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Significant Accounting Policies - Property and Equipment (Details) - USD ($)
12 Months Ended
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Property, Plant and Equipment [Line Items]      
Impairment loss $ 0    
Depreciation and amortization 31,400,000 $ 18,700,000 $ 17,800,000
Computer software | Capella Merger      
Property, Plant and Equipment [Line Items]      
Depreciation $ 2,600,000    
Minimum      
Property, Plant and Equipment [Line Items]      
Estimated useful life of property and equipment 3 years    
Minimum | Computer software      
Property, Plant and Equipment [Line Items]      
Estimated useful life of property and equipment 3 years    
Maximum      
Property, Plant and Equipment [Line Items]      
Estimated useful life of property and equipment 40 years    
Maximum | Computer software      
Property, Plant and Equipment [Line Items]      
Estimated useful life of property and equipment 10 years