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Fair Value Measurements - Liability Measured on Recurring Basis, Unobservable Input Reconciliation (Details) - Contingent Consideration - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]        
Beginning balance $ 82,457 $ 10,928 $ 82,236 $ 10,956
Contingent consideration liability recorded as the result of acquisitions 8,400 0 8,380 0
Fair value adjustments recorded to income 2,404 99 3,199 86
Contingent payments made (57) (115) (611) (130)
Ending balance $ 93,204 $ 10,912 $ 93,204 $ 10,912