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Acquisitions and Dispositions - Changes in Fair Value of Contingent Consideration (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Contingent Consideration        
Balance at December 31, 2018     $ 8,420  
Fair value adjustment $ (906) $ 412 (4,417) $ 412
Foreign currency translation     (213)  
Balance at September 30, 2019 $ 3,790   $ 3,790