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Assets and Liabilities Measured at Fair Value - Level 3 Rollforward (Details) - USD ($)
$ in Thousands
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]        
Balance, beginning of the period $ 21,247 $ 26,800 $ 28,700 $ 25,400
Payment of contingent consideration in stock 0 0 (9,316) 0
Changes in fair value during the period, included in the Consolidated Statements of Operations 789 1,300 2,652 2,700
Balance, end of the period $ 22,036 $ 28,100 $ 22,036 $ 28,100