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Fair Value Measurements - Liability Measured on Recurring Basis, Unobservable Input Reconciliation (Details) - Contingent Consideration - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]        
Beginning balance $ 10,912 $ 5,572 $ 10,956 $ 683
Contingent consideration liability recorded as the result of acquisitions (see Note 5) 0 5,500 0 10,400
Fair value adjustments recorded to income during the period (828) 20 (741) 39
Contingent payments made (53) (15) (184) (45)
Ending balance $ 10,031 $ 11,077 $ 10,031 $ 11,077