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Significant Accounting Policies - Doubtful Accounts (Details) - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Schedule of allowance for doubtful accounts      
Allowance for doubtful accounts, beginning of period $ 12,687 $ 10,201 $ 10,024
Additions charged to expense 37,704 21,751 16,503
Additions from merger 6,601    
Write-offs, net of recoveries (28,535) (19,265) (16,326)
Allowance for doubtful accounts, end of period $ 28,457 $ 12,687 $ 10,201