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Acquisitions - Purchase Price Composition (Details) - USD ($) $ in Thousands	May 02, 2017	Sep. 30, 2017	Dec. 31, 2016
Business Acquisition [Line Items]
Deferred compensation - Caisson acquisition		$ 14,137	$ 0
Caisson Interventional LLC
Business Acquisition [Line Items]
Cash	$ 15,660
Debt forgiven	6,309
Deferred consideration	12,994
Contingent consideration	29,303
Fair value of consideration transferred	64,266
Fair value of our interest prior to the acquisition	52,505
Fair value of total consideration	116,771
Post-combination compensation expense	5,800
Other closing costs	2,400
Cash paid	18,000
Increases to deferred consideration from post-combination compensation expense	3,400
Deferred compensation - Caisson acquisition	14,100
Changes in Fair Value	31,700
Pre-tax non-cash gain in remeasurement of notes receivable	1,300
Caisson Interventional LLC | Equity Method Investee
Business Acquisition [Line Items]
Non-taxable gain recognized in remeasurement of existing equity investment	$ 38,100

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