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Contingent Consideration Payable - Activity (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Mar. 31, 2020
Dec. 31, 2019
Acquisition-related contingent consideration:            
Related party payable, beginning balance $ 18,050   $ 17,327 $ 28,840    
Payments (2,279)   (4,344) (6,707)    
Operating Expense 918 $ (377) 3,396 1,757    
Other Expense 125   435      
Disposition of the Hospital Business (14,900)   (14,900)      
Related party payable, ending balance 1,914 $ 24,247 1,914 $ 24,247    
Less: Current portion (1,914)   (1,914)   $ (5,855) $ (5,554)
Long-term contingent consideration payable 0   0   $ 12,195 $ 11,773
Acquisition-related contingent consideration | Earn-out payments            
Acquisition-related contingent consideration:            
Related party payable, beginning balance 16,176   15,472      
Payments (1,962)   (3,736)      
Operating Expense 918   3,396      
Other Expense 0   0      
Disposition of the Hospital Business (13,476)   (13,476)      
Related party payable, ending balance 1,656   1,656      
Financing-related | Royalty agreement - Deerfield            
Acquisition-related contingent consideration:            
Related party payable, beginning balance 1,242   1,251      
Payments (215)   (412)      
Operating Expense 0   0      
Other Expense 84   272      
Disposition of the Hospital Business (936)   (936)      
Related party payable, ending balance 175   175      
Financing-related | Royalty agreement - Broadfin            
Acquisition-related contingent consideration:            
Related party payable, beginning balance 632   604      
Payments (102)   (196)      
Operating Expense 0   0      
Other Expense 41   163      
Disposition of the Hospital Business (488)   (488)      
Related party payable, ending balance $ 83   $ 83