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Fair Value Measurements - Narrative (Details) - USD ($)
12 Months Ended
Dec. 31, 2017
Dec. 31, 2016
Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]    
Contingent consideration – current year acquisitions $ 983,000  
Remeasurement of Fair Value 0  
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Settlements 1,380,000  
Consideration liability balance 54,272,000 $ 48,362,000
Acquisition consideration    
Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation [Line Items]    
Contingent consideration – current year acquisitions $ 12,807,000 46,800,000
Remeasurement of Fair Value   1,800,000
Fair Value, Measurement with Unobservable Inputs Reconciliation, Recurring Basis, Liability, Settlements   0
Consideration liability balance   $ 45,000,000