Annual report pursuant to Section 13 and 15(d)

Acquisitions - Schedule of Contingent Consideration Rollforward (Details)

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Acquisitions - Schedule of Contingent Consideration Rollforward (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Deferred Cash and Stock Obligations    
Deferred Cash and Stock Obligations Beginning Balance $ 47,016 $ 14,150
Additions, net of fair value discount 36,313 42,104
Cash payments (29,600) (8,215)
Accretion expense 1,970 1,049
Change in fair value 0 0
Indemnification claims and other adjustments (3,557) (2,072)
Deferred Cash and Stock Obligations Ending Balance 52,142 47,016
Contingent Consideration    
Contingent Consideration Beginning Balance 414 541
Additions, net of fair value discount 7,000 812
Cash payments (247) (700)
Accretion expense 0 0
Change in fair value (1,167) (239)
Indemnification claims and other adjustments 0 0
Contingent Consideration Ending Balance 6,000 414
Total    
Total Beginning Balance 47,430 14,691
Additions, net of fair value discount 43,313 42,916
Cash payments (29,847) (8,915)
Accretion expense 1,970 1,049
Change in fair value (1,167) (239)
Indemnification claims and other adjustments (3,557) (2,072)
Total Ending Liability $ 58,142 $ 47,430