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Fair Value Measurements - Schedule of Activity of Major Classes of Assets Measured at Fair Value Using Level 3 Inputs (Details) - Level 3 - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]    
Beginning balance $ (8,631) $ (7,100)
Fair value adjustment to contingent consideration included in general and administrative expense (1,835) (2,781)
Cash paid upon achievement of milestone 4,166 1,250
Ending balance $ (6,300) $ (8,631)