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Fair Value Measurements - Liability Measured on Recurring Basis, Unobservable Input Reconciliation (Details) - Contingent Consideration - 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 $ 10,956 $ 683
Contingent consideration liability recorded as the result of acquisitions 72,209 10,400
Fair value adjustments recorded to income during the period (698) (66)
Contingent payments made (231) (61)
Ending balance $ 82,236 $ 10,956