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Property and Equipment - Property and Equipment Balances (Details) - USD ($)
$ in Thousands
Dec. 31, 2019
Dec. 31, 2018
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 169,961 $ 152,289
Accumulated depreciation and amortization (115,715) (100,789)
Total property and equipment, net 54,246 51,500
Equipment    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 88,569 75,417
Furniture and fixtures    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 7,925 7,844
Leasehold improvements    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 18,979 16,274
Software    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross 48,309 42,048
Construction in progress    
Property, Plant and Equipment [Line Items]    
Property and equipment, gross $ 6,179 $ 10,706