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Supplemental Consolidated Balance Sheet Information (Components of Prepaid Expenses and Other Current Assets) (Details) - USD ($)
$ in Thousands
Mar. 31, 2019
Dec. 31, 2018
Balance Sheet Related Disclosures [Abstract]    
Prepaid recruiting and retention incentives - current $ 5,387 $ 4,552
Other current prepaid expenses and other current assets 21,448 17,960
Prepaid expenses and other current assets $ 26,835 $ 22,512