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Valuation and Qualifying Accounts (Details) - Allowance for doubtful accounts - USD ($)
$ in Thousands
12 Months Ended
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Activity in Valuation and Qualifying Accounts      
Balance at Beginning of Year $ 22,167 $ 23,603 $ 15,981
Charged to Cost and Expenses 153,796 104,926 156,318
Deductions (158,008) (106,362) (148,696)
Balance at End of Year $ 17,955 $ 22,167 $ 23,603