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Summary of Changes in the Fair Value of Level 3 Contingent Consideration (Details) - Significant Other Unobservable Inputs (Level 3)
$ in Thousands
12 Months Ended
Dec. 31, 2018
USD ($)
Fair Value Liabilities Measured On Recurring Basis Unobservable Input Reconciliation [Line Items]  
Beginning balance $ 4,104
Payments (2,800)
Fair value adjustments 2,072
Ending balance $ 3,376