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Fair Value of Financial Instruments - Level 3 liabilities (Details) - Fair Value, Inputs, Level 3 - Estimate of Fair Value Measurement
$ in Thousands
9 Months Ended
Sep. 30, 2022
USD ($)
Roll forward of Level 3 liabilities  
Balance at the beginning of the period $ 244,000
Contingent consideration earned during the period but not yet paid (25,802)
Change in fair value of contingent consideration (12,198)
Balance at the end of the period $ 206,000