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Note 18 - Financial Instruments - Change in Fair Value of Contingent Consideration Liability (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Fair value adjustments (note 4) $ (4,365) $ (6,487)
Less: current portion 17,122 18,657
Non-current portion 76,743 31,643
Fair Value, Inputs, Level 3 [Member]    
Balance 50,300 32,266
Amounts recognized on acquisitions 61,525 21,477
Fair value adjustments (note 4) 1,675 1,054
Resolved and settled in cash (18,757) (6,169)
Other (877) 1,672
Balance 93,865 50,300
Less: current portion 17,122 18,657
Non-current portion $ 76,743 $ 31,643