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Condensed Consolidated Balance Sheets (Parenthetical) - USD ($)
$ in Thousands
Jun. 30, 2019
Dec. 31, 2018
Statement of Financial Position [Abstract]    
Allowance for doubtful accounts $ 16,275 $ 15,950
Common stock, par value per share (in dollars per share) $ 0.001 $ 0.001
Common stock, shares authorized (in shares) 300,000,000 300,000,000
Common stock, shares issued (in shares) 85,213,952 81,119,117
Common stock, shares outstanding (in shares) 84,819,158 80,722,258
Treasury stock, at cost (shares) 394,794 396,859