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General - Fair Value Measurements (Details) - USD ($)
$ in Thousands
Mar. 31, 2019
Dec. 31, 2018
Assets    
Investments $ 430,371 $ 385,743
Cash held in bank accounts 13,600 8,800
Liabilities    
Contingent consideration 2,268 10,124
U.S. Government and agency securities    
Assets    
Investments 109,504 67,815
Obligations of government-sponsored enterprises    
Assets    
Investments 5,244 5,229
Corporate debt securities    
Assets    
Investments 295,473 292,049
Certificates of deposit    
Assets    
Investments 20,150 20,650
Level 1 | 4.400% Senior Notes due 2024    
Liabilities    
Fair value of debt 382,000  
Level 2 | Term Loan    
Liabilities    
Fair value of debt 323,800  
Fair value measured on recurring basis    
Assets    
Total assets held at fair value 650,226 649,205
Liabilities    
Contingent consideration 2,268 10,124
Total liabilities held at fair value 2,268 10,124
Fair value measured on recurring basis | Other than cash held in bank accounts by Company    
Assets    
Cash and cash equivalents 219,855 263,462
Fair value measured on recurring basis | U.S. Government and agency securities    
Assets    
Investments 109,504 67,815
Fair value measured on recurring basis | Obligations of government-sponsored enterprises    
Assets    
Investments 5,244 5,229
Fair value measured on recurring basis | Corporate debt securities    
Assets    
Investments 295,473 292,049
Fair value measured on recurring basis | Certificates of deposit    
Assets    
Investments 20,150 20,650
Fair value measured on recurring basis | Level 1    
Assets    
Total assets held at fair value 109,504 67,815
Fair value measured on recurring basis | Level 1 | U.S. Government and agency securities    
Assets    
Investments 109,504 67,815
Fair value measured on recurring basis | Level 2    
Assets    
Total assets held at fair value 540,722 581,390
Fair value measured on recurring basis | Level 2 | Other than cash held in bank accounts by Company    
Assets    
Cash and cash equivalents 219,855 263,462
Fair value measured on recurring basis | Level 2 | Obligations of government-sponsored enterprises    
Assets    
Investments 5,244 5,229
Fair value measured on recurring basis | Level 2 | Corporate debt securities    
Assets    
Investments 295,473 292,049
Fair value measured on recurring basis | Level 2 | Certificates of deposit    
Assets    
Investments 20,150 20,650
Fair value measured on recurring basis | Level 3    
Liabilities    
Contingent consideration 2,268 10,124
Total liabilities held at fair value $ 2,268 $ 10,124