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Acquisitions - Contingent Consideration Reconciliation (Details) $ in Thousands | 9 Months Ended
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Sep. 30, 2017 USD ($) company
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward] |
Number of businesses acquired | company | 3
Level 3 | Caisson Interventional LLC |
Fair Value, Liabilities Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward] |
Fair value, liability beginning balance | $ 3,890
Purchase price - Caisson contingent consideration | 31,688
Payments | (1,841)
Changes in fair value | 231
Effect of changes in foreign currency exchange rates | 249
Fair value, liability ending balance | $ 34,217

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