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Supplemental Schedule of Noncash Financing Activities (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2019
Dec. 31, 2018
Dec. 31, 2017
Supplemental Cash Flow Elements [Abstract]      
Acquisition obligations (upfront purchase and contingent consideration) $ 6,762 $ 77,594  
Common Stock Repurchase not settled, Shares   200,000  
Common Stock Repurchase not settled, Value   $ 8,800  
Forfeiture of certain shares to satisfy exercise costs and the recipients income tax obligations related to stock options exercised and restricted stock vested, Shares   8,875 6,134
Forfeiture of certain shares to satisfy exercise costs and the recipients income tax obligations related to stock options exercised and restricted stock vested $ (230) $ (467) $ (398)