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Subsequent Events - Narrative (Details) - USD ($)
$ / shares in Units, $ in Thousands
3 Months Ended 12 Months Ended
Mar. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Jan. 02, 2019
Subsequent Event [Line Items]          
Purchase of business   $ 0 $ 55,049 $ 6,258  
Business Combination, Contingent Consideration, Liability   3,070 $ 3,440    
Quarton          
Subsequent Event [Line Items]          
Business Acquisition, Transaction Costs   $ 1,900      
Subsequent Event | Quarton          
Subsequent Event [Line Items]          
Total estimated purchase price $ 115,000        
Purchase of business 75,000        
Business Combination, Contingent Consideration, Liability         $ 40,000
Other Payments to Acquire Businesses $ 300        
Business Acquisition, Equity Interest Issued or Issuable, Number of Shares 1,033,950        
Business Acquisition, Share price         $ 14.52