis | Corporate debt securities    
Assets    
Investments 292,760 269,788
Fair value measured on recurring basis | Taxable municipal bonds    
Assets    
Investments   5,000
Fair value measured on recurring basis | Certificates of deposit    
Assets    
Investments 20,650 2,758
Fair value measured on recurring basis | Level 1    
Assets    
Total assets held at fair value 57,384 28,231
Fair value measured on recurring basis | Level 1 | U.S. Government and agency securities    
Assets    
Investments 57,384 28,231
Fair value measured on recurring basis | Level 2    
Assets    
Total assets held at fair value 534,670 583,698
Fair value measured on recurring basis | Level 2 | Other than cash held in bank accounts by Company    
Assets    
Cash and cash equivalents 213,295 284,064
Fair value measured on recurring basis | Level 2 | Obligations of government-sponsored enterprises    
Assets    
Investments 7,965 22,088
Fair value measured on recurring basis | Level 2 | Corporate debt securities    
Assets    
Investments 292,760 269,788
Fair value measured on recurring basis | Level 2 | Taxable municipal bonds    
Assets    
Investments   5,000
Fair value measured on recurring basis | Level 2 | Certificates of deposit    
Assets    
Investments 20,650 2,758
Fair value measured on recurring basis | Level 3    
Liabilities    
Contingent consideration 9,268 8,817
Total liabilities held at fair value $ 9,268 $ 8,817