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Entity Wide Disclosures - Summary of Property and Equipment, Net by Geographic Region (Details) - USD ($)
$ in Thousands
Dec. 31, 2018
Dec. 31, 2017
Property and equipment, net:    
Property and equipment, net $ 52,255 $ 48,739
U.S.    
Property and equipment, net:    
Property and equipment, net 38,609 37,535
Europe, Belgium    
Property and equipment, net:    
Property and equipment, net 6,014 4,132
Europe, Other    
Property and equipment, net:    
Property and equipment, net 5,500 5,134
Europe    
Property and equipment, net:    
Property and equipment, net 11,514 9,266
Other    
Property and equipment, net:    
Property and equipment, net $ 2,132 $ 1,938