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Acquisition (Details) - USD ($)
$ in Thousands
Apr. 28, 2017
Sep. 30, 2017
Dec. 31, 2016
Cost of acquired entity      
Goodwill   $ 346,097 $ 343,766
Surgical laser equipment service provider      
Cost of acquired entity      
Total purchase price $ 6,300    
Cash paid 5,600    
Holdback and earnout payment 700    
Inventories 50    
Property and equipment 931    
Goodwill 2,144    
Intangible assets 3,192    
Accrued compensation (14)    
Total purchase price $ 6,303