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Supplemental Cash Flow Information (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Supplemental non-cash investing and financing activities:      
Value of common stock issued in acquisitions $ 0 $ 0 $ 3,268
Value of common stock issued in payment of accrued liability 0 188 0
Exercise of stock options by common stock surrender 0 5,863 50
Supplemental cash payment information:      
Interest paid 2,502 1,851 2,024
Income taxes (received, net of payments) paid, net of refunds $ (139) $ (10,195) $ 333