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Property and Equipment Property, Plant and Equipment (Details) - USD ($)
$ in Thousands
Mar. 31, 2019
Dec. 31, 2018
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 155,267 $ 152,289
Accumulated depreciation and amortization 103,228 100,789
Total property and equipment, net 52,039 51,500
Equipment    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 76,668 75,417
Furniture and fixtures    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 8,122 7,844
Leasehold improvements    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 16,381 16,274
Software    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 42,305 42,048
Construction in progress    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 11,791 $ 10,706