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Significant Accounting Policies - Doubtful Accounts (Details) - USD ($)
$ in Thousands
3 Months Ended 6 Months Ended
Jun. 30, 2019
Jun. 30, 2018
Jun. 30, 2019
Jun. 30, 2018
Allowance for Doubtful Accounts Receivable [Roll Forward]        
Allowance for doubtful accounts, beginning of period $ 29,387 $ 13,775 $ 28,457 $ 12,687
Additions charged to expense 11,462 6,596 23,782 12,987
Adjustment to value of acquired receivables 2,207 0 2,207 0
Write-offs, net of recoveries (12,323) (5,323) (23,713) (10,626)
Allowance for doubtful accounts, end of period $ 30,733 $ 15,048 $ 30,733 $ 15,048